Elliot Health System is a non-profit organization serving your healthcare needs since 1890.

Emergency Room Visit Price Lists

Access to csv file
https://www.elliothospital.org/website/ehs-2020-price-lists/Emergency-Room-Visit.csv


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
EMERGENCY ROOM VISIT7610021400HC CLSD TX FX ORBIT W/O MANIP $ 1,900.00
3
EMERGENCY ROOM VISIT7610021440HC CLD TX MAND/MAX FRACTURE $ 5,117.00
4
EMERGENCY ROOM VISIT4500221480HC TMJ DISLOCATION $ 495.00
5
EMERGENCY ROOM VISIT7610021480HC CLSD TX TMJ DISLOCATION $ 495.00
6
EMERGENCY ROOM VISIT7610021820HC CLSD TX STERNUM FX $ 768.00
7
EMERGENCY ROOM VISIT4500029065HC APPL CAST LONG ARM SHLDR TO HAND $ 455.00
8
EMERGENCY ROOM VISIT7610029065HC APPL CAST LONG ARM SHLDR TO HAND $ 455.00
9
EMERGENCY ROOM VISIT7000029075APPL CAST ELBW-FNGR $ 425.00
10
EMERGENCY ROOM VISIT7610029075HC APPL CAST ELBOW-FINGER (SHORT ARM) $ 425.00
11
EMERGENCY ROOM VISIT4500029105HC SPLINT-LONG ARM $ 430.00
12
EMERGENCY ROOM VISIT4500229105HC SPLINT-LONG ARM $ 430.00
13
EMERGENCY ROOM VISIT7610029105HC APPL SPLINT LONG ARM $ 430.00
14
EMERGENCY ROOM VISIT4500229125HC SHORT ARM SPLINT $ 329.00
15
EMERGENCY ROOM VISIT7000029125HC SHORT ARM SPLINT $ 329.00
16
EMERGENCY ROOM VISIT7610029125HC APPL SPLINT SHORT ARM STATIC $ 329.00
17
EMERGENCY ROOM VISIT4500229126HC APPL,SHRT ARM SPLNT,DYNAMIC $ 364.00
18
EMERGENCY ROOM VISIT7610029126HC APPL SPLINT SHORT ARM DYNAMIC $ 364.00
19
EMERGENCY ROOM VISIT4500229130HC SPLINT-FINGER (STATIC) $ 231.00
20
EMERGENCY ROOM VISIT7000029130HC SPLINT-FINGER (STATIC) $ 231.00
21
EMERGENCY ROOM VISIT7610029130HC APPL SPLINT FINGER STATIC $ 231.00
22
EMERGENCY ROOM VISIT7610029131HC APPL SPLINT FINGER DYNAMIC $ 212.00
23
EMERGENCY ROOM VISIT3610029345HC APPL,LONG LEG CAST $ 561.00
24
EMERGENCY ROOM VISIT7610029345HC APPL LONG LEG CAST $ 561.00
25
EMERGENCY ROOM VISIT4500029405HC APPL,SHORT LEG CAST $ 463.00
26
EMERGENCY ROOM VISIT7610029405HC APPL SHORT LEG CAST $ 463.00
27
EMERGENCY ROOM VISIT7000029425HC APPLY SHORT LEG CAST WALKING $ 382.00
28
EMERGENCY ROOM VISIT4500029445APPL RIGID LEG CAST $ 809.00
29
EMERGENCY ROOM VISIT4500229505HC SPLINT-LONG LEG $ 495.00
30
EMERGENCY ROOM VISIT7610029505HC APPL LONG LEG SPLINT $ 495.00
31
EMERGENCY ROOM VISIT4500229515HC SPLINT-SHORT LEG $ 474.00
32
EMERGENCY ROOM VISIT7000029515HC SPLINT-SHORT LEG $ 474.00
33
EMERGENCY ROOM VISIT7610029515HC APPL SHORT LEG SPLINT $ 474.00
