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Search and browse your out-of-pocket costs for provider care & services.

All Charges

Charge

Type

Price

YANKAUER SUCTION BULB TIP WP

Facility IP

$1.26

Hospital Revenue Code	270
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$0.63
Rate for Payer: SELF PAY	$0.63

YEAST ID

Facility IP

$58.28

Service Code	CPT 87106
Hospital Revenue Code	300
Min. Negotiated Rate	$29.14
Max. Negotiated Rate	$29.14
Rate for Payer: SELF PAY	$29.14

YELLOW FISHER PAYKEL WIRE

Facility IP

$250.00

Hospital Revenue Code	270
Min. Negotiated Rate	$125.00
Max. Negotiated Rate	$125.00
Rate for Payer: SELF PAY	$125.00

YELLOW PADS Tena

Facility IP

$31.36

Hospital Revenue Code	270
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$15.68
Rate for Payer: SELF PAY	$15.68

YOUTH X-SMALL BRIEF

Facility IP

$21.10

Hospital Revenue Code	270
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$10.55
Rate for Payer: SELF PAY	$10.55

Y QUICK CONNECT

Facility IP

$4.64

Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: SELF PAY	$2.32

Y QUICK CONNECT WP

Facility IP

$4.64

Hospital Revenue Code	270
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: SELF PAY	$2.32

Y W/ELBOW

Facility IP

$2.20

Hospital Revenue Code	270
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$1.10
Rate for Payer: SELF PAY	$1.10

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