Claxton-Hepburn Medical Center

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Claxton-Hepburn Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

CCN330211

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, Deferoxamine Mesylate, 500 Mg
DrugHCPCS J0895Hospital-published line item
$10
cash
Gross $13
Injection, Olanzapine, Long-Acting, 1 Mg
DrugHCPCS J2358Hospital-published line item
$10
cash
Gross $13
Injection, Adrenalin, Epinephrine, 0.1 Mg
DrugHCPCS J0171Hospital-published line item
$10
cash
Gross $13
Semen Analysis Withcount
Lab testCPT 89310Hospital-published line item
$10
cash
Gross $13
Injection, Gadoteridol, (prohance Multipack), Per Ml
Supply / DMEHCPCS A9576Hospital-published line item
$11
cash
Gross $14
Daptomycin Injection
DrugHCPCS J0878Hospital-published line item
$11
cash
Gross $14
Injection, Dexamethasone Sodium Phosphate, 1 Mg
DrugHCPCS J1100Hospital-published line item
$12
cash
Gross $15
Injection Enoxaparin Sodium
DrugHCPCS J1650Hospital-published line item
$12
cash
Gross $15
Injection, Ondansetron Hydrochloride, Per 1 Mg
DrugHCPCS J2405Hospital-published line item
$12
cash
Gross $15
Injection, Ziprasidone Mesylate, 10 Mg
DrugHCPCS J3486Hospital-published line item
$12
cash
Gross $15

Service / code	Self-pay cash↑	Gross list
Injection, Deferoxamine Mesylate, 500 Mg DrugHCPCS J0895Hospital-published line item	$10	$13
Injection, Olanzapine, Long-Acting, 1 Mg DrugHCPCS J2358Hospital-published line item	$10	$13
Injection, Adrenalin, Epinephrine, 0.1 Mg DrugHCPCS J0171Hospital-published line item	$10	$13
Semen Analysis Withcount Lab testCPT 89310Hospital-published line item	$10	$13
Injection, Gadoteridol, (prohance Multipack), Per Ml Supply / DMEHCPCS A9576Hospital-published line item	$11	$14
Daptomycin Injection DrugHCPCS J0878Hospital-published line item	$11	$14
Injection, Dexamethasone Sodium Phosphate, 1 Mg DrugHCPCS J1100Hospital-published line item	$12	$15
Injection Enoxaparin Sodium DrugHCPCS J1650Hospital-published line item	$12	$15
Injection, Ondansetron Hydrochloride, Per 1 Mg DrugHCPCS J2405Hospital-published line item	$12	$15
Injection, Ziprasidone Mesylate, 10 Mg DrugHCPCS J3486Hospital-published line item	$12	$15

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