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Medical City Surgical Hospital Alliance

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Medical City Surgical Hospital Alliance. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN670116

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.
  • Particle Agglut Antbdy Titr
    Lab testCPT 86406Hospital-published line item
    $10
    cash
    Gross $10
  • Immunoassay Dipstick
    Lab testCPT 83518Hospital-published line item
    $10
    cash
    Gross $10
  • Assay Of Biotinidase
    Lab testCPT 82261Hospital-published line item
    $10
    cash
    Gross $91
  • Assay Iga/Igd/Igg/Igm Each
    Lab testCPT 82784Hospital-published line item
    $10
    cash
    Gross $10
  • Injection, Interferon alfacon-1, Recombinant, 1 Microgram
    DrugHCPCS J9212Hospital-published line item
    $10
    cash
    Gross $10
  • Fibrinolytic Plasminogen
    Lab testCPT 85421Hospital-published line item
    $10
    cash
    Gross $113
  • Injection, Diazepam, Up To 5 Mg
    DrugHCPCS J3360Hospital-published line item
    $10
    cash
    Gross $10
  • Fibrin Degradation Quant
    Lab testCPT 85379Hospital-published line item
    $10
    cash
    Gross $113
  • Prolng Clin Staff Svc Each Add
    ProcedureCPT 99416Hospital-published line item
    $10
    cash
    Gross $31
  • Optokinetic Nystagmus Test
    ProcedureCPT 92534Hospital-published line item
    $10
    cash
    Gross $139
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