[{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"CIGNA HMO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"364.27","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"CHAMPUS TRICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"21.95","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"CHAMPUS TRICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"21.95","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"CHAMPUS TRICARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"21.95","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"CHAMPUS TRICARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"7.1","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87804","code description":"INFLUENZA ASSAY W/OPTIC","payer":"CARESOURCE","gross charge":"44","discounted cash price":"11","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"5.44","de-identified maximum negotiated charge":"32.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"UHC MCARE","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"18.3","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"UHC MCARE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"7.86","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1335","code description":"ERTAPENEM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"326.25","discounted cash price":"81.56","payer-specific negotiated charge":"99.15","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"126.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"14.23","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"165.24","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,267.54","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"240.43","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"PEACHSTATE-CENTENE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"49.12","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"PEACHSTATE-CENTENE","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"5.76","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"MULTI-PLAN","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,650.35","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"MULTI-PLAN","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,973.69","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"MULTI-PLAN","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"940.95","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"MULTI-PLAN","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"283.05","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87106","code description":"FUNGI IDENTIFICATION YEAST","payer":"WELLCARE MCARE MGD CARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"4.66","de-identified minimum negotiated charge":"4.66","de-identified maximum negotiated charge":"19.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"MEDICARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"60.62","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"25246","code description":"INJECTION FOR WRIST X-RAY","payer":"PEACHSTATE-CENTENE","gross charge":"1,265.00","discounted cash price":"316.25","payer-specific negotiated charge":"231.4","de-identified minimum negotiated charge":"231.4","de-identified maximum negotiated charge":"550.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73115","code description":"CONTRAST X-RAY OF WRIST","payer":"PEACHSTATE-CENTENE","gross charge":"1,006.00","discounted cash price":"251.5","payer-specific negotiated charge":"184.02","de-identified minimum negotiated charge":"184.02","de-identified maximum negotiated charge":"437.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"PEACHSTATE-CENTENE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"5.81","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"CIGNA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"87","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"BCBS SMARTVALUE PFFS","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"29.04","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74360","code description":"X-RAY GUIDE GI DILATION","payer":"CIGNA HMO","gross charge":"1,407.50","discounted cash price":"351.88","payer-specific negotiated charge":"697.98","de-identified minimum negotiated charge":"66.91","de-identified maximum negotiated charge":"697.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3650","code description":"SO 8 ABD RESTRAINT PRE OTS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"15.65","de-identified minimum negotiated charge":"15.65","de-identified maximum negotiated charge":"15.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82810","code description":"BLOOD GASES O2 SAT ONLY","payer":"BC PPO","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"78.38","de-identified minimum negotiated charge":"19.1","de-identified maximum negotiated charge":"81.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83050","code description":"HGB METHEMOGLOBIN QUAN","payer":"BC PPO","gross charge":"97","discounted cash price":"24.25","payer-specific negotiated charge":"42.24","de-identified minimum negotiated charge":"42.24","de-identified maximum negotiated charge":"42.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"BC HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"1,429.67","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"BC HMO","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"690.6","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62302","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"2,462.00","discounted cash price":"615.5","payer-specific negotiated charge":"145.91","de-identified minimum negotiated charge":"145.91","de-identified maximum negotiated charge":"2,062.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"MEDICARE","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"11.02","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"CIGNA HMO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"11.43","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50432","code description":"PLMT NEPHROSTOMY CATHETER","payer":"AETNA MCARE MGD CARE","gross charge":"6,542.00","discounted cash price":"1,635.50","payer-specific negotiated charge":"860.64","de-identified minimum negotiated charge":"860.64","de-identified maximum negotiated charge":"3,848.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"UHC HMO","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"79.98","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"UHC HMO","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"463.5","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"UHC HMO","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"67.32","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"UHC HMO","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"38.65","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"67.57","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71047","code description":"X-RAY EXAM CHEST 3 VIEWS","payer":"UHC MCARE","gross charge":"774","discounted cash price":"193.5","payer-specific negotiated charge":"269.02","de-identified minimum negotiated charge":"269.02","de-identified maximum negotiated charge":"269.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"UHC MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"29.58","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"UHC MCARE","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"158.73","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"AMERIGROUP","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"61.49","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"AMERIGROUP","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"14.23","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q2009","code description":"FOSPHENYTOIN INJ PE","payer":"AETNA HMO","gross charge":"57.45","discounted cash price":"14.36","payer-specific negotiated charge":"12.03","de-identified minimum negotiated charge":"4.19","de-identified maximum negotiated charge":"12.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"BC HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"18.35","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"HUMANA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"68.48","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"KAISER","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"256.61","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"KAISER","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"34.12","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"KAISER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"17.32","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"AETNA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"139.13","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"KAISER MCARE","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"55.96","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"KAISER MCARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"70.35","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"222.72","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"168.32","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"618.41","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"UHC HMO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"920.5","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"865.66","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"AETNA MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"182.69","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"BC HMO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"401.58","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"BC HMO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"16.86","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74430","code description":"CONTRAST X-RAY BLADDER","payer":"AMBETTER","gross charge":"600","discounted cash price":"150","payer-specific negotiated charge":"359.96","de-identified minimum negotiated charge":"241.24","de-identified maximum negotiated charge":"359.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"AMBETTER","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.41","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0438","code description":"PPPS, INITIAL VISIT","payer":"AMERIGROUP","gross charge":"569","discounted cash price":"142.25","payer-specific negotiated charge":"104.08","de-identified minimum negotiated charge":"104.08","de-identified maximum negotiated charge":"1,370.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"UHC MCARE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"131.27","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"CIGNA HMO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"306.06","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"HUMANA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"260.62","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"AETNA MCARE MGD CARE","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"30.52","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74360","code description":"X-RAY GUIDE GI DILATION","payer":"MEDICAID","gross charge":"1,407.50","discounted cash price":"351.88","payer-specific negotiated charge":"166.29","de-identified minimum negotiated charge":"66.91","de-identified maximum negotiated charge":"697.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1874","code description":"STENT, COATED/COV W/DEL SYS","payer":"MEDICAID","gross charge":"12,863.00","discounted cash price":"3,215.75","payer-specific negotiated charge":"1,312.05","de-identified minimum negotiated charge":"969.6","de-identified maximum negotiated charge":"4,273.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"PHCS","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"253.5","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"PHCS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"43.12","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"UHC MCARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"29.24","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0144","code description":"AZITHROMYCIN DIHYDRATE, ORAL","payer":"UHC MCARE","gross charge":"147.5","discounted cash price":"36.88","payer-specific negotiated charge":"77.02","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"77.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"UHC HMO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"22.43","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88321","code description":"MICROSLIDE CONSULTATION","payer":"AETNA HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"298.18","de-identified minimum negotiated charge":"54.43","de-identified maximum negotiated charge":"298.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"AMERIGROUP","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"210.73","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"AMERIGROUP","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"AMERIGROUP","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,070.65","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"AMERIGROUP","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"6.59","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"AMERIGROUP","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"6.6","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"3.78","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"10.68","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"PEACHSTATE-CENTENE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"532.63","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"PEACHSTATE-CENTENE","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"2.78","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"PEACHSTATE-CENTENE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"100.72","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"153.97","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"BC HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"379.76","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"AETNA HMO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"158.04","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"PEACHSTATE-CENTENE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"132.13","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"PEACHSTATE-CENTENE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"13.89","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"AMERIGROUP","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"128.01","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"CHAMPUS TRICARE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"435.06","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"CHAMPUS TRICARE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"83.61","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"AMBETTER","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"875.46","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"AETNA HMO","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"547.46","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95939","code description":"C MOTOR EVOKED UPR\u0026LWR LIMBS","payer":"AETNA HMO","gross charge":"1,472.00","discounted cash price":"368","payer-specific negotiated charge":"224.3","de-identified minimum negotiated charge":"167.87","de-identified maximum negotiated charge":"612.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"AETNA HMO","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"43.52","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"135.03","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"652.45","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"28.07","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"288.22","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"195.82","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"AMERIGROUP","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"479.52","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"81.61","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PHCS","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"595.29","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"106.02","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"BC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"156.23","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"UHC HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"186.77","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80162","code description":"ASSAY OF DIGOXIN TOTAL","payer":"BC HMO","gross charge":"426.5","discounted cash price":"106.63","payer-specific negotiated charge":"152.29","de-identified minimum negotiated charge":"16.04","de-identified maximum negotiated charge":"152.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"3.45","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"9.72","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"HUMANA CONNECT","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"22.17","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"HUMANA CONNECT","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"280.31","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"HUMANA CONNECT","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"151.73","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"HUMANA CONNECT","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"84.24","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"HUMANA CONNECT","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"165.52","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"HUMANA CONNECT","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"223.65","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"HUMANA CONNECT","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"165.52","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"HUMANA CONNECT","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"145.33","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"HUMANA CONNECT","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"HUMANA CONNECT","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"124.14","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"PHCS","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"110.25","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"CIGNA PPO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"45.44","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"CIGNA PPO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"78.28","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"CIGNA PPO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"157.5","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"UHC HMO","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"29.76","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"UHC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"18.69","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"23.28","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"AETNA MCARE MGD CARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"23.28","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"UHC HMO","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"930.41","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0290","code description":"AMPICILLIN 500 MG INJ","payer":"MEDICARE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"1.57","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"18.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49406","code description":"IMAGE CATH FLUID PERI/RETRO","payer":"UHC MCARE","gross charge":"4,863.00","discounted cash price":"1,215.75","payer-specific negotiated charge":"711.77","de-identified minimum negotiated charge":"296.42","de-identified maximum negotiated charge":"711.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95908","code description":"NRV CNDJ TST 3-4 STUDIES","payer":"MEDICAID","gross charge":"860","discounted cash price":"215","payer-specific negotiated charge":"157.31","de-identified minimum negotiated charge":"157.31","de-identified maximum negotiated charge":"157.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AETNA MCARE MGD CARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"69.62","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"2.42","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"KAISER","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.52","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"KAISER","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"112.46","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"KAISER","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"64.11","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"PEACHSTATE-CENTENE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,759.03","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"PEACHSTATE-CENTENE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"222.61","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"PEACHSTATE-CENTENE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"228.86","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"PEACHSTATE-CENTENE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"612.29","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96158","code description":"HLTH BHV IVNTJ INDIV 1ST 30","payer":"AMERIGROUP","gross charge":"116.75","discounted cash price":"29.19","payer-specific negotiated charge":"17.12","de-identified minimum negotiated charge":"17.12","de-identified maximum negotiated charge":"73.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"UHC MCARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"9.81","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"CIGNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,017.02","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"HUMANA HMO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"226.67","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"CIGNA HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"23.62","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"74.26","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"22.25","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95939","code description":"C MOTOR EVOKED UPR\u0026LWR LIMBS","payer":"BC HMO","gross charge":"1,472.00","discounted cash price":"368","payer-specific negotiated charge":"612.08","de-identified minimum negotiated charge":"167.87","de-identified maximum negotiated charge":"612.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"BC HMO","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"13,722.54","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"BC HMO","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"933.34","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1820","code description":"GENERATOR NEURO RECHG BAT SY","payer":"BC HMO","gross charge":"29,384.00","discounted cash price":"7,346.00","payer-specific negotiated charge":"15,477.63","de-identified minimum negotiated charge":"2,830.49","de-identified maximum negotiated charge":"15,477.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"UHC MCARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"97.08","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"MEDICAID","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"5.34","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93351","code description":"STRESS TTE COMPLETE","payer":"HUMANA HMO","gross charge":"2,281.00","discounted cash price":"570.25","payer-specific negotiated charge":"1,489.99","de-identified minimum negotiated charge":"350.62","de-identified maximum negotiated charge":"1,489.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1250","code description":"INJ DOBUTAMINE HCL/250 MG","payer":"HUMANA HMO","gross charge":"176","discounted cash price":"44","payer-specific negotiated charge":"105.64","de-identified minimum negotiated charge":"24.28","de-identified maximum negotiated charge":"105.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"CIGNA PPO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"134.07","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"CIGNA PPO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"26.74","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"CIGNA PPO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"34.48","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"AETNA HMO","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"672.7","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"AETNA HMO","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"123.38","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"CARESOURCE","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"38.09","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"12.07","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"72.41","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"72.41","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"14.22","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"26.94","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"HUMANA HMO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"120.28","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"HUMANA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"56.78","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"MEDICARE","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"8.24","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"893.48","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"UHC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"621.52","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"BCBS SMARTVALUE PFFS","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.31","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"BC HMO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"1,315.96","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"PEACHSTATE-CENTENE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"471.77","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85300","code description":"ANTITHROMBIN III ACTIVITY","payer":"PEACHSTATE-CENTENE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"30.59","de-identified minimum negotiated charge":"14.81","de-identified maximum negotiated charge":"40.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"PEACHSTATE-CENTENE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"101.28","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"PEACHSTATE-CENTENE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"257.86","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"PEACHSTATE-CENTENE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"118.2","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"PEACHSTATE-CENTENE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"9.93","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"WELLCARE MCARE MGD CARE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"14.28","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"WELLCARE MCARE MGD CARE","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"15.61","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CARESOURCE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.23","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CARESOURCE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.98","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"139.19","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"84.07","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"UHC PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.85","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"MEDICARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"64.73","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"UHC HMO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"880.28","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"AMERIGROUP","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"132.07","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1120","code description":"ACETAZOLAMID SODIUM INJECTIO","payer":"AETNA HMO","gross charge":"266.5","discounted cash price":"66.63","payer-specific negotiated charge":"40.34","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"83.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84153","code description":"ASSAY OF PSA TOTAL","payer":"BC HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"13.35","de-identified minimum negotiated charge":"5.65","de-identified maximum negotiated charge":"281.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"200.48","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"52.72","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"52.72","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"AETNA PPO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,247.78","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"AETNA PPO","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"1,062.94","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2997","code description":"ALTEPLASE RECOMBINANT","payer":"AETNA PPO","gross charge":"491.07","discounted cash price":"122.77","payer-specific negotiated charge":"206.56","de-identified minimum negotiated charge":"11.29","de-identified maximum negotiated charge":"229.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"AETNA PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"KAISER MCARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"26.29","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"KAISER MCARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"13.81","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"KAISER MCARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"19.37","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"KAISER MCARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"37.67","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"KAISER MCARE","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"84.78","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"KAISER MCARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"3.38","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"KAISER MCARE","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"1.7","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"KAISER MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.35","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"KAISER MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.35","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"KAISER MCARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"38.23","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"FIRST HLTH NTWK","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"470.4","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"CHAMPUS TRICARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"142.55","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"CHAMPUS TRICARE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"85.68","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"CHAMPUS TRICARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"74.6","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"UHC HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.95","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"UHC MCARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"62.54","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"175.01","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"UHC MCARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"266.95","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"AMERIGROUP","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"37.13","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"CIGNA PPO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"19.44","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1815","code description":"PROS, URINARY SPH, IMP","payer":"CIGNA PPO","gross charge":"32,291.00","discounted cash price":"8,072.75","payer-specific negotiated charge":"15,659.08","de-identified minimum negotiated charge":"15,659.08","de-identified maximum negotiated charge":"15,674.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"CIGNA PPO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"42.63","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"MEDICAID","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"958.78","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"MEDICAID","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"70.44","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.73","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CHAMPUS TRICARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.82","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CHAMPUS TRICARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.26","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"HUMANA HMO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"1,654.60","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81479","code description":"UNLISTED MOLECULAR PATHOLOGY","payer":"HUMANA HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"213.92","de-identified minimum negotiated charge":"213.92","de-identified maximum negotiated charge":"217.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"HUMANA HMO","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"181.07","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"HUMANA HMO","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"96.69","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"25246","code description":"INJECTION FOR WRIST X-RAY","payer":"BC PPO","gross charge":"1,265.00","discounted cash price":"316.25","payer-specific negotiated charge":"550.12","de-identified minimum negotiated charge":"231.4","de-identified maximum negotiated charge":"550.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73115","code description":"CONTRAST X-RAY OF WRIST","payer":"BC PPO","gross charge":"1,006.00","discounted cash price":"251.5","payer-specific negotiated charge":"437.49","de-identified minimum negotiated charge":"184.02","de-identified maximum negotiated charge":"437.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"MEDICAID","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"258.68","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"MEDICAID","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"14.87","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"MEDICAID","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"26.78","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"MEDICAID","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"15.8","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"BC PPO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"2,067.00","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"BC PPO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"126.49","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"BC PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"54.4","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"BC PPO","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"214","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"BC PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"134.43","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.81","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"AETNA MCARE MGD CARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"75.74","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"PEACHSTATE-CENTENE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"15.98","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"UHC MCARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"99.93","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"KAISER","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"232.89","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"CARESOURCE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"27.62","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"CARESOURCE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"12.06","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"CARESOURCE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.24","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"AETNA PPO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"737.59","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"AMBETTER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"832.95","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"AMBETTER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"2,324.48","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"AMBETTER","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"171.58","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CIGNA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"141.64","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96137","code description":"PSYCL/NRPSYC TST PHY/QHP EA","payer":"AETNA HMO","gross charge":"113","discounted cash price":"28.25","payer-specific negotiated charge":"70.06","de-identified minimum negotiated charge":"36.16","de-identified maximum negotiated charge":"70.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"52.48","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"AETNA MCARE MGD CARE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"153.13","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"AETNA MCARE MGD CARE","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"849.02","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"AETNA MCARE MGD CARE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"16.28","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.96","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"CHAMPUS TRICARE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"2.29","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"620.42","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1205","code description":"CHLOROTHIAZIDE SODIUM INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,554.00","discounted cash price":"388.5","payer-specific negotiated charge":"254.58","de-identified minimum negotiated charge":"254.58","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"44.24","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"AETNA MCARE MGD CARE","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"28.22","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87255","code description":"GENET VIRUS ISOLATE HSV","payer":"AMBETTER","gross charge":"99","discounted cash price":"24.75","payer-specific negotiated charge":"48.18","de-identified minimum negotiated charge":"48.18","de-identified maximum negotiated charge":"48.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"CIGNA HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"116.54","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"HUMANA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.43","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"20.96","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"UHC HMO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"270.71","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"BC HMO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"12.58","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"BC HMO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"35.63","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"CHAMPUS TRICARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"108.88","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"CHAMPUS TRICARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"33.45","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"CHAMPUS TRICARE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"20.15","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"CHAMPUS TRICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"19.53","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"MEDICAID","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"28.9","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49406","code description":"IMAGE CATH FLUID PERI/RETRO","payer":"AETNA MCARE MGD CARE","gross charge":"4,863.00","discounted cash price":"1,215.75","payer-specific negotiated charge":"296.42","de-identified minimum negotiated charge":"296.42","de-identified maximum negotiated charge":"711.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"137.06","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"73.09","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"112.3","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0585","code description":"INJECTION,ONABOTULINUMTOXINA","payer":"CHAMPUS TRICARE","gross charge":"33.54","discounted cash price":"8.39","payer-specific negotiated charge":"3.41","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"25.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"WELLCARE MCARE MGD CARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"12.46","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"MEDICAID","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"403.32","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"FIRST HLTH NTWK","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"627.6","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"FIRST HLTH NTWK","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"1,789.20","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84134","code description":"ASSAY OF PREALBUMIN","payer":"AETNA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"47.79","de-identified minimum negotiated charge":"4.07","de-identified maximum negotiated charge":"47.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70200","code description":"X-RAY EXAM OF EYE SOCKETS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"723","discounted cash price":"180.75","payer-specific negotiated charge":"53.22","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"53.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"CARESOURCE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.02","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2790","code description":"RHO D IMMUNE GLOBULIN INJ","payer":"MEDICAID","gross charge":"553.5","discounted cash price":"138.38","payer-specific negotiated charge":"18.1","de-identified minimum negotiated charge":"18.1","de-identified maximum negotiated charge":"83.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78803","code description":"RP LOCLZJ TUM SPECT 1 AREA","payer":"UHC HMO","gross charge":"2,531.00","discounted cash price":"632.75","payer-specific negotiated charge":"2,090.75","de-identified minimum negotiated charge":"1,108.48","de-identified maximum negotiated charge":"2,090.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9538","code description":"TC99M PYROPHOSPHATE","payer":"UHC HMO","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"319.25","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"319.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62302","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"MEDICAID","gross charge":"2,462.00","discounted cash price":"615.5","payer-specific negotiated charge":"450.36","de-identified minimum negotiated charge":"145.91","de-identified maximum negotiated charge":"2,062.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2997","code description":"ALTEPLASE RECOMBINANT","payer":"UHC HMO","gross charge":"491.07","discounted cash price":"122.77","payer-specific negotiated charge":"104.28","de-identified minimum negotiated charge":"11.29","de-identified maximum negotiated charge":"229.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81261","code description":"IGH GENE REARRANGE AMP METH","payer":"AMBETTER","gross charge":"637","discounted cash price":"159.25","payer-specific negotiated charge":"145.35","de-identified minimum negotiated charge":"51.97","de-identified maximum negotiated charge":"145.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81264","code description":"IGK REARRANGEABN CLONAL POP","payer":"AMBETTER","gross charge":"383","discounted cash price":"95.75","payer-specific negotiated charge":"87.39","de-identified minimum negotiated charge":"31.25","de-identified maximum negotiated charge":"87.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81340","code description":"TRB@ GENE REARRANGE AMPLIFY","payer":"AMBETTER","gross charge":"318","discounted cash price":"79.5","payer-specific negotiated charge":"72.56","de-identified minimum negotiated charge":"23.49","de-identified maximum negotiated charge":"72.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81342","code description":"TRG GENE REARRANGEMENT ANAL","payer":"AMBETTER","gross charge":"318","discounted cash price":"79.5","payer-specific negotiated charge":"72.56","de-identified minimum negotiated charge":"23.49","de-identified maximum negotiated charge":"72.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87529","code description":"HSV DNA AMP PROBE","payer":"MEDICARE","gross charge":"234","discounted cash price":"58.5","payer-specific negotiated charge":"23.05","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"140.