Guthrie Robert Packer Hospital, Towanda Campus
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Guthrie Robert Packer Hospital, Towanda Campus. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN390236
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.
- Perphenazine, 4 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 Q0175Hospital-published line item$11cashGross $13
- Lorazepam InjectionDrugHCPCS J2060Hospital-published line item$11cashGross $14
- Tigecycline InjectionDrugHCPCS J3243Hospital-published line item$11cashGross $14
- Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound OR Nursing Home Bound Patient; Prorated Trip ChargeProcedureHCPCS P9604Hospital-published line item$12cashGross $15
- Injection, Metoclopramide Hcl, Up To 10 MgDrugHCPCS J2765Hospital-published line item$12cashGross $16
- Glucose; Bld By Monitor DeviceLab testCPT 82962Hospital-published line item$13cashGross $16
- Injection, Vitamin b-12 Cyanocobalamin, Up To 1000 McgDrugHCPCS J3420Hospital-published line item$13cashGross $16
- Injection, Ondansetron Hydrochloride, Per 1 MgDrugHCPCS J2405Hospital-published line item$13cashGross $16
- Injection, Dexamethasone Sodium Phosphate, 1 MgDrugHCPCS J1100Hospital-published line item$15cashGross $19
- Methylprednisolone OralDrugHCPCS J7509Hospital-published line item$15cashGross $19
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Perphenazine, 4 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 Q0175Hospital-published line item | $11 | $13 |
Lorazepam Injection DrugHCPCS J2060Hospital-published line item | $11 | $14 |
Tigecycline Injection DrugHCPCS J3243Hospital-published line item | $11 | $14 |
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound OR Nursing Home Bound Patient; Prorated Trip Charge ProcedureHCPCS P9604Hospital-published line item | $12 | $15 |
Injection, Metoclopramide Hcl, Up To 10 Mg DrugHCPCS J2765Hospital-published line item | $12 | $16 |
Glucose; Bld By Monitor Device Lab testCPT 82962Hospital-published line item | $13 | $16 |
Injection, Vitamin b-12 Cyanocobalamin, Up To 1000 Mcg DrugHCPCS J3420Hospital-published line item | $13 | $16 |
Injection, Ondansetron Hydrochloride, Per 1 Mg DrugHCPCS J2405Hospital-published line item | $13 | $16 |
Injection, Dexamethasone Sodium Phosphate, 1 Mg DrugHCPCS J1100Hospital-published line item | $15 | $19 |
Methylprednisolone Oral DrugHCPCS J7509Hospital-published line item | $15 | $19 |
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