Transformhealth: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Transformhealth appears in disclosed negotiated rates across 1 hospital and 117 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.

117 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	Novant Health Brunswick Medical Center	A4719 HCPCS	—	—	—	—
& CHLAMYDIA AG DFA Outpatient	Novant Health Brunswick Medical Center	87270 CPT	$225	$113	$12.83 – $218	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	Novant Health Brunswick Medical Center	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	Novant Health Brunswick Medical Center	G2193 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED NOT ORD Outpatient	Novant Health Brunswick Medical Center	G9368 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED ORD Outpatient	Novant Health Brunswick Medical Center	G9367 HCPCS	—	—	—	—
>=2 SAME HI-RSK MED W/O DIAG Outpatient	Novant Health Brunswick Medical Center	M1209 HCPCS	—	—	—	—
>=2 SAME MEDS TBL4 NOT ORD Outpatient	Novant Health Brunswick Medical Center	M1210 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	Novant Health Brunswick Medical Center	M1007 HCPCS	—	—	—	—
>=86Y NO HX COLO CA/RSN SCOP Outpatient	Novant Health Brunswick Medical Center	G9659 HCPCS	—	—	—	—
>55 YRS TEMP HD ACHE Outpatient	Novant Health Brunswick Medical Center	G2192 HCPCS	—	—	—	—
1 ADMN RSV MONOC ANTB IM NJX Outpatient	Novant Health Brunswick Medical Center	96381 CPT	—	—	—	—
1 BOD TEMP >=35.5 Outpatient	Novant Health Brunswick Medical Center	G9773 HCPCS	—	—	—	—
1 BODYTEMP >=35.5CW/IN 30MIN Outpatient	Novant Health Brunswick Medical Center	4559F CPT	—	—	—	—
1 CC STERILE SYRINGE&NEEDLE Outpatient	Novant Health Brunswick Medical Center	A4206 HCPCS	—	—	—	—
1 EM CORE SESSION Outpatient	Novant Health Brunswick Medical Center	G9873 HCPCS	—	—	—	—
1 MED VISIT IN 24MO Outpatient	Novant Health Brunswick Medical Center	G9247 HCPCS	—	—	—	—
1 OR NO CT SINUS W/IN 90D DX Outpatient	Novant Health Brunswick Medical Center	G9354 HCPCS	—	—	—	—
1,25-DIHYDROXYVITAMIN D LEVEL Outpatient	Novant Health Brunswick Medical Center	82652 CPT	$571	$286	$41.23 – $554	—
100 INSULIN SYRINGES Outpatient	Novant Health Brunswick Medical Center	S8490 HCPCS	—	—	—	—
11-DEHYDRO THROMBOXANE B2 Outpatient	Novant Health Brunswick Medical Center	83520 CPT	$931	$466	$18.50 – $903	—
11-DEOXYCORTISOL Outpatient	Novant Health Brunswick Medical Center	82634 CPT	$592	$296	$31.36 – $574	—
11-DESOXYCORTICOSTERONE Outpatient	Novant Health Brunswick Medical Center	82633 CPT	$627	$314	$33.18 – $608	—
12-LEAD ECG PERFORMED Outpatient	Novant Health Brunswick Medical Center	3120F CPT	—	—	—	—
17 HYDROXYPROGESTERONE URINE Outpatient	Novant Health Brunswick Medical Center	83498 CPT	$354	$177	$29.10 – $343	—