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"BC HMO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"1,307.14","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76380","code description":"CAT SCAN FOLLOW-UP STUDY","payer":"UHC HMO","gross charge":"1,764.00","discounted cash price":"441","payer-specific negotiated charge":"593.07","de-identified minimum negotiated charge":"46.08","de-identified maximum negotiated charge":"1,477.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"AMBETTER","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"4.9","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"HUMANA HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"108.96","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"CIGNA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"24.53","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"UHC MCARE","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"844.32","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"BC PPO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,476.74","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"CIGNA HMO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"51.83","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78013","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"MEDICARE","gross charge":"775","discounted cash price":"193.75","payer-specific negotiated charge":"214.39","de-identified minimum negotiated charge":"214.39","de-identified maximum negotiated charge":"214.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"MEDICARE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"57.87","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"BC PPO","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"292.14","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"BC PPO","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"85.66","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"BC PPO","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"331.55","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"BC PPO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"371.75","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"BC PPO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"122.94","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"MEDICARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"97.72","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"AETNA MCARE MGD CARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"35.56","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2596","code description":"PROBE, ROBOTIC, WATER-JET","payer":"HUMANA HMO","gross charge":"17,713.00","discounted cash price":"4,428.25","payer-specific negotiated charge":"4,430.25","de-identified minimum negotiated charge":"2,029.80","de-identified maximum negotiated charge":"5,442.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7509","code description":"METHYLPREDNISOLONE ORAL","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"3.91","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"4.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"BC PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"165.39","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70330","code description":"X-RAY EXAM OF JAW JOINTS","payer":"WELLCARE MCARE MGD CARE","gross charge":"687","discounted cash price":"171.75","payer-specific negotiated charge":"80.65","de-identified minimum negotiated charge":"80.65","de-identified maximum negotiated charge":"111.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"6.93","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AETNA MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"84.06","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0260","code description":"INJ FOR SACROILIAC JT ANESTH","payer":"AETNA MCARE MGD CARE","gross charge":"2,763.00","discounted cash price":"690.75","payer-specific negotiated charge":"496.2","de-identified minimum negotiated charge":"178.23","de-identified maximum negotiated charge":"496.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2795","code description":"ROPIVACAINE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"4.73","discounted cash price":"1.18","payer-specific negotiated charge":"0.49","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"1.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1892","code description":"INTRO/SHEATH,FIXED,PEEL-AWAY","payer":"AMBETTER","gross charge":"268","discounted cash price":"67","payer-specific negotiated charge":"20.17","de-identified minimum negotiated charge":"20.17","de-identified maximum negotiated charge":"26.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87798","code description":"DETECT AGENT NOS DNA AMP","payer":"MEDICARE","gross charge":"174","discounted cash price":"43.5","payer-specific negotiated charge":"15.21","de-identified minimum negotiated charge":"15.21","de-identified maximum negotiated charge":"15.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"UHC HMO","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"3,179.73","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"PPONEXT","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"2,790.55","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"PPONEXT","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,840.25","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"PEACHSTATE-CENTENE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"FIRST HLTH NTWK","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"795.72","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"MEDICARE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"4.58","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"AMBETTER","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"241.04","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"393.98","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70546","code description":"MR ANGIOGRAPH HEAD W/O\u0026W/DYE","payer":"CIGNA HMO","gross charge":"6,897.00","discounted cash price":"1,724.25","payer-specific negotiated charge":"1,522.64","de-identified minimum negotiated charge":"1,522.64","de-identified maximum negotiated charge":"3,111.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"BC HMO","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"140.58","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82042","code description":"OTHER SOURCE ALBUMIN QUAN EA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"128.5","discounted cash price":"32.13","payer-specific negotiated charge":"3.8","de-identified minimum negotiated charge":"3.8","de-identified maximum negotiated charge":"38.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"30.62","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83986","code description":"ASSAY PH BODY FLUID NOS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"13.61","de-identified minimum negotiated charge":"13.61","de-identified maximum negotiated charge":"13.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"178.57","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"AMERIGROUP","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"40.05","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CHAMPUS TRICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"20.18","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"193.29","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"66.73","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"UHC HMO","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"6,014.69","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.28","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"FIRST HLTH NTWK","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"411.6","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"FIRST HLTH NTWK","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"327","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"FIRST HLTH NTWK","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"97.08","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"HUMANA PPO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"34.38","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"HUMANA PPO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"199.15","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"HUMANA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"3.37","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"CHAMPUS TRICARE","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"33.07","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"CIGNA HMO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"14.46","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"CHAMPUS TRICARE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"66.52","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"AETNA HMO","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"84.81","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86757","code description":"RICKETTSIA ANTIBODY","payer":"AETNA HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"26.63","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"31.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96167","code description":"HLTH BHV IVNTJ FAM 1ST 30","payer":"CIGNA PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"146.16","de-identified minimum negotiated charge":"146.16","de-identified maximum negotiated charge":"146.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96168","code description":"HLTH BHV IVNTJ FAM EA ADDL","payer":"CIGNA PPO","gross charge":"116","discounted cash price":"29","payer-specific negotiated charge":"73.08","de-identified minimum negotiated charge":"73.08","de-identified maximum negotiated charge":"73.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78018","code description":"THYROID MET IMAGING BODY","payer":"BC PPO","gross charge":"2,505.00","discounted cash price":"626.25","payer-specific negotiated charge":"1,591.85","de-identified minimum negotiated charge":"481.37","de-identified maximum negotiated charge":"1,591.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9531","code description":"I131 MAX 100UCI","payer":"BC PPO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"121.38","de-identified minimum negotiated charge":"94.59","de-identified maximum negotiated charge":"121.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3240","code description":"THYROTROPIN INJECTION","payer":"BC PPO","gross charge":"9,905.00","discounted cash price":"2,476.25","payer-specific negotiated charge":"6,294.33","de-identified minimum negotiated charge":"4,905.11","de-identified maximum negotiated charge":"6,294.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"UHC HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"909.08","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"UHC HMO","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"164.19","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"UHC HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"178.81","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"UHC HMO","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"1,030.32","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"UHC HMO","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"62.08","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"AMERIGROUP","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"7.11","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"PEACHSTATE-CENTENE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"336.72","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"78.47","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"CIGNA HMO","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"473.13","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"CIGNA HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"265.86","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"134.49","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"AETNA HMO","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"1.6","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"CIGNA PPO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"94.89","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"CIGNA HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"143.64","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AMBETTER","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"170.09","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"CHAMPUS TRICARE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"143.86","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"CHAMPUS TRICARE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"76.02","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"CHAMPUS TRICARE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"116.87","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"HUMANA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,639.00","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"MEDICARE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"652.56","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"UHC MCARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"94.6","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50592","code description":"PERC RF ABLATE RENAL TUMOR","payer":"AETNA MCARE MGD CARE","gross charge":"16,750.00","discounted cash price":"4,187.50","payer-specific negotiated charge":"2,128.75","de-identified minimum negotiated charge":"2,128.75","de-identified maximum negotiated charge":"2,128.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77013","code description":"CT GUIDE FOR TISSUE ABLATION","payer":"AETNA MCARE MGD CARE","gross charge":"2,770.00","discounted cash price":"692.5","payer-specific negotiated charge":"352.04","de-identified minimum negotiated charge":"352.04","de-identified maximum negotiated charge":"352.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73706","code description":"CT ANGIO LWR EXTR W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"3,731.33","discounted cash price":"932.83","payer-specific negotiated charge":"241.76","de-identified minimum negotiated charge":"158.88","de-identified maximum negotiated charge":"735.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"UHC MCARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"30.11","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"CIGNA HMO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"2,344.98","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95812","code description":"EEG 41-60 MINUTES","payer":"HUMANA HMO","gross charge":"2,020.00","discounted cash price":"505","payer-specific negotiated charge":"302.25","de-identified minimum negotiated charge":"302.25","de-identified maximum negotiated charge":"302.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"1,123.65","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"AETNA HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"10.96","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"MEDICARE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"118.37","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72114","code description":"X-RAY EXAM L-S SPINE BENDING","payer":"PHCS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"671.25","de-identified minimum negotiated charge":"671.25","de-identified maximum negotiated charge":"671.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"KAISER PPO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"212.3","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"KAISER PPO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"61.54","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"KAISER PPO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"78.72","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"KAISER PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"702.73","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"BC HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"37.71","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"AMBETTER","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"305.3","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"81.43","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"22.49","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47536","code description":"EXCHANGE BILIARY DRG CATH","payer":"UHC MCARE","gross charge":"9,453.00","discounted cash price":"2,363.25","payer-specific negotiated charge":"2,168.59","de-identified minimum negotiated charge":"1,611.87","de-identified maximum negotiated charge":"2,168.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"AMERIGROUP","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"29.63","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0248","code description":"INJ, REMDESIVIR, 1 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"29.02","discounted cash price":"7.25","payer-specific negotiated charge":"2.78","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"4.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"AMBETTER","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"13.05","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"CARESOURCE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"124.02","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"11.21","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"UHC MCARE","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"AETNA HMO","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"373.43","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"PHCS","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"94.5","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"BC HMO","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"29.85","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83516","code description":"IMMUNOASSAY NONANTIBODY","payer":"BC HMO","gross charge":"114","discounted cash price":"28.5","payer-specific negotiated charge":"11.79","de-identified minimum negotiated charge":"5.69","de-identified maximum negotiated charge":"24.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"PHCS","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"161.25","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"PHCS","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"37.5","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"PHCS","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"65.25","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49440","code description":"PLACE GASTROSTOMY TUBE PERC","payer":"AETNA HMO","gross charge":"3,082.00","discounted cash price":"770.5","payer-specific negotiated charge":"886.34","de-identified minimum negotiated charge":"886.34","de-identified maximum negotiated charge":"886.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"KAISER SELF-FUNDED","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"241.71","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AMERIGROUP","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"55.75","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"FIRST HLTH NTWK","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"44.85","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"UHC HMO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"296.88","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"UHC HMO","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"152.49","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"UHC HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,508.20","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"UHC HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"9.24","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"UHC HMO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"6.8","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78598","code description":"LUNG PERF\u0026VENTILAT DIFERENTL","payer":"AMBETTER","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"919.2","de-identified minimum negotiated charge":"252.9","de-identified maximum negotiated charge":"919.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"MEDICAID","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"50.93","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"BCBS SMARTVALUE PFFS","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"244.22","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82105","code description":"ALPHA-FETOPROTEIN SERUM","payer":"PEACHSTATE-CENTENE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"5.39","de-identified minimum negotiated charge":"1.17","de-identified maximum negotiated charge":"30.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"164.66","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"MEDICAID","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1335","code description":"ERTAPENEM INJECTION","payer":"CIGNA HMO","gross charge":"326.25","discounted cash price":"81.56","payer-specific negotiated charge":"126.62","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"126.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72149","code description":"MRI LUMBAR SPINE W/DYE","payer":"UHC HMO","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"2,065.00","de-identified minimum negotiated charge":"2,065.00","de-identified maximum negotiated charge":"2,065.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70552","code description":"MRI BRAIN STEM W/DYE","payer":"UHC MCARE","gross charge":"6,088.00","discounted cash price":"1,522.00","payer-specific negotiated charge":"313.47","de-identified minimum negotiated charge":"313.47","de-identified maximum negotiated charge":"2,905.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"CARESOURCE","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"73.9","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"PEACHSTATE-CENTENE","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"182.74","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AETNA HMO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"203.95","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"AETNA PPO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"624","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"AETNA PPO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"14.31","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"AETNA PPO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"24.79","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84155","code description":"ASSAY OF PROTEIN SERUM","payer":"AETNA PPO","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"17.89","de-identified minimum negotiated charge":"3.68","de-identified maximum negotiated charge":"36.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AETNA PPO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"51.98","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"AETNA PPO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"141.94","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"AETNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"22.95","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"AETNA PPO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"14.85","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"CHAMPUS TRICARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"86.86","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"AETNA HMO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"46.94","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AETNA MCARE MGD CARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"29.26","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"MEDICARE","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"119.76","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"43752","code description":"NASAL/OROGASTRIC W/TUBE PLMT","payer":"MEDICAID","gross charge":"825","discounted cash price":"206.25","payer-specific negotiated charge":"122.12","de-identified minimum negotiated charge":"122.12","de-identified maximum negotiated charge":"122.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"MEDICAID","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"412.93","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"MEDICAID","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"98.93","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"AETNA HMO","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"208.26","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"CIGNA HMO","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"1,198.00","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"1.47","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3246","code description":"TIROFIBAN HCL","payer":"WELLCARE MCARE MGD CARE","gross charge":"26.68","discounted cash price":"6.67","payer-specific negotiated charge":"2.49","de-identified minimum negotiated charge":"2.49","de-identified maximum negotiated charge":"6.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70110","code description":"X-RAY EXAM OF JAW 4/\u003e VIEWS","payer":"UHC HMO","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"409.28","de-identified minimum negotiated charge":"102.26","de-identified maximum negotiated charge":"529.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"BC HMO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,300.57","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"KAISER SELF-FUNDED","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"23.85","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"KAISER SELF-FUNDED","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"27.12","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.37","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.28","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"KAISER SELF-FUNDED","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.46","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"UHC HMO","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"2,512.62","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"UHC HMO","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"2,070.68","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"CIGNA HMO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"1,442.27","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CLOVER HEALTH","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"25.29","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CLOVER HEALTH","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"21.84","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"CLOVER HEALTH","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"31.4","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"CLOVER HEALTH","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"95.72","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"BCBS SMARTVALUE PFFS","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"8.39","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82310","code description":"ASSAY OF CALCIUM","payer":"UHC MCARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"2.04","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"28.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"UHC PPO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"242.23","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"UHC PPO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"88.15","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74360","code description":"X-RAY GUIDE GI DILATION","payer":"MEDICARE","gross charge":"1,407.50","discounted cash price":"351.88","payer-specific negotiated charge":"66.91","de-identified minimum negotiated charge":"66.91","de-identified maximum negotiated charge":"697.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"151.07","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"MEDICARE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"3.94","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82103","code description":"ALPHA-1-ANTITRYPSIN TOTAL","payer":"UHC HMO","gross charge":"194","discounted cash price":"48.5","payer-specific negotiated charge":"41.08","de-identified minimum negotiated charge":"11.99","de-identified maximum negotiated charge":"88.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"UHC HMO","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"61.41","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83516","code description":"IMMUNOASSAY NONANTIBODY","payer":"UHC HMO","gross charge":"114","discounted cash price":"28.5","payer-specific negotiated charge":"24.14","de-identified minimum negotiated charge":"5.69","de-identified maximum negotiated charge":"24.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"UHC HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"12.49","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"UHC HMO","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"67.13","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"BC PPO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"295.59","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"BC PPO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"18.14","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95867","code description":"MUSCLE TEST CRAN NERV UNILAT","payer":"BC HMO","gross charge":"845","discounted cash price":"211.25","payer-specific negotiated charge":"458.62","de-identified minimum negotiated charge":"43.61","de-identified maximum negotiated charge":"458.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"PHCS","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"4,029.75","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"MULTI-PLAN","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"4,140.02","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"MULTI-PLAN","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"263.62","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"161.08","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"PHCS","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"189","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"AMBETTER","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"38.22","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"110.48","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88104","code description":"CYTOPATH FL NONGYN SMEARS","payer":"BC HMO","gross charge":"396","discounted cash price":"99","payer-specific negotiated charge":"262.9","de-identified minimum negotiated charge":"35.84","de-identified maximum negotiated charge":"262.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"CIGNA HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"334.53","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"CIGNA HMO","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"904.68","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"MULTI-PLAN","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"164.9","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"MULTI-PLAN","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"172.55","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83835","code description":"ASSAY OF METANEPHRINES","payer":"UHC HMO","gross charge":"112","discounted cash price":"28","payer-specific negotiated charge":"38.12","de-identified minimum negotiated charge":"11","de-identified maximum negotiated charge":"38.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"CARESOURCE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"225.73","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"CARESOURCE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"195.73","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"49.78","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"MEDICAID","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"35.93","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"MEDICAID","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"23.1","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"AMBETTER","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"118.42","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0167","code description":"DRONABINOL 2.5MG ORAL","payer":"MEDICARE","gross charge":"31","discounted cash price":"7.75","payer-specific negotiated charge":"2.34","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"2.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"UHC MCARE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"70.86","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,520.86","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"CHAMPUS TRICARE","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"425.92","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"143.94","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"2.5","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"9.07","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"BC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"10.26","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"UHC HMO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"425.23","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"65.26","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"225.54","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"31.18","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2274","code description":"INJ MORPHINE PF EPID ITHC","payer":"BC HMO","gross charge":"343.67","discounted cash price":"85.92","payer-specific negotiated charge":"156.95","de-identified minimum negotiated charge":"19.73","de-identified maximum negotiated charge":"156.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CHAMPUS TRICARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.99","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"KAISER","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"63.29","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"KAISER","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"144.97","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"772.83","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7509","code description":"METHYLPREDNISOLONE ORAL","payer":"AETNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"4.26","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"4.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"CARESOURCE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"7.62","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"44.79","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.4","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"AETNA HMO","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,261.96","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"AMBETTER","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"7.65","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"101.02","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"KAISER","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,099.11","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"81.43","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"527.7","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"UHC HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"2,045.00","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"UHC HMO","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"988","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"MEDICAID","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"374.08","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"MEDICAID","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"180.73","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"283.72","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"CARESOURCE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"209.19","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"UHC MCARE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"89.46","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"UHC MCARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"50.22","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"UHC MCARE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"134.47","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32552","code description":"REMOVE LUNG CATHETER","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,696.00","discounted cash price":"424","payer-specific negotiated charge":"1,696.00","de-identified minimum negotiated charge":"264.71","de-identified maximum negotiated charge":"1,696.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"AMBETTER","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"1,143.00","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"BC HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"302.52","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"BC PPO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"434.3","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"BCBS SMARTVALUE PFFS","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"20.69","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BCBS SMARTVALUE PFFS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"56.32","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"WELLCARE MCARE MGD CARE","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"1,549.12","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"WELLCARE MCARE MGD CARE","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"224.64","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"BCBS SMARTVALUE PFFS","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"30.06","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"BCBS SMARTVALUE PFFS","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"6.29","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"BCBS SMARTVALUE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"21.55","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"BCBS SMARTVALUE PFFS","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"25.76","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"170.24","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"170.24","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"95.14","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"416.94","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2788","code description":"PRESBYOPIA-CORRECT FUNCTION","payer":"MEDICARE","gross charge":"6,104.00","discounted cash price":"1,526.00","payer-specific negotiated charge":"503.98","de-identified minimum negotiated charge":"503.98","de-identified maximum negotiated charge":"644.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87902","code description":"NFCT AGT GNTYP ALYS HEP C","payer":"HUMANA HMO","gross charge":"608","discounted cash price":"152","payer-specific negotiated charge":"417.09","de-identified minimum negotiated charge":"35.07","de-identified maximum negotiated charge":"417.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"BC HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"1,108.00","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"BC HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"162.05","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"PHCS","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"729","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"309.65","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"MEDICAID","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"MEDICAID","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"89.24","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"UHC MCARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"BC PPO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"175.56","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"CARESOURCE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"503.61","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.43","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70210","code description":"X-RAY EXAM OF SINUSES","payer":"AMERIGROUP","gross charge":"561.5","discounted cash price":"140.38","payer-specific negotiated charge":"102.71","de-identified minimum negotiated charge":"34.83","de-identified maximum negotiated charge":"339.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA PPO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"139.5","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA PPO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"120.28","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AETNA PPO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"153.76","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"AMERIGROUP","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"84.71","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"UHC MCARE","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"7.7","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"AETNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"5.71","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"CARESOURCE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"6.43","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"CHAMPUS TRICARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"7.36","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"CHAMPUS TRICARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"36.04","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"CHAMPUS TRICARE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"159.25","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"BCBS SMARTVALUE PFFS","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"26.2","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"98.55","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BCBS SMARTVALUE PFFS","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"33.88","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"CIGNA PPO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"430.8","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CIGNA PPO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"2.82","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"CIGNA HMO","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"919.95","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36012","code description":"PLACE CATHETER IN VEIN","payer":"BC PPO","gross charge":"2,518.00","discounted cash price":"629.5","payer-specific negotiated charge":"954.62","de-identified minimum negotiated charge":"954.62","de-identified maximum negotiated charge":"954.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37241","code description":"VASC EMBOLIZE/OCCLUDE VENOUS","payer":"BC PPO","gross charge":"39,512.00","discounted cash price":"9,878.00","payer-specific negotiated charge":"14,979.84","de-identified minimum negotiated charge":"14,979.84","de-identified maximum negotiated charge":"14,979.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"CIGNA HMO","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"496.03","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"CIGNA HMO","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.25","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70540","code description":"MRI ORBIT/FACE/NECK W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"290.77","de-identified minimum negotiated charge":"229.4","de-identified maximum negotiated charge":"1,761.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1734","code description":"ORTH/DEVIC/DRUG BN/BN,TIS/BN","payer":"UHC MCARE","gross charge":"13,427.00","discounted cash price":"3,356.75","payer-specific negotiated charge":"2,057.44","de-identified minimum negotiated charge":"2,057.44","de-identified maximum negotiated charge":"6,151.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"112.63","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"AETNA PPO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"141.36","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"WELLCARE MCARE MGD CARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"7.1","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CLOVER HEALTH","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"17.36","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CLOVER HEALTH","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"25.63","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CLOVER HEALTH","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"252.67","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"604.65","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"CIGNA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"54.05","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"CIGNA HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"7.49","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CHAMPUS TRICARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"85.66","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"119.86","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"13.5","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36582","code description":"REPLACE TUNNELED CV CATH","payer":"AMBETTER","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,686.89","de-identified minimum negotiated charge":"1,686.89","de-identified maximum negotiated charge":"1,686.