CHURCH CHARITY FOUNDATION OF LONG ISLAND
Legal name: EPISCOPAL HEALTH SERVICES INC
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| Cymbalta | 00023 | $8 | N/A |
| ZyPREXA Zydis | 00024 | $17 | N/A |
| Alimta | 00027 | $4,043 | N/A |
| HumuLIN R | 00028 | $0 | N/A |
| Kenalog-40 | 00030 | $9 | N/A |
| Yervoy | 00032 | $8,877 | N/A |
| Opdivo | 00033 | $7,787 | N/A |
| Tamiflu | 00040 | $15 | N/A |
| Prevnar 20 | 00052 | $274 | N/A |
| Januvia | 00060 | $11 | N/A |
| Primaxin IV | 00063 | $33 | N/A |
| Pedvaxhib | 00064 | $30 | N/A |
| Bridion | 00065 | $249 | N/A |
| Protonix | 00080 | $5 | N/A |
| SOLU-Medrol | 00090 | $24 | N/A |
| Prostin VR Pediatric | 00093 | $169 | N/A |
| Optiray 300 | 00191 | $87 | N/A |
| MD-Gastroview | 00194 | $16 | N/A |
| Botox | 00231 | $646 | N/A |
| Ferrlecit | 00242 | $32 | 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.