Dequincy Memorial Hospital
110 West 4th Street
Dequincy, LA 70633
Critical Access Hospitals
Overview
- CCN191307
Procedures & prices
- DIPHENHYDRAMINE HCL INJECTIOJ1200$10cashGross $150 payers
- 5% DEXTROSE/WATERJ7060$11cashGross $150 payers
- METHOTREXATE ORAL 2.5 MGJ8610$11cashGross $160 payers
- PREDNISOLONE ORAL PER 5 MGJ7510$11cashGross $160 payers
- OXYTOCIN INJECTIONJ2590$12cashGross $170 payers
- HC VITAMIN K84597$12cashGross $170 payers
- HC ASSAY OF NUCLEOTIDASE83915$12cashGross $180 payers
- AMPICILLIN 500 MG INJJ0290$12cashGross $180 payers
- VITAMIN B12 INJECTIONJ3420$12cashGross $180 payers
- SUCCINYCHOLINE CHLORIDE INJJ0330$13cashGross $190 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| DIPHENHYDRAMINE HCL INJECTIO | J1200 | $10 | $15 | — | 0 |
| 5% DEXTROSE/WATER | J7060 | $11 | $15 | — | 0 |
| METHOTREXATE ORAL 2.5 MG | J8610 | $11 | $16 | — | 0 |
| PREDNISOLONE ORAL PER 5 MG | J7510 | $11 | $16 | — | 0 |
| OXYTOCIN INJECTION | J2590 | $12 | $17 | — | 0 |
| HC VITAMIN K | 84597 | $12 | $17 | — | 0 |
| HC ASSAY OF NUCLEOTIDASE | 83915 | $12 | $18 | — | 0 |
| AMPICILLIN 500 MG INJ | J0290 | $12 | $18 | — | 0 |
| VITAMIN B12 INJECTION | J3420 | $12 | $18 | — | 0 |
| SUCCINYCHOLINE CHLORIDE INJ | J0330 | $13 | $19 | — | 0 |
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