34
EMERGENCY ROOM VISIT7610029520HC STRAPPING HIP $ 242.00
35
EMERGENCY ROOM VISIT7610029530HC STRAPPING KNEE $ 242.00
36
EMERGENCY ROOM VISIT7610029540HC STRAPPING ANKLE $ 198.00
37
EMERGENCY ROOM VISIT7610029550HC STRAPPING TOES $ 154.00
38
EMERGENCY ROOM VISIT7610029580STRAP UNNA BOOT COMPRESS (PASTE WRAP) $ 283.00
39
EMERGENCY ROOM VISIT7610129580HC UNNA STRAPPING BOOT (PASTE WRAP) $ 283.00
40
EMERGENCY ROOM VISIT4900029581APPL MULTILAYER VENOUS WOUND COMPRESSION (DISTINCT) $ 330.00
41
EMERGENCY ROOM VISIT7610029581APPL MULTLYR VENOUS WND COMPRESSION BELOW KNEE $ 330.00
42
EMERGENCY ROOM VISIT7610029705HC RMVL/BIVALVING FULL ARM/LEG CAST $ 303.00
43
EMERGENCY ROOM VISIT7610030000HC DRAINAGE NASAL ABSCESS HEMATOMA INTERNAL $ 788.00
44
EMERGENCY ROOM VISIT7610030020HC DRAINAGE ABSCESS/HEMATOMA NOSE LESION $ 818.00
45
EMERGENCY ROOM VISIT4500230300HC NASAL FB REMOVAL $ 231.00
46
EMERGENCY ROOM VISIT7610030300HC NASAL FB REMOVAL $ 231.00
47
EMERGENCY ROOM VISIT3610030901HC CONTROL OF NOSEBLEED SIMPLE $ 430.00
48
EMERGENCY ROOM VISIT4500230901HC NASAL HEMORRHAGE SIMPLE $ 430.00
49
EMERGENCY ROOM VISIT7610030901CTRL NASAL HEMMORRH ANTERIOR SIMPLE $ 430.00
50
EMERGENCY ROOM VISIT4500230903HC NASL HEMORRHAGE COMPLEX $ 529.00
51
EMERGENCY ROOM VISIT7610130903CTRL NASAL HEMMORH ANTERIOR COMPLEX $ 529.00
52
EMERGENCY ROOM VISIT4500230905HC NASAL HEMORRHAGE PSTERIOR $ 495.00
53
EMERGENCY ROOM VISIT7610030905HC CTRL NASAL HEMORRH POSTERIOR INITIAL $ 495.00
54
EMERGENCY ROOM VISIT7610030906HC CTRL NASAL HEMORRH POSTERIOR SUBSQNT $ 545.00
55
EMERGENCY ROOM VISIT7610040490HC BIOPSY OF LIP $ 472.00
56
EMERGENCY ROOM VISIT4500240650HC REPAIR LIP, FULL THICK, VERMILION $ 1,718.00
57
EMERGENCY ROOM VISIT7610040650HC REPAIR LIP FULL THICK VERMILION $ 1,718.00
58
EMERGENCY ROOM VISIT7610140654HC REPR LIP FULL THICK COMPLX >1/2 VERT HEIGHT $ 2,182.00
59
EMERGENCY ROOM VISIT7610040800HC DRAINAGE MOUTH LESION SIMPLE $ 394.00
60
EMERGENCY ROOM VISIT7610040830HC REPR LACERATION VESTIBULE MOUTH 2.5 CM/LESS $ 637.00
61
EMERGENCY ROOM VISIT7610040831HC REPR LACERATION VESTIBULE MOUTH > 2.5 CM/COMPLEX $ 1,576.00
62
EMERGENCY ROOM VISIT4500041008HC DRAINAGE OF MOUTH LESION $ 3,393.00
63
EMERGENCY ROOM VISIT7610041250HC REPR LACER MTH FLR/ANTERIOR 2/3 TONGUE 2.5 CM/LESS $ 303.00
64
EMERGENCY ROOM VISIT7610041251HC REPR LACER POSTERIOR 1/3 TONGUE 2.5 CM/LESS $ 515.00
