Covenant Specialty Hospital
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Covenant Specialty Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN452102
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.
- Sc STD Enzyme Detcj Per NzmLab testCPT 87185Hospital-published line item$11cashGross $25
- Intermittent Urinary Catheter, With Insertion SuppliesSupply / DMEHCPCS A4353Hospital-published line item$12cashGross $29
- Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 MgDrugHCPCS J7614Hospital-published line item$14cashGross $33
- Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., Each DressingSupply / DMEHCPCS A6197Hospital-published line item$14cashGross $34
- Cars/Bd Tst inft-12mo +30minProcedureCPT 94781Hospital-published line item$14cashGross $34
- Contact Layer, Sterile, 16 Sq. In. OR Less, Each DressingSupply / DMEHCPCS A6206Hospital-published line item$15cashGross $35
- Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each UnitProcedureHCPCS P9059Hospital-published line item$18cashGross $43
- Alginate OR Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 InchesSupply / DMEHCPCS A6199Hospital-published line item$19cashGross $44
- Antistreptolysin O TiterLab testCPT 86060Hospital-published line item$19cashGross $45
- Special Supplies Phys/QhpProcedureCPT 99070Hospital-published line item$21cashGross $50
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Sc STD Enzyme Detcj Per Nzm Lab testCPT 87185Hospital-published line item | $11 | $25 |
Intermittent Urinary Catheter, With Insertion Supplies Supply / DMEHCPCS A4353Hospital-published line item | $12 | $29 |
Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 Mg DrugHCPCS J7614Hospital-published line item | $14 | $33 |
Alginate OR Other Fiber Gelling Dressing, Wound Cover, Sterile, Pad Size More Than 16 Sq. In. But Less Than OR Equal To 48 Sq. In., Each Dressing Supply / DMEHCPCS A6197Hospital-published line item | $14 | $34 |
Cars/Bd Tst inft-12mo +30min ProcedureCPT 94781Hospital-published line item | $14 | $34 |
Contact Layer, Sterile, 16 Sq. In. OR Less, Each Dressing Supply / DMEHCPCS A6206Hospital-published line item | $15 | $35 |
Fresh Frozen Plasma Between 8-24 Hours Of Collection, Each Unit ProcedureHCPCS P9059Hospital-published line item | $18 | $43 |
Alginate OR Other Fiber Gelling Dressing, Wound Filler, Sterile, Per 6 Inches Supply / DMEHCPCS A6199Hospital-published line item | $19 | $44 |
Antistreptolysin O Titer Lab testCPT 86060Hospital-published line item | $19 | $45 |
Special Supplies Phys/Qhp ProcedureCPT 99070Hospital-published line item | $21 | $50 |
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