Franciscan Health Olympia Fields
,
Franciscan Health Olympia Fields. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN218593
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.
- 5% Dextrose/Water (500 Ml = 1 Unit)DrugHCPCS J7060Hospital-published line item$10cashGross $50
- Patient Self-Management Education, One PatientProcedureCPT 98960Hospital-published line item$10cashGross $52
- Cefazolin Sodium InjectionDrugHCPCS J0690Hospital-published line item$11cashGross $53
- Injection, Prochlorperazine, Up To 10 MgDrugHCPCS J0780Hospital-published line item$11cashGross $53
- Injection, Potassium Chloride, Per 2 MeqDrugHCPCS J3480Hospital-published line item$11cashGross $53
- Chlorpromazine Hydrochloride, 5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage RegimenDrugHCPCS Q0161Hospital-published line item$11cashGross $54
- Mycophenolate Mofetil OralDrugHCPCS J7517Hospital-published line item$11cashGross $55
- Noc Drugs, Other Than Inhalation Drugs, Administered Through DMEDrugHCPCS J7799Hospital-published line item$11cashGross $55
- Assay Of CaroteneLab testCPT 82380Hospital-published line item$11cashGross $55
- Testablished For PorphobilinogenLab testCPT 84106Hospital-published line item$11cashGross $55
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
5% Dextrose/Water (500 Ml = 1 Unit) DrugHCPCS J7060Hospital-published line item | $10 | $50 |
Patient Self-Management Education, One Patient ProcedureCPT 98960Hospital-published line item | $10 | $52 |
Cefazolin Sodium Injection DrugHCPCS J0690Hospital-published line item | $11 | $53 |
Injection, Prochlorperazine, Up To 10 Mg DrugHCPCS J0780Hospital-published line item | $11 | $53 |
Injection, Potassium Chloride, Per 2 Meq DrugHCPCS J3480Hospital-published line item | $11 | $53 |
Chlorpromazine Hydrochloride, 5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage Regimen DrugHCPCS Q0161Hospital-published line item | $11 | $54 |
Mycophenolate Mofetil Oral DrugHCPCS J7517Hospital-published line item | $11 | $55 |
Noc Drugs, Other Than Inhalation Drugs, Administered Through DME DrugHCPCS J7799Hospital-published line item | $11 | $55 |
Assay Of Carotene Lab testCPT 82380Hospital-published line item | $11 | $55 |
Testablished For Porphobilinogen Lab testCPT 84106Hospital-published line item | $11 | $55 |
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