Madison Medical Center
611 W Main St
Fredericktown, MO 63645
Critical Access Hospitals
Overview
- CCN261302
Procedures & prices
- HC GLYCOPROTEIN ANTIBODY86146$13cashGross $460 payers
- HC ALLERGEN SPECIFIC IGE86003$13cashGross $1760 payers
- DT VACCINE UNDER 7 YRS IM90702$14cashGross $140 payers
- Testosterone cypionat 200 mgJ1080$17cashGross $170 payers
- HC GLUCOSE OTHER FLUID82945$17cashGross $200 payers
- Injection, metronidazoleS0030$19cashGross $190 payers
- AZITHROMYCIN DIHYDRATE, ORALQ0144$19cashGross $190 payers
- HC MICROSCOPIC EXAM OF URINE81015$20cashGross $200 payers
- LINCOMYCIN INJECTIONJ2010$21cashGross $210 payers
- HC PHOSPHATASE ALKALINE HEAT STABLE TOT X W/84078$21cashGross $210 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| HC GLYCOPROTEIN ANTIBODY | 86146 | $13 | $46 | — | 0 |
| HC ALLERGEN SPECIFIC IGE | 86003 | $13 | $176 | — | 0 |
| DT VACCINE UNDER 7 YRS IM | 90702 | $14 | $14 | — | 0 |
| Testosterone cypionat 200 mg | J1080 | $17 | $17 | — | 0 |
| HC GLUCOSE OTHER FLUID | 82945 | $17 | $20 | — | 0 |
| Injection, metronidazole | S0030 | $19 | $19 | — | 0 |
| AZITHROMYCIN DIHYDRATE, ORAL | Q0144 | $19 | $19 | — | 0 |
| HC MICROSCOPIC EXAM OF URINE | 81015 | $20 | $20 | — | 0 |
| LINCOMYCIN INJECTION | J2010 | $21 | $21 | — | 0 |
| HC PHOSPHATASE ALKALINE HEAT STABLE TOT X W/ | 84078 | $21 | $21 | — | 0 |
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