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"113.74","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"UHC MCARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"40.14","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"158.12","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"UHC MCARE","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"55.38","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72200","code description":"X-RAY EXAM SI JOINTS","payer":"CIGNA HMO","gross charge":"439","discounted cash price":"109.75","payer-specific negotiated charge":"276.57","de-identified minimum negotiated charge":"276.57","de-identified maximum negotiated charge":"329.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"295.57","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"WELLCARE MCARE MGD CARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"2.61","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"WELLCARE MCARE MGD CARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"16.38","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1450","code description":"FLUCONAZOLE","payer":"MEDICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"16.42","de-identified minimum negotiated charge":"16.23","de-identified maximum negotiated charge":"127.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"MEDICAID","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"164.45","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"BC PPO","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"528.02","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"PEACHSTATE-CENTENE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"34.48","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"CHAMPUS TRICARE","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"12.86","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"389.33","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"BCBS SMARTVALUE PFFS","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"88.56","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"BCBS SMARTVALUE PFFS","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"43.48","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"BC HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"174.5","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"BC PPO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"499.38","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"PEACHSTATE-CENTENE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"58.16","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"MEDICAID","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"84.69","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"AETNA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"35.89","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1120","code description":"ACETAZOLAMID SODIUM INJECTIO","payer":"BC HMO","gross charge":"266.5","discounted cash price":"66.63","payer-specific negotiated charge":"83.57","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"83.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"102.46","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"20.96","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"CIGNA PPO","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"882.06","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"CIGNA PPO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"932.56","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"CIGNA PPO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"91.24","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"AETNA PPO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"977.36","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"AETNA PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"351.92","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"HUMANA HMO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"522.51","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"WELLCARE MCARE MGD CARE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"4.03","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"WELLCARE MCARE MGD CARE","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"1.3","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"WELLCARE MCARE MGD CARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"2.69","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97166","code description":"OT EVAL MOD COMPLEX 45 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"30.99","de-identified minimum negotiated charge":"30.99","de-identified maximum negotiated charge":"401.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"HUMANA HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"8.3","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"HUMANA HMO","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"27.86","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"HUMANA HMO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"94.2","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"HUMANA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"100.09","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84166","code description":"PROTEIN E-PHORESIS/URINE/CSF","payer":"HUMANA HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"72.48","de-identified minimum negotiated charge":"28.5","de-identified maximum negotiated charge":"72.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"HUMANA HMO","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"25.1","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"HUMANA HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"64.78","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"HUMANA HMO","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"11.12","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"HUMANA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"37.3","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"HUMANA HMO","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"165.86","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"40.66","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78707","code description":"K FLOW/FUNCT IMAGE W/O DRUG","payer":"HUMANA HMO","gross charge":"3,062.00","discounted cash price":"765.5","payer-specific negotiated charge":"2,100.53","de-identified minimum negotiated charge":"2,100.53","de-identified maximum negotiated charge":"2,100.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"KAISER SELF-FUNDED","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"54.46","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"KAISER SELF-FUNDED","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"50.88","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97010","code description":"HOT OR COLD PACKS THERAPY","payer":"CIGNA HMO","gross charge":"164","discounted cash price":"41","payer-specific negotiated charge":"103.32","de-identified minimum negotiated charge":"101.68","de-identified maximum negotiated charge":"113.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"UHC HMO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"38.28","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"CARESOURCE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"138.25","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"CARESOURCE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"19.76","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"CARESOURCE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"78.23","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"AMBETTER","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"22.49","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"UHC MCARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"83.51","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"CIGNA HMO","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"1,169.50","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"UHC MCARE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"17.76","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"UHC MCARE","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"11.78","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"UHC MCARE","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"40.15","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"AETNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"216","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"21.39","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"32.32","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"15.99","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"UHC MCARE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"608.95","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"112.4","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72120","code description":"X-RAY BEND ONLY L-S SPINE","payer":"BC PPO","gross charge":"757","discounted cash price":"189.25","payer-specific negotiated charge":"383.62","de-identified minimum negotiated charge":"33.44","de-identified maximum negotiated charge":"383.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82977","code description":"ASSAY OF GGT","payer":"MEDICAID","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"15.54","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"49.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84134","code description":"ASSAY OF PREALBUMIN","payer":"MEDICAID","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"30.13","de-identified minimum negotiated charge":"4.07","de-identified maximum negotiated charge":"47.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"MEDICAID","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"9.55","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"MEDICAID","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"32.21","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"MEDICAID","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"8.77","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"MEDICAID","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"1.68","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"CHAMPUS TRICARE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"4.46","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"CIGNA PPO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"329","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"61.89","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"7.33","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"54.37","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"108.81","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"82.25","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32550","code description":"INSERT PLEURAL CATH","payer":"UHC MCARE","gross charge":"11,492.00","discounted cash price":"2,873.00","payer-specific negotiated charge":"2,161.37","de-identified minimum negotiated charge":"2,092.99","de-identified maximum negotiated charge":"5,225.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75989","code description":"ABSCESS DRAINAGE UNDER X-RAY","payer":"UHC MCARE","gross charge":"1,342.00","discounted cash price":"335.5","payer-specific negotiated charge":"252.37","de-identified minimum negotiated charge":"244.39","de-identified maximum negotiated charge":"610.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"67.34","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"AMBETTER","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"728","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74455","code description":"X-RAY URETHRA/BLADDER","payer":"AMBETTER","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"691","de-identified minimum negotiated charge":"691","de-identified maximum negotiated charge":"691"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"UHC MCARE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"6.8","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"AMBETTER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"384.54","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82042","code description":"OTHER SOURCE ALBUMIN QUAN EA","payer":"BCBS SMARTVALUE PFFS","gross charge":"128.5","discounted cash price":"32.13","payer-specific negotiated charge":"5.34","de-identified minimum negotiated charge":"3.8","de-identified maximum negotiated charge":"38.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"KAISER SELF-FUNDED","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"93.87","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"BC PPO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"10.32","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86709","code description":"HEPATITIS A IGM ANTIBODY","payer":"BC PPO","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"66.5","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"66.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81450","code description":"TGSAP HL NEO 5-50DNA/DNA\u0026RNA","payer":"UHC HMO","gross charge":"2,839.50","discounted cash price":"709.88","payer-specific negotiated charge":"643.56","de-identified minimum negotiated charge":"125.97","de-identified maximum negotiated charge":"643.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"UHC HMO","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"122.92","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"UHC HMO","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"35.5","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"UHC HMO","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"139.49","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"UHC HMO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"156.4","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"UHC HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"51.74","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"HUMANA HMO","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"61.28","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"196.81","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"9.28","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"BCBS SMARTVALUE PFFS","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"17.8","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"BC PPO","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.23","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AETNA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"152.26","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.06","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74415","code description":"UROGRAPHY NFS DRIP\u0026/BLS W/NF","payer":"BC HMO","gross charge":"2,053.00","discounted cash price":"513.25","payer-specific negotiated charge":"451.3","de-identified minimum negotiated charge":"451.3","de-identified maximum negotiated charge":"1,382.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1727","code description":"CATH, BAL TIS DIS, NON-VAS","payer":"AETNA HMO","gross charge":"941.5","discounted cash price":"235.38","payer-specific negotiated charge":"284.89","de-identified minimum negotiated charge":"284.89","de-identified maximum negotiated charge":"284.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"AETNA MCARE MGD CARE","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"86.64","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73551","code description":"X-RAY EXAM OF FEMUR 1","payer":"AETNA MCARE MGD CARE","gross charge":"927","discounted cash price":"231.75","payer-specific negotiated charge":"27.35","de-identified minimum negotiated charge":"27.35","de-identified maximum negotiated charge":"271.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"18.28","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"WELLCARE MCARE MGD CARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"77.73","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"60.21","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"16.53","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"MEDICAID","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"920.29","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"MEDICAID","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"423.87","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"MEDICAID","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"106.19","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"BCBS SMARTVALUE PFFS","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"3.33","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"BCBS SMARTVALUE PFFS","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"21","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"KAISER SELF-FUNDED","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"368.6","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"KAISER SELF-FUNDED","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"571.49","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"KAISER SELF-FUNDED","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"534.32","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.96","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.81","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,089.27","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87593","code description":"ORTHOPOXVIRUS AMP PRB EACH","payer":"PEACHSTATE-CENTENE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"6.26","de-identified minimum negotiated charge":"6.26","de-identified maximum negotiated charge":"63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"BC HMO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"13.38","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"183.75","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92526","code description":"ORAL FUNCTION THERAPY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"60.06","de-identified minimum negotiated charge":"37.22","de-identified maximum negotiated charge":"99.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"159.34","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"31.81","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1438","code description":"ETANERCEPT INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,381.50","discounted cash price":"1,095.38","payer-specific negotiated charge":"545.28","de-identified minimum negotiated charge":"545.28","de-identified maximum negotiated charge":"545.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82747","code description":"ASSAY OF FOLIC ACID RBC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"481","discounted cash price":"120.25","payer-specific negotiated charge":"28.94","de-identified minimum negotiated charge":"28.94","de-identified maximum negotiated charge":"202.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"UHC MCARE","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"78.3","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7507","code description":"TACROLIMUS IMME REL ORAL 1MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"7.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7518","code description":"MYCOPHENOLIC ACID","payer":"WELLCARE MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"1.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"PEACHSTATE-CENTENE","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"171.4","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"HUMANA HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"829.6","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72082","code description":"X-RAY EXAM ENTIRE SPI 2/3 VW","payer":"UHC MCARE","gross charge":"526","discounted cash price":"131.5","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"360.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0878","code description":"DAPTOMYCIN INJECTION","payer":"UHC MCARE","gross charge":"4.65","discounted cash price":"1.16","payer-specific negotiated charge":"0.29","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"0.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"152.13","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"65.37","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"765.67","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"4.74","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"MEDICAID","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.19","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"PEACHSTATE-CENTENE","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"757.22","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70540","code description":"MRI ORBIT/FACE/NECK W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"229.4","de-identified minimum negotiated charge":"229.4","de-identified maximum negotiated charge":"1,761.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99156","code description":"MOD SED OTH PHYS/QHP 5/\u003eYRS","payer":"AMBETTER","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"87.09","de-identified minimum negotiated charge":"4.23","de-identified maximum negotiated charge":"91.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99157","code description":"MOD SED OTHER PHYS/QHP EA","payer":"AMBETTER","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"29.73","de-identified minimum negotiated charge":"14.73","de-identified maximum negotiated charge":"71.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2790","code description":"RHO D IMMUNE GLOBULIN INJ","payer":"AMERIGROUP","gross charge":"553.5","discounted cash price":"138.38","payer-specific negotiated charge":"27.96","de-identified minimum negotiated charge":"18.1","de-identified maximum negotiated charge":"83.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74455","code description":"X-RAY URETHRA/BLADDER","payer":"AETNA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"691","de-identified minimum negotiated charge":"691","de-identified maximum negotiated charge":"691"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"AMBETTER","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"362.95","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"AMERIGROUP","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"103.79","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36569","code description":"INSJ PICC 5 YR+ W/O IMAGING","payer":"MEDICARE","gross charge":"4,700.00","discounted cash price":"1,175.00","payer-specific negotiated charge":"1,096.74","de-identified minimum negotiated charge":"1,096.74","de-identified maximum negotiated charge":"1,096.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"UHC HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"367.4","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38792","code description":"RA TRACER ID OF SENTINL NODE","payer":"UHC HMO","gross charge":"909","discounted cash price":"227.25","payer-specific negotiated charge":"287.16","de-identified minimum negotiated charge":"117.93","de-identified maximum negotiated charge":"909"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"UHC HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"139.82","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"UHC PPO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"548.63","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"UHC PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"411.47","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"18.71","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87902","code description":"NFCT AGT GNTYP ALYS HEP C","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"608","discounted cash price":"152","payer-specific negotiated charge":"35.07","de-identified minimum negotiated charge":"35.07","de-identified maximum negotiated charge":"417.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0438","code description":"PPPS, INITIAL VISIT","payer":"BC PPO","gross charge":"569","discounted cash price":"142.25","payer-specific negotiated charge":"1,370.39","de-identified minimum negotiated charge":"104.08","de-identified maximum negotiated charge":"1,370.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"KAISER","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"107.66","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"KAISER","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"28.77","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"KAISER","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"MEDICAID","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"450.46","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"MEDICAID","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"425.37","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7131","code description":"HYPERTONIC SALINE SOL","payer":"MEDICAID","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"0.07","de-identified minimum negotiated charge":"0.07","de-identified maximum negotiated charge":"41.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"KAISER","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"1.26","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"AMBETTER","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"1.99","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"CHAMPUS TRICARE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"61.81","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"CHAMPUS TRICARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"18.7","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2788","code description":"PRESBYOPIA-CORRECT FUNCTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,104.00","discounted cash price":"1,526.00","payer-specific negotiated charge":"639.89","de-identified minimum negotiated charge":"503.98","de-identified maximum negotiated charge":"644.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1364","code description":"ERYTHRO LACTOBIONATE /500 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"45.93","de-identified minimum negotiated charge":"45.93","de-identified maximum negotiated charge":"45.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71130","code description":"X-RAY STRENOCLAVIC JT 3/\u003eVWS","payer":"MEDICARE","gross charge":"478","discounted cash price":"119.5","payer-specific negotiated charge":"20.26","de-identified minimum negotiated charge":"20.26","de-identified maximum negotiated charge":"301.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"BC HMO","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"674.86","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"MEDICARE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"2.7","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"MEDICARE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"5.64","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71048","code description":"X-RAY EXAM CHEST 4+ VIEWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"869","discounted cash price":"217.25","payer-specific negotiated charge":"108.54","de-identified minimum negotiated charge":"108.54","de-identified maximum negotiated charge":"108.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83020","code description":"HEMOGLOBIN ELECTROPHORESIS","payer":"AMBETTER","gross charge":"90","discounted cash price":"22.5","payer-specific negotiated charge":"106.14","de-identified minimum negotiated charge":"13.62","de-identified maximum negotiated charge":"106.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"AETNA PPO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"145.73","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA PPO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"135.9","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"AETNA PPO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"133.88","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93930","code description":"UPPER EXTREMITY STUDY","payer":"MEDICAID","gross charge":"1,695.00","discounted cash price":"423.75","payer-specific negotiated charge":"238.9","de-identified minimum negotiated charge":"224.95","de-identified maximum negotiated charge":"238.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99156","code description":"MOD SED OTH PHYS/QHP 5/\u003eYRS","payer":"AETNA MCARE MGD CARE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"38.89","de-identified minimum negotiated charge":"4.23","de-identified maximum negotiated charge":"91.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99157","code description":"MOD SED OTHER PHYS/QHP EA","payer":"AETNA MCARE MGD CARE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"14.73","de-identified minimum negotiated charge":"14.73","de-identified maximum negotiated charge":"71.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"UHC HMO","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"3,613.09","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"UHC HMO","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"464.15","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CLOVER HEALTH","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"113.46","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"KAISER SELF-FUNDED","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"500.18","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"CHAMPUS TRICARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"103.11","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"WELLCARE MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"30.2","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74283","code description":"THER NMA RDCTJ INTUS/OBSTRCJ","payer":"UHC MCARE","gross charge":"1,519.00","discounted cash price":"379.75","payer-specific negotiated charge":"135.97","de-identified minimum negotiated charge":"115.75","de-identified maximum negotiated charge":"897.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"UHC MCARE","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.06","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"CARESOURCE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"11.03","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"UHC HMO","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"162.97","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"PEACHSTATE-CENTENE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"36.42","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86038","code description":"ANTINUCLEAR ANTIBODIES","payer":"PEACHSTATE-CENTENE","gross charge":"148.5","discounted cash price":"37.13","payer-specific negotiated charge":"11.98","de-identified minimum negotiated charge":"6.36","de-identified maximum negotiated charge":"11.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"MEDICARE","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"856.77","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"33.4","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"31.65","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.79","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.41","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AETNA MCARE MGD CARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.14","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"70.21","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"BC PPO","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"671","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"FIRST HLTH NTWK","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"5.67","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"UHC PPO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"331.99","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"UHC PPO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"514.73","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"UHC PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"481.25","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"MEDICARE","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"328.37","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"BC PPO","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"332.69","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"AETNA HMO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"12.98","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2212","code description":"METHYLNALTREXONE INJECTION","payer":"CIGNA HMO","gross charge":"6.32","discounted cash price":"1.58","payer-specific negotiated charge":"1.91","de-identified minimum negotiated charge":"0.5","de-identified maximum negotiated charge":"1.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"282.14","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"51.75","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"FIRST HLTH NTWK","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"409.44","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"133.43","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"KAISER","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"286.9","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"AMBETTER","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"86.97","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"CHAMPUS TRICARE","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"10.72","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"UHC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"37.62","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"MEDICAID","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"438.79","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82693","code description":"ASSAY OF ETHYLENE GLYCOL","payer":"UHC MCARE","gross charge":"48","discounted cash price":"12","payer-specific negotiated charge":"5.6","de-identified minimum negotiated charge":"5.6","de-identified maximum negotiated charge":"10.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"AETNA PPO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"102.33","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"AETNA PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"8.78","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85048","code description":"AUTOMATED LEUKOCYTE COUNT","payer":"MEDICAID","gross charge":"142","discounted cash price":"35.5","payer-specific negotiated charge":"27.84","de-identified minimum negotiated charge":"13.96","de-identified maximum negotiated charge":"27.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"CIGNA HMO","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"819.65","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"UHC HMO","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"559.19","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"PEACHSTATE-CENTENE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"323.2","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"PEACHSTATE-CENTENE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"46.17","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"WELLCARE MCARE MGD CARE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"43.29","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"242.28","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"HUMANA HMO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"14.91","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"KAISER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"41.39","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"KAISER","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"33.42","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"KAISER","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"43.38","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"KAISER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"41.39","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7509","code description":"METHYLPREDNISOLONE ORAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.45","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"4.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"AMERIGROUP","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"133.51","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.88","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"UHC PPO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"251.69","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"UHC PPO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"409.15","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"182.64","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"520.69","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"UHC HMO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"140.38","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"UHC HMO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"35.39","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"UHC HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"UHC HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"16.68","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"BC PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"56.75","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"AMERIGROUP","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"12.76","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"HUMANA HMO","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"836.92","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"UHC MCARE","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"343.01","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85244","code description":"CLOT FACTOR VIII RELTD ANTGN","payer":"UHC HMO","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"32","de-identified minimum negotiated charge":"32","de-identified maximum negotiated charge":"52.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"AETNA MCARE MGD CARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"7.43","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82800","code description":"BLOOD PH","payer":"BC HMO","gross charge":"269.33","discounted cash price":"67.33","payer-specific negotiated charge":"100","de-identified minimum negotiated charge":"7.8","de-identified maximum negotiated charge":"100"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"UHC MCARE","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"40.26","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22513","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"CHAMPUS TRICARE","gross charge":"19,210.00","discounted cash price":"4,802.50","payer-specific negotiated charge":"4,019.77","de-identified minimum negotiated charge":"2,135.79","de-identified maximum negotiated charge":"6,996.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"CARESOURCE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"138.7","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"UHC MCARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.57","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"KAISER MCARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.69","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"HUMANA HMO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,113.13","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"HUMANA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"292.71","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"HUMANA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"292.71","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"PEACHSTATE-CENTENE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"62.05","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93458","code description":"L HRT ARTERY/VENTRICLE ANGIO","payer":"CIGNA HMO","gross charge":"18,661.00","discounted cash price":"4,665.25","payer-specific negotiated charge":"4,471.37","de-identified minimum negotiated charge":"1,147.35","de-identified maximum negotiated charge":"4,471.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1725","code description":"CATH, TRANSLUMIN NON-LASER","payer":"CIGNA HMO","gross charge":"1,614.50","discounted cash price":"403.63","payer-specific negotiated charge":"377.38","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"523.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1753","code description":"CATH, INTRAVAS ULTRASOUND","payer":"CIGNA HMO","gross charge":"4,627.00","discounted cash price":"1,156.75","payer-specific negotiated charge":"1,108.67","de-identified minimum negotiated charge":"284.49","de-identified maximum negotiated charge":"1,108.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1874","code description":"STENT, COATED/COV W/DEL SYS","payer":"CIGNA HMO","gross charge":"12,863.00","discounted cash price":"3,215.75","payer-specific negotiated charge":"3,995.74","de-identified minimum negotiated charge":"969.6","de-identified maximum negotiated charge":"4,273.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3246","code description":"TIROFIBAN HCL","payer":"CIGNA HMO","gross charge":"26.68","discounted cash price":"6.67","payer-specific negotiated charge":"6.39","de-identified minimum negotiated charge":"2.49","de-identified maximum negotiated charge":"6.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"BCBS SMARTVALUE PFFS","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"256.17","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83874","code description":"ASSAY OF MYOGLOBIN","payer":"UHC HMO","gross charge":"221","discounted cash price":"55.25","payer-specific negotiated charge":"39.37","de-identified minimum negotiated charge":"24.53","de-identified maximum negotiated charge":"39.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"CIGNA HMO","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"584.64","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"FIRST HLTH NTWK","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,314.60","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"FIRST HLTH NTWK","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"307.8","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"CIGNA PPO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"106.55","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76377","code description":"3D RENDER W/INTRP POSTPROCES","payer":"MEDICARE","gross charge":"3,015.00","discounted cash price":"753.75","payer-specific negotiated charge":"91.51","de-identified minimum negotiated charge":"91.51","de-identified maximum negotiated charge":"91.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"MEDICARE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"267.98","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,111.35","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"MEDICAID","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"1,123.70","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"MEDICAID","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"139.79","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1734","code description":"ORTH/DEVIC/DRUG BN/BN,TIS/BN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"13,427.00","discounted cash price":"3,356.75","payer-specific negotiated charge":"4,023.31","de-identified minimum negotiated charge":"2,057.44","de-identified maximum negotiated charge":"6,151.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"UHC PPO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"517.15","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83001","code description":"ASSAY OF GONADOTROPIN (FSH)","payer":"CIGNA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"22.68","de-identified minimum negotiated charge":"7.89","de-identified maximum negotiated charge":"30.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83002","code description":"ASSAY OF GONADOTROPIN (LH)","payer":"CIGNA HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"306.81","de-identified minimum negotiated charge":"20.77","de-identified maximum negotiated charge":"413.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84144","code description":"ASSAY OF PROGESTERONE","payer":"CIGNA HMO","gross charge":"40","discounted cash price":"10","payer-specific negotiated charge":"25.2","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"26.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"133.8","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"MEDICAID","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82040","code description":"ASSAY OF SERUM ALBUMIN","payer":"MEDICAID","gross charge":"18.4","discounted cash price":"4.6","payer-specific negotiated charge":"2.81","de-identified minimum negotiated charge":"1.08","de-identified maximum negotiated charge":"2.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"CIGNA HMO","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"768.6","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"UHC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"26.36","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90651","code description":"9VHPV VACCINE 2/3 DOSE IM","payer":"UHC HMO","gross charge":"1,320.00","discounted cash price":"330","payer-specific negotiated charge":"721.86","de-identified minimum negotiated charge":"704.21","de-identified maximum negotiated charge":"764.