Saint Clares Dover Hospital
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Overview
- CCN310067
Procedures & prices
- FLUPHENAZINE DECANOATE 25 MGJ2680$10cashGross $110 payers
- ERTAPENEM INJECTIONJ1335$10cashGross $110 payers
- INJ MORPHINE PF EPID ITHCJ2274$10cashGross $110 payers
- HC BRUCELLA ANTIBODY86622$11cashGross $1010 payers
- HC RENAL FUNCTION PANEL80069$11cashGross $1280 payers
- HC WBC ALKALINE PHOSPHATASE85540$11cashGross $2520 payers
- HC ASSAY OF FREE THYROXINE84439$11cashGross $2260 payers
- Hgb sulfhemoglobin quan83060$11cashGross $440 payers
- HC ASSAY OF CAROTENE82380$11cashGross $1890 payers
- HC ROUTINE VENIPUNCTURE36415$11cash0 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| FLUPHENAZINE DECANOATE 25 MG | J2680 | $10 | $11 | — | 0 |
| ERTAPENEM INJECTION | J1335 | $10 | $11 | — | 0 |
| INJ MORPHINE PF EPID ITHC | J2274 | $10 | $11 | — | 0 |
| HC BRUCELLA ANTIBODY | 86622 | $11 | $101 | — | 0 |
| HC RENAL FUNCTION PANEL | 80069 | $11 | $128 | — | 0 |
| HC WBC ALKALINE PHOSPHATASE | 85540 | $11 | $252 | — | 0 |
| HC ASSAY OF FREE THYROXINE | 84439 | $11 | $226 | — | 0 |
| Hgb sulfhemoglobin quan | 83060 | $11 | $44 | — | 0 |
| HC ASSAY OF CAROTENE | 82380 | $11 | $189 | — | 0 |
| HC ROUTINE VENIPUNCTURE | 36415 | $11 | — | — | 0 |
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