Mercy St. Anne Hospital
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Mercy St. Anne Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN360262
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.
- Manual Cell Count EachLab testCPT 85032Hospital-published line item$10cashGross $17
- Injection Heparin Sodium Per 10 UDrugHCPCS J1642Hospital-published line item$10cashGross $17
- Injection, Diphenhydramine Hcl, Up To 50 MgDrugHCPCS J1200Hospital-published line item$11cashGross $18
- Ondansetron 1 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage RegimenDrugHCPCS Q0162Hospital-published line item$11cashGross $18
- Injection, Metoclopramide Hcl, Up To 10 MgDrugHCPCS J2765Hospital-published line item$11cashGross $18
- Injection, Ondansetron Hydrochloride, Per 1 MgDrugHCPCS J2405Hospital-published line item$11cashGross $19
- Methotrexate Oral 2.5 MgDrugHCPCS J8610Hospital-published line item$13cashGross $21
- Cyclosporine Oral 25 MgDrugHCPCS J7515Hospital-published line item$13cashGross $22
- Allerg Sp Igg Quan OR SemiquanLab testCPT 86001Hospital-published line item$14cashGross $23
- Injection, Succinylcholine Chloride, Up To 20 MgDrugHCPCS J0330Hospital-published line item$14cashGross $23
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Manual Cell Count Each Lab testCPT 85032Hospital-published line item | $10 | $17 |
Injection Heparin Sodium Per 10 U DrugHCPCS J1642Hospital-published line item | $10 | $17 |
Injection, Diphenhydramine Hcl, Up To 50 Mg DrugHCPCS J1200Hospital-published line item | $11 | $18 |
Ondansetron 1 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage Regimen DrugHCPCS Q0162Hospital-published line item | $11 | $18 |
Injection, Metoclopramide Hcl, Up To 10 Mg DrugHCPCS J2765Hospital-published line item | $11 | $18 |
Injection, Ondansetron Hydrochloride, Per 1 Mg DrugHCPCS J2405Hospital-published line item | $11 | $19 |
Methotrexate Oral 2.5 Mg DrugHCPCS J8610Hospital-published line item | $13 | $21 |
Cyclosporine Oral 25 Mg DrugHCPCS J7515Hospital-published line item | $13 | $22 |
Allerg Sp Igg Quan OR Semiquan Lab testCPT 86001Hospital-published line item | $14 | $23 |
Injection, Succinylcholine Chloride, Up To 20 Mg DrugHCPCS J0330Hospital-published line item | $14 | $23 |
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