Ascension St. Vincent Women and Infants Hospital
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Ascension St. Vincent Women and Infants Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN150136
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.
- Granisetron Hydrochloride, 1 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 24 Hour Dosage RegimenDrugHCPCS Q0166Hospital-published line item$10cashGross $17
- Chlorpromazine Hydrochloride, 5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage RegimenDrugHCPCS Q0161Hospital-published line item$10cashGross $17
- Injection, Incobotulinumtoxin A, 1 UnitDrugHCPCS J0588Hospital-published line item$11cashGross $18
- Buprenorphine Oral 1mgDrugHCPCS J0571Hospital-published line item$11cashGross $19
- Body Fluid Specific GravityLab testCPT 84315Hospital-published line item$11cashGross $19
- Buprenorphine/Naloxone, Oral, Less Than OR Equal To 3 Mg BuprenorphineDrugHCPCS J0572Hospital-published line item$12cashGross $20
- Injection, Elotuzumab, 1mgDrugHCPCS J9176Hospital-published line item$12cashGross $20
- Buprenorphine/Naloxone, Oral, Greater Than 6 Mg, But Less Than OR Equal To 10 Mg BuprenorphineDrugHCPCS J0574Hospital-published line item$12cashGross $20
- Inj, Factor X, (human), 1iuDrugHCPCS J7175Hospital-published line item$13cashGross $21
- Ostomy Pouch, Drainable; With Barrier Attached, (1 Piece), EachSupply / DMEHCPCS A5061Hospital-published line item$13cashGross $21
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Granisetron Hydrochloride, 1 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 24 Hour Dosage Regimen DrugHCPCS Q0166Hospital-published line item | $10 | $17 |
Chlorpromazine Hydrochloride, 5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage Regimen DrugHCPCS Q0161Hospital-published line item | $10 | $17 |
Injection, Incobotulinumtoxin A, 1 Unit DrugHCPCS J0588Hospital-published line item | $11 | $18 |
Buprenorphine Oral 1mg DrugHCPCS J0571Hospital-published line item | $11 | $19 |
Body Fluid Specific Gravity Lab testCPT 84315Hospital-published line item | $11 | $19 |
Buprenorphine/Naloxone, Oral, Less Than OR Equal To 3 Mg Buprenorphine DrugHCPCS J0572Hospital-published line item | $12 | $20 |
Injection, Elotuzumab, 1mg DrugHCPCS J9176Hospital-published line item | $12 | $20 |
Buprenorphine/Naloxone, Oral, Greater Than 6 Mg, But Less Than OR Equal To 10 Mg Buprenorphine DrugHCPCS J0574Hospital-published line item | $12 | $20 |
Inj, Factor X, (human), 1iu DrugHCPCS J7175Hospital-published line item | $13 | $21 |
Ostomy Pouch, Drainable; With Barrier Attached, (1 Piece), Each Supply / DMEHCPCS A5061Hospital-published line item | $13 | $21 |
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