COREWELL HEALTH ZEELAND HOSPITAL

Legal name: ZEELAND COMMUNITY HOSPITAL

ZEELAND, MI 494642608 (616) 772-4644 3336I0012X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
ACETAMINOPHEN 10 MG/ML IV SOLN [101991]	10361	N/A	N/A
PREGABALIN 25 MG PO CAPS [42162]	11701	N/A	N/A
MEDROXYPROGESTERONE ACETATE 5 MG PO TABS [4856]	11980	N/A	N/A
ANTIHEMOPHILIC FACTOR-VWF IV SOLR - WRAPPED (HUMATE-P) [408000912]	12165	N/A	N/A
ACETAMINOPHEN CHILDRENS 160 MG/5ML PO SUSP [8943]	12496	N/A	N/A
REMDESIVIR 100 MG IV SOLR [157892]	13107	N/A	N/A
DARBEPOETIN ALFA 60 MCG/0.3ML IJ SOSY [125107]	13668	N/A	N/A
POTASSIUM CHLORIDE 20 MEQ PO PACK [6434]	15054	N/A	N/A
KETAMINE HCL 100 MG/ML IJ SOLN [4237]	16500	N/A	N/A
CELECOXIB 100 MG PO CAPS [24500]	16729	N/A	N/A
TENECTEPLASE 50 MG IV KIT [28530]	17238	N/A	N/A
ORPHENADRINE CITRATE 30 MG/ML IJ SOLN [5886]	19903	N/A	N/A
ENOXAPARIN SODIUM 100 MG/ML IJ SOSY [99933]	20555	N/A	N/A
UREA 15 G PO PACK [135025]	23155	N/A	N/A
DOXAZOSIN MESYLATE 2 MG PO TABS [9895]	24208	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.