Samaritan Hospital - Albany Memorial Campus
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Samaritan Hospital - Albany Memorial Campus. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN330003
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.
- 5% Dextrose/Normal Saline (500 Ml = 1 Unit)DrugHCPCS J7042Hospital-published line item$10cashGross $12
- Cervical, Flexible, Non-Adjustable, Prefabricated, Off-The-Shelf (foam Collar)Supply / DMEHCPCS L0120Hospital-published line item$10cashGross $12
- Cervical, Semi-Rigid, Adjustable Molded Chin Cup (plastic Collar With Mandibular/Occipital Piece)Supply / DMEHCPCS L0150Hospital-published line item$11cashGross $12
- Injection, Dexamethasone 9 Percent, Intraocular, 1 MicrogramDrugHCPCS J1095Hospital-published line item$11cashGross $13
- Specimen Handling Pt-LabProcedureCPT 99001Hospital-published line item$11cashGross $13
- Urinalysis Nonauto Without ScopeLab testCPT 81002Hospital-published line item$11cashGross $13
- Oral DexamethasoneDrugHCPCS J8540Hospital-published line item$11cashGross $13
- 5% Dextrose/Water (500 Ml = 1 Unit)DrugHCPCS J7060Hospital-published line item$11cashGross $14
- Injection, Phenytoin Sodium, Per 50 MgDrugHCPCS J1165Hospital-published line item$12cashGross $14
- Injection, Ketorolac Tromethamine, Per 15 MgDrugHCPCS J1885Hospital-published line item$12cashGross $14
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
5% Dextrose/Normal Saline (500 Ml = 1 Unit) DrugHCPCS J7042Hospital-published line item | $10 | $12 |
Cervical, Flexible, Non-Adjustable, Prefabricated, Off-The-Shelf (foam Collar) Supply / DMEHCPCS L0120Hospital-published line item | $10 | $12 |
Cervical, Semi-Rigid, Adjustable Molded Chin Cup (plastic Collar With Mandibular/Occipital Piece) Supply / DMEHCPCS L0150Hospital-published line item | $11 | $12 |
Injection, Dexamethasone 9 Percent, Intraocular, 1 Microgram DrugHCPCS J1095Hospital-published line item | $11 | $13 |
Specimen Handling Pt-Lab ProcedureCPT 99001Hospital-published line item | $11 | $13 |
Urinalysis Nonauto Without Scope Lab testCPT 81002Hospital-published line item | $11 | $13 |
Oral Dexamethasone DrugHCPCS J8540Hospital-published line item | $11 | $13 |
5% Dextrose/Water (500 Ml = 1 Unit) DrugHCPCS J7060Hospital-published line item | $11 | $14 |
Injection, Phenytoin Sodium, Per 50 Mg DrugHCPCS J1165Hospital-published line item | $12 | $14 |
Injection, Ketorolac Tromethamine, Per 15 Mg DrugHCPCS J1885Hospital-published line item | $12 | $14 |
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