ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL Hospital
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| RBC DNA HEA 35 AG 11 BLD GRP | 0001U | N/A | N/A |
| ADM SARSCOV2 30MCG/0.3ML 2ND | 0002A | N/A | N/A |
| LIVER DIS 10 ASSAYS W/ASH | 0002M | N/A | N/A |
| ONC CLRCT 3 UR METAB ALG PLP | 0002U | N/A | N/A |
| ADM SARSCOV2 30MCG/0.3ML 3RD | 0003A | N/A | N/A |
| LIVER DIS 10 ASSAYS W/NASH | 0003M | N/A | N/A |
| ONC OVAR 5 PRTN SER ALG SCOR | 0003U | N/A | N/A |
| ADM SARSCOV2 30MCG/0.3ML BST | 0004A | N/A | N/A |
| SCOLIOSIS DNA ALYS | 0004M | N/A | N/A |
| NFCT DS DNA 27 RESIST GENES | 0004U | N/A | N/A |
| OSTEOARTHRITIS COMPOSITE | 0005F | N/A | N/A |
| ONCO PRST8 3 GENE UR ALG | 0005U | N/A | N/A |
| ONC HEP GENE RISK CLASSIFIER | 0006M | N/A | N/A |
| DETC IA MEDS 120+ ANALYTES | 0006U | N/A | N/A |
| ONC GASTRO 51 GENE NOMOGRAM | 0007M | N/A | N/A |
| RX TEST PRSMV UR W/DEF CONF | 0007U | N/A | N/A |
| HPYLORI DETCJ ABX RSTNC DNA | 0008U | N/A | N/A |
| ONC BRST CA ERBB2 AMP/NONAMP | 0009U | N/A | N/A |
| ANESTH SALIVARY GLAND | 00100 | N/A | N/A |
| ANESTH REPAIR OF CLEFT LIP | 00102 | N/A | N/A |
| ANESTH BLEPHAROPLASTY | 00103 | N/A | N/A |
| ANESTH ELECTROSHOCK | 00104 | N/A | N/A |
| NFCT DS STRN TYP WHL GEN SEQ | 0010U | N/A | N/A |
| ADM SARSCOV2 100MCG/0.5ML1ST | 0011A | N/A | N/A |
| ONC PRST8 CA MRNA 12 GEN ALG | 0011M | N/A | N/A |
| RX MNTR LC-MS/MS ORAL FLUID | 0011U | N/A | N/A |
| ANESTH EAR SURGERY | 00120 | N/A | N/A |
| ANESTH EAR EXAM | 00124 | N/A | N/A |
| ANESTH TYMPANOTOMY | 00126 | N/A | N/A |
| ADM SARSCOV2 100MCG/0.5ML2ND | 0012A | N/A | N/A |
Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.