Mahnomen Health Center
,
Mahnomen Health Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN241300
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.
- Interspinous Process Distraction Device (implantable)ProcedureHCPCS C1821Hospital-published line item$14cashGross $16
- Microscopic Exam Of UrineLab testCPT 81015Hospital-published line item$18cashGross $20
- Specimen Fat StainLab testCPT 89125Hospital-published line item$24cashGross $27
- Azithromycin Dihydrate, Oral, Capsules/Powder, 1 GramDrugHCPCS Q0144Hospital-published line item$28cashGross $31
- Collj Capillary Blood SpecProcedureCPT 36416Hospital-published line item$28cashGross $31
- C-Cnt Misc Bdy Flus Xcpt Bld Diffial CntLab testCPT 89051Hospital-published line item$28cashGross $31
- Coll Venous Bld VenipunctureProcedureCPT 36415Hospital-published line item$31cashGross $34
- Cervical, Semi-Rigid, Adjustable (plastic Collar)Supply / DMEHCPCS L0140Hospital-published line item$32cashGross $36
- Prednisolone Oral Per 5 MgDrugHCPCS J7510Hospital-published line item$33cashGross $37
- Antistreptolysin O TiterLab testCPT 86060Hospital-published line item$35cashGross $39
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Interspinous Process Distraction Device (implantable) ProcedureHCPCS C1821Hospital-published line item | $14 | $16 |
Microscopic Exam Of Urine Lab testCPT 81015Hospital-published line item | $18 | $20 |
Specimen Fat Stain Lab testCPT 89125Hospital-published line item | $24 | $27 |
Azithromycin Dihydrate, Oral, Capsules/Powder, 1 Gram DrugHCPCS Q0144Hospital-published line item | $28 | $31 |
Collj Capillary Blood Spec ProcedureCPT 36416Hospital-published line item | $28 | $31 |
C-Cnt Misc Bdy Flus Xcpt Bld Diffial Cnt Lab testCPT 89051Hospital-published line item | $28 | $31 |
Coll Venous Bld Venipuncture ProcedureCPT 36415Hospital-published line item | $31 | $34 |
Cervical, Semi-Rigid, Adjustable (plastic Collar) Supply / DMEHCPCS L0140Hospital-published line item | $32 | $36 |
Prednisolone Oral Per 5 Mg DrugHCPCS J7510Hospital-published line item | $33 | $37 |
Antistreptolysin O Titer Lab testCPT 86060Hospital-published line item | $35 | $39 |
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