EMERGENCY ROOM
SERVICE CHARGE CODE SERVICE DESCRIPTION SERVICE CHARGE PRICE
900000 DEFIBRILLATION/CARDIOVERSION 117.53
900088 PHYSICAL EXAM-ANNUAL 84.89
900178 ER-OB/GYN ROOM 115.48
900185 ER-SPECIALTY ROOM 57.38
900194 ER-TRAUMA ROOM 999.62
900227 EMERGENCY ROOM 67.48
900243 ER-OBSERVATION ROOM 84.35
910060 I&D ABSCESS 26.42
931500 INTUBATION 4.62
932020 THORACOSTOMY INSERTION 64.71
936425 VENIPUNCTURE 38.30
936480 CVP CATHETER INSERTION 101.69
996000 CODE 72 (ARREST) PCV 104.34
1200000 M.L. REPAIR-SIMPLE 42.46
1201000 SKIN, SUBQ & AREOLAR TISSUE 63.68
1202000 ML REPAIR-SUPERFICIAL WOUND 84.89
1212000 SIMPLE REPAIR-SUPERF WOUND 84.89
1214000 ADJ TISSUE TRANS/REARRANGM 106.12
1220000 GENERAL INCISION-ABSCESS 106.12
1222000 SPINE (VERTEBRAL COLUMN) 159.20
1223000 SHOULDER INCISION 212.27
1224000 HUMERUS UP ARM/ELBOW INCISION 0.00
1230000 RESP SYSTEM-NOSE INCISION 0.00
4302047 PLASTER CAST ENTIRE BODY 123.61
4302120 CAST SHORT LEG 55.18
4302187 CAST TORSO 125.23
4302203 CAST TORSO/HIPS 123.61
4302393 CAST ROOM 19.28