Atrium Health Wake Forest Baptist Davie Medical Center
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Atrium Health Wake Forest Baptist Davie Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN340187
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.
- Additional Oral OR Nasal Vaccine AdministrationProcedureCPT 90474Hospital-published line item$10cashGross $20
- Ankle Foot Orthosis, Fracture Orthosis, Tibial Fracture Orthosis, Soft, Prefabricated, Includes Fitting And AdjustmentSupply / DMEHCPCS L2112Hospital-published line item$10cashGross $21
- Hgb Methemoglobin QuanLab testCPT 83050Hospital-published line item$11cashGross $21
- Injection, Phenytoin Sodium, Per 50 MgDrugHCPCS J1165Hospital-published line item$11cashGross $22
- Bartonella AntibodyLab testCPT 86611Hospital-published line item$12cashGross $23
- Assay Glucose Blood QuantLab testCPT 82947Hospital-published line item$12cashGross $23
- RBC Pretreatment Incubatj WithenzymesLab testCPT 86971Hospital-published line item$12cashGross $24
- Hgb/Rbcs Ftl F&mat Hemrrg RosetteLab testCPT 85461Hospital-published line item$14cashGross $28
- Inhibin ALab testCPT 86336Hospital-published line item$14cashGross $28
- Assay Blood Carbon DioxideLab testCPT 82374Hospital-published line item$14cashGross $28
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Additional Oral OR Nasal Vaccine Administration ProcedureCPT 90474Hospital-published line item | $10 | $20 |
Ankle Foot Orthosis, Fracture Orthosis, Tibial Fracture Orthosis, Soft, Prefabricated, Includes Fitting And Adjustment Supply / DMEHCPCS L2112Hospital-published line item | $10 | $21 |
Hgb Methemoglobin Quan Lab testCPT 83050Hospital-published line item | $11 | $21 |
Injection, Phenytoin Sodium, Per 50 Mg DrugHCPCS J1165Hospital-published line item | $11 | $22 |
Bartonella Antibody Lab testCPT 86611Hospital-published line item | $12 | $23 |
Assay Glucose Blood Quant Lab testCPT 82947Hospital-published line item | $12 | $23 |
RBC Pretreatment Incubatj Withenzymes Lab testCPT 86971Hospital-published line item | $12 | $24 |
Hgb/Rbcs Ftl F&mat Hemrrg Rosette Lab testCPT 85461Hospital-published line item | $14 | $28 |
Inhibin A Lab testCPT 86336Hospital-published line item | $14 | $28 |
Assay Blood Carbon Dioxide Lab testCPT 82374Hospital-published line item | $14 | $28 |
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