Active Med: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Active Med appears in disclosed negotiated rates across 1 hospital and 26 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

26 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
1ST PSYC COLLAB CARE MGMT Outpatient	CHRISTUS St. Francis Cabrini Hospital	99492 CPT	—	—	$86.23 – $210	—
2019-NCOV DIAGNOSTIC P Outpatient	CHRISTUS St. Francis Cabrini Hospital	U0001 HCPCS	—	—	$35.20 – $62.86	—
2D CEPHAL RADIO IMAGE Outpatient	CHRISTUS St. Francis Cabrini Hospital	D0702 HCPCS	—	—	$82.08 – $117	—
2D CEPHALOMETRIC IMAGE Outpatient	CHRISTUS St. Francis Cabrini Hospital	D0340 HCPCS	—	—	$82.08 – $129	—
2D ORAL/FACIAL PHOTO IMAGE Outpatient	CHRISTUS St. Francis Cabrini Hospital	D0703 HCPCS	—	—	$82.08 – $117	—
3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy Outpatient	CHRISTUS St. Francis Cabrini Hospital	C8001 HCPCS	—	—	$82.08 – $198	—
3D contour simulation of target liver lesion(s) and margin(s) for image-guided percutaneous microwave ablation Outpatient	CHRISTUS St. Francis Cabrini Hospital	944T CPT	—	—	$225 – $544	—
ABATACEPT INJECTION Outpatient	CHRISTUS St. Francis Cabrini Hospital	J0129 HCPCS	—	—	$40.83 – $122	—
ABLATE INF TURBINATE SUBMUC Outpatient	CHRISTUS St. Francis Cabrini Hospital	30802 CPT	—	—	$361 – $5,010	—
ABLATE INF TURBINATE SUPERF Outpatient	CHRISTUS St. Francis Cabrini Hospital	30801 CPT	—	—	$361 – $5,010	—
ABLATE PULM TUMOR PERQ CRYBL Outpatient	CHRISTUS St. Francis Cabrini Hospital	32994 CPT	—	—	$553 – $13,865	—
ABLTJ B9 THYR NDUL PERQ LASR Outpatient	CHRISTUS St. Francis Cabrini Hospital	673T CPT	—	—	$1,230 – $11,930	—
ABLTJ MAL BRST TUM PERQ CRTX Outpatient	CHRISTUS St. Francis Cabrini Hospital	581T CPT	—	—	$1,880 – $7,953	—
ABLTJ MAL PRST8 TISS HIFU Outpatient	CHRISTUS St. Francis Cabrini Hospital	55880 CPT	—	—	$1,078 – $16,056	—
ABLTJ PERC LXTR/PERPH NRV Outpatient	CHRISTUS St. Francis Cabrini Hospital	441T CPT	—	—	$1,820 – $13,492	—
ABLTJ PERC PLEX/TRNCL NRV Outpatient	CHRISTUS St. Francis Cabrini Hospital	442T CPT	—	—	$2,816 – $13,492	—
ABLTJ PERC UXTR/PERPH NRV Outpatient	CHRISTUS St. Francis Cabrini Hospital	440T CPT	—	—	$1,820 – $13,492	—
ABO GNOTYP ABO 7 EXONS Outpatient	CHRISTUS St. Francis Cabrini Hospital	180U CPT	—	—	$269 – $1,701	—
ABO GNOTYP NEXT GNRJ SEQ ABO Outpatient	CHRISTUS St. Francis Cabrini Hospital	221U CPT	—	—	$269 – $1,701	—
ABOBOTULINUMTOXINA Outpatient	CHRISTUS St. Francis Cabrini Hospital	J0586 HCPCS	—	—	$7.95 – $20.40	—
ABORTION Outpatient	CHRISTUS St. Francis Cabrini Hospital	59840 CPT	—	—	$777 – $8,602	—
ABORTION Outpatient	CHRISTUS St. Francis Cabrini Hospital	59841 CPT	—	—	$777 – $8,602	—
ABORTION (MPR) Outpatient	CHRISTUS St. Francis Cabrini Hospital	59866 CPT	—	—	$284 – $5,010	—
ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient	CHRISTUS St. Francis Cabrini Hospital	770 MS-DRG	—	—	$1,174 – $17,153	—
ABORTION WITHOUT D&C Inpatient	CHRISTUS St. Francis Cabrini Hospital	779 MS-DRG	—	—	$1,174 – $14,902	—