Glenwood Surgical Services
,
Glenwood Surgical Services. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN190261
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.
- Injection, Ondansetron Hydrochloride, Per 1 MgDrugHCPCS J2405Hospital-published line item$10cashGross $10
- Microscopic Exam Of UrineLab testCPT 81015Hospital-published line item$10cashGross $10
- Body Fluid Specific GravityLab testCPT 84315Hospital-published line item$11cashGross $11
- Bld Count Smear Mcrscp without Mnl Difrntl WBC CountLab testCPT 85008Hospital-published line item$11cashGross $11
- Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 MgDrugHCPCS J7613Hospital-published line item$11cashGross $11
- Sildenafil Citrate, 25 MgProcedureHCPCS S0090Hospital-published line item$12cashGross $12
- Oral Prescrip Drug Non ChemoDrugHCPCS J8499Hospital-published line item$12cashGross $12
- Tracheal Suction Catheter, Any Type Other Than Closed System, EachSupply / DMEHCPCS A4624Hospital-published line item$13cashGross $13
- Manual Reticulocyte CountLab testCPT 85044Hospital-published line item$14cashGross $14
- Occult Bld Feces 1-3 TestsLab testCPT 82272Hospital-published line item$14cashGross $14
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection, Ondansetron Hydrochloride, Per 1 Mg DrugHCPCS J2405Hospital-published line item | $10 | $10 |
Microscopic Exam Of Urine Lab testCPT 81015Hospital-published line item | $10 | $10 |
Body Fluid Specific Gravity Lab testCPT 84315Hospital-published line item | $11 | $11 |
Bld Count Smear Mcrscp without Mnl Difrntl WBC Count Lab testCPT 85008Hospital-published line item | $11 | $11 |
Albuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 1 Mg DrugHCPCS J7613Hospital-published line item | $11 | $11 |
Sildenafil Citrate, 25 Mg ProcedureHCPCS S0090Hospital-published line item | $12 | $12 |
Oral Prescrip Drug Non Chemo DrugHCPCS J8499Hospital-published line item | $12 | $12 |
Tracheal Suction Catheter, Any Type Other Than Closed System, Each Supply / DMEHCPCS A4624Hospital-published line item | $13 | $13 |
Manual Reticulocyte Count Lab testCPT 85044Hospital-published line item | $14 | $14 |
Occult Bld Feces 1-3 Tests Lab testCPT 82272Hospital-published line item | $14 | $14 |
Page 1 · 10 shown