CarePrice

Johnson County Healthcare Center

, Buffalo

ProcedureCodeCash Price
IOPAMIDOL 200 MG IODINE/ML (41 %) INJECTION SOLUTIONQ9966$4
INJ TRIAMCINOLONE ACETONIDEJ3301$4
CRYO DESTRUCT LESION 2-1417003$4.50
EMOTIONAL BEHAVIORAL ASSESSMT96127$5.11
Antihemophilic viii/vwf compJ7186$5.20
INITIAL VISIT99201$6
RHYTHM ECG, 1-3 LEADS; INTERPRETATION AND REPORT ONLY93042$7.32
METHOTREXATE SODIUM 2.5 MG TABLETJ8610$7.85
HB CC PYXIS-ARM SLING LGA4565$8
ACETYLCYSTEINE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, PER GRAMJ7608$8.18
ELECTROCARDIOGRAM, ROUTINE ECG WITH 12 LEADS; INTERPRETATION AND REPORT ONLY, PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATIONG0405$8.81
CNA VISIT PERSONAL CARE SUPPORT WAIVERS5125$8.91
ALBUTEROL INHALATION SOLUTIONJ7613$9
Annual alcohol screen 15 minG0442$9.92
Depression screen annualG0444$9.92
PROSTATE CANCER SCREENING; DIGITAL RECTAL EXAMINATIONG0102$11.44
GADOTERIDOL 1ML 5MMOL 10ML SNIJA9579$11.50
BLANKET WARMING LOWER BODY99070$11.80
UNLISTED DX RADIOGRAPHIC PX76499$12.10
SMOKING/TOBACCO CESSATION99406$12.80
IPRATROPIUM .02% .5MG/2.5J7620$13.05
PF PHONE E M PHYS QHP 5 10MIN99441$13.25
INJ ONDANSETRON HYDROCHLORIDEJ2405$14.58
FUROSEMIDE 10 MG/ML INJECTION SOLUTIONJ1940$14.88
IOTHALAMT 60 PERC 1ML 50ML SNIJQ9961$15
PHENYTOIN SODIUM IV SOLUTION 50 MG/MLJ1165$15.28
WOUND CLSR TISSUE ADHESVG0168$15.83
INJECTION GARAMYCIN GENTAMICINJ1580$15.95
FLUZONE VACCQ2038$17.84
INJECTION PROMETHAZINE HCL TOJ2550$18.72
PT MCR DIG E/M SVC 5-10 MING2061$19.33
SCREENING PAPANICOLAOU SMEARQ0091$19.84
BLOOD OCCULT PEROX ACTIVITY82270$20
METHYL PRED SS 40MG JJ2920$20.13
SHOULDER ORTHOSIS, FIGURE OF EIGHT DESIGN ABDUCTION RESTRAINER, CANVAS AND WEBBING, PREFABRICATED, OFF-THE-SHELFL3660$21.55
PFZR ADMIN COVID VACC30MCG1ST0001A$21.72
PFZR ADMIN COVID VACC30MCG 2ND0002A$21.72
IMMUNIZATION ADMINISTRATION PFIZER 3RD0003A$21.72
IMMUNIZATION ADMINISTRATION PFIZER BOOST0004A$21.72
IMMUNIZATION ADMINISTRATION MODERNA 1ST0011A$21.72
IMMUNIZATION ADMINISTRATION MODERNA 2ND0012A$21.72
IMMUNIZATION ADMINISTRATION J&J0031A$21.72
IMMUNIZATION ADMINISTRATION J&J BOOSTER0034A$21.72
IMMUNIZATION ADMIN SARSCV2 30MCG 1ST0051A$21.72
IMMUNIZATION ADMIN SARSCV2 30MCG 2ND0052A$21.72
IMMUNIZATION ADMIN SARSCV2 30MCG 3RD0053A$21.72
IMMUNIZATION ADMIN SARSCV2 30MCG BOOSTER0054A$21.72
IMMUNIZATION ADMIN PFIZER BIVALENT BSTR0124A$21.72
IMMUNIZATION ADMIN MODERNA BOOSTER0134A$21.72
ADMIN INFLUENZA VIRUS VACCINEG0008$21.72
ADMIN PNEUMOCOCCAL VACCINEG0009$21.72