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"CIGNA HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"207.82","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"CIGNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"89.02","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"CIGNA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"417.45","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"AMERIGROUP","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"98.84","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"UHC PPO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"768.21","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"UHC PPO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"48.21","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"UHC PPO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"86.81","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"UHC PPO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"51.13","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"UHC PPO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"71.49","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"UHC PPO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"92.43","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"UHC PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"139.48","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"UHC PPO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"193.87","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"UHC PPO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"101.06","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.22","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.03","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.03","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"UHC PPO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"4.05","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"UHC PPO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.32","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"UHC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"19.73","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"51.8","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47538","code description":"PERQ PLMT BILE DUCT STENT","payer":"AETNA HMO","gross charge":"17,031.00","discounted cash price":"4,257.75","payer-specific negotiated charge":"5,658.05","de-identified minimum negotiated charge":"2,349.18","de-identified maximum negotiated charge":"5,658.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1725","code description":"CATH, TRANSLUMIN NON-LASER","payer":"AETNA HMO","gross charge":"1,614.50","discounted cash price":"403.63","payer-specific negotiated charge":"523.25","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"523.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1874","code description":"STENT, COATED/COV W/DEL SYS","payer":"AETNA HMO","gross charge":"12,863.00","discounted cash price":"3,215.75","payer-specific negotiated charge":"4,273.36","de-identified minimum negotiated charge":"969.6","de-identified maximum negotiated charge":"4,273.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"PHCS","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"408.75","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.4","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.92","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.41","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"AETNA MCARE MGD CARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"35.07","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"FIRST HLTH NTWK","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"2,065.20","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"CLOVER HEALTH","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"105.51","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"5.93","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"10.79","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"7.56","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"PHCS","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"210.75","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"PHCS","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"2,393.25","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"PHCS","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"459.37","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"3.12","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"CHAMPUS TRICARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"17.57","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"35.21","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"CARESOURCE","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"CARESOURCE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"8.8","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CARESOURCE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"17.06","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"11.02","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"71.45","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"32.22","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"30.1","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"172.36","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"47.69","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"49.82","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"124.87","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"115.55","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"8,709.50","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.61","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"5.01","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.2","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.87","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"22.26","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"20.02","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"20.03","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"36.71","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"44.28","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"AMBETTER","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"572.8","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"742.76","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10009","code description":"FNA BX W/CT GDN 1ST LES","payer":"UHC MCARE","gross charge":"1,496.50","discounted cash price":"374.13","payer-specific negotiated charge":"575.87","de-identified minimum negotiated charge":"153.38","de-identified maximum negotiated charge":"1,116.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"BC PPO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,826.26","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"CARESOURCE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"579.14","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"AETNA MCARE MGD CARE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"22.77","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"AETNA MCARE MGD CARE","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"20.77","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"CIGNA HMO","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"96.39","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"CARESOURCE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"7.14","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CLOVER HEALTH","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"209.38","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CLOVER HEALTH","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"209.38","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CLOVER HEALTH","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.35","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86376","code description":"MICROSOMAL ANTIBODY EACH","payer":"BC PPO","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"283.36","de-identified minimum negotiated charge":"23.38","de-identified maximum negotiated charge":"283.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86800","code description":"THYROGLOBULIN ANTIBODY","payer":"BC PPO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"50.05","de-identified minimum negotiated charge":"9.64","de-identified maximum negotiated charge":"50.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"AETNA HMO","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"505.42","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"CARESOURCE","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"136.64","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"73.16","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.59","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"578.31","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70540","code description":"MRI ORBIT/FACE/NECK W/O DYE","payer":"AMBETTER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"994","de-identified minimum negotiated charge":"229.4","de-identified maximum negotiated charge":"1,761.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"BC PPO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"2,777.16","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"57.26","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,521.89","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"14.67","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"418.49","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"137.96","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"42.2","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2791","code description":"RHOPHYLAC INJECTION","payer":"AMBETTER","gross charge":"58.17","discounted cash price":"14.54","payer-specific negotiated charge":"26.61","de-identified minimum negotiated charge":"26.61","de-identified maximum negotiated charge":"26.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1670","code description":"TETANUS IMMUNE GLOBULIN INJ","payer":"BC HMO","gross charge":"3,105.00","discounted cash price":"776.25","payer-specific negotiated charge":"1,400.65","de-identified minimum negotiated charge":"88.4","de-identified maximum negotiated charge":"1,400.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"KAISER MCARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"21.39","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"KAISER MCARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"36.18","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"UHC MCARE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"3.07","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"UHC MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.28","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"UHC MCARE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"7.57","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"237.99","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"BC PPO","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"473.62","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"86.43","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9250","code description":"ARTISS FIBRIN SEALANT","payer":"BC PPO","gross charge":"787","discounted cash price":"196.75","payer-specific negotiated charge":"264.53","de-identified minimum negotiated charge":"54.27","de-identified maximum negotiated charge":"264.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"MULTI-PLAN","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,511.30","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"UHC HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"2,134.56","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"UHC HMO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"504.52","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"AMBETTER","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"107.16","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"CHAMPUS TRICARE","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"79.57","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"MEDICARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"32.21","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95700","code description":"EEG CONT REC W/VID EEG TECH","payer":"MEDICARE","gross charge":"1,596.00","discounted cash price":"399","payer-specific negotiated charge":"107.61","de-identified minimum negotiated charge":"107.61","de-identified maximum negotiated charge":"107.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95711","code description":"VEEG 2-12 HR UNMONITORED","payer":"MEDICARE","gross charge":"1,596.00","discounted cash price":"399","payer-specific negotiated charge":"107.61","de-identified minimum negotiated charge":"107.61","de-identified maximum negotiated charge":"107.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95822","code description":"EEG COMA OR SLEEP ONLY","payer":"MEDICARE","gross charge":"1,208.00","discounted cash price":"302","payer-specific negotiated charge":"81.45","de-identified minimum negotiated charge":"81.45","de-identified maximum negotiated charge":"81.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"BC PPO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"68.53","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"BC PPO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"97.79","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"BC PPO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"241.01","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"CHAMPUS TRICARE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"38.25","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"KAISER","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"40.89","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"KAISER","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"AETNA MCARE MGD CARE","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"2.54","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85044","code description":"MANUAL RETICULOCYTE COUNT","payer":"AETNA HMO","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"41.82","de-identified minimum negotiated charge":"27.38","de-identified maximum negotiated charge":"41.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"CLOVER HEALTH","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"2.47","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"38.26","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"90.06","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"AMBETTER","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"317.38","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"WELLCARE MCARE MGD CARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"0.33","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36584","code description":"COMPL RPLCMT PICC RS\u0026I","payer":"BC PPO","gross charge":"4,657.00","discounted cash price":"1,164.25","payer-specific negotiated charge":"4,657.00","de-identified minimum negotiated charge":"971.62","de-identified maximum negotiated charge":"4,657.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"AETNA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"26.67","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90620","code description":"MENB-4C VACC 2 DOSE IM","payer":"AETNA HMO","gross charge":"936","discounted cash price":"234","payer-specific negotiated charge":"499.35","de-identified minimum negotiated charge":"77.01","de-identified maximum negotiated charge":"499.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90651","code description":"9VHPV VACCINE 2/3 DOSE IM","payer":"AETNA HMO","gross charge":"1,320.00","discounted cash price":"330","payer-specific negotiated charge":"704.21","de-identified minimum negotiated charge":"704.21","de-identified maximum negotiated charge":"764.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90734","code description":"MENACWYD/MENACWYCRM VACC IM","payer":"AETNA HMO","gross charge":"703","discounted cash price":"175.75","payer-specific negotiated charge":"375.04","de-identified minimum negotiated charge":"375.04","de-identified maximum negotiated charge":"375.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0439","code description":"PPPS, SUBSEQ VISIT","payer":"AETNA HMO","gross charge":"380","discounted cash price":"95","payer-specific negotiated charge":"202.73","de-identified minimum negotiated charge":"96.96","de-identified maximum negotiated charge":"202.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78803","code description":"RP LOCLZJ TUM SPECT 1 AREA","payer":"CIGNA HMO","gross charge":"2,531.00","discounted cash price":"632.75","payer-specific negotiated charge":"1,518.30","de-identified minimum negotiated charge":"1,108.48","de-identified maximum negotiated charge":"2,090.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9538","code description":"TC99M PYROPHOSPHATE","payer":"CIGNA HMO","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"231.84","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"319.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"CIGNA HMO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"153.72","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97035","code description":"ULTRASOUND THERAPY","payer":"AETNA HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"125.86","de-identified minimum negotiated charge":"125.86","de-identified maximum negotiated charge":"125.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"CARESOURCE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"58.83","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"AMERIGROUP","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"456.95","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"AMERIGROUP","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"120.16","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"AMERIGROUP","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"120.16","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"CIGNA PPO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"1,544.81","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"93.6","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"107.22","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"18.05","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"MEDICAID","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"5.93","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8610","code description":"METHOTREXATE ORAL 2.5 MG","payer":"MEDICAID","gross charge":"16.5","discounted cash price":"4.13","payer-specific negotiated charge":"1.04","de-identified minimum negotiated charge":"1.04","de-identified maximum negotiated charge":"4.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"342.28","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82800","code description":"BLOOD PH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"269.33","discounted cash price":"67.33","payer-specific negotiated charge":"21.41","de-identified minimum negotiated charge":"7.8","de-identified maximum negotiated charge":"100"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"CIGNA PPO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,350.72","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"CIGNA PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"486.36","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9530","code description":"I131 IODIDE SOL, RX","payer":"CIGNA HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"28.35","de-identified minimum negotiated charge":"8.03","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82374","code description":"ASSAY BLOOD CARBON DIOXIDE","payer":"HUMANA HMO","gross charge":"68","discounted cash price":"17","payer-specific negotiated charge":"46.65","de-identified minimum negotiated charge":"46.65","de-identified maximum negotiated charge":"46.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82435","code description":"ASSAY OF BLOOD CHLORIDE","payer":"HUMANA HMO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"43.22","de-identified minimum negotiated charge":"43.22","de-identified maximum negotiated charge":"43.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"HUMANA HMO","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"26.29","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"HUMANA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"45.28","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"HUMANA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"61.13","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1734","code description":"ORTH/DEVIC/DRUG BN/BN,TIS/BN","payer":"UHC HMO","gross charge":"13,427.00","discounted cash price":"3,356.75","payer-specific negotiated charge":"6,151.82","de-identified minimum negotiated charge":"2,057.44","de-identified maximum negotiated charge":"6,151.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"906.94","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10009","code description":"FNA BX W/CT GDN 1ST LES","payer":"BC HMO","gross charge":"1,496.50","discounted cash price":"374.13","payer-specific negotiated charge":"1,116.66","de-identified minimum negotiated charge":"153.38","de-identified maximum negotiated charge":"1,116.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9254","code description":"INJECTION, LACOSAMIDE","payer":"MEDICAID","gross charge":"2.28","discounted cash price":"0.57","payer-specific negotiated charge":"0.39","de-identified minimum negotiated charge":"0.39","de-identified maximum negotiated charge":"1.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"AMBETTER","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"667.55","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"AETNA MCARE MGD CARE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.68","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"HUMANA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,189.92","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"106.05","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CLOVER HEALTH","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"81.87","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CLOVER HEALTH","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"71.42","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CLOVER HEALTH","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"15.35","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"PHCS","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"201.42","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.1","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"UHC MCARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"399.68","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"CARESOURCE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"232.5","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"178.22","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7500","code description":"AZATHIOPRINE ORAL 50MG","payer":"AMBETTER","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.95","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"7.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"AETNA HMO","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"756.4","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3230","code description":"CHLORPROMAZINE HCL INJECTION","payer":"BC PPO","gross charge":"175.5","discounted cash price":"43.88","payer-specific negotiated charge":"91.41","de-identified minimum negotiated charge":"14.04","de-identified maximum negotiated charge":"91.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47536","code description":"EXCHANGE BILIARY DRG CATH","payer":"UHC HMO","gross charge":"9,453.00","discounted cash price":"2,363.25","payer-specific negotiated charge":"1,611.87","de-identified minimum negotiated charge":"1,611.87","de-identified maximum negotiated charge":"2,168.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"CHAMPUS TRICARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"35.53","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"UHC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"42.12","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97597","code description":"RMVL DEVITAL TIS 20 CM/\u003c","payer":"CIGNA HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"116.31","de-identified minimum negotiated charge":"31.99","de-identified maximum negotiated charge":"116.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L4386","code description":"NON-PNEUM WALK BOOT PRE CST","payer":"CIGNA HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"96.75","de-identified minimum negotiated charge":"96.75","de-identified maximum negotiated charge":"96.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"HUMANA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"43.92","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"CARESOURCE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"15.08","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"37.06","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"96.02","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"MEDICARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"AETNA HMO","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"360.6","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"CARESOURCE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"392.19","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78831","code description":"RP LOCLZJ TUM SPECT 2 AREAS","payer":"MEDICAID","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"776.87","de-identified minimum negotiated charge":"776.87","de-identified maximum negotiated charge":"2,158.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"79005","code description":"NUCLEAR RX ORAL ADMIN","payer":"HUMANA HMO","gross charge":"2,300.00","discounted cash price":"575","payer-specific negotiated charge":"1,502.34","de-identified minimum negotiated charge":"392.81","de-identified maximum negotiated charge":"1,502.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9530","code description":"I131 IODIDE SOL, RX","payer":"HUMANA HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"30.87","de-identified minimum negotiated charge":"8.03","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"BC HMO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"558.62","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"UHC MCARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"31.6","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"AETNA HMO","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"1,411.43","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"AETNA HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"260.4","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"BC PPO","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"90.86","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95912","code description":"NRV CNDJ TEST 11-12 STUDIES","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,405.00","discounted cash price":"601.25","payer-specific negotiated charge":"262.38","de-identified minimum negotiated charge":"262.38","de-identified maximum negotiated charge":"1,700.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"CARESOURCE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"14.39","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"KAISER MCARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"306.2","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"KAISER MCARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"72.68","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"PHCS","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"52.5","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.42","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"BC HMO","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.27","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"107.62","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"28.9","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"36.82","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97533","code description":"SENSORY INTEGRATION","payer":"BC HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"145.53","de-identified minimum negotiated charge":"145.53","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97166","code description":"OT EVAL MOD COMPLEX 45 MIN","payer":"CIGNA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"389.34","de-identified minimum negotiated charge":"30.99","de-identified maximum negotiated charge":"401.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1980","code description":"HYOSCYAMINE SULFATE INJ","payer":"HUMANA HMO","gross charge":"184.25","discounted cash price":"46.06","payer-specific negotiated charge":"19.8","de-identified minimum negotiated charge":"18.38","de-identified maximum negotiated charge":"19.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"35.61","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"CARESOURCE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"AETNA MCARE MGD CARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"30.55","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"CIGNA HMO","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"2,675.61","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PHCS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"156","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"FIRST HLTH NTWK","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"657","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"KAISER SELF-FUNDED","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"18.35","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.01","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"116.74","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49452","code description":"REPLACE G-J TUBE PERC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"287.99","de-identified minimum negotiated charge":"231.19","de-identified maximum negotiated charge":"287.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"148.92","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"MULTI-PLAN","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"4,349.45","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"MULTI-PLAN","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"67.15","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"MEDICAID","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"481.19","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82800","code description":"BLOOD PH","payer":"CARESOURCE","gross charge":"269.33","discounted cash price":"67.33","payer-specific negotiated charge":"7.8","de-identified minimum negotiated charge":"7.8","de-identified maximum negotiated charge":"100"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81219","code description":"CALR GENE COM VARIANTS","payer":"PEACHSTATE-CENTENE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"170.14","de-identified minimum negotiated charge":"82.66","de-identified maximum negotiated charge":"170.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81270","code description":"JAK2 GENE","payer":"PEACHSTATE-CENTENE","gross charge":"608","discounted cash price":"152","payer-specific negotiated charge":"72.29","de-identified minimum negotiated charge":"35.12","de-identified maximum negotiated charge":"72.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81305","code description":"MYD88 GENE P.LEU265PRO VRNT","payer":"PEACHSTATE-CENTENE","gross charge":"497","discounted cash price":"124.25","payer-specific negotiated charge":"59.09","de-identified minimum negotiated charge":"39.78","de-identified maximum negotiated charge":"131.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"PEACHSTATE-CENTENE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"86.44","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"PEACHSTATE-CENTENE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"25.32","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"PEACHSTATE-CENTENE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"98.09","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"PEACHSTATE-CENTENE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"109.98","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"50.05","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"PEACHSTATE-CENTENE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"48.51","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"PEACHSTATE-CENTENE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"36.38","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"118.39","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"MEDICAID","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"14.28","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"MEDICAID","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"143.64","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"KAISER SELF-FUNDED","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"146.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"KAISER SELF-FUNDED","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"126.1","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"HUMANA HMO","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"376.13","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"CHAMPUS TRICARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"9.2","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"KAISER","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"268.27","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"CARESOURCE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"46.89","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"BC PPO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"241.6","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"AETNA MCARE MGD CARE","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"108.16","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80175","code description":"DRUG SCREEN QUAN LAMOTRIGINE","payer":"UHC MCARE","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"21.2","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"133.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85597","code description":"PHOSPHOLIPID PLTLT NEUTRALIZ","payer":"UHC MCARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.75","de-identified minimum negotiated charge":"8.75","de-identified maximum negotiated charge":"9.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"UHC MCARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"10.93","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96159","code description":"HLTH BHV IVNTJ INDIV EA ADDL","payer":"CHAMPUS TRICARE","gross charge":"116","discounted cash price":"29","payer-specific negotiated charge":"36.8","de-identified minimum negotiated charge":"36.8","de-identified maximum negotiated charge":"36.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"167.79","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.2","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"11.22","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"CHAMPUS TRICARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"352.91","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"WELLCARE MCARE MGD CARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"2.07","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84446","code description":"ASSAY OF VITAMIN E","payer":"WELLCARE MCARE MGD CARE","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"1.83","de-identified minimum negotiated charge":"1.83","de-identified maximum negotiated charge":"37.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"WELLCARE MCARE MGD CARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"MEDICARE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"49.1","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"MEDICARE","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"15.66","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"MEDICARE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"12.28","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0201T","code description":"PERQ SACRAL AUGMT BILAT INJ","payer":"MEDICARE","gross charge":"17,788.00","discounted cash price":"4,447.00","payer-specific negotiated charge":"3,974.61","de-identified minimum negotiated charge":"3,392.76","de-identified maximum negotiated charge":"3,974.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80198","code description":"ASSAY OF THEOPHYLLINE","payer":"MEDICAID","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"10.36","de-identified minimum negotiated charge":"10.36","de-identified maximum negotiated charge":"20.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"CIGNA PPO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"777.42","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"CIGNA PPO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"674.1","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"HUMANA HMO","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"5.7","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"FIRST HLTH NTWK","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"268.8","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"FIRST HLTH NTWK","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"151.2","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"FIRST HLTH NTWK","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"56.7","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"955.3","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"377.76","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8613","code description":"OSSICULAR IMPLANT","payer":"CIGNA HMO","gross charge":"643","discounted cash price":"160.75","payer-specific negotiated charge":"128.59","de-identified minimum negotiated charge":"31.53","de-identified maximum negotiated charge":"128.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1165","code description":"PHENYTOIN SODIUM INJECTION","payer":"MEDICARE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"1.57","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"1.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71552","code description":"MRI CHEST W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"340.26","de-identified minimum negotiated charge":"340.26","de-identified maximum negotiated charge":"2,513.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"388.4","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81210","code description":"BRAF GENE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"753","discounted cash price":"188.25","payer-specific negotiated charge":"130.45","de-identified minimum negotiated charge":"78.41","de-identified maximum negotiated charge":"130.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"72.76","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"61.31","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"34.65","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"37.77","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"42.27","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"44.35","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"53.18","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"46.95","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"237.84","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"368.75","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"AETNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"7.48","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"AETNA HMO","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"74.61","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"AETNA HMO","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"33.17","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"KAISER","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"160.44","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77073","code description":"X-RAYS BONE LENGTH STUDIES","payer":"PEACHSTATE-CENTENE","gross charge":"586.5","discounted cash price":"146.63","payer-specific negotiated charge":"104.63","de-identified minimum negotiated charge":"104.63","de-identified maximum negotiated charge":"105.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73706","code description":"CT ANGIO LWR EXTR W/O\u0026W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,731.33","discounted cash price":"932.83","payer-specific negotiated charge":"158.88","de-identified minimum negotiated charge":"158.88","de-identified maximum negotiated charge":"735.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"MEDICARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"20.83","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78290","code description":"MECKELS DIVERT EXAM","payer":"AETNA HMO","gross charge":"1,749.00","discounted cash price":"437.25","payer-specific negotiated charge":"333.93","de-identified minimum negotiated charge":"333.93","de-identified maximum negotiated charge":"333.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9512","code description":"TC99M PERTECHNETATE","payer":"AETNA HMO","gross charge":"4","discounted cash price":"1","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"0.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"87.94","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"32.02","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"AMBETTER","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"6.39","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"CHAMPUS TRICARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"515.73","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"UHC MCARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"7.07","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50390","code description":"DRAINAGE OF KIDNEY LESION","payer":"UHC MCARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"248.43","de-identified minimum negotiated charge":"248.43","de-identified maximum negotiated charge":"539.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"BC PPO","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"117.81","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BCBS SMARTVALUE PFFS","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"96.36","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2001","code description":"LIDOCAINE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"3.7","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"3.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"MULTI-PLAN","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"8,454.10","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"MULTI-PLAN","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"739.51","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"MULTI-PLAN","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"1,099.89","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"MULTI-PLAN","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"3,658.39","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MULTI-PLAN","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"176.8","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"KAISER MCARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"49.06","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82024","code description":"ASSAY OF ACTH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"343","discounted cash price":"85.75","payer-specific negotiated charge":"17.51","de-identified minimum negotiated charge":"17.51","de-identified maximum negotiated charge":"224.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0834","code description":"INJ., COSYNTROPIN, 0.25 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"448","discounted cash price":"112","payer-specific negotiated charge":"23.98","de-identified minimum negotiated charge":"23.98","de-identified maximum negotiated charge":"23.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"CHAMPUS TRICARE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"40.82","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"47.1","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"HUMANA HMO","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"170.58","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"AETNA MCARE MGD CARE","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"106","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BCBS SMARTVALUE PFFS","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"27.2","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82310","code description":"ASSAY OF CALCIUM","payer":"AETNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"11.54","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"28.