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Riley Hospital for Children

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Riley Hospital for Children. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN153522

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.
  • Ifosfamide Injection
    DrugHCPCS J9208Hospital-published line item
    $10
    cash
    Gross $37
  • Injection, Naloxone Hydrochloride, Per 1 Mg
    DrugHCPCS J2310Hospital-published line item
    $10
    cash
    Gross $35
  • Inj., Omadacycline, 1 Mg
    DrugHCPCS J0121Hospital-published line item
    $10
    cash
    Gross $36
  • Spun Microhematocrit
    Lab testCPT 85013Hospital-published line item
    $10
    cash
    Gross $36
  • Transportation Waiting Time, Air Ambulance And Non-Emergency Vehicle, One-Half (1/2) Hour Increments
    ProcedureHCPCS T2007Hospital-published line item
    $10
    cash
    Gross $36
  • Injection, Factor Xiii (antihemophilic Factor, Human), 1 I.u.
    DrugHCPCS J7180Hospital-published line item
    $10
    cash
    Gross $36
  • Assay Of Ck (cpk)
    Lab testCPT 82550Hospital-published line item
    $11
    cash
    Gross $37
  • Complete CBC Automated
    Lab testCPT 85027Hospital-published line item
    $11
    cash
    Gross $37
  • Assay Of Lithium
    Lab testCPT 80178Hospital-published line item
    $11
    cash
    Gross $37
  • Assay Of Amylase
    Lab testCPT 82150Hospital-published line item
    $11
    cash
    Gross $37
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