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Memorial Stone County Hospital

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Memorial Stone County Hospital. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN255308

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.
  • Influenza Virus Antibody
    Lab testCPT 86710Hospital-published line item
    $10
    cash
    Gross $33
  • Automated Diff WBC Count
    Lab testCPT 85004Hospital-published line item
    $10
    cash
    Gross $33
  • Slings
    Supply / DMEHCPCS A4565Hospital-published line item
    $10
    cash
    Gross $34
  • Hepatitis Be Ag Ia
    Lab testCPT 87350Hospital-published line item
    $10
    cash
    Gross $34
  • Hepatitis Be Antibody
    Lab testCPT 86707Hospital-published line item
    $10
    cash
    Gross $34
  • Injection, Conivaptan Hydrochloride, 1 Mg
    ProcedureHCPCS C9488Hospital-published line item
    $10
    cash
    Gross $34
  • Injection, Magnesium Sulfate, Per 500 Mg
    DrugHCPCS J3475Hospital-published line item
    $11
    cash
    Gross $35
  • Buprenorphine/Naloxone, Oral, Greater Than 6 Mg, But Less Than OR Equal To 10 Mg Buprenorphine
    DrugHCPCS J0574Hospital-published line item
    $11
    cash
    Gross $35
  • Bilirubin Total Transcut
    Lab testCPT 88720Hospital-published line item
    $11
    cash
    Gross $35
  • Cyclophosphamide Oral 25 Mg
    DrugHCPCS J8530Hospital-published line item
    $11
    cash
    Gross $35
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