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"MEDICAID","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"284.45","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"42.54","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"HUMANA CONNECT","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"739.78","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"1,639.00","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"2,157.16","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"MEDICARE","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"4.74","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"MEDICARE","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"4.09","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"AETNA HMO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"917.1","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"CIGNA PPO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"658.98","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"CIGNA PPO","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"1,234.80","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.19","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"323.7","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90670","code description":"PCV13 VACCINE IM","payer":"PEACHSTATE-CENTENE","gross charge":"1,087.00","discounted cash price":"271.75","payer-specific negotiated charge":"251.75","de-identified minimum negotiated charge":"239.36","de-identified maximum negotiated charge":"280.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10005","code description":"FNA BX W/US GDN 1ST LES","payer":"UHC HMO","gross charge":"1,460.00","discounted cash price":"365","payer-specific negotiated charge":"506.86","de-identified minimum negotiated charge":"506.86","de-identified maximum negotiated charge":"506.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88365","code description":"INSITU HYBRIDIZATION (FISH)","payer":"UHC HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"120.81","de-identified minimum negotiated charge":"33.78","de-identified maximum negotiated charge":"120.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2596","code description":"PROBE, ROBOTIC, WATER-JET","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"17,713.00","discounted cash price":"4,428.25","payer-specific negotiated charge":"2,029.80","de-identified minimum negotiated charge":"2,029.80","de-identified maximum negotiated charge":"5,442.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"36.3","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"CIGNA HMO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"700.87","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"MEDICARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"78.72","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"BC HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"50.79","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"27.61","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"244.23","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"59.36","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73706","code description":"CT ANGIO LWR EXTR W/O\u0026W/DYE","payer":"UHC HMO","gross charge":"3,731.33","discounted cash price":"932.83","payer-specific negotiated charge":"735.31","de-identified minimum negotiated charge":"158.88","de-identified maximum negotiated charge":"735.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"PEACHSTATE-CENTENE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"284.44","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"AMBETTER","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"263.76","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9963","code description":"HOCM 350-399MG/ML IODINE,1ML","payer":"AMBETTER","gross charge":"4.33","discounted cash price":"1.08","payer-specific negotiated charge":"1.37","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"1.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27369","code description":"NJX CNTRST KNE ARTHG/CT/MRI","payer":"UHC MCARE","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"133.05","de-identified minimum negotiated charge":"133.05","de-identified maximum negotiated charge":"627.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73580","code description":"CONTRAST X-RAY OF KNEE JOINT","payer":"UHC MCARE","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"81.15","de-identified minimum negotiated charge":"81.15","de-identified maximum negotiated charge":"555.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"UHC MCARE","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"737.49","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"23.78","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"33.07","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"5.12","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"325.39","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.55","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"2.67","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.21","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.08","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"AMBETTER","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"946.38","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"AETNA HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"34.4","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"337.69","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.37","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70110","code description":"X-RAY EXAM OF JAW 4/\u003e VIEWS","payer":"AETNA HMO","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"312.08","de-identified minimum negotiated charge":"102.26","de-identified maximum negotiated charge":"529.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"PEACHSTATE-CENTENE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"4.73","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"UHC MCARE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"15.58","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2001","code description":"LIDOCAINE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"2.14","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"3.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84681","code description":"ASSAY OF C-PEPTIDE","payer":"UHC MCARE","gross charge":"44","discounted cash price":"11","payer-specific negotiated charge":"1.29","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"2.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"AETNA PPO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"38.1","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"BC HMO","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"2,608.47","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"CARESOURCE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"5.57","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90834","code description":"PSYTX W PT 45 MINUTES","payer":"AMERIGROUP","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"118.66","de-identified minimum negotiated charge":"118.66","de-identified maximum negotiated charge":"118.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82810","code description":"BLOOD GASES O2 SAT ONLY","payer":"AMBETTER","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"81.54","de-identified minimum negotiated charge":"19.1","de-identified maximum negotiated charge":"81.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"AETNA PPO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,269.17","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"AETNA HMO","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"112.08","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"PHCS","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"168.75","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"PHCS","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"145.5","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9250","code description":"ARTISS FIBRIN SEALANT","payer":"CIGNA PPO","gross charge":"787","discounted cash price":"196.75","payer-specific negotiated charge":"228.46","de-identified minimum negotiated charge":"54.27","de-identified maximum negotiated charge":"264.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"CIGNA PPO","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.66","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"CIGNA PPO","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"156.17","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"CIGNA PPO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"62.01","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CIGNA PPO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"67.11","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"CIGNA PPO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"51.27","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CIGNA PPO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"112.82","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"CIGNA PPO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"148.78","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"CIGNA PPO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"70.93","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"CIGNA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"33.18","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"BC HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"16","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"263.44","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"BC PPO","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"236.39","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2597","code description":"INJ DESMOPRESSIN ACETATE","payer":"BC PPO","gross charge":"82.5","discounted cash price":"20.63","payer-specific negotiated charge":"30.36","de-identified minimum negotiated charge":"30.36","de-identified maximum negotiated charge":"30.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"UHC HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"299.77","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"AETNA HMO","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"1,215.20","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"57.68","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"CARESOURCE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.15","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"KAISER","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"148.48","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"KAISER","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"11.23","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"KAISER","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"37.9","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"KAISER","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"28.37","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"MEDICAID","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"198.66","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"MEDICAID","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"44.01","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"CHAMPUS TRICARE","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"130.41","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CLOVER HEALTH","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"82.2","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"MULTI-PLAN","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"238","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"57.97","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"242.31","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78018","code description":"THYROID MET IMAGING BODY","payer":"MEDICARE","gross charge":"2,505.00","discounted cash price":"626.25","payer-specific negotiated charge":"481.37","de-identified minimum negotiated charge":"481.37","de-identified maximum negotiated charge":"1,591.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85044","code description":"MANUAL RETICULOCYTE COUNT","payer":"MEDICAID","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"27.38","de-identified minimum negotiated charge":"27.38","de-identified maximum negotiated charge":"41.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"181.58","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"20.02","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"5.26","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"15.27","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"97.22","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"45.49","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7507","code description":"TACROLIMUS IMME REL ORAL 1MG","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"6.58","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"7.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"BC HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"23.62","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"BC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"63.83","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8610","code description":"METHOTREXATE ORAL 2.5 MG","payer":"AETNA HMO","gross charge":"16.5","discounted cash price":"4.13","payer-specific negotiated charge":"4.29","de-identified minimum negotiated charge":"1.04","de-identified maximum negotiated charge":"4.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"AMERIGROUP","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"5.92","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"AETNA PPO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"192.84","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AETNA PPO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"185.33","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86161","code description":"COMPLEMENT/FUNCTION ACTIVITY","payer":"UHC HMO","gross charge":"158","discounted cash price":"39.5","payer-specific negotiated charge":"44.15","de-identified minimum negotiated charge":"13.48","de-identified maximum negotiated charge":"94.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"35.27","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"HUMANA HMO","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"533.81","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MEDICAID","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.04","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"MEDICAID","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"312.54","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"CARESOURCE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"102.31","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"CARESOURCE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"113.9","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"KAISER","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"97.4","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"KAISER","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.83","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"FIRST HLTH NTWK","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"36","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"148.41","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"43.56","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"BCBS SMARTVALUE PFFS","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"35.02","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BCBS SMARTVALUE PFFS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"97.98","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50690","code description":"INJECTION FOR URETER X-RAY","payer":"BC HMO","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"883.96","de-identified minimum negotiated charge":"883.96","de-identified maximum negotiated charge":"883.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"AETNA HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"39.36","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4148","code description":"NEOX NEOX RT OR CLARIX CORD","payer":"BC PPO","gross charge":"617","discounted cash price":"154.25","payer-specific negotiated charge":"460.49","de-identified minimum negotiated charge":"460.49","de-identified maximum negotiated charge":"460.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"71.95","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"CARESOURCE","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"358.53","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"UHC HMO","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"509.78","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"UHC HMO","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"12.68","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"UHC HMO","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"60.29","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"138.82","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95861","code description":"MUSCLE TEST 2 LIMBS","payer":"MEDICARE","gross charge":"945","discounted cash price":"236.25","payer-specific negotiated charge":"113.15","de-identified minimum negotiated charge":"113.15","de-identified maximum negotiated charge":"386.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"MEDICARE","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"409.74","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95939","code description":"C MOTOR EVOKED UPR\u0026LWR LIMBS","payer":"MEDICARE","gross charge":"1,472.00","discounted cash price":"368","payer-specific negotiated charge":"167.87","de-identified minimum negotiated charge":"167.87","de-identified maximum negotiated charge":"612.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"MEDICARE","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"32.57","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CLOVER HEALTH","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"118.45","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CLOVER HEALTH","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"173.18","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CLOVER HEALTH","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"66.63","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CLOVER HEALTH","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.77","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"CHAMPUS TRICARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"1,073.60","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36584","code description":"COMPL RPLCMT PICC RS\u0026I","payer":"AMBETTER","gross charge":"4,657.00","discounted cash price":"1,164.25","payer-specific negotiated charge":"971.62","de-identified minimum negotiated charge":"971.62","de-identified maximum negotiated charge":"4,657.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78451","code description":"HT MUSCLE IMAGE SPECT SING","payer":"BC PPO","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"1,166.85","de-identified minimum negotiated charge":"458.86","de-identified maximum negotiated charge":"1,166.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"CHAMPUS TRICARE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.82","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"HUMANA HMO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,091.46","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"63.66","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"KAISER","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"30.73","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"22.72","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2354","code description":"OCTREOTIDE INJ, NON-DEPOT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"18","discounted cash price":"4.5","payer-specific negotiated charge":"0.77","de-identified minimum negotiated charge":"0.77","de-identified maximum negotiated charge":"3.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"BC PPO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"14.36","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0878","code description":"DAPTOMYCIN INJECTION","payer":"BC HMO","gross charge":"4.65","discounted cash price":"1.16","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"0.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"UHC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"37.2","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"UHC PPO","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.14","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"UHC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"0.72","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"159.21","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"BC HMO","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"24.82","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CARESOURCE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"3.27","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86905","code description":"BLOOD TYPING RBC ANTIGENS","payer":"AETNA HMO","gross charge":"354","discounted cash price":"88.5","payer-specific negotiated charge":"69.22","de-identified minimum negotiated charge":"69.22","de-identified maximum negotiated charge":"122.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"BC PPO","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"2,524.91","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"KAISER MCARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"180.22","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36247","code description":"INS CATH ABD/L-EXT ART 3RD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,681.00","discounted cash price":"1,170.25","payer-specific negotiated charge":"542.96","de-identified minimum negotiated charge":"542.96","de-identified maximum negotiated charge":"1,962.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36248","code description":"INS CATH ABD/L-EXT ART ADDL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"734","discounted cash price":"183.5","payer-specific negotiated charge":"89.4","de-identified minimum negotiated charge":"89.4","de-identified maximum negotiated charge":"89.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37243","code description":"VASC EMBOLIZE/OCCLUDE ORGAN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"41,488.00","discounted cash price":"10,372.00","payer-specific negotiated charge":"4,812.35","de-identified minimum negotiated charge":"4,812.35","de-identified maximum negotiated charge":"17,389.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75726","code description":"ARTERY X-RAYS ABDOMEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"10,686.00","discounted cash price":"2,671.50","payer-specific negotiated charge":"1,301.50","de-identified minimum negotiated charge":"1,301.50","de-identified maximum negotiated charge":"2,556.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75774","code description":"ARTERY X-RAY EACH VESSEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,166.00","discounted cash price":"791.5","payer-specific negotiated charge":"385.6","de-identified minimum negotiated charge":"385.6","de-identified maximum negotiated charge":"385.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1760","code description":"CLOSURE DEV, VASC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,338.00","discounted cash price":"334.5","payer-specific negotiated charge":"162.96","de-identified minimum negotiated charge":"162.96","de-identified maximum negotiated charge":"552.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9000","code description":"DOXORUBICIN HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"274.7","discounted cash price":"68.68","payer-specific negotiated charge":"23.56","de-identified minimum negotiated charge":"23.56","de-identified maximum negotiated charge":"23.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"PHCS","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"3,837.75","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"PEACHSTATE-CENTENE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"58.23","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88314","code description":"HISTOCHEMICAL STAINS ADD-ON","payer":"PEACHSTATE-CENTENE","gross charge":"362","discounted cash price":"90.5","payer-specific negotiated charge":"47.02","de-identified minimum negotiated charge":"29","de-identified maximum negotiated charge":"77.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88319","code description":"ENZYME HISTOCHEMISTRY","payer":"PEACHSTATE-CENTENE","gross charge":"571","discounted cash price":"142.75","payer-specific negotiated charge":"77.82","de-identified minimum negotiated charge":"77.82","de-identified maximum negotiated charge":"127.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"AETNA PPO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"450","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"618.79","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"39.02","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"8.85","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"64.43","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3430","code description":"VITAMIN K PHYTONADIONE INJ","payer":"UHC HMO","gross charge":"29.25","discounted cash price":"7.31","payer-specific negotiated charge":"6.93","de-identified minimum negotiated charge":"2","de-identified maximum negotiated charge":"11.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"KAISER MCARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"5.16","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"FIRST HLTH NTWK","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"5,316.65","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"FIRST HLTH NTWK","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"692.98","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"FIRST HLTH NTWK","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"475.66","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71110","code description":"X-RAY EXAM RIBS BIL 3 VIEWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"645","discounted cash price":"161.25","payer-specific negotiated charge":"112.62","de-identified minimum negotiated charge":"33.33","de-identified maximum negotiated charge":"112.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78451","code description":"HT MUSCLE IMAGE SPECT SING","payer":"AETNA HMO","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"589.96","de-identified minimum negotiated charge":"458.86","de-identified maximum negotiated charge":"1,166.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"HUMANA HMO","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"11.85","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76380","code description":"CAT SCAN FOLLOW-UP STUDY","payer":"CHAMPUS TRICARE","gross charge":"1,764.00","discounted cash price":"441","payer-specific negotiated charge":"135.59","de-identified minimum negotiated charge":"46.08","de-identified maximum negotiated charge":"1,477.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"AETNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"135.16","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"154.53","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"BC HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"240","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7518","code description":"MYCOPHENOLIC ACID","payer":"MEDICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.77","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"1.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"CARESOURCE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"200.85","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"PHCS","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"953.25","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82610","code description":"CYSTATIN C","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"5.11","de-identified minimum negotiated charge":"5.11","de-identified maximum negotiated charge":"5.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81241","code description":"F5 GENE","payer":"MEDICAID","gross charge":"1,298.00","discounted cash price":"324.5","payer-specific negotiated charge":"99.48","de-identified minimum negotiated charge":"49.43","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85303","code description":"CLOT INHIBIT PROT C ACTIVITY","payer":"MEDICAID","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"87.97","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"227.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"MEDICAID","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"6.76","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93351","code description":"STRESS TTE COMPLETE","payer":"MEDICARE","gross charge":"2,281.00","discounted cash price":"570.25","payer-specific negotiated charge":"350.62","de-identified minimum negotiated charge":"350.62","de-identified maximum negotiated charge":"1,489.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1250","code description":"INJ DOBUTAMINE HCL/250 MG","payer":"MEDICARE","gross charge":"176","discounted cash price":"44","payer-specific negotiated charge":"31.21","de-identified minimum negotiated charge":"24.28","de-identified maximum negotiated charge":"105.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AETNA PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"556.82","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"UHC HMO","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"51.32","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"CIGNA HMO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"551.02","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"UHC HMO","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"2,065.00","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"PEACHSTATE-CENTENE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"153.03","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"87.34","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"MEDICAID","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"640.88","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"CIGNA PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,366.00","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"UHC MCARE","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"90.52","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"UHC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"4.62","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"BC PPO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"412.37","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"312.25","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"KAISER MCARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"43.78","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"KAISER MCARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"47.11","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"KAISER MCARE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"9.1","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"KAISER MCARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"22.34","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"KAISER MCARE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"4.75","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"KAISER MCARE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"11.73","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"MEDICARE","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"111.84","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"74.99","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"33.61","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"68.19","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"31.61","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"BC PPO","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"744.02","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"110.04","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82955","code description":"ASSAY OF G6PD ENZYME","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"58","discounted cash price":"14.5","payer-specific negotiated charge":"8.84","de-identified minimum negotiated charge":"8.84","de-identified maximum negotiated charge":"8.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"CIGNA HMO","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"606.43","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"AETNA HMO","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"25.52","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"UHC HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"162.57","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97760","code description":"ORTHOTIC MGMT\u0026TRAING 1ST ENC","payer":"MEDICAID","gross charge":"212","discounted cash price":"53","payer-specific negotiated charge":"38.78","de-identified minimum negotiated charge":"38.78","de-identified maximum negotiated charge":"38.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"CARESOURCE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"100.03","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"CARESOURCE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"29.16","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"CARESOURCE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"39.01","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74021","code description":"X-RAY EXAM ABDOMEN 3+ VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"730","discounted cash price":"182.5","payer-specific negotiated charge":"117.2","de-identified minimum negotiated charge":"117.2","de-identified maximum negotiated charge":"117.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"KAISER SELF-FUNDED","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"28.55","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"KAISER SELF-FUNDED","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.33","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"8.76","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"CIGNA HMO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"750.39","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"CIGNA HMO","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"19.21","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82810","code description":"BLOOD GASES O2 SAT ONLY","payer":"CIGNA HMO","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"19.1","de-identified minimum negotiated charge":"19.1","de-identified maximum negotiated charge":"81.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"CIGNA HMO","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"118.75","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85300","code description":"ANTITHROMBIN III ACTIVITY","payer":"BC PPO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"40.23","de-identified minimum negotiated charge":"14.81","de-identified maximum negotiated charge":"40.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85306","code description":"CLOT INHIBIT PROT S FREE","payer":"BC PPO","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"238.64","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"238.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85597","code description":"PHOSPHOLIPID PLTLT NEUTRALIZ","payer":"BC PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.85","de-identified minimum negotiated charge":"8.75","de-identified maximum negotiated charge":"9.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86146","code description":"BETA-2 GLYCOPROTEIN ANTIBODY","payer":"BC PPO","gross charge":"138.2","discounted cash price":"34.55","payer-specific negotiated charge":"26.49","de-identified minimum negotiated charge":"9.77","de-identified maximum negotiated charge":"26.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86148","code description":"ANTI-PHOSPHOLIPID ANTIBODY","payer":"BC PPO","gross charge":"100","discounted cash price":"25","payer-specific negotiated charge":"20.74","de-identified minimum negotiated charge":"7.65","de-identified maximum negotiated charge":"20.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"BCBS SMARTVALUE PFFS","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"15.72","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"2.45","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"HUMANA HMO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"172.39","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"HUMANA HMO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"1,965.49","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"BCBS SMARTVALUE PFFS","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.04","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"5.68","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"10.51","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"BCBS SMARTVALUE PFFS","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"40.24","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"61.54","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BCBS SMARTVALUE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.33","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"AETNA HMO","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"647.5","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.23","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"CARESOURCE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"133.7","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"CARESOURCE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"10.93","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94003","code description":"VENT MGMT INPAT SUBQ DAY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,188.00","discounted cash price":"547","payer-specific negotiated charge":"175.83","de-identified minimum negotiated charge":"175.83","de-identified maximum negotiated charge":"175.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78832","code description":"RP LOCLZJ TUM SPECT W/CT 2","payer":"AETNA HMO","gross charge":"5,059.00","discounted cash price":"1,264.75","payer-specific negotiated charge":"1,938.08","de-identified minimum negotiated charge":"819.94","de-identified maximum negotiated charge":"2,119.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9569","code description":"TECHNETIUM TC-99M AUTO WBC","payer":"AETNA HMO","gross charge":"2,608.00","discounted cash price":"652","payer-specific negotiated charge":"1,049.08","de-identified minimum negotiated charge":"1,049.08","de-identified maximum negotiated charge":"1,147.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"FIRST HLTH NTWK","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.94","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93925","code description":"LOWER EXTREMITY STUDY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,052.00","discounted cash price":"513","payer-specific negotiated charge":"139.14","de-identified minimum negotiated charge":"139.14","de-identified maximum negotiated charge":"206.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"HUMANA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"339.41","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"AETNA PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"8.73","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"WELLCARE MCARE MGD CARE","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"29.12","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"WELLCARE MCARE MGD CARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"20.18","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"PHCS","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"4,983.00","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"UHC MCARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"17.65","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"MULTI-PLAN","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"238.87","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"MULTI-PLAN","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"2,497.81","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"MULTI-PLAN","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"8.03","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"AETNA PPO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"240.78","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"AETNA HMO","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"155.22","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"CIGNA HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"254.05","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78598","code description":"LUNG PERF\u0026VENTILAT DIFERENTL","payer":"UHC MCARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"252.9","de-identified minimum negotiated charge":"252.9","de-identified maximum negotiated charge":"919.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"PEACHSTATE-CENTENE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"44.24","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"AETNA HMO","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"98.87","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CARESOURCE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"38.23","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94375","code description":"RESPIRATORY FLOW VOLUME LOOP","payer":"CIGNA HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"155.7","de-identified minimum negotiated charge":"155.7","de-identified maximum negotiated charge":"155.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"UHC HMO","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"391.92","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96146","code description":"PSYCL/NRPSYC TST AUTO RESULT","payer":"AMERIGROUP","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"12.3","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"12.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AMERIGROUP","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"29.49","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50433","code description":"PLMT NEPHROURETERAL CATHETER","payer":"MEDICARE","gross charge":"6,479.60","discounted cash price":"1,619.90","payer-specific negotiated charge":"808.26","de-identified minimum negotiated charge":"808.26","de-identified maximum negotiated charge":"2,601.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"BC PPO","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"890.6","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"UHC HMO","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"307.22","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"UHC HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"132.01","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"UHC HMO","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"1,546.23","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"MEDICAID","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"52.44","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"172.9","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"227.79","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"AETNA PPO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"366.42","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"AMERIGROUP","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"6.28","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"CARESOURCE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"833.69","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"CARESOURCE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"469.85","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"CARESOURCE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"64.29","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CARESOURCE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"35.28","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"UHC MCARE","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"177.09","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"CARESOURCE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,061.51","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"CARESOURCE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"55.75","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"CARESOURCE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"38.75","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83020","code description":"HEMOGLOBIN ELECTROPHORESIS","payer":"CARESOURCE","gross charge":"90","discounted cash price":"22.5","payer-specific negotiated charge":"13.62","de-identified minimum negotiated charge":"13.62","de-identified maximum negotiated charge":"106.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96130","code description":"PSYCL TST EVAL PHYS/QHP 1ST","payer":"BC PPO","gross charge":"449","discounted cash price":"112.25","payer-specific negotiated charge":"345.73","de-identified minimum negotiated charge":"345.73","de-identified maximum negotiated charge":"345.