Paul Oliver Memorial Hospital
224 Park Avenue
Frankfort, MI 49635
Overview
- CCN231300
Procedures & prices
- HC HERPES SIMPLEX TYPE 286696$10cashGross $150 payers
- HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER94760$10cashGross $120 payers
- HC ETHYLENE GLYCOL82693$10cashGross $120 payers
- HC ASSAY OF TESTOSTERONE84402$11cashGross $190 payers
- PROMETHAZINE HCL INJECTIONJ2550$11cashGross $130 payers
- AMPICILLIN SULBACTAM 1.5 GMJ0295$11cashGross $130 payers
- FORMOTEROL FUMARATE, INHJ7606$11cashGross $130 payers
- Didanosine, 25 mgS0137$11cashGross $130 payers
- HC ASSAY, GROWTH HORMONE (HGH)83003$11cashGross $130 payers
- ACETYLCYSTEINE NON-COMP UNITJ7608$11cashGross $130 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC HERPES SIMPLEX TYPE 2 | 86696 | $10 | $15 | — | 0 |
| HC N-INVAS EAR/PLS OXIMTRY F/O2 SAT 1 DETER | 94760 | $10 | $12 | — | 0 |
| HC ETHYLENE GLYCOL | 82693 | $10 | $12 | — | 0 |
| HC ASSAY OF TESTOSTERONE | 84402 | $11 | $19 | — | 0 |
| PROMETHAZINE HCL INJECTION | J2550 | $11 | $13 | — | 0 |
| AMPICILLIN SULBACTAM 1.5 GM | J0295 | $11 | $13 | — | 0 |
| FORMOTEROL FUMARATE, INH | J7606 | $11 | $13 | — | 0 |
| Didanosine, 25 mg | S0137 | $11 | $13 | — | 0 |
| HC ASSAY, GROWTH HORMONE (HGH) | 83003 | $11 | $13 | — | 0 |
| ACETYLCYSTEINE NON-COMP UNIT | J7608 | $11 | $13 | — | 0 |
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