Montefiore Westchester Square Campus
2475 St Raymonds Avenue
Bronx, NY 10461
Address: 2475 St Raymonds Avenue Bronx NY 10461
Montefiore Westchester Square Campus is in Bronx, NY. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN330316
Common questions
- Where is Montefiore Westchester Square Campus located?
- Montefiore Westchester Square Campus is located at 2475 St Raymonds Avenue Bronx NY 10461.
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Agglutinins Febrile AntigenLab testCPT 86000Hospital-published line item$12cashGross $18
- Compression BandageProcedureHCPCS S8431Hospital-published line item$13cashGross $20
- Cast Supplies, Short Arm Splint, Pediatric (0-10 Years), FiberglassDrugHCPCS Q4024Hospital-published line item$13cashGross $20
- Cast Supplies, Long Arm Splint, Pediatric (0-10 Years), FiberglassDrugHCPCS Q4020Hospital-published line item$13cashGross $20
- Cast Supplies, Short Arm Splint, Adult (11 Years +), PlasterDrugHCPCS Q4021Hospital-published line item$13cashGross $20
- Low Osmolar Contrast Material, 300-399 Mg/Ml Iodine Concentration, Per MlDrugHCPCS Q9967Hospital-published line item$16cashGross $24
- Bridge Payment: A One-Time Payment For The First Medicare Diabetes Prevention Program (mdpp) Core Session, Core Maintenance Session, OR Ongoing Maintenance Session Furnished By An Mdpp Supplier To An Mdpp Beneficiary During Months 1-24 Of The Mdpp Expanded Model (em) Who Has Previously Received Mdpp Services From A Different Mdpp Supplier Under The Mdpp Expanded Model. A Supplier May Only Receive One Bridge Payment Per Mdpp BeneficiaryProcedureHCPCS G9890Hospital-published line item$16cashGross $25
- Alginate OR Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 InchesSupply / DMEHCPCS A6199Hospital-published line item$16cashGross $25
- Iq Tsts Seql&incrl AirborneProcedureCPT 95027Hospital-published line item$17cashGross $25
- Nasal Smear For EosinophilsLab testCPT 89190Hospital-published line item$17cashGross $26
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Agglutinins Febrile Antigen Lab testCPT 86000Hospital-published line item | $12 | $18 |
Compression Bandage ProcedureHCPCS S8431Hospital-published line item | $13 | $20 |
Cast Supplies, Short Arm Splint, Pediatric (0-10 Years), Fiberglass DrugHCPCS Q4024Hospital-published line item | $13 | $20 |
Cast Supplies, Long Arm Splint, Pediatric (0-10 Years), Fiberglass DrugHCPCS Q4020Hospital-published line item | $13 | $20 |
Cast Supplies, Short Arm Splint, Adult (11 Years +), Plaster DrugHCPCS Q4021Hospital-published line item | $13 | $20 |
Low Osmolar Contrast Material, 300-399 Mg/Ml Iodine Concentration, Per Ml DrugHCPCS Q9967Hospital-published line item | $16 | $24 |
Bridge Payment: A One-Time Payment For The First Medicare Diabetes Prevention Program (mdpp) Core Session, Core Maintenance Session, OR Ongoing Maintenance Session Furnished By An Mdpp Supplier To An Mdpp Beneficiary During Months 1-24 Of The Mdpp Expanded Model (em) Who Has Previously Received Mdpp Services From A Different Mdpp Supplier Under The Mdpp Expanded Model. A Supplier May Only Receive One Bridge Payment Per Mdpp Beneficiary ProcedureHCPCS G9890Hospital-published line item | $16 | $25 |
Alginate OR Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 Inches Supply / DMEHCPCS A6199Hospital-published line item | $16 | $25 |
Iq Tsts Seql&incrl Airborne ProcedureCPT 95027Hospital-published line item | $17 | $25 |
Nasal Smear For Eosinophils Lab testCPT 89190Hospital-published line item | $17 | $26 |
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