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"PEACHSTATE-CENTENE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"94.87","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"KAISER","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"2,139.29","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"KAISER","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,205.66","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"KAISER","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"65.73","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"KAISER","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"164.96","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"KAISER","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"90.53","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"369.94","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.57","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74220","code description":"X-RAY XM ESOPHAGUS 1CNTRST","payer":"BC PPO","gross charge":"718","discounted cash price":"179.5","payer-specific negotiated charge":"472.88","de-identified minimum negotiated charge":"472.88","de-identified maximum negotiated charge":"472.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"AETNA HMO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"58.95","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7131","code description":"HYPERTONIC SALINE SOL","payer":"AETNA HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"41.55","de-identified minimum negotiated charge":"0.07","de-identified maximum negotiated charge":"41.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"AMERIGROUP","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"843.65","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3415","code description":"PYRIDOXINE HCL 100 MG","payer":"PEACHSTATE-CENTENE","gross charge":"104.5","discounted cash price":"26.13","payer-specific negotiated charge":"15.28","de-identified minimum negotiated charge":"10.57","de-identified maximum negotiated charge":"15.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"AMERIGROUP","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"33.93","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"AMERIGROUP","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"38.65","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"KAISER SELF-FUNDED","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"893.93","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"KAISER SELF-FUNDED","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"116.52","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"KAISER SELF-FUNDED","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"338.76","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"KAISER SELF-FUNDED","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"7.87","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"KAISER SELF-FUNDED","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"79.98","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"964.1","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"BC PPO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"16.32","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"325.6","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"UHC HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"311.15","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"CIGNA HMO","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"47.71","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50433","code description":"PLMT NEPHROURETERAL CATHETER","payer":"AMBETTER","gross charge":"6,479.60","discounted cash price":"1,619.90","payer-specific negotiated charge":"2,601.67","de-identified minimum negotiated charge":"808.26","de-identified maximum negotiated charge":"2,601.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"CIGNA HMO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"1,336.51","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88321","code description":"MICROSLIDE CONSULTATION","payer":"MEDICARE","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"72.63","de-identified minimum negotiated charge":"54.43","de-identified maximum negotiated charge":"298.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36246","code description":"INS CATH ABD/L-EXT ART 2ND","payer":"UHC HMO","gross charge":"3,773.00","discounted cash price":"943.25","payer-specific negotiated charge":"246.42","de-identified minimum negotiated charge":"246.42","de-identified maximum negotiated charge":"246.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"KAISER","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"18.82","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"85.27","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"AETNA HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"256.17","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36581","code description":"REPLACE TUNNELED CV CATH","payer":"MEDICAID","gross charge":"6,552.50","discounted cash price":"1,638.13","payer-specific negotiated charge":"939.39","de-identified minimum negotiated charge":"517.83","de-identified maximum negotiated charge":"939.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73223","code description":"MRI JOINT UPR EXTR W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"343.01","de-identified minimum negotiated charge":"337.29","de-identified maximum negotiated charge":"351.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32552","code description":"REMOVE LUNG CATHETER","payer":"BC HMO","gross charge":"1,696.00","discounted cash price":"424","payer-specific negotiated charge":"1,696.00","de-identified minimum negotiated charge":"264.71","de-identified maximum negotiated charge":"1,696.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49450","code description":"REPLACE G/C TUBE PERC","payer":"AETNA HMO","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"1,180.34","de-identified minimum negotiated charge":"88.75","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49451","code description":"REPLACE DUOD/JEJ TUBE PERC","payer":"AETNA HMO","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"1,180.34","de-identified minimum negotiated charge":"108.98","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,612.20","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"BC PPO","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"212.52","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"BC PPO","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"107.03","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"KAISER","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"102.23","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.99","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"MEDICAID","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"31.38","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.33","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"CHAMPUS TRICARE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"UHC HMO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"443.7","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83874","code description":"ASSAY OF MYOGLOBIN","payer":"HUMANA HMO","gross charge":"221","discounted cash price":"55.25","payer-specific negotiated charge":"24.53","de-identified minimum negotiated charge":"24.53","de-identified maximum negotiated charge":"39.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"PEACHSTATE-CENTENE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"137.38","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80162","code description":"ASSAY OF DIGOXIN TOTAL","payer":"AETNA MCARE MGD CARE","gross charge":"426.5","discounted cash price":"106.63","payer-specific negotiated charge":"16.04","de-identified minimum negotiated charge":"16.04","de-identified maximum negotiated charge":"152.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"AMERIGROUP","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"223.17","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"BC HMO","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"65.38","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74283","code description":"THER NMA RDCTJ INTUS/OBSTRCJ","payer":"AETNA PPO","gross charge":"1,519.00","discounted cash price":"379.75","payer-specific negotiated charge":"897.14","de-identified minimum negotiated charge":"115.75","de-identified maximum negotiated charge":"897.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"AETNA PPO","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.41","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93925","code description":"LOWER EXTREMITY STUDY","payer":"MEDICARE","gross charge":"2,052.00","discounted cash price":"513","payer-specific negotiated charge":"175.13","de-identified minimum negotiated charge":"139.14","de-identified maximum negotiated charge":"206.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"AETNA HMO","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"448","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"5.43","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80185","code description":"ASSAY OF PHENYTOIN TOTAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"367","discounted cash price":"91.75","payer-specific negotiated charge":"12.82","de-identified minimum negotiated charge":"12.82","de-identified maximum negotiated charge":"165.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"CARESOURCE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CIGNA PPO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"72.36","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.19","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"31.52","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1755","code description":"CATHETER, INTRASPINAL","payer":"MEDICARE","gross charge":"3,419.00","discounted cash price":"854.75","payer-specific negotiated charge":"980.57","de-identified minimum negotiated charge":"980.57","de-identified maximum negotiated charge":"980.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1772","code description":"INFUSION PUMP, PROGRAMMABLE","payer":"MEDICARE","gross charge":"39,646.50","discounted cash price":"9,911.63","payer-specific negotiated charge":"8,671.72","de-identified minimum negotiated charge":"5,979.91","de-identified maximum negotiated charge":"8,671.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"AMERIGROUP","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"392.19","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"AMERIGROUP","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"141.22","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"AMERIGROUP","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"89.96","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"UHC PPO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.48","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"CIGNA HMO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"117.27","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"CIGNA HMO","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"288.83","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CLOVER HEALTH","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.26","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CLOVER HEALTH","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"21.03","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88325","code description":"COMPREHENSIVE REVIEW OF DATA","payer":"CARESOURCE","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"99.57","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"827"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88365","code description":"INSITU HYBRIDIZATION (FISH)","payer":"CARESOURCE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"43.97","de-identified minimum negotiated charge":"33.78","de-identified maximum negotiated charge":"120.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"38.34","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9046","code description":"COCAINE HCL NASAL (GOPRELTO)","payer":"MEDICARE","gross charge":"7.99","discounted cash price":"2","payer-specific negotiated charge":"0.68","de-identified minimum negotiated charge":"0.68","de-identified maximum negotiated charge":"0.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"HUMANA HMO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"360.71","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93931","code description":"UPPER EXTREMITY STUDY","payer":"PEACHSTATE-CENTENE","gross charge":"1,328.00","discounted cash price":"332","payer-specific negotiated charge":"231.4","de-identified minimum negotiated charge":"106.43","de-identified maximum negotiated charge":"231.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"PHCS","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"19.31","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"54.65","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9280","code description":"MITOMYCIN INJECTION","payer":"UHC MCARE","gross charge":"893.5","discounted cash price":"223.38","payer-specific negotiated charge":"113.01","de-identified minimum negotiated charge":"113.01","de-identified maximum negotiated charge":"113.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"KAISER MCARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"387.15","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0132","code description":"ACETYLCYSTEINE INJECTION","payer":"MEDICAID","gross charge":"13.05","discounted cash price":"3.26","payer-specific negotiated charge":"1.87","de-identified minimum negotiated charge":"1.76","de-identified maximum negotiated charge":"1.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"CHAMPUS TRICARE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"720.39","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"CHAMPUS TRICARE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"632.63","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7100","code description":"DEXTRAN 40 INFUSION","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"101.89","de-identified minimum negotiated charge":"101.89","de-identified maximum negotiated charge":"101.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78832","code description":"RP LOCLZJ TUM SPECT W/CT 2","payer":"MEDICARE","gross charge":"5,059.00","discounted cash price":"1,264.75","payer-specific negotiated charge":"819.94","de-identified minimum negotiated charge":"819.94","de-identified maximum negotiated charge":"2,119.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9521","code description":"TC99M EXAMETAZIME","payer":"MEDICARE","gross charge":"3,780.00","discounted cash price":"945","payer-specific negotiated charge":"612.64","de-identified minimum negotiated charge":"612.64","de-identified maximum negotiated charge":"612.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93307","code description":"TTE W/O DOPPLER COMPLETE","payer":"UHC MCARE","gross charge":"1,919.00","discounted cash price":"479.75","payer-specific negotiated charge":"107.14","de-identified minimum negotiated charge":"107.14","de-identified maximum negotiated charge":"107.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"CIGNA HMO","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"1,659.25","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"CIGNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,366.00","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50432","code description":"PLMT NEPHROSTOMY CATHETER","payer":"BC HMO","gross charge":"6,542.00","discounted cash price":"1,635.50","payer-specific negotiated charge":"3,848.92","de-identified minimum negotiated charge":"860.64","de-identified maximum negotiated charge":"3,848.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"CARESOURCE","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"29.63","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"82.01","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"34.2","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"WELLCARE MCARE MGD CARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"34.2","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AETNA PPO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"85.14","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82040","code description":"ASSAY OF SERUM ALBUMIN","payer":"UHC MCARE","gross charge":"18.4","discounted cash price":"4.6","payer-specific negotiated charge":"1.08","de-identified minimum negotiated charge":"1.08","de-identified maximum negotiated charge":"2.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"CARESOURCE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"3.55","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"CIGNA PPO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"143.64","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0248","code description":"INJ, REMDESIVIR, 1 MG","payer":"AETNA MCARE MGD CARE","gross charge":"29.02","discounted cash price":"7.25","payer-specific negotiated charge":"4.39","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"4.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"MEDICAID","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"2.95","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"AETNA PPO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"533.05","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"CIGNA HMO","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"88.63","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87880","code description":"STREP A ASSAY W/OPTIC","payer":"AMBETTER","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"11.26","de-identified minimum negotiated charge":"11.26","de-identified maximum negotiated charge":"19.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80197","code description":"ASSAY OF TACROLIMUS","payer":"UHC MCARE","gross charge":"386.2","discounted cash price":"96.55","payer-specific negotiated charge":"61.9","de-identified minimum negotiated charge":"61.9","de-identified maximum negotiated charge":"254.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"UHC MCARE","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"21.35","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"UHC MCARE","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"9.11","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"UHC MCARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"7.37","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81305","code description":"MYD88 GENE P.LEU265PRO VRNT","payer":"BC HMO","gross charge":"497","discounted cash price":"124.25","payer-specific negotiated charge":"131.73","de-identified minimum negotiated charge":"39.78","de-identified maximum negotiated charge":"131.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"BC HMO","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"247.24","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"BC HMO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"277.21","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"BC HMO","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"121.3","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"BC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"117.56","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"BC HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"91.7","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,150.77","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"46.1","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"AMERIGROUP","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"137.42","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"AMERIGROUP","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"54.18","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"AMERIGROUP","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"110.56","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CLOVER HEALTH","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"28.95","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CLOVER HEALTH","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"103.08","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"CARESOURCE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"88.49","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"BC PPO","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"1,197.35","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"CHAMPUS TRICARE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"82.07","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"CHAMPUS TRICARE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"233.96","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"MULTI-PLAN","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"3,000.49","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"MULTI-PLAN","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"4,652.05","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"MULTI-PLAN","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"4,349.46","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"MULTI-PLAN","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"2,963.09","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"MULTI-PLAN","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"68.85","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"CARESOURCE","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"20.55","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"CARESOURCE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"17.11","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"CARESOURCE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"10.47","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"CARESOURCE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"17.11","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"AETNA PPO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"433","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"PHCS","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"290.25","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1120","code description":"ACETAZOLAMID SODIUM INJECTIO","payer":"HUMANA HMO","gross charge":"266.5","discounted cash price":"66.63","payer-specific negotiated charge":"17.4","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"83.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CLOVER HEALTH","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"2.83","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CLOVER HEALTH","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.21","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CLOVER HEALTH","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"9.02","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"CLOVER HEALTH","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"12.34","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"UHC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,038.30","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"HUMANA HMO","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"901.93","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"UHC MCARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"84.33","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"110.65","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"AETNA HMO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"1,572.87","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74283","code description":"THER NMA RDCTJ INTUS/OBSTRCJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,519.00","discounted cash price":"379.75","payer-specific negotiated charge":"115.75","de-identified minimum negotiated charge":"115.75","de-identified maximum negotiated charge":"897.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.05","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81241","code description":"F5 GENE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,298.00","discounted cash price":"324.5","payer-specific negotiated charge":"49.43","de-identified minimum negotiated charge":"49.43","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85303","code description":"CLOT INHIBIT PROT C ACTIVITY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"43.71","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"227.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85306","code description":"CLOT INHIBIT PROT S FREE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"43.71","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"238.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"PHCS","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,021.79","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"PHCS","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"244.79","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2618","code description":"PROBE/NEEDLE, CRYO","payer":"UHC HMO","gross charge":"5,316.00","discounted cash price":"1,329.00","payer-specific negotiated charge":"1,725.15","de-identified minimum negotiated charge":"1,725.15","de-identified maximum negotiated charge":"1,725.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"AETNA HMO","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"26.29","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"AETNA HMO","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"34.95","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94668","code description":"CHEST WALL MANIPULATION","payer":"AETNA HMO","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"28.38","de-identified minimum negotiated charge":"14.5","de-identified maximum negotiated charge":"56.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9059","code description":"PLASMA, FRZ BETWEEN 8-24HOUR","payer":"UHC MCARE","gross charge":"331","discounted cash price":"82.75","payer-specific negotiated charge":"31.82","de-identified minimum negotiated charge":"31.82","de-identified maximum negotiated charge":"95.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2596","code description":"PROBE, ROBOTIC, WATER-JET","payer":"MEDICARE","gross charge":"17,713.00","discounted cash price":"4,428.25","payer-specific negotiated charge":"3,608.48","de-identified minimum negotiated charge":"2,029.80","de-identified maximum negotiated charge":"5,442.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"AETNA MCARE MGD CARE","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"16.06","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84244","code description":"ASSAY OF RENIN","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"28.56","de-identified minimum negotiated charge":"15.07","de-identified maximum negotiated charge":"48.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86332","code description":"IMMUNE COMPLEX ASSAY","payer":"HUMANA HMO","gross charge":"60","discounted cash price":"15","payer-specific negotiated charge":"12.28","de-identified minimum negotiated charge":"12.28","de-identified maximum negotiated charge":"12.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"364.73","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"UHC HMO","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"248.4","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CLOVER HEALTH","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"54.65","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"KAISER","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"31.99","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"CARESOURCE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"1,229.45","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"CARESOURCE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"1,074.56","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"HUMANA HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"145.58","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"MEDICARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"76.97","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"CARESOURCE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"271.28","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"CARESOURCE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"49.76","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"CIGNA HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"35.28","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87517","code description":"HEPATITIS B DNA QUANT","payer":"CIGNA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"177.03","de-identified minimum negotiated charge":"21.25","de-identified maximum negotiated charge":"177.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"CIGNA HMO","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"190.26","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"UHC HMO","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"805.98","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"55.87","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2787","code description":"ASTIGMATISM-CORRECT FUNCTION","payer":"BC HMO","gross charge":"2,880.00","discounted cash price":"720","payer-specific negotiated charge":"1,353.64","de-identified minimum negotiated charge":"1,353.64","de-identified maximum negotiated charge":"1,353.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"AMBETTER","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"150.11","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"CARESOURCE","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"147.69","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84450","code description":"TRANSFERASE (AST) (SGOT)","payer":"HUMANA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"28.36","de-identified minimum negotiated charge":"2.97","de-identified maximum negotiated charge":"28.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84460","code description":"ALANINE AMINO (ALT) (SGPT)","payer":"HUMANA HMO","gross charge":"67.5","discounted cash price":"16.88","payer-specific negotiated charge":"26.69","de-identified minimum negotiated charge":"2.8","de-identified maximum negotiated charge":"26.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72200","code description":"X-RAY EXAM SI JOINTS","payer":"PHCS","gross charge":"439","discounted cash price":"109.75","payer-specific negotiated charge":"329.25","de-identified minimum negotiated charge":"276.57","de-identified maximum negotiated charge":"329.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"BC HMO","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"418","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"CLOVER HEALTH","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"111.08","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"AMERIGROUP","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"72.39","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84446","code description":"ASSAY OF VITAMIN E","payer":"HUMANA HMO","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"37.04","de-identified minimum negotiated charge":"1.83","de-identified maximum negotiated charge":"37.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82310","code description":"ASSAY OF CALCIUM","payer":"UHC HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"26.78","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"28.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78451","code description":"HT MUSCLE IMAGE SPECT SING","payer":"UHC MCARE","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"458.86","de-identified minimum negotiated charge":"458.86","de-identified maximum negotiated charge":"1,166.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"PEACHSTATE-CENTENE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"82.32","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BC PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"674.02","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"153.18","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"UHC HMO","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"617.58","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"CLOVER HEALTH","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"128.74","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"CLOVER HEALTH","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"199.61","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CLOVER HEALTH","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.36","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"79.87","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93925","code description":"LOWER EXTREMITY STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,052.00","discounted cash price":"513","payer-specific negotiated charge":"206.88","de-identified minimum negotiated charge":"139.14","de-identified maximum negotiated charge":"206.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"348.32","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36247","code description":"INS CATH ABD/L-EXT ART 3RD","payer":"BC PPO","gross charge":"4,681.00","discounted cash price":"1,170.25","payer-specific negotiated charge":"1,962.05","de-identified minimum negotiated charge":"542.96","de-identified maximum negotiated charge":"1,962.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37243","code description":"VASC EMBOLIZE/OCCLUDE ORGAN","payer":"BC PPO","gross charge":"41,488.00","discounted cash price":"10,372.00","payer-specific negotiated charge":"17,389.84","de-identified minimum negotiated charge":"4,812.35","de-identified maximum negotiated charge":"17,389.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"BC PPO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"353.73","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"FIRST HLTH NTWK","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"102","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74415","code description":"UROGRAPHY NFS DRIP\u0026/BLS W/NF","payer":"UHC HMO","gross charge":"2,053.00","discounted cash price":"513.25","payer-specific negotiated charge":"1,382.18","de-identified minimum negotiated charge":"451.3","de-identified maximum negotiated charge":"1,382.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80051","code description":"ELECTROLYTE PANEL","payer":"AETNA HMO","gross charge":"71","discounted cash price":"17.75","payer-specific negotiated charge":"15.29","de-identified minimum negotiated charge":"8.34","de-identified maximum negotiated charge":"26.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"AETNA HMO","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"14.61","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"AETNA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"18.44","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"AETNA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"33.95","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77073","code description":"X-RAYS BONE LENGTH STUDIES","payer":"MEDICARE","gross charge":"586.5","discounted cash price":"146.63","payer-specific negotiated charge":"105.81","de-identified minimum negotiated charge":"104.63","de-identified maximum negotiated charge":"105.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"FIRST HLTH NTWK","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"153.6","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"FIRST HLTH NTWK","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"98.4","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"FIRST HLTH NTWK","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"145.2","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"AMBETTER","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"129.74","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"AMBETTER","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"54.19","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"92.9","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"KAISER SELF-FUNDED","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"243","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4140","code description":"BIODFENCE 1CM","payer":"MEDICARE","gross charge":"924","discounted cash price":"231","payer-specific negotiated charge":"88.36","de-identified minimum negotiated charge":"86.32","de-identified maximum negotiated charge":"266.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"AETNA MCARE MGD CARE","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"71.44","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"AETNA MCARE MGD CARE","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"340.43","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"BCBS SMARTVALUE PFFS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"2.14","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"16.18","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78472","code description":"GATED HEART PLANAR SINGLE","payer":"AETNA HMO","gross charge":"3,112.00","discounted cash price":"778","payer-specific negotiated charge":"1,771.74","de-identified minimum negotiated charge":"1,771.74","de-identified maximum negotiated charge":"1,771.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9560","code description":"TC99M LABELED RBC","payer":"AETNA HMO","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"161.49","de-identified minimum negotiated charge":"47.56","de-identified maximum negotiated charge":"161.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97129","code description":"THER IVNTJ 1ST 15 MIN","payer":"AETNA HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"117.18","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97130","code description":"THER IVNTJ EA ADDL 15 MIN","payer":"AETNA HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"117.18","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"16.39","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"FIRST HLTH NTWK","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,066.80","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"UHC MCARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"35.36","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"UHC MCARE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"70.78","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"51.02","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10160","code description":"PUNCTURE DRAINAGE OF LESION","payer":"MEDICARE","gross charge":"877","discounted cash price":"219.25","payer-specific negotiated charge":"90.91","de-identified minimum negotiated charge":"90.91","de-identified maximum negotiated charge":"790.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"KAISER SELF-FUNDED","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"401.7","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"KAISER","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"362.24","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"158.75","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"50.21","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1832","code description":"KO ADJ JNT POS R SUP PRE CST","payer":"CARESOURCE","gross charge":"1,281.00","discounted cash price":"320.25","payer-specific negotiated charge":"164.37","de-identified minimum negotiated charge":"164.37","de-identified maximum negotiated charge":"541.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"PHCS","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"5.75","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0161","code description":"CHLORPROMAZINE HCL 5MG ORAL","payer":"MEDICARE","gross charge":"13.75","discounted cash price":"3.44","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"0.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA PPO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"196.79","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"CIGNA PPO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"22.89","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"CIGNA PPO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"3,467.31","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"CIGNA PPO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"375.14","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"CIGNA PPO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"557.77","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"CIGNA PPO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"1,846.11","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"CIGNA PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"299.2","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"CIGNA HMO","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"149.31","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"CIGNA HMO","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"169.91","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AMBETTER","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"90","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"PHCS","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"121.5","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"PHCS","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"463.5","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"MEDICARE","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"109.06","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"KAISER MCARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.47","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"UHC PPO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"356.33","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"HUMANA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"71.51","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"PHCS","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"382.5","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80200","code description":"ASSAY OF TOBRAMYCIN","payer":"BC HMO","gross charge":"414","discounted cash price":"103.5","payer-specific negotiated charge":"25.62","de-identified minimum negotiated charge":"25.62","de-identified maximum negotiated charge":"25.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0164","code description":"PROCHLORPERAZINE MALEATE 5MG","payer":"MEDICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.65","de-identified minimum negotiated charge":"1.65","de-identified maximum negotiated charge":"25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"273.17","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"40.01","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"CIGNA HMO","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"7,341.58","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"AMERIGROUP","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"53.44","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"AMERIGROUP","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"4.18","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87804","code description":"INFLUENZA ASSAY W/OPTIC","payer":"PEACHSTATE-CENTENE","gross charge":"44","discounted cash price":"11","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"5.44","de-identified maximum negotiated charge":"32.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"UHC MCARE","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"7.66","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"UHC MCARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"5.64","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"MEDICAID","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"12.19","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"514.04","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"PHCS","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"267.75","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8659","code description":"INTERPHALANGEAL JOINT REPL","payer":"AETNA MCARE MGD CARE","gross charge":"7,580.00","discounted cash price":"1,895.00","payer-specific negotiated charge":"1,283.67","de-identified minimum negotiated charge":"1,142.75","de-identified maximum negotiated charge":"2,910.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"36.83","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"11.41","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.59","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3430","code description":"VITAMIN K PHYTONADIONE INJ","payer":"AMBETTER","gross charge":"29.25","discounted cash price":"7.31","payer-specific negotiated charge":"11.71","de-identified minimum negotiated charge":"2","de-identified maximum negotiated charge":"11.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7168","code description":"PROTHROMBIN COMPLEX KCENTRA","payer":"AMBETTER","gross charge":"13.49","discounted cash price":"3.37","payer-specific negotiated charge":"5.4","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"5.