Northwest Surgical Hospital
,
Northwest Surgical Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN450796
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, Von Willebrand Factor Complex (humate-P), Per Iu Vwf:rcoDrugHCPCS J7187Hospital-published line item$10cashGross $26
- Hydroxyzine Pamoate, 25 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 Q0177Hospital-published line item$10cashGross $26
- Injection Codeine Phosphate /30 MgDrugHCPCS J0745Hospital-published line item$11cashGross $28
- Anti-InhibitorDrugHCPCS J7198Hospital-published line item$11cashGross $28
- Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise SpecifiedDrugHCPCS J7192Hospital-published line item$11cashGross $28
- Bld Count Smear Mcrscp without Mnl Difrntl WBC CountLab testCPT 85008Hospital-published line item$12cashGross $31
- Azathioprine Oral 50mgDrugHCPCS J7500Hospital-published line item$13cashGross $32
- Split Blood OR ProductsLab testCPT 86985Hospital-published line item$14cashGross $34
- Finger Orthosis, Proximal Interphalangeal (pip)/Distal Interphalangeal (dip), Without Joint/Spring, Extension/Flexion (e.g., Static OR Ring Type), May Include Soft Interface Material, Prefabricated, Off-The-ShelfSupply / DMEHCPCS L3927Hospital-published line item$14cashGross $35
- Injection, Oxymorphone Hcl, Up To 1 MgDrugHCPCS J2410Hospital-published line item$14cashGross $35
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Injection, Von Willebrand Factor Complex (humate-P), Per Iu Vwf:rco DrugHCPCS J7187Hospital-published line item | $10 | $26 |
Hydroxyzine Pamoate, 25 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 Q0177Hospital-published line item | $10 | $26 |
Injection Codeine Phosphate /30 Mg DrugHCPCS J0745Hospital-published line item | $11 | $28 |
Anti-Inhibitor DrugHCPCS J7198Hospital-published line item | $11 | $28 |
Factor Viii (antihemophilic Factor, Recombinant) Per I.u., Not Otherwise Specified DrugHCPCS J7192Hospital-published line item | $11 | $28 |
Bld Count Smear Mcrscp without Mnl Difrntl WBC Count Lab testCPT 85008Hospital-published line item | $12 | $31 |
Azathioprine Oral 50mg DrugHCPCS J7500Hospital-published line item | $13 | $32 |
Split Blood OR Products Lab testCPT 86985Hospital-published line item | $14 | $34 |
Finger Orthosis, Proximal Interphalangeal (pip)/Distal Interphalangeal (dip), Without Joint/Spring, Extension/Flexion (e.g., Static OR Ring Type), May Include Soft Interface Material, Prefabricated, Off-The-Shelf Supply / DMEHCPCS L3927Hospital-published line item | $14 | $35 |
Injection, Oxymorphone Hcl, Up To 1 Mg DrugHCPCS J2410Hospital-published line item | $14 | $35 |
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