Stillwater Medical Perry
,
Stillwater Medical Perry. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN370139
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, Reslizumab, 1mgDrugHCPCS J2786Hospital-published line item$10cashGross $25
- Bilirubin,scan - Amniotic FluidLab testCPT 82143Hospital-published line item$10cashGross $25
- Ostomy Skin Barrier, Solid 4 X 4 OR Equivalent, Standard Wear, With Built-In Convexity, EachSupply / DMEHCPCS A4372Hospital-published line item$10cashGross $10
- Transcutaneous MethbLab testCPT 88741Hospital-published line item$10cashGross $25
- Transcutaneous CarboxyhbLab testCPT 88740Hospital-published line item$10cashGross $25
- Azithromycin Dihydrate, Oral, Capsules/Powder, 1 GramDrugHCPCS Q0144Hospital-published line item$10cashGross $10
- Hyaluronan OR Derivative, Triluron, For Intra-Articular Injection, 1 MgDrugHCPCS J7332Hospital-published line item$10cashGross $25
- Assay RBC GlutathioneLab testCPT 82979Hospital-published line item$10cashGross $25
- Assay Of RBC pg6d EnzymeLab testCPT 84085Hospital-published line item$10cashGross $25
- Infrared TherapyProcedureCPT 97026Hospital-published line item$10cashGross $10
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection, Reslizumab, 1mg DrugHCPCS J2786Hospital-published line item | $10 | $25 |
Bilirubin,scan - Amniotic Fluid Lab testCPT 82143Hospital-published line item | $10 | $25 |
Ostomy Skin Barrier, Solid 4 X 4 OR Equivalent, Standard Wear, With Built-In Convexity, Each Supply / DMEHCPCS A4372Hospital-published line item | $10 | $10 |
Transcutaneous Methb Lab testCPT 88741Hospital-published line item | $10 | $25 |
Transcutaneous Carboxyhb Lab testCPT 88740Hospital-published line item | $10 | $25 |
Azithromycin Dihydrate, Oral, Capsules/Powder, 1 Gram DrugHCPCS Q0144Hospital-published line item | $10 | $10 |
Hyaluronan OR Derivative, Triluron, For Intra-Articular Injection, 1 Mg DrugHCPCS J7332Hospital-published line item | $10 | $25 |
Assay RBC Glutathione Lab testCPT 82979Hospital-published line item | $10 | $25 |
Assay Of RBC pg6d Enzyme Lab testCPT 84085Hospital-published line item | $10 | $25 |
Infrared Therapy ProcedureCPT 97026Hospital-published line item | $10 | $10 |
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