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Ira Davenport Memorial Hospital Inc

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Ira Davenport Memorial Hospital Inc. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN330144

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.
  • Injection, Droperidol, Up To 5 Mg
    DrugHCPCS J1790Hospital-published line item
    $10
    cash
    Gross $10
  • Injection, Phenylephrine Hcl, Up To 1 Ml
    DrugHCPCS J2370Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Prochlorperazine, Up To 10 Mg
    DrugHCPCS J0780Hospital-published line item
    $11
    cash
    Gross $11
  • Electrocardiogram Report
    ProcedureCPT 93010Hospital-published line item
    $11
    cash
    Gross $11
  • Injection, Ketorolac Tromethamine, Per 15 Mg
    DrugHCPCS J1885Hospital-published line item
    $12
    cash
    Gross $12
  • Butorphanol Tartrate 1 Mg
    DrugHCPCS J0595Hospital-published line item
    $12
    cash
    Gross $12
  • Injection,onabotulinumtoxina
    DrugHCPCS J0585Hospital-published line item
    $12
    cash
    Gross $12
  • Methotrexate Oral 2.5 Mg
    DrugHCPCS J8610Hospital-published line item
    $12
    cash
    Gross $12
  • Injection, Abobotulinumtoxina, 5 Units
    DrugHCPCS J0586Hospital-published line item
    $12
    cash
    Gross $12
  • Albuterol, Inhalation Solution, Compounded Product, Administered Through Dme, Unit Dose, 1 Mg
    DrugHCPCS J7609Hospital-published line item
    $12
    cash
    Gross $12
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