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Our Childrens House

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Our Childrens House. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN453308

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.
  • Immune Admin Oral/Nasal
    ProcedureCPT 90473Hospital-published line item
    $10
    cash
    Gross $14
  • Immunization Admin
    ProcedureCPT 90471Hospital-published line item
    $10
    cash
    Gross $14
  • Immunization Admin Each Add
    ProcedureCPT 90472Hospital-published line item
    $10
    cash
    Gross $14
  • Additional Oral OR Nasal Vaccine Administration
    ProcedureCPT 90474Hospital-published line item
    $10
    cash
    Gross $14
  • Battery For Hearing Device
    ProcedureHCPCS V5266Hospital-published line item
    $11
    cash
    Gross $15
  • Clozapine, 25 Mg
    ProcedureHCPCS S0136Hospital-published line item
    $15
    cash
    Gross $21
  • Unlisted Immunology Procedure
    Lab testCPT 86849Hospital-published line item
    $20
    cash
    Gross $26
  • Coll Venous Bld Venipuncture
    ProcedureCPT 36415Hospital-published line item
    $23
    cash
    Gross $30
  • Sc STD Macrobroth Dil Meth
    Lab testCPT 87188Hospital-published line item
    $23
    cash
    Gross $30
  • Iiv No Prsv Increased Ag IM
    ProcedureCPT 90662Hospital-published line item
    $26
    cash
    Gross $35
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