Montgomery County Memorial Hospital
2301 Eastern Avenue
Red Oak, IA 51566
Critical Access Hospitals
Overview
- CMS rating★★★☆☆
- CCN161363
Clinical quality
- CMS Star Rating3/5
Procedures & prices
- DEXAMETHASONE SODIUM PHOSJ1100$11cashGross $39,000,5160 payers
- Foam drg <=16 sq in w/borderA6212$11cashGross $160 payers
- HC HGB/RBCS FTL F&MAT HEMRRG ROSETTE85461$11cashGross $40,287,5400 payers
- CEFAZOLIN SODIUM INJECTIONJ0690$11cashGross $39,000,5030 payers
- HC MEDICAL NUTRITION, GROUP97804$11cashGross $51,797,8040 payers
- TRIAMCINOLONE ACET INJ NOSJ3301$12cashGross $39,000,5270 payers
- Methylprednisolone injectionJ2930$12cashGross $39,000,5250 payers
- HC ASSAY OF URINE SODIUM84300$13cashGross $40,297,0270 payers
- PROCHLORPERAZINE INJECTIONJ0780$13cashGross $39,000,5060 payers
- HC SECRETIONS FAT STAIN89125$13cashGross $40,281,4880 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| DEXAMETHASONE SODIUM PHOS | J1100 | $11 | $39,000,516 | — | 0 |
| Foam drg <=16 sq in w/border | A6212 | $11 | $16 | — | 0 |
| HC HGB/RBCS FTL F&MAT HEMRRG ROSETTE | 85461 | $11 | $40,287,540 | — | 0 |
| CEFAZOLIN SODIUM INJECTION | J0690 | $11 | $39,000,503 | — | 0 |
| HC MEDICAL NUTRITION, GROUP | 97804 | $11 | $51,797,804 | — | 0 |
| TRIAMCINOLONE ACET INJ NOS | J3301 | $12 | $39,000,527 | — | 0 |
| Methylprednisolone injection | J2930 | $12 | $39,000,525 | — | 0 |
| HC ASSAY OF URINE SODIUM | 84300 | $13 | $40,297,027 | — | 0 |
| PROCHLORPERAZINE INJECTION | J0780 | $13 | $39,000,506 | — | 0 |
| HC SECRETIONS FAT STAIN | 89125 | $13 | $40,281,488 | — | 0 |
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