65
EMERGENCY ROOM VISIT7610041252HC REPR LACER TONGUE MTH FLR > 2.6 CM/COMLEX $ 2,047.00
66
EMERGENCY ROOM VISIT4500241800HC ER-DRNG ABSCS CYST,HEMATMA-DENTLVLR $ 487.00
67
EMERGENCY ROOM VISIT7610041800HC DRAINAGE ABSCESS CYST HEMATOMA GUM LESION $ 487.00
68
EMERGENCY ROOM VISIT7610042000HC DRAINAGE MOUTH ROOF LESION $ 697.00
69
EMERGENCY ROOM VISIT4500265205HC CONJ FB SIMPLE REMOVAL $ 325.00
70
EMERGENCY ROOM VISIT7610065205HC REMOVAL FB EXT EYE CONJ SUPERFICIAL $ 325.00
71
EMERGENCY ROOM VISIT4500265210HC CONJ FB REMOVAL $ 357.00
72
EMERGENCY ROOM VISIT7610065210HC REMOVAL FB EXT EYE CONJ EMBEDDED SUBCONJ $ 357.00
73
EMERGENCY ROOM VISIT4500265220HC CORNEAL FB REMOVAL $ 292.00
74
EMERGENCY ROOM VISIT7610065220HC REMOVAL FB EXT EYE CORNEAL W/O SLIT LAMP $ 292.00
75
EMERGENCY ROOM VISIT4500265222HC CORNEAL FB REMOVAL W/SL $ 421.00
76
EMERGENCY ROOM VISIT7610065222HC REMOVAL FB EXT EYE CORNEAL W/ SLIT LAMP $ 421.00
77
EMERGENCY ROOM VISIT4500267700HC DRAINAGE EYELID ABSCESS $ 694.00
78
EMERGENCY ROOM VISIT7610067700HC DRAINAGE EYELID ABSCESS $ 694.00
79
EMERGENCY ROOM VISIT7610067810HC INCISIONAL BIOPSY OF EYELID $ 638.00
80
EMERGENCY ROOM VISIT7610067900HC REPAIR BROW DEFECT $ 3,353.00
81
EMERGENCY ROOM VISIT7610167938HC REMOVAL EMBEDDED FB EYELID $ 476.00
82
EMERGENCY ROOM VISIT5160199201HC UC NEW PT LVL 1 $ 137.00
83
EMERGENCY ROOM VISIT5160199202HC UC NEW PT LVL 2 $ 180.00
84
EMERGENCY ROOM VISIT5160199203HC UC NEW PT LVL 3 $ 239.00
85
EMERGENCY ROOM VISIT5160199204HC UC NEW PT LVL 4 $ 360.00
86
EMERGENCY ROOM VISIT5160199205HC UC NEW PT LVL 5 $ 598.00
87
EMERGENCY ROOM VISIT5160199211HC UC EST LEVEL 1 $ 137.00
88
EMERGENCY ROOM VISIT5160199212HC UC EST LEVEL 2 $ 180.00
89
EMERGENCY ROOM VISIT5160199213HC UC EST LEVEL 3 $ 239.00
90
EMERGENCY ROOM VISIT5160199214HC UC EST LEVEL 4 $ 360.00
91
EMERGENCY ROOM VISIT5160199215HC UC EST LEVEL 5 $ 598.00
92
EMERGENCY ROOM VISIT4500299281HC E/R LEVEL 1/ REMVL SUT ELSEWHERE $ 284.00
93
EMERGENCY ROOM VISIT4500299282HC E/R LEVEL 2 $ 464.00
94
EMERGENCY ROOM VISIT4500299283HC E/R LEVEL 3 $ 831.00
95
EMERGENCY ROOM VISIT4500299284HC E/R LEVEL 4 $ 1,663.00
96
EMERGENCY ROOM VISIT4500299285HC E/R LEVEL 5 $ 2,512.00
97
EMERGENCY ROOM VISIT4500299291HC CRITICAL CARE 1ST HOUR $ 2,978.00
98
EMERGENCY ROOM VISIT4500299292HC CRITICAL CARE EA ADD'L 30 MIN $ 1,192.00
99
EMERGENCY ROOM VISIT68302G0390HC TRAUMA RESPONSE TEAM $ 3,973.00