Memorial Hospital
1454 N County Road 2050 E
Carthage, IL 62321
Critical Access Hospitals
Overview
- CCN141305
Procedures & prices
- Lidocaine injectionJ2001$10cashGross $100 payers
- DOPAMINE INJECTIONJ1265$12cashGross $120 payers
- SUCCINYCHOLINE CHLORIDE INJJ0330$13cashGross $130 payers
- BUDESONIDE NON-COMP UNITJ7626$13cashGross $130 payers
- INJECTION,ONABOTULINUMTOXINAJ0585$14cashGross $140 payers
- INJ GADOTERATE MEGLUMI 0.1MLA9575$16cashGross $160 payers
- DEGARELIX INJECTIONJ9155$16cashGross $160 payers
- Inj multihance multipackA9578$17cashGross $170 payers
- LOCM 300-399MG/ML IODINE,1MLQ9967$18cashGross $180 payers
- AMIODARONE HCLJ0282$18cashGross $180 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| Lidocaine injection | J2001 | $10 | $10 | — | 0 |
| DOPAMINE INJECTION | J1265 | $12 | $12 | — | 0 |
| SUCCINYCHOLINE CHLORIDE INJ | J0330 | $13 | $13 | — | 0 |
| BUDESONIDE NON-COMP UNIT | J7626 | $13 | $13 | — | 0 |
| INJECTION,ONABOTULINUMTOXINA | J0585 | $14 | $14 | — | 0 |
| INJ GADOTERATE MEGLUMI 0.1ML | A9575 | $16 | $16 | — | 0 |
| DEGARELIX INJECTION | J9155 | $16 | $16 | — | 0 |
| Inj multihance multipack | A9578 | $17 | $17 | — | 0 |
| LOCM 300-399MG/ML IODINE,1ML | Q9967 | $18 | $18 | — | 0 |
| AMIODARONE HCL | J0282 | $18 | $18 | — | 0 |
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