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Madonna Rehabilitation Hospital

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Madonna Rehabilitation Hospital. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN282000

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.
  • Insertion Tray With Drainage Bag With Indwelling Catheter, Foley Type, Two-Way Latex With Coating (teflon, Silicone, Silicone Elastomer OR Hydrophilic, Etc.)
    Supply / DMEHCPCS A4314Hospital-published line item
    $10
    cash
    Gross $10
  • Injection, Granisetron Hydrochloride, 100 Mcg
    DrugHCPCS J1626Hospital-published line item
    $11
    cash
    Gross $11
  • Indwelling Catheter; Foley Type, Two-Way Latex With Coating (teflon, Silicone, Silicone Elastomer, OR Hydrophilic, Etc.), Each
    Supply / DMEHCPCS A4338Hospital-published line item
    $11
    cash
    Gross $11
  • Methylprednisolone 40 Mg Inj
    DrugHCPCS J1030Hospital-published line item
    $12
    cash
    Gross $12
  • Insertion Tray Without Drainage Bag With Indwelling Catheter, Foley Type, Two-Way, All Silicone
    Supply / DMEHCPCS A4312Hospital-published line item
    $12
    cash
    Gross $12
  • Insertion Tray Without Drainage Bag And Without Catheter (accessories Only)
    Supply / DMEHCPCS A4310Hospital-published line item
    $12
    cash
    Gross $12
  • Injection, Dicyclomine Hcl, Up To 20 Mg
    DrugHCPCS J0500Hospital-published line item
    $12
    cash
    Gross $12
  • Enter Infusion Pump without Alrm
    ProcedureHCPCS B9000Hospital-published line item
    $12
    cash
    Gross $12
  • k0187
    Supply / DMECPT K0187Hospital-published line item
    $12
    cash
    Gross $12
  • j1820
    DrugCPT J1820Hospital-published line item
    $13
    cash
    Gross $13
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