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87496","code description":"CYTOMEG DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"427","discounted cash price":"106.75","payer-specific negotiated charge":"269.01","de-identified minimum negotiated charge":"269.01","de-identified maximum negotiated charge":"269.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"AMBETTER","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"964.07","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CLOVER HEALTH","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"349.49","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"KAISER","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"25.44","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"KAISER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"9.76","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"KAISER","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"23.96","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"KAISER","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"7.98","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"MEDICARE","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71550","code description":"MRI CHEST W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"252.99","de-identified minimum negotiated charge":"226.34","de-identified maximum negotiated charge":"1,366.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9505","code description":"TL201 THALLIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"13.56","de-identified minimum negotiated charge":"13.56","de-identified maximum negotiated charge":"21.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81210","code description":"BRAF GENE","payer":"MEDICARE","gross charge":"753","discounted cash price":"188.25","payer-specific negotiated charge":"78.41","de-identified minimum negotiated charge":"78.41","de-identified maximum negotiated charge":"130.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81275","code description":"KRAS GENE VARIANTS EXON 2","payer":"MEDICARE","gross charge":"538","discounted cash price":"134.5","payer-specific negotiated charge":"56.02","de-identified minimum negotiated charge":"56.02","de-identified maximum negotiated charge":"56.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81276","code description":"KRAS GENE ADDL VARIANTS","payer":"MEDICARE","gross charge":"364","discounted cash price":"91","payer-specific negotiated charge":"37.9","de-identified minimum negotiated charge":"37.9","de-identified maximum negotiated charge":"37.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81311","code description":"NRAS GENE VARIANTS EXON 2\u00263","payer":"MEDICARE","gross charge":"270","discounted cash price":"67.5","payer-specific negotiated charge":"28.12","de-identified minimum negotiated charge":"28.12","de-identified maximum negotiated charge":"28.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"534.08","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73551","code description":"X-RAY EXAM OF FEMUR 1","payer":"CIGNA HMO","gross charge":"927","discounted cash price":"231.75","payer-specific negotiated charge":"271.94","de-identified minimum negotiated charge":"27.35","de-identified maximum negotiated charge":"271.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"CIGNA PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"44.97","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"7.25","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"AMBETTER","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"392","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70328","code description":"X-RAY EXAM OF JAW JOINT","payer":"AETNA MCARE MGD CARE","gross charge":"620","discounted cash price":"155","payer-specific negotiated charge":"37.69","de-identified minimum negotiated charge":"37.69","de-identified maximum negotiated charge":"37.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"MEDICARE","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.05","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"AETNA HMO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"613.88","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"BC PPO","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"21.21","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"KAISER","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"144.32","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"82.49","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88104","code description":"CYTOPATH FL NONGYN SMEARS","payer":"MEDICARE","gross charge":"396","discounted cash price":"99","payer-specific negotiated charge":"35.84","de-identified minimum negotiated charge":"35.84","de-identified maximum negotiated charge":"262.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72126","code description":"CT NECK SPINE W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,831.00","discounted cash price":"957.75","payer-specific negotiated charge":"660.51","de-identified minimum negotiated charge":"660.51","de-identified maximum negotiated charge":"660.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93930","code description":"UPPER EXTREMITY STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,695.00","discounted cash price":"423.75","payer-specific negotiated charge":"224.95","de-identified minimum negotiated charge":"224.95","de-identified maximum negotiated charge":"238.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9073","code description":"PLATELETS PHERESIS PATH REDU","payer":"AETNA HMO","gross charge":"3,788.00","discounted cash price":"947","payer-specific negotiated charge":"734.72","de-identified minimum negotiated charge":"355.11","de-identified maximum negotiated charge":"1,018.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"865.72","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"BCBS SMARTVALUE PFFS","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.7","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.23","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"BC HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"40.48","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"CARESOURCE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"28.22","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"CARESOURCE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"1.06","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78831","code description":"RP LOCLZJ TUM SPECT 2 AREAS","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,163.23","de-identified minimum negotiated charge":"776.87","de-identified maximum negotiated charge":"2,158.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0167","code description":"DRONABINOL 2.5MG ORAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"31","discounted cash price":"7.75","payer-specific negotiated charge":"0.93","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"2.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72194","code description":"CT PELVIS W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"4,739.00","discounted cash price":"1,184.75","payer-specific negotiated charge":"159.46","de-identified minimum negotiated charge":"159.46","de-identified maximum negotiated charge":"1,276.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7509","code description":"METHYLPREDNISOLONE ORAL","payer":"MEDICAID","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.66","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"4.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"KAISER MCARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"64.17","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"KAISER MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"21.12","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"KAISER MCARE","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"1.27","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"KAISER MCARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"2.17","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"760.36","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"153.85","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"88.18","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"BC PPO","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"414.2","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"AMERIGROUP","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,245.71","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"6.95","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"428.81","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"700.69","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86161","code description":"COMPLEMENT/FUNCTION ACTIVITY","payer":"HUMANA HMO","gross charge":"158","discounted cash price":"39.5","payer-specific negotiated charge":"33.45","de-identified minimum negotiated charge":"13.48","de-identified maximum negotiated charge":"94.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9059","code description":"PLASMA, FRZ BETWEEN 8-24HOUR","payer":"HUMANA HMO","gross charge":"331","discounted cash price":"82.75","payer-specific negotiated charge":"70.23","de-identified minimum negotiated charge":"31.82","de-identified maximum negotiated charge":"95.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"KAISER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"141.7","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"UHC MCARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"5.25","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"AMBETTER","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"406.51","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"MEDICAID","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"448.47","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"HUMANA HMO","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"1,048.10","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"CIGNA PPO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"753.48","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0636","code description":"INJ CALCITRIOL PER 0.1 MCG","payer":"MEDICAID","gross charge":"9.45","discounted cash price":"2.36","payer-specific negotiated charge":"1.53","de-identified minimum negotiated charge":"1.53","de-identified maximum negotiated charge":"1.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"76.33","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"KAISER MCARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"19.15","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"KAISER MCARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"5.99","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"KAISER MCARE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"20.07","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"KAISER MCARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"19.15","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"KAISER MCARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"19.15","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"KAISER MCARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"19.15","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2274","code description":"INJ MORPHINE PF EPID ITHC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"343.67","discounted cash price":"85.92","payer-specific negotiated charge":"37.29","de-identified minimum negotiated charge":"19.73","de-identified maximum negotiated charge":"156.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"KAISER","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"148.2","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0248","code description":"INJ, REMDESIVIR, 1 MG","payer":"UHC MCARE","gross charge":"29.02","discounted cash price":"7.25","payer-specific negotiated charge":"2.07","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"4.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"CIGNA HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"1,288.35","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"CIGNA HMO","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"622.44","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"AETNA PPO","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"104.16","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4140","code description":"BIODFENCE 1CM","payer":"BC PPO","gross charge":"924","discounted cash price":"231","payer-specific negotiated charge":"195.59","de-identified minimum negotiated charge":"86.32","de-identified maximum negotiated charge":"266.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"577.26","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,431.75","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AETNA MCARE PFFS","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"137.24","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AETNA MCARE PFFS","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"35.33","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"KAISER","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.26","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"CHAMPUS TRICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"12.83","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"CHAMPUS TRICARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"25.9","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"CHAMPUS TRICARE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"2.47","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9254","code description":"INJECTION, LACOSAMIDE","payer":"AMBETTER","gross charge":"2.28","discounted cash price":"0.57","payer-specific negotiated charge":"1.05","de-identified minimum negotiated charge":"0.39","de-identified maximum negotiated charge":"1.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"AETNA PPO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,015.33","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"AETNA PPO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"484.05","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88321","code description":"MICROSLIDE CONSULTATION","payer":"AETNA MCARE MGD CARE","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"54.43","de-identified minimum negotiated charge":"54.43","de-identified maximum negotiated charge":"298.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"78.93","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97166","code description":"OT EVAL MOD COMPLEX 45 MIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"98.08","de-identified minimum negotiated charge":"30.99","de-identified maximum negotiated charge":"401.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"UHC PPO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"4,779.43","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"UHC PPO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"418.07","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"UHC PPO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"621.82","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"UHC PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"409.41","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"UHC PPO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"67.28","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"UHC PPO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"2,068.23","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"UHC PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"219.13","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70210","code description":"X-RAY EXAM OF SINUSES","payer":"BCBS SMARTVALUE PFFS","gross charge":"561.5","discounted cash price":"140.38","payer-specific negotiated charge":"34.83","de-identified minimum negotiated charge":"34.83","de-identified maximum negotiated charge":"339.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"44.26","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"CARESOURCE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"16.21","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CHAMPUS TRICARE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"68.99","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"CIGNA HMO","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"1,537.41","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"PHCS","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"156","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"PHCS","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"163.5","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"PHCS","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"156","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"PHCS","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"156","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"32.54","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"MEDICAID","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"164.04","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"3.98","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0132","code description":"ACETYLCYSTEINE INJECTION","payer":"UHC HMO","gross charge":"13.05","discounted cash price":"3.26","payer-specific negotiated charge":"1.92","de-identified minimum negotiated charge":"1.76","de-identified maximum negotiated charge":"1.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7070","code description":"D5W INFUSION","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.66","de-identified minimum negotiated charge":"30.66","de-identified maximum negotiated charge":"100.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"AETNA MCARE MGD CARE","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"134.62","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"AETNA PPO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"582.53","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"282.52","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"MULTI-PLAN","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"303.45","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AETNA PPO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"4.01","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"AETNA PPO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"43.27","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"AETNA PPO","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"25.79","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"1.03","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"UHC MCARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"13.68","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"UHC MCARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"27.7","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"92.6","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"80.3","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"AMERIGROUP","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"190.14","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"UHC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"729.59","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1767","code description":"GENERATOR, NEURO NON-RECHARG","payer":"UHC HMO","gross charge":"28,819.00","discounted cash price":"7,204.75","payer-specific negotiated charge":"23,994.98","de-identified minimum negotiated charge":"6,948.24","de-identified maximum negotiated charge":"23,994.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"UHC HMO","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"9,341.50","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"UHC HMO","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"1,541.85","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88314","code description":"HISTOCHEMICAL STAINS ADD-ON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"362","discounted cash price":"90.5","payer-specific negotiated charge":"29","de-identified minimum negotiated charge":"29","de-identified maximum negotiated charge":"77.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82693","code description":"ASSAY OF ETHYLENE GLYCOL","payer":"KAISER","gross charge":"48","discounted cash price":"12","payer-specific negotiated charge":"10.88","de-identified minimum negotiated charge":"5.6","de-identified maximum negotiated charge":"10.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"BC PPO","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"773.89","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78071","code description":"PARATHYRD PLANAR W/WO SUBTRJ","payer":"AETNA HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"1,000.66","de-identified minimum negotiated charge":"255.86","de-identified maximum negotiated charge":"1,288.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"MEDICAID","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"63.51","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"MEDICAID","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"14.53","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"MEDICAID","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"16.15","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"AETNA MCARE MGD CARE","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"11.39","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"UHC PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"186.2","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"UHC PPO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"189.37","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"UHC PPO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"130.31","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"KAISER","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"645.18","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82024","code description":"ASSAY OF ACTH","payer":"KAISER","gross charge":"343","discounted cash price":"85.75","payer-specific negotiated charge":"75.51","de-identified minimum negotiated charge":"17.51","de-identified maximum negotiated charge":"224.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"KAISER","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"27.02","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"KAISER","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"83.37","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84244","code description":"ASSAY OF RENIN","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"48.03","de-identified minimum negotiated charge":"15.07","de-identified maximum negotiated charge":"48.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"KAISER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"15.24","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"KAISER","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"404.56","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"KAISER","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"345.45","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"KAISER","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"161.65","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7070","code description":"D5W INFUSION","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"33.28","de-identified minimum negotiated charge":"30.66","de-identified maximum negotiated charge":"100.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95908","code description":"NRV CNDJ TST 3-4 STUDIES","payer":"CARESOURCE","gross charge":"860","discounted cash price":"215","payer-specific negotiated charge":"157.31","de-identified minimum negotiated charge":"157.31","de-identified maximum negotiated charge":"157.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"UHC MCARE","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"106.02","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,161.75","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"29.16","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"AETNA PPO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"680.76","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"UHC MCARE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"48.67","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"AMBETTER","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"573.4","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19282","code description":"PERQ DEVICE BREAST EA IMAG","payer":"UHC HMO","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"173.15","de-identified minimum negotiated charge":"75.32","de-identified maximum negotiated charge":"699"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"AETNA MCARE MGD CARE","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"7.47","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"CIGNA PPO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"171.32","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CIGNA PPO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"146.17","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"CIGNA PPO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"65.99","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"CIGNA PPO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"146.17","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"CIGNA PPO","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"101.58","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"CIGNA PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"43.3","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"CIGNA PPO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"28.72","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"CIGNA PPO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"87.43","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78071","code description":"PARATHYRD PLANAR W/WO SUBTRJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"255.86","de-identified minimum negotiated charge":"255.86","de-identified maximum negotiated charge":"1,288.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"CHAMPUS TRICARE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"215.69","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"HUMANA HMO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"9.83","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95860","code description":"MUSCLE TEST ONE LIMB","payer":"UHC MCARE","gross charge":"630","discounted cash price":"157.5","payer-specific negotiated charge":"109.15","de-identified minimum negotiated charge":"109.15","de-identified maximum negotiated charge":"109.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"CARESOURCE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"14.21","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80184","code description":"ASSAY OF PHENOBARBITAL","payer":"MEDICAID","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"22.94","de-identified minimum negotiated charge":"9.74","de-identified maximum negotiated charge":"22.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86738","code description":"MYCOPLASMA ANTIBODY","payer":"AETNA MCARE MGD CARE","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"69.69","de-identified minimum negotiated charge":"69.69","de-identified maximum negotiated charge":"69.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1767","code description":"GENERATOR, NEURO NON-RECHARG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"28,819.00","discounted cash price":"7,204.75","payer-specific negotiated charge":"6,948.24","de-identified minimum negotiated charge":"6,948.24","de-identified maximum negotiated charge":"23,994.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"2,705.14","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"1,637.12","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AETNA MCARE PFFS","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"AETNA MCARE MGD CARE","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"200.63","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.86","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"53.36","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"BC HMO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"BC HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"2.11","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"BC HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"4.08","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"CHAMPUS TRICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"35.14","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"AETNA HMO","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"1,788.22","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0502T","code description":"COR FFR DATA PREP \u0026 TRANSMIS","payer":"MEDICARE","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"158.22","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0503T","code description":"COR FFR ALYS GNRJ FFR MDL","payer":"MEDICARE","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"158.22","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"MEDICARE","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"127.01","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"50.53","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"AMERIGROUP","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"15.47","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"PHCS","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"564","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"UHC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"216","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"54.74","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70260","code description":"X-RAY EXAM OF SKULL","payer":"PEACHSTATE-CENTENE","gross charge":"910","discounted cash price":"227.5","payer-specific negotiated charge":"76.18","de-identified minimum negotiated charge":"62.41","de-identified maximum negotiated charge":"195.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"UHC HMO","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"59.17","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"UHC HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"98.97","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84450","code description":"TRANSFERASE (AST) (SGOT)","payer":"CIGNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"15.14","de-identified minimum negotiated charge":"2.97","de-identified maximum negotiated charge":"28.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"KAISER MCARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.88","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"MEDICAID","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"178.62","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"109.85","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"AETNA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"19.67","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"HUMANA HMO","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"98.84","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"HUMANA HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"82.31","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"HUMANA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"50.38","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"HUMANA HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"82.31","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3415","code description":"PYRIDOXINE HCL 100 MG","payer":"AMERIGROUP","gross charge":"104.5","discounted cash price":"26.13","payer-specific negotiated charge":"10.57","de-identified minimum negotiated charge":"10.57","de-identified maximum negotiated charge":"15.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"PHCS","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"11.81","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"HUMANA HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"14.46","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"AMERIGROUP","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"51.79","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"PEACHSTATE-CENTENE","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"167.92","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"35.41","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"157.08","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"AETNA PPO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"220.51","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86880","code description":"COOMBS TEST DIRECT","payer":"CHAMPUS TRICARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"24.1","de-identified minimum negotiated charge":"23.62","de-identified maximum negotiated charge":"24.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81240","code description":"F2 GENE","payer":"BC PPO","gross charge":"1,236.00","discounted cash price":"309","payer-specific negotiated charge":"323.23","de-identified minimum negotiated charge":"323.23","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81241","code description":"F5 GENE","payer":"BC PPO","gross charge":"1,298.00","discounted cash price":"324.5","payer-specific negotiated charge":"323.23","de-identified minimum negotiated charge":"49.43","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"BC HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"166.09","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82668","code description":"ASSAY OF ERYTHROPOIETIN","payer":"UHC MCARE","gross charge":"135","discounted cash price":"33.75","payer-specific negotiated charge":"47.33","de-identified minimum negotiated charge":"47.33","de-identified maximum negotiated charge":"47.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"113.59","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"CIGNA HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"103","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"HUMANA HMO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"192.48","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"UHC MCARE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"225.09","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8604","code description":"DEXTRANOMER/HYALURONIC ACID","payer":"AETNA HMO","gross charge":"1,379.50","discounted cash price":"344.88","payer-specific negotiated charge":"401.67","de-identified minimum negotiated charge":"401.67","de-identified maximum negotiated charge":"461.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1442","code description":"INJ FILGRASTIM EXCL BIOSIMIL","payer":"CHAMPUS TRICARE","gross charge":"5.86","discounted cash price":"1.46","payer-specific negotiated charge":"0.91","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"0.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0585","code description":"INJECTION,ONABOTULINUMTOXINA","payer":"UHC MCARE","gross charge":"33.54","discounted cash price":"8.39","payer-specific negotiated charge":"5.49","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"25.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82040","code description":"ASSAY OF SERUM ALBUMIN","payer":"UHC HMO","gross charge":"18.4","discounted cash price":"4.6","payer-specific negotiated charge":"2.88","de-identified minimum negotiated charge":"1.08","de-identified maximum negotiated charge":"2.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71550","code description":"MRI CHEST W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"226.34","de-identified minimum negotiated charge":"226.34","de-identified maximum negotiated charge":"1,366.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CLOVER HEALTH","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"93.07","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"27.21","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"BC HMO","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"3,160.48","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"FIRST HLTH NTWK","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"4.6","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"CIGNA HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"627.56","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"HUMANA HMO","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"523.42","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"HUMANA HMO","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"153.66","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"AETNA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"102.67","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"BC HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"550.54","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"FIRST HLTH NTWK","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"208.8","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"PHCS","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"336.75","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"PHCS","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"171","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"398.1","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"398.1","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2020","code description":"LINEZOLID INJECTION","payer":"UHC HMO","gross charge":"95.83","discounted cash price":"23.96","payer-specific negotiated charge":"45.57","de-identified minimum negotiated charge":"45.57","de-identified maximum negotiated charge":"45.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"63.62","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"BCBS SMARTVALUE PFFS","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"67.81","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"AMBETTER","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"5.07","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"AETNA HMO","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"114.47","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36598","code description":"INJ W/FLUOR EVAL CV DEVICE","payer":"AMBETTER","gross charge":"843","discounted cash price":"210.75","payer-specific negotiated charge":"604","de-identified minimum negotiated charge":"137.66","de-identified maximum negotiated charge":"843"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"MEDICAID","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"64.47","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"CIGNA HMO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"325.56","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"AMBETTER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"48.64","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"AETNA MCARE MGD CARE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"10.34","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"115.1","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"33.79","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"AETNA MCARE MGD CARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"8.25","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1569","code description":"GAMMAGARD LIQUID INJECTION","payer":"BC HMO","gross charge":"416.48","discounted cash price":"104.12","payer-specific negotiated charge":"67.02","de-identified minimum negotiated charge":"67.02","de-identified maximum negotiated charge":"67.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"AETNA HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,072.10","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"PEACHSTATE-CENTENE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"271.28","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"PEACHSTATE-CENTENE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"49.76","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"HUMANA HMO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"310.4","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"AETNA PPO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,052.00","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85660","code description":"RBC SICKLE CELL TEST","payer":"BC HMO","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"90.74","de-identified minimum negotiated charge":"23.79","de-identified maximum negotiated charge":"90.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"667.15","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"579.14","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"AMBETTER","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"18.25","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"HUMANA HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"148.36","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2788","code description":"PRESBYOPIA-CORRECT FUNCTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"6,104.00","discounted cash price":"1,526.00","payer-specific negotiated charge":"591.6","de-identified minimum negotiated charge":"503.98","de-identified maximum negotiated charge":"644.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0558","code description":"PENG BENZATHINE/PROCAINE INJ","payer":"BC HMO","gross charge":"70.21","discounted cash price":"17.55","payer-specific negotiated charge":"47.77","de-identified minimum negotiated charge":"2.39","de-identified maximum negotiated charge":"51.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"UHC MCARE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"158.9","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"KAISER","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"84.07","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"KAISER MCARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"11.85","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70250","code description":"X-RAY EXAM OF SKULL","payer":"CARESOURCE","gross charge":"668","discounted cash price":"167","payer-specific negotiated charge":"123.54","de-identified minimum negotiated charge":"41.23","de-identified maximum negotiated charge":"123.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"FIRST HLTH NTWK","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"319.83","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"FIRST HLTH NTWK","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"500.08","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"FIRST HLTH NTWK","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"144.59","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"FIRST HLTH NTWK","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"31,001.09","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"FIRST HLTH NTWK","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"4.18","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"AETNA MCARE MGD CARE","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"31.01","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84460","code description":"ALANINE AMINO (ALT) (SGPT)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"67.5","discounted cash price":"16.88","payer-specific negotiated charge":"2.8","de-identified minimum negotiated charge":"2.8","de-identified maximum negotiated charge":"26.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"AETNA HMO","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"104.16","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CHAMPUS TRICARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.34","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AMERIGROUP","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"27.93","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1335","code description":"ERTAPENEM INJECTION","payer":"UHC HMO","gross charge":"326.25","discounted cash price":"81.56","payer-specific negotiated charge":"53.85","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"126.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"BC PPO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"115.34","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8613","code description":"OSSICULAR IMPLANT","payer":"UHC MCARE","gross charge":"643","discounted cash price":"160.75","payer-specific negotiated charge":"31.53","de-identified minimum negotiated charge":"31.53","de-identified maximum negotiated charge":"128.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"AMBETTER","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"610.63","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"KAISER","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"163.71","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72082","code description":"X-RAY EXAM ENTIRE SPI 2/3 VW","payer":"HUMANA HMO","gross charge":"526","discounted cash price":"131.5","payer-specific negotiated charge":"360.84","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"360.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81219","code description":"CALR GENE COM VARIANTS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"82.66","de-identified minimum negotiated charge":"82.66","de-identified maximum negotiated charge":"170.