Memorial Hospital Shiloh
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Overview
- CCN140307
Procedures & prices
- HC HTROPHL ANTIBODIES TITER86309$10cashGross $170 payers
- GARAMYCIN GENTAMICIN INJJ1580$10cashGross $170 payers
- HC VISUAL ACUITY SCREEN BILAT - QUAN99173$11cashGross $180 payers
- HC BILIRUBIN TOTAL TRANSCUT88720$11cashGross $180 payers
- SUMATRIPTAN SUCCINATE / 6 MGJ3030$11cashGross $190 payers
- SUCCINYCHOLINE CHLORIDE INJJ0330$12cashGross $190 payers
- HYDRALAZINE HCL INJECTIONJ0360$12cashGross $200 payers
- HC MICROSCOPIC EXAM OF URINE81015$13cashGross $210 payers
- AMIODARONE HCLJ0282$13cashGross $210 payers
- TACROLIMUS IMME REL ORAL 1MGJ7507$13cashGross $220 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC HTROPHL ANTIBODIES TITER | 86309 | $10 | $17 | — | 0 |
| GARAMYCIN GENTAMICIN INJ | J1580 | $10 | $17 | — | 0 |
| HC VISUAL ACUITY SCREEN BILAT - QUAN | 99173 | $11 | $18 | — | 0 |
| HC BILIRUBIN TOTAL TRANSCUT | 88720 | $11 | $18 | — | 0 |
| SUMATRIPTAN SUCCINATE / 6 MG | J3030 | $11 | $19 | — | 0 |
| SUCCINYCHOLINE CHLORIDE INJ | J0330 | $12 | $19 | — | 0 |
| HYDRALAZINE HCL INJECTION | J0360 | $12 | $20 | — | 0 |
| HC MICROSCOPIC EXAM OF URINE | 81015 | $13 | $21 | — | 0 |
| AMIODARONE HCL | J0282 | $13 | $21 | — | 0 |
| TACROLIMUS IMME REL ORAL 1MG | J7507 | $13 | $22 | — | 0 |
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