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

Micellaneous Price Lists

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


ABCD
1
CategoryCharge CodeDescription1/1/2020
Unit Charge
2
MISCELLANEOUS9400036514HC PLASMAPHERESIS $ 3,016.00
3
MISCELLANEOUS3330077470HC SPECIAL RADIATION TREATMENT $ 1,203.00
4
MISCELLANEOUS9010090870HC ECT SINGLE $ 1,670.00
5
MISCELLANEOUS8390090945HC PERITONEAL DIALYSIS (OTHER THAN HEMODIALYSIS) $ 418.00
6
MISCELLANEOUS8490090945HC CAPD CONT AMB PERITONEAL DIALYSIS $ 540.00
7
MISCELLANEOUS8590090945HC CCPD CONT CYCLIC PERITONEAL DIALYSIS $ 855.00
8
MISCELLANEOUS9100371CELERO VACUUM SPRING LOAD BX $ 563.00
9
MISCELLANEOUS8020000001HC CRRT DAILY (CONT RENAL REPLMNT THERAPY)(MULTIPLE EVALS) $ 4,037.00
10
MISCELLANEOUS9400000003HC HYPOTHERMIA THERAPY - ADULT $ 4,750.00
11
MISCELLANEOUS9400000004HC HYPOTHERMIA THERAPY-CHILD/INFANT $ 2,500.00
12
MISCELLANEOUS1501353FIBEROPTIC NASOPHARYNGOSCOPY $ 722.00
13
MISCELLANEOUS2600096360HC IV HYDRATION INITIAL UP TO 1HR $ 379.00
14
MISCELLANEOUS2600196360HC IV HYDRATION INITIAL UP TO 1HR $ 379.00
15
MISCELLANEOUS2600296360HC IV HYDRATION INITIAL UP TO 1HR $ 379.00
16
MISCELLANEOUS2600096361HC IV HYDRATION EA ADDL HR $ 158.00
17
MISCELLANEOUS2600196361HC IV HYDRATION EA ADDL HR $ 158.00
18
MISCELLANEOUS2600296361HC IV HYDRATION EA ADDL HR $ 158.00
19
MISCELLANEOUS2600096365HC IV DRUG INF INITIAL UP TO 1 HR $ 508.00
20
MISCELLANEOUS2600196365HC IV DRUG INF INITIAL UP TO 1 HR $ 508.00
21
MISCELLANEOUS2600296365HC IV DRUG INF INITIAL UP TO 1 HR $ 508.00
22
MISCELLANEOUS2600096366HC IV DRUG INF EA ADDL HR $ 162.00
23
MISCELLANEOUS2600196366HC IV DRUG INF EA ADDL HR $ 162.00
24
MISCELLANEOUS2600296366HC IV DRUG INF EA ADDL HR $ 162.00
25
MISCELLANEOUS2600096367HC IV DRUG INF SEQ ADD NEW DRUG $ 248.00
26
MISCELLANEOUS2600196367HC IV DRUG INF SEQ ADD NEW DRUG $ 248.00
27
MISCELLANEOUS2600296367HC IV DRUG INF SEQ ADD NEW DRUG $ 248.00
28
MISCELLANEOUS2600096368HC IV DRUG INF CONCURRENT ADD NEW DRUG $ 145.00
29
MISCELLANEOUS2600296368HC IV DRUG INF CONCURRENT ADD NEW DRUG $ 145.00
30
MISCELLANEOUS1500750INJ DRUG/ANTIB SC/IM ADMIN (NON CHEMO) $ 158.00
31
MISCELLANEOUS9400096372HC INJ DRUG/ANTIB SC/IM ADMIN $ 158.00
32
MISCELLANEOUS9400196372HC INJ DRUG/ANTIB SC/IM ADMIN $ 158.00
33
MISCELLANEOUS9400296372HC INJ DRUG/ANTIB SC/IM ADMIN $ 158.00
34
MISCELLANEOUS2600096374HC IV DRUG PUSH INITIAL $ 266.00
35
MISCELLANEOUS2600196374HC IV DRUG PUSH INITIAL $ 266.00
36
MISCELLANEOUS2600296374HC IV DRUG PUSH INITIAL $ 266.00
37
MISCELLANEOUS2600096375HC IV DRUG PUSH ADD NEW DRUG $ 150.00
38
MISCELLANEOUS2600196375HC IV DRUG PUSH ADD NEW DRUG $ 150.00
39
MISCELLANEOUS2600296375HC IV DRUG PUSH ADD NEW DRUG $ 150.00
40
MISCELLANEOUS2600096376HC IV DRUG PUSH SAME DRUG EA ADDL $ 140.00
41
MISCELLANEOUS2600196376HC IV DRUG PUSH SAME DRUG EA ADDL PUSH $ 140.00
42
MISCELLANEOUS2600296376HC IV DRUG PUSH SAME DRUG EA ADDL PUSH $ 140.00
43
MISCELLANEOUS3310096401HC CHEMO NON HORMONAL ANTI NEO ADMIN $ 427.00
44
MISCELLANEOUS1501249INJ SC/IM (CHEMO) HORMONAL $ 406.00
45
MISCELLANEOUS3310096402HC INJ SC/IM (CHEMO) HORMONAL $ 406.00
46
MISCELLANEOUS3310096409HC BIO/CHEM/COMPLEX IV DRUG PUSH SNGL $ 623.00
47
MISCELLANEOUS3350096413HC BIO/CHEM/COMPLEX IV INFUSED 1ST HR $ 965.00
48
MISCELLANEOUS3350096415HC BIO/CHEM/COMPLEX IV INF ADDL HR $ 355.00
49
MISCELLANEOUS9400096523HC PORT FLUSH $ 252.00
50
MISCELLANEOUS9400196523HC PORT FLUSH $ 252.00
51
MISCELLANEOUS4810289PSA SCREENING $ 169.00
52
MISCELLANEOUS94200G0108HC DIAB MANG TRN IND 30 MIN $ 151.00
53
MISCELLANEOUS94200G0109HC DIAB MANAGE TRN/GRP 30 MIN $ 86.00
54
MISCELLANEOUS5000856SCR GYN CYTO THIN PREP (M'CRE) $ 186.00
55
MISCELLANEOUS5000873SCR C/V CYTO THINLAYER RESCR (MDCR,TRI,MP) $ 283.00
56
MISCELLANEOUS82900G0257HC HEMODIALYSIS $ 1,508.00
57
MISCELLANEOUS94200G0270HC F/U NUTR W/CHG OF PLAN/DX 15 MIN-UNIT (DH) $ 60.00
58
MISCELLANEOUS5401071GENERAL LAB/SEROLOGY HIV COMBO $ 207.00
59
MISCELLANEOUS5100391OBTAIN SCREEN PAP SMEAR(MDCR) $ 124.00
60
MISCELLANEOUS5101853PINWORM EXAMINATIONS $ 52.00
61
MISCELLANEOUS3203065BED ROTOPRONE DAILY $ 3,000.00