Community Memorial Hospital
809 Jackson
Burke, SD 57523
Critical Access Hospitals
Overview
- CCN431309
Procedures & prices
- Galactose transferase test82776$11cashGross $150 payers
- LEVALBUTEROL NON-COMP UNITJ7614$15cashGross $200 payers
- HC DESTRUCT PREMALG LES, 2-1417003$15cashGross $200 payers
- ALBUTEROL IPRATROP NON-COMPJ7620$15cashGross $200 payers
- HC ADMIN PNEUMONIA VACCINEG0009$16cashGross $210 payers
- HC ADMIN FLU VACCINEG0008$16cashGross $210 payers
- HC ADMIN HEPATITIS B VACCINEG0010$16cashGross $210 payers
- AZITHROMYCIN DIHYDRATE, ORALQ0144$19cashGross $270 payers
- PREDNISOLONE ORAL PER 5 MGJ7510$19cashGross $270 payers
- HC COLLJ CAPILLARY BLOOD SPEC36416$23cashGross $300 payers
| Procedure | Code | Cash↑ | Gross | Negotiated range | Payers |
|---|---|---|---|---|---|
| Galactose transferase test | 82776 | $11 | $15 | — | 0 |
| LEVALBUTEROL NON-COMP UNIT | J7614 | $15 | $20 | — | 0 |
| HC DESTRUCT PREMALG LES, 2-14 | 17003 | $15 | $20 | — | 0 |
| ALBUTEROL IPRATROP NON-COMP | J7620 | $15 | $20 | — | 0 |
| HC ADMIN PNEUMONIA VACCINE | G0009 | $16 | $21 | — | 0 |
| HC ADMIN FLU VACCINE | G0008 | $16 | $21 | — | 0 |
| HC ADMIN HEPATITIS B VACCINE | G0010 | $16 | $21 | — | 0 |
| AZITHROMYCIN DIHYDRATE, ORAL | Q0144 | $19 | $27 | — | 0 |
| PREDNISOLONE ORAL PER 5 MG | J7510 | $19 | $27 | — | 0 |
| HC COLLJ CAPILLARY BLOOD SPEC | 36416 | $23 | $30 | — | 0 |
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