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Franciscan Health Dyer

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Franciscan Health Dyer. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN219461

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.
  • Collj Capillary Blood Spec
    ProcedureCPT 36416Hospital-published line item
    $10
    cash
    Gross $32
  • Injection, Prochlorperazine, Up To 10 Mg
    DrugHCPCS J0780Hospital-published line item
    $11
    cash
    Gross $33
  • Injection Heparin Sodium Per 10 U
    DrugHCPCS J1642Hospital-published line item
    $11
    cash
    Gross $33
  • Injection, Diphenhydramine Hcl, Up To 50 Mg
    DrugHCPCS J1200Hospital-published line item
    $11
    cash
    Gross $33
  • Acetylcysteine Injection
    DrugHCPCS J0132Hospital-published line item
    $11
    cash
    Gross $33
  • Injection Enoxaparin Sodium
    DrugHCPCS J1650Hospital-published line item
    $11
    cash
    Gross $33
  • Injection, Phenytoin Sodium, Per 50 Mg
    DrugHCPCS J1165Hospital-published line item
    $11
    cash
    Gross $33
  • Sugars; Single Qual Ea Specimen
    Lab testCPT 84376Hospital-published line item
    $11
    cash
    Gross $33
  • Injection, Dexamethasone Sodium Phosphate, 1 Mg
    DrugHCPCS J1100Hospital-published line item
    $11
    cash
    Gross $33
  • Sterile Water, Saline And/Or Dextrose, Diluent/Flush, 10 Ml
    Supply / DMEHCPCS A4216Hospital-published line item
    $11
    cash
    Gross $33
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