Zelis: disclosed hospital rates

iDirect answer

Based on the published hospital price files, Zelis appears in disclosed negotiated rates across 2 hospitals and 320 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.

320 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
""Y SET"" TUBING Outpatient	CHRISTUS St. Vincent Regional Medical Center	A4719 HCPCS	—	—	—	—
<50% TOTAL PT OUTPT RA ENCTS Outpatient	CHRISTUS St. Vincent Regional Medical Center	M1008 HCPCS	—	—	—	—
<6YR NEW ONSET HD ACHE Outpatient	CHRISTUS St. Vincent Regional Medical Center	G2193 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED NOT ORD Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9368 HCPCS	—	—	—	—
>= 2 SAME HI-RSK MED ORD Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9367 HCPCS	—	—	—	—
>=2 SAME HI-RSK MED W/O DIAG Outpatient	CHRISTUS St. Vincent Regional Medical Center	M1209 HCPCS	—	—	—	—
>=2 SAME MEDS TBL4 NOT ORD Outpatient	CHRISTUS St. Vincent Regional Medical Center	M1210 HCPCS	—	—	—	—
>=50% TOTAL PT OUTPT RA ENCT Outpatient	CHRISTUS St. Vincent Regional Medical Center	M1007 HCPCS	—	—	—	—
>=86Y NO HX COLO CA/RSN SCOP Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9659 HCPCS	—	—	—	—
>55 YRS TEMP HD ACHE Outpatient	CHRISTUS St. Vincent Regional Medical Center	G2192 HCPCS	—	—	—	—
0.45% NaCl + KCl 20 mEq/L infusion Outpatient	CHRISTUS St. Vincent Regional Medical Center	J3480 HCPCS	$118	$70.67	$17.66 – $106	—
0.9% NaCl + KCl 20 mEq/L infusion Outpatient	CHRISTUS St. Vincent Regional Medical Center	J3480 HCPCS	$1.00	$0.60	$0.15 – $0.90	—
0.9% NaCl + KCl 40 mEq/L infusion Outpatient	CHRISTUS St. Vincent Regional Medical Center	J3480 HCPCS	$4.00	$2.40	$0.60 – $3.60	—
1 ADMN RSV MONOC ANTB IM NJX Outpatient	CHRISTUS St. Vincent Regional Medical Center	96381 CPT	—	—	—	—
1 BOD TEMP >=35.5 Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9773 HCPCS	—	—	—	—
1 BODYTEMP >=35.5CW/IN 30MIN Outpatient	CHRISTUS St. Vincent Regional Medical Center	4559F CPT	—	—	—	—
1 CC STERILE SYRINGE&NEEDLE Outpatient	CHRISTUS St. Vincent Regional Medical Center	A4206 HCPCS	—	—	—	—
1 EM CORE SESSION Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9873 HCPCS	—	—	$135 – $135	—
1 MED VISIT IN 24MO Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9247 HCPCS	—	—	—	—
1 OR NO CT SINUS W/IN 90D DX Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9354 HCPCS	—	—	—	—
10-0 ETHILON BLACK 1X5 V75-3 Inpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
10-0 ETHILON BLACK 1X5 V75-3 Outpatient	University of Illinois Hospital and Clinics (UI Health)	A4649 HCPCS	$105	$73.79	$34.79 – $2,385	—
100 INSULIN SYRINGES Outpatient	CHRISTUS St. Vincent Regional Medical Center	S8490 HCPCS	—	—	—	—
12-LEAD ECG PERFORMED Outpatient	CHRISTUS St. Vincent Regional Medical Center	3120F CPT	—	—	—	—
1DOSE MENIG VAC BTWN 11 & 13 Outpatient	CHRISTUS St. Vincent Regional Medical Center	G9414 HCPCS	—	—	—	—