Iowa Specialty Hospital - Belmond
403 First Street Se
Belmond, IA 50421
Critical Access Hospitals
Overview
- CCN161301
Procedures & prices
- CYCLOSPORINE ORAL 100 MGJ7502$11cashGross $180 payers
- HC FOAM DRSG <=16 SQ IN W/O BDRA6209$11cashGross $190 payers
- HC ASSAY OF VANCOMYCIN80202$12cashGross $200 payers
- Pad band w>=3" <5"/ydA6441$13cashGross $220 payers
- Md service required for pmdG0372$13cashGross $220 payers
- Bia whole body0358T$13cashGross $220 payers
- HC SPECIMEN HANDLING OFFICE-LAB99000$13cashGross $220 payers
- Antigen therapy services95165$13cashGross $220 payers
- HC CONSLTJ&REPRT MATRL REQ PREPJ SLIDES88323$14cashGross $230 payers
- IIV3 VACCINE SPLT 0.25 ML IM90657$14cashGross $230 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| CYCLOSPORINE ORAL 100 MG | J7502 | $11 | $18 | — | 0 |
| HC FOAM DRSG <=16 SQ IN W/O BDR | A6209 | $11 | $19 | — | 0 |
| HC ASSAY OF VANCOMYCIN | 80202 | $12 | $20 | — | 0 |
| Pad band w>=3" <5"/yd | A6441 | $13 | $22 | — | 0 |
| Md service required for pmd | G0372 | $13 | $22 | — | 0 |
| Bia whole body | 0358T | $13 | $22 | — | 0 |
| HC SPECIMEN HANDLING OFFICE-LAB | 99000 | $13 | $22 | — | 0 |
| Antigen therapy services | 95165 | $13 | $22 | — | 0 |
| HC CONSLTJ&REPRT MATRL REQ PREPJ SLIDES | 88323 | $14 | $23 | — | 0 |
| IIV3 VACCINE SPLT 0.25 ML IM | 90657 | $14 | $23 | — | 0 |
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