Audubon County Memorial Hospital
515 Pacific Avenue
Audubon, IA 50025
Critical Access Hospitals
Overview
- CCN161330
Procedures & prices
- TACROLIMUS IMME REL ORAL 1MGJ7507$11cashGross $110 payers
- HC OCCULT BLD FECES 1-3 TESTS82272$15cashGross $150 payers
- HC ASSAY OF URINE POTASSIUM84133$15cashGross $150 payers
- HC MICROSCOPIC EXAM OF URINE81015$15cashGross $150 payers
- HC PINWORM EXAM87172$15cashGross $150 payers
- HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER94760$15cashGross $150 payers
- INJ HEPARIN SODIUM PER 10 UJ1642$16cashGross $160 payers
- HALOPERIDOL INJECTIONJ1630$16cashGross $160 payers
- HC ASSAY OF BODY FLUID ACIDITY83986$16cashGross $160 payers
- HC N-AUTOM URINALYS WO MICRO81002$16cashGross $160 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| TACROLIMUS IMME REL ORAL 1MG | J7507 | $11 | $11 | — | 0 |
| HC OCCULT BLD FECES 1-3 TESTS | 82272 | $15 | $15 | — | 0 |
| HC ASSAY OF URINE POTASSIUM | 84133 | $15 | $15 | — | 0 |
| HC MICROSCOPIC EXAM OF URINE | 81015 | $15 | $15 | — | 0 |
| HC PINWORM EXAM | 87172 | $15 | $15 | — | 0 |
| HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER | 94760 | $15 | $15 | — | 0 |
| INJ HEPARIN SODIUM PER 10 U | J1642 | $16 | $16 | — | 0 |
| HALOPERIDOL INJECTION | J1630 | $16 | $16 | — | 0 |
| HC ASSAY OF BODY FLUID ACIDITY | 83986 | $16 | $16 | — | 0 |
| HC N-AUTOM URINALYS WO MICRO | 81002 | $16 | $16 | — | 0 |
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