AMPS: disclosed hospital rates

iDirect answer

Based on the published hospital price files, AMPS appears in disclosed negotiated rates across 8 hospitals and 928 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.

928 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	Novant Health Ballantyne Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Brunswick Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Charlotte Orthopedic Hospital	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Clemmons Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Forsyth Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Huntersville Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Kernersville Medical Center	A4719 HCPCS	—	—	—	—
""Y SET"" TUBING Outpatient	Novant Health Matthews Medical Center	A4719 HCPCS	—	—	—	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Ballantyne Medical Center	87270 CPT	$241	$121	$11.98 – $234	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Brunswick Medical Center	87270 CPT	$225	$113	$12.83 – $218	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Charlotte Orthopedic Hospital	87270 CPT	$241	$121	$11.98 – $234	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Clemmons Medical Center	87270 CPT	$197	$118	$11.98 – $191	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Forsyth Medical Center	87270 CPT	$197	$118	$11.98 – $191	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Huntersville Medical Center	87270 CPT	$241	$121	$11.98 – $234	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Kernersville Medical Center	87270 CPT	$197	$118	$11.98 – $191	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Matthews Medical Center	87270 CPT	$241	$121	$11.98 – $234	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Ballantyne Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Brunswick Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Charlotte Orthopedic Hospital	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Clemmons Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Forsyth Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Huntersville Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Kernersville Medical Center	M1008 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Matthews Medical Center	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	Novant Health Ballantyne Medical Center	G2193 HCPCS	—	—	—	—