ADMIN HEPATITIS B VACCINEG0010$21.72
HYDROMORPHONE IN NS (STANDARD) PCA INFUSION 10 MG/50 ML (0.2 MG/ML)J1170$22.56
AFLURIA QUADRIVALENT FLU VACCINE90688$23.28
INFLUENZA VIRUS VACCINE90686$23.28
INFLUENZA VIRUS VACCINE, QUADRIVALENT (CCIIV4), DERIVED FROM CELL CULTURES, SUBUNIT, ANTIBIOTIC FREE, 0.5 ML DOSAGE, FOR INTRAMUSCULAR USE90756$23.28
METHYLPRED LA 40MG JJ1030$23.35
INJECTION LORAZEPAMJ2060$23.36
MEPERIDINE (PF) 50 MG/ML INJECTION SYRINGEJ2175$23.80
Behavior counsel obesity 15mG0447$24
INJ KETOROLAC TROMETHAMINEJ1885$24.18
IOHEXOL 180MG 1ML 3.6GM 20ML SNIJQ9965$24.50
INFLUENZA VACCINE QUADRIVALEN INTRANASAL90672$24.60
MIDAZOLAM (PF) 5 MG/ML NASALJ2250$24.80
HOSPICE AIDE WEEKLY VISITS NO REIMBURSEMG0156$24.83
Brief alcohol misuse counselG0443$24.86
RMVL SKN TAG/MULTI FIBRO ADD11201$25
ALLERGEN IMMUNOTHRPY SNGL INJ95115$25
METOCLOPRAMIDE 5 MG/ML INJECTION SOLUTIONJ2765$25.10
AMIODARONE 360 MG/200 ML (1.8 MG/ML) IN DEXTROSE ISO-OSMOTIC IVJ0282$25.70
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTIONQ9967$26
OXYTOCIN 10 UNIT/ML INJECTION SOLUTIONJ2590$26.05
RN VISIT LTC WAIVER PATIENT ONLYT1002$26.12
MORPHINE 2 MG/ML INJECTION SYRINGEJ2270$26.48
ADENOSINE 3MG/ML IVJ0153$26.50
PATIENT-INITIATED SPIROMETRIC RECORDING PER 30-DAY PERIOD OF TIME; REVIEW AND INTERPRETATION ONLY BY A PHYSICIAN OR OTHER QUALIFIED HEALTH CARE PROFESSIONAL94016$26.50
INJECTION VITAMIN B-12J3420$27
SMOKING/TOBACCO CESSAT LVL 299407$27.09
HEPARIN (PORCINE) 5 000 UNIT/ML INJECTION SOLUTIONJ1644$27.40
MANNITOL 25 % INTRAVENOUS SOLUTIONJ2150$27.45
DOBUTAMINE 12.5 MG/ML IV SOLUTION (MCG)J1250$27.60
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$27.75
NON-COVERED ITEM OR SERVICEA9270$27.91
METHOTREXATE SODIUM 25 MG/ML INJECTION SOLUTIONJ9250$28
TRIMMING OF NAILG0127$28
CIPROFLOXACIN LACTATE/D5W400MG/0.2L IVJ0744$28.20
HALOPERIDOL LACTATE 5 MG/ML INJECTION SOLUTIONJ1630$28.33
METHOTREXATE SODIUM (PF) 1 GRAM SOLUTION FOR INJECTIONJ9260$28.33
LIDOCAINE IN D5W 4 MG/ML INFUSION PREMIX (FOR PAIN)J2001$28.75
METHYLPRED SS 1G JJ2930$28.77
PELVIC AND BREAST EXAMG0101$29.81
AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTIONJ0295$29.84
Td Adult Preserv free90714$30
ALLERGEN IMMUNOTHERAPY 2+ INJ95117$30
PROPOFOL 10 MG/ML INTRAVENOUS EMULSIONJ2704$30.37
DIAZEPAM 5 MG/ML INJECTION (SUPER MED)J3360$30.43
CEFOTAXIME 500MG JJ0698$30.50
DIGOXIN 250 MCG/ML (0.25 MG/ML) INJECTION SOLUTIONJ1160$30.60
METHYLPRDLA80MG(100)J1040$31.13
FENTANYL INFUSION 2500 MCG/50 MLJ3010$31.28