CARLE HOOPESTON REGIONAL HEALTH CENTER Hospital
Legal name: HOOPESTON COMMUNITY MEMORIAL HOSPITAL
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| Adm Sarscov2 30mcg/0.3ml 1st | 0001A | $47 | N/A |
| Adm Sarscov2 30mcg/0.3ml 2nd | 0002A | $82 | N/A |
| Imm Admn Sarscov2 30mcg/0.3ml Dil Recon 3rd Dose | 0003A | $82 | N/A |
| Imm Admn Sarscov2 30mcg/0.3ml Dil Recon Bst Dose | 0004A | $82 | N/A |
| Adm Sarscov2 100mcg/0.5ml1st | 0011A | $47 | N/A |
| Adm Sarscov2 100mcg/0.5ml2nd | 0012A | $82 | N/A |
| Imm Admn Sarscov2 100 Mcg/0.5 Ml 3rd Dose | 0013A | $82 | N/A |
| Adm Sarscov2 Vac 5x1010vp/.1ml 1st | 0021A | $47 | N/A |
| Adm Sarscov2 Vac 5x1010vp/.1ml 2nd | 0022A | $82 | N/A |
| Jak2 Exon 12 Mutation Det Blood or Bone Marrow Ref | 0027U | $91 | N/A |
| Focused Pharmacogenomics Panel, Ref | 0029U | $557 | N/A |
| Imm Admn Sarscov2 Ad26 5x1010vp/0.5 Ml 1 Dose | 0031A | $82 | N/A |
| Imm Admn Sarscov2 Ad26 5x1010 Vp/0.5 Ml Bst Dose | 0034A | $82 | N/A |
| (CSF) Rt-Quic, Ref Case Western | 0035U | $406 | N/A |
| Foundation One Cdx, Ref | 0037U | $2,625 - $10,500 | N/A |
| Adm Sarscv2 Spike Protein Nanoparticle, Saponin-Based Adjuvant, Preservative Free, 5 Mcg/0.5 Ml Dosage; First Dose | 0041A | $82 | N/A |
| Adm Sarscv2 Spike Protein Nanoparticle, Saponin-Based Adjuvant, Preserv | 0042A | $82 | N/A |
| Cerbral Perfusion Study, CT W/ Contrast | 0042T | $855 | N/A |
| Imm Admn Sarscov2 30mcg/0.3ml Tris-Sucrose 1st | 0051A | $47 | N/A |
| Imm Admn Sarscov2 30mcg/0.3ml Tris-Sucrose 2nd | 0052A | $82 | 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.