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"AMBETTER","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"730.85","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"BCBS SMARTVALUE PFFS","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"51.89","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"50.09","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"599.38","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"WELLCARE MCARE MGD CARE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"10.94","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"WELLCARE MCARE MGD CARE","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"12.38","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.24","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"WELLCARE MCARE MGD CARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"12.2","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"UHC MCARE","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"16.85","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"CIGNA HMO","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"965.28","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"CIGNA PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"414.63","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7315","code description":"OPHTHALMIC MITOMYCIN","payer":"UHC HMO","gross charge":"1,562.00","discounted cash price":"390.5","payer-specific negotiated charge":"483.95","de-identified minimum negotiated charge":"483.95","de-identified maximum negotiated charge":"483.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20982","code description":"ABLATE BONE TUMOR(S) PERQ","payer":"AETNA MCARE MGD CARE","gross charge":"16,332.00","discounted cash price":"4,083.00","payer-specific negotiated charge":"1,906.63","de-identified minimum negotiated charge":"1,906.63","de-identified maximum negotiated charge":"1,906.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22515","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"AETNA MCARE MGD CARE","gross charge":"12,552.00","discounted cash price":"3,138.00","payer-specific negotiated charge":"1,477.25","de-identified minimum negotiated charge":"1,477.25","de-identified maximum negotiated charge":"3,159.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"AETNA MCARE MGD CARE","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"64","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"CIGNA HMO","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"1,014.61","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"29.77","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"AMERIGROUP","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"30.92","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0558","code description":"PENG BENZATHINE/PROCAINE INJ","payer":"AMERIGROUP","gross charge":"70.21","discounted cash price":"17.55","payer-specific negotiated charge":"2.39","de-identified minimum negotiated charge":"2.39","de-identified maximum negotiated charge":"51.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1832","code description":"KO ADJ JNT POS R SUP PRE CST","payer":"PEACHSTATE-CENTENE","gross charge":"1,281.00","discounted cash price":"320.25","payer-specific negotiated charge":"168.07","de-identified minimum negotiated charge":"164.37","de-identified maximum negotiated charge":"541.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9963","code description":"HOCM 350-399MG/ML IODINE,1ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4.33","discounted cash price":"1.08","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"1.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"PEACHSTATE-CENTENE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"9.93","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3430","code description":"VITAMIN K PHYTONADIONE INJ","payer":"UHC MCARE","gross charge":"29.25","discounted cash price":"7.31","payer-specific negotiated charge":"2","de-identified minimum negotiated charge":"2","de-identified maximum negotiated charge":"11.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"672.6","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"UHC HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"890.58","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"UHC PPO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"361.36","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"AETNA HMO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"45.01","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"MEDICARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"7.78","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"MEDICARE","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"15.77","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"464.38","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"442.48","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"110.86","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"KAISER","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"101.99","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"KAISER","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"33.4","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"KAISER","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"225.1","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97010","code description":"HOT OR COLD PACKS THERAPY","payer":"AETNA HMO","gross charge":"164","discounted cash price":"41","payer-specific negotiated charge":"101.68","de-identified minimum negotiated charge":"101.68","de-identified maximum negotiated charge":"113.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"UHC MCARE","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"5.82","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.16","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"HUMANA HMO","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"485.47","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"BC PPO","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"347.23","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"BC PPO","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"185.43","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"CARESOURCE","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"11.28","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84244","code description":"ASSAY OF RENIN","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"20.05","de-identified minimum negotiated charge":"15.07","de-identified maximum negotiated charge":"48.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96158","code description":"HLTH BHV IVNTJ INDIV 1ST 30","payer":"UHC MCARE","gross charge":"116.75","discounted cash price":"29.19","payer-specific negotiated charge":"73.6","de-identified minimum negotiated charge":"17.12","de-identified maximum negotiated charge":"73.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"AETNA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"18.16","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"AETNA HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"33.05","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"AMERIGROUP","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"943.93","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"AMERIGROUP","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"400.62","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50387","code description":"CHANGE NEPHROURETERAL CATH","payer":"HUMANA HMO","gross charge":"5,549.00","discounted cash price":"1,387.25","payer-specific negotiated charge":"2,961.78","de-identified minimum negotiated charge":"2,961.78","de-identified maximum negotiated charge":"2,961.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"AETNA PPO","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"24.04","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"AETNA PPO","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"66.38","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"AETNA PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"23.02","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"AETNA PPO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"12.33","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"AETNA PPO","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"17.26","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"AETNA PPO","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"18.08","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"AETNA PPO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"41.72","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"AETNA PPO","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"36.17","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"AETNA PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"7.4","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"AETNA PPO","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"31.65","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"926.67","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"56.4","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"116.05","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,896.42","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"247.19","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"169.65","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"265.1","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"MEDICAID","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"3.3","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27369","code description":"NJX CNTRST KNE ARTHG/CT/MRI","payer":"AETNA HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"627.98","de-identified minimum negotiated charge":"133.05","de-identified maximum negotiated charge":"627.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73580","code description":"CONTRAST X-RAY OF KNEE JOINT","payer":"AETNA HMO","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"383.03","de-identified minimum negotiated charge":"81.15","de-identified maximum negotiated charge":"555.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"AETNA HMO","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"2,026.84","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"UHC HMO","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"48.55","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"40.85","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"36.03","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"MEDICAID","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"704.62","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95867","code description":"MUSCLE TEST CRAN NERV UNILAT","payer":"UHC MCARE","gross charge":"845","discounted cash price":"211.25","payer-specific negotiated charge":"43.61","de-identified minimum negotiated charge":"43.61","de-identified maximum negotiated charge":"458.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"UHC MCARE","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"35.78","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"AMBETTER","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"3,462.25","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75989","code description":"ABSCESS DRAINAGE UNDER X-RAY","payer":"AMBETTER","gross charge":"1,342.00","discounted cash price":"335.5","payer-specific negotiated charge":"533.69","de-identified minimum negotiated charge":"244.39","de-identified maximum negotiated charge":"610.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"AMBETTER","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"328.28","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"29.96","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.91","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0132","code description":"ACETYLCYSTEINE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"13.05","discounted cash price":"3.26","payer-specific negotiated charge":"1.76","de-identified minimum negotiated charge":"1.76","de-identified maximum negotiated charge":"1.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"UHC MCARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"251.94","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76380","code description":"CAT SCAN FOLLOW-UP STUDY","payer":"UHC MCARE","gross charge":"1,764.00","discounted cash price":"441","payer-specific negotiated charge":"74.48","de-identified minimum negotiated charge":"46.08","de-identified maximum negotiated charge":"1,477.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"AETNA HMO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"12.38","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38792","code description":"RA TRACER ID OF SENTINL NODE","payer":"PEACHSTATE-CENTENE","gross charge":"909","discounted cash price":"227.25","payer-specific negotiated charge":"117.93","de-identified minimum negotiated charge":"117.93","de-identified maximum negotiated charge":"909"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"52.29","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"52.29","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"MEDICARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"31.6","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"BC PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"167.86","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1832","code description":"KO ADJ JNT POS R SUP PRE CST","payer":"AMERIGROUP","gross charge":"1,281.00","discounted cash price":"320.25","payer-specific negotiated charge":"224.91","de-identified minimum negotiated charge":"164.37","de-identified maximum negotiated charge":"541.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"24220","code description":"INJECTION PX FOR ELBOW ARTHG","payer":"AMERIGROUP","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"210.73","de-identified minimum negotiated charge":"210.73","de-identified maximum negotiated charge":"522.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73085","code description":"CONTRAST X-RAY OF ELBOW","payer":"AMERIGROUP","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"85.06","de-identified minimum negotiated charge":"85.06","de-identified maximum negotiated charge":"210.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"174.3","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"155","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"BC HMO","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"4,563.67","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82103","code description":"ALPHA-1-ANTITRYPSIN TOTAL","payer":"AETNA HMO","gross charge":"194","discounted cash price":"48.5","payer-specific negotiated charge":"26.11","de-identified minimum negotiated charge":"11.99","de-identified maximum negotiated charge":"88.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1450","code description":"FLUCONAZOLE","payer":"AETNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"16.23","de-identified minimum negotiated charge":"16.23","de-identified maximum negotiated charge":"127.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"63.95","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"58.94","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"CIGNA HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"495","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"CIGNA HMO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"29.58","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"AMERIGROUP","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"39.11","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0201T","code description":"PERQ SACRAL AUGMT BILAT INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"17,788.00","discounted cash price":"4,447.00","payer-specific negotiated charge":"3,392.76","de-identified minimum negotiated charge":"3,392.76","de-identified maximum negotiated charge":"3,974.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27299","code description":"UNLISTED PX PELVIS/HIP JOINT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"603","discounted cash price":"150.75","payer-specific negotiated charge":"120.76","de-identified minimum negotiated charge":"120.76","de-identified maximum negotiated charge":"120.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50390","code description":"DRAINAGE OF KIDNEY LESION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"539.33","de-identified minimum negotiated charge":"248.43","de-identified maximum negotiated charge":"539.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CIGNA PPO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"406.35","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"AMBETTER","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"573","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"AMBETTER","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"408.22","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"AETNA MCARE MGD CARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"33.78","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93351","code description":"STRESS TTE COMPLETE","payer":"AMBETTER","gross charge":"2,281.00","discounted cash price":"570.25","payer-specific negotiated charge":"1,020.84","de-identified minimum negotiated charge":"350.62","de-identified maximum negotiated charge":"1,489.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"BC PPO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"198.09","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"BC PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"121.24","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"BC PPO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"198.09","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49452","code description":"REPLACE G-J TUBE PERC","payer":"PEACHSTATE-CENTENE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"270.91","de-identified minimum negotiated charge":"231.19","de-identified maximum negotiated charge":"287.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"PEACHSTATE-CENTENE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"201.77","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"1,150.96","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70482","code description":"CT ORBIT/EAR/FOSSA W/O\u0026W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,778.00","discounted cash price":"944.5","payer-specific negotiated charge":"161.59","de-identified minimum negotiated charge":"161.59","de-identified maximum negotiated charge":"161.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86225","code description":"DNA ANTIBODY NATIVE","payer":"MEDICARE","gross charge":"41","discounted cash price":"10.25","payer-specific negotiated charge":"3.41","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"3.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"KAISER","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"3.95","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"BC HMO","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"272.94","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"AETNA HMO","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"27.33","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"KAISER","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"802.1","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"KAISER","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"695.5","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"BC HMO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"79.93","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0290","code description":"AMPICILLIN 500 MG INJ","payer":"BC HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"17.97","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"18.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"UHC MCARE","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"4.89","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"FIRST HLTH NTWK","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"161.4","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"FIRST HLTH NTWK","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"198","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"UHC PPO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"431.07","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"BC HMO","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"513","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"2.17","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72190","code description":"X-RAY EXAM OF PELVIS","payer":"MEDICARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"34.02","de-identified maximum negotiated charge":"106.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73580","code description":"CONTRAST X-RAY OF KNEE JOINT","payer":"BC HMO","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"555.68","de-identified minimum negotiated charge":"81.15","de-identified maximum negotiated charge":"555.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"BC HMO","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"99.29","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"PEACHSTATE-CENTENE","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"95.04","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q2009","code description":"FOSPHENYTOIN INJ PE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"57.45","discounted cash price":"14.36","payer-specific negotiated charge":"4.19","de-identified minimum negotiated charge":"4.19","de-identified maximum negotiated charge":"12.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3260","code description":"TOBRAMYCIN SULFATE INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.19","de-identified minimum negotiated charge":"1.73","de-identified maximum negotiated charge":"11.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"109.42","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.22","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"AMERIGROUP","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"29.66","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"CIGNA HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"128.8","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"CIGNA HMO","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"333.7","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"UHC HMO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"1,646.57","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"UHC HMO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"412.5","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"AETNA MCARE MGD CARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"311.83","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"MEDICARE","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"15.98","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"MEDICAID","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"13.32","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"MEDICAID","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"3.26","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32552","code description":"REMOVE LUNG CATHETER","payer":"MEDICAID","gross charge":"1,696.00","discounted cash price":"424","payer-specific negotiated charge":"264.71","de-identified minimum negotiated charge":"264.71","de-identified maximum negotiated charge":"1,696.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76821","code description":"MIDDLE CEREBRAL ARTERY ECHO","payer":"MEDICARE","gross charge":"817","discounted cash price":"204.25","payer-specific negotiated charge":"82.51","de-identified minimum negotiated charge":"82.51","de-identified maximum negotiated charge":"82.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"MULTI-PLAN","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"4,349.45","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"278.68","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"281.34","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CIGNA PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,373.70","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CIGNA PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,373.70","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47537","code description":"REMOVAL BILIARY DRG CATH","payer":"AETNA MCARE MGD CARE","gross charge":"2,096.00","discounted cash price":"524","payer-specific negotiated charge":"2,096.00","de-identified minimum negotiated charge":"298.04","de-identified maximum negotiated charge":"2,096.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"127.99","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"AMBETTER","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"406.19","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"PHCS","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"1,966.50","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"PHCS","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"447","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"PHCS","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"313.95","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"CARESOURCE","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"109.1","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"CARESOURCE","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"187.41","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"CARESOURCE","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"149.2","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"AETNA MCARE MGD CARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"324.06","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49450","code description":"REPLACE G/C TUBE PERC","payer":"MEDICAID","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"225.24","de-identified minimum negotiated charge":"88.75","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"AETNA MCARE MGD CARE","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,122.40","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"MEDICAID","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"29.17","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95861","code description":"MUSCLE TEST 2 LIMBS","payer":"BC HMO","gross charge":"945","discounted cash price":"236.25","payer-specific negotiated charge":"302.47","de-identified minimum negotiated charge":"113.15","de-identified maximum negotiated charge":"386.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"MEDICAID","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"5.33","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"MEDICAID","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.83","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"BC PPO","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"65.09","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"BC PPO","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"80.88","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"CIGNA HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"52.71","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"CIGNA HMO","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"16.61","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"CIGNA HMO","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"4.3","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"BC PPO","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"47.24","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"UHC MCARE","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"138.08","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73523","code description":"X-RAY EXAM HIPS BI 5/\u003e VIEWS","payer":"MEDICARE","gross charge":"847","discounted cash price":"211.75","payer-specific negotiated charge":"36.47","de-identified minimum negotiated charge":"36.47","de-identified maximum negotiated charge":"36.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"AMBETTER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"15.98","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"KAISER MCARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"192.41","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80185","code description":"ASSAY OF PHENYTOIN TOTAL","payer":"BC HMO","gross charge":"367","discounted cash price":"91.75","payer-specific negotiated charge":"165.51","de-identified minimum negotiated charge":"12.82","de-identified maximum negotiated charge":"165.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99156","code description":"MOD SED OTH PHYS/QHP 5/\u003eYRS","payer":"PEACHSTATE-CENTENE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"4.23","de-identified maximum negotiated charge":"91.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73223","code description":"MRI JOINT UPR EXTR W/O\u0026W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"337.29","de-identified minimum negotiated charge":"337.29","de-identified maximum negotiated charge":"351.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.59","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"BCBS SMARTVALUE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.06","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"KAISER MCARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"31.38","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50432","code description":"PLMT NEPHROSTOMY CATHETER","payer":"BC PPO","gross charge":"6,542.00","discounted cash price":"1,635.50","payer-specific negotiated charge":"3,511.91","de-identified minimum negotiated charge":"860.64","de-identified maximum negotiated charge":"3,848.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"20.19","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80183","code description":"DRUG SCRN QUANT OXCARBAZEPIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"96","discounted cash price":"24","payer-specific negotiated charge":"4.68","de-identified minimum negotiated charge":"4.68","de-identified maximum negotiated charge":"46.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CLOVER HEALTH","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"221.14","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CLOVER HEALTH","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"56.92","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"BC PPO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"32.59","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"BC PPO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"17.74","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"BC PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"13.21","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"BC PPO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"43.79","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"AMBETTER","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"107.16","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62302","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"UHC MCARE","gross charge":"2,462.00","discounted cash price":"615.5","payer-specific negotiated charge":"251.82","de-identified minimum negotiated charge":"145.91","de-identified maximum negotiated charge":"2,062.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"UHC MCARE","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"145.32","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"AETNA HMO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"986.94","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"AETNA MCARE MGD CARE","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"150.16","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"MULTI-PLAN","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"520.63","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82977","code description":"ASSAY OF GGT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"49.18","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"49.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"CLOVER HEALTH","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"435.13","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"CLOVER HEALTH","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"62.13","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1764","code description":"EVENT RECORDER, CARDIAC","payer":"UHC MCARE","gross charge":"15,898.00","discounted cash price":"3,974.50","payer-specific negotiated charge":"4,175.62","de-identified minimum negotiated charge":"4,175.62","de-identified maximum negotiated charge":"4,175.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"KAISER PPO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"16.15","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"KAISER PPO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"10.47","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"KAISER PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.05","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71130","code description":"X-RAY STRENOCLAVIC JT 3/\u003eVWS","payer":"CIGNA HMO","gross charge":"478","discounted cash price":"119.5","payer-specific negotiated charge":"301.14","de-identified minimum negotiated charge":"20.26","de-identified maximum negotiated charge":"301.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"MULTI-PLAN","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"548.25","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"PEACHSTATE-CENTENE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"35.49","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"PEACHSTATE-CENTENE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"37.13","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AETNA MCARE PFFS","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"74.74","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"CIGNA PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"366.66","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"CARESOURCE","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82670","code description":"ASSAY OF TOTAL ESTRADIOL","payer":"AETNA HMO","gross charge":"238","discounted cash price":"59.5","payer-specific negotiated charge":"52.19","de-identified minimum negotiated charge":"10.16","de-identified maximum negotiated charge":"155.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83001","code description":"ASSAY OF GONADOTROPIN (FSH)","payer":"AETNA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"7.89","de-identified minimum negotiated charge":"7.89","de-identified maximum negotiated charge":"30.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83002","code description":"ASSAY OF GONADOTROPIN (LH)","payer":"AETNA HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"106.8","de-identified minimum negotiated charge":"20.77","de-identified maximum negotiated charge":"413.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"3.08","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4140","code description":"BIODFENCE 1CM","payer":"UHC MCARE","gross charge":"924","discounted cash price":"231","payer-specific negotiated charge":"86.32","de-identified minimum negotiated charge":"86.32","de-identified maximum negotiated charge":"266.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"UHC MCARE","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"171.25","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"CARESOURCE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.1","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86161","code description":"COMPLEMENT/FUNCTION ACTIVITY","payer":"BC PPO","gross charge":"158","discounted cash price":"39.5","payer-specific negotiated charge":"94.51","de-identified minimum negotiated charge":"13.48","de-identified maximum negotiated charge":"94.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"CARESOURCE","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"708.62","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"FIRST HLTH NTWK","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"321.61","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"FIRST HLTH NTWK","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.67","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"338.37","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AETNA MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.99","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"UHC HMO","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"93.24","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"UHC HMO","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"1,356.73","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62305","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"UHC HMO","gross charge":"2,746.00","discounted cash price":"686.5","payer-specific negotiated charge":"366.64","de-identified minimum negotiated charge":"190.21","de-identified maximum negotiated charge":"366.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"UHC HMO","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"486.01","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"19.53","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"MEDICAID","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"445.01","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"CHAMPUS TRICARE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"221.07","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"CHAMPUS TRICARE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"272.43","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70110","code description":"X-RAY EXAM OF JAW 4/\u003e VIEWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"102.26","de-identified minimum negotiated charge":"102.26","de-identified maximum negotiated charge":"529.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47537","code description":"REMOVAL BILIARY DRG CATH","payer":"UHC MCARE","gross charge":"2,096.00","discounted cash price":"524","payer-specific negotiated charge":"298.04","de-identified minimum negotiated charge":"298.04","de-identified maximum negotiated charge":"2,096.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"231.38","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"123.89","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"57.97","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36598","code description":"INJ W/FLUOR EVAL CV DEVICE","payer":"BC PPO","gross charge":"843","discounted cash price":"210.75","payer-specific negotiated charge":"843","de-identified minimum negotiated charge":"137.66","de-identified maximum negotiated charge":"843"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7168","code description":"PROTHROMBIN COMPLEX KCENTRA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"13.49","discounted cash price":"3.37","payer-specific negotiated charge":"1.64","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"5.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"AETNA MCARE PFFS","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"323.96","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"AETNA MCARE PFFS","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"400.34","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE PFFS","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"116.84","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"AETNA MCARE PFFS","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"54.77","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AETNA MCARE PFFS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"123.17","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA MCARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"28.63","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"CIGNA HMO","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"2,515.00","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84153","code description":"ASSAY OF PSA TOTAL","payer":"AETNA MCARE MGD CARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"5.65","de-identified minimum negotiated charge":"5.65","de-identified maximum negotiated charge":"281.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"PEACHSTATE-CENTENE","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"21.42","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80175","code description":"DRUG SCREEN QUAN LAMOTRIGINE","payer":"PEACHSTATE-CENTENE","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"9.01","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"133.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8902","code description":"MRA W/O FOL W/CONT, ABD","payer":"CIGNA PPO","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"1,529.19","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"1,529.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"400.18","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"77.84","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"MEDICAID","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"252.2","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97606","code description":"NEG PRESS WOUND TX \u003e50 CM","payer":"UHC MCARE","gross charge":"460","discounted cash price":"115","payer-specific negotiated charge":"22.58","de-identified minimum negotiated charge":"22.58","de-identified maximum negotiated charge":"22.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A6550","code description":"NEG PRES WOUND THER DRSG SET","payer":"UHC MCARE","gross charge":"1,866.00","discounted cash price":"466.5","payer-specific negotiated charge":"87.23","de-identified minimum negotiated charge":"87.23","de-identified maximum negotiated charge":"213.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"AETNA PPO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"235.85","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"UHC HMO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,024.61","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"46.53","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"CARESOURCE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"65.54","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"UHC HMO","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"23.21","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80175","code description":"DRUG SCREEN QUAN LAMOTRIGINE","payer":"CARESOURCE","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"10.47","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"133.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"CARESOURCE","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"9.2","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80183","code description":"DRUG SCRN QUANT OXCARBAZEPIN","payer":"CARESOURCE","gross charge":"96","discounted cash price":"24","payer-specific negotiated charge":"5.77","de-identified minimum negotiated charge":"4.68","de-identified maximum negotiated charge":"46.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"CIGNA PPO","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"2,675.61","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"FIRST HLTH NTWK","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"1,483.80","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"FIRST HLTH NTWK","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"352.2","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"AMERIGROUP","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"267.45","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"UHC HMO","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"24.48","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"448.29","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"86.05","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95813","code description":"EEG EXTND MNTR 61-119 MIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,033.00","discounted cash price":"758.25","payer-specific negotiated charge":"473.04","de-identified minimum negotiated charge":"473.04","de-identified maximum negotiated charge":"473.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87529","code description":"HSV DNA AMP PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"234","discounted cash price":"58.5","payer-specific negotiated charge":"32.91","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"140.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"AMERIGROUP","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"16.7","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"PEACHSTATE-CENTENE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"5.83","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"BC PPO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"1,478.13","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"PEACHSTATE-CENTENE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"57.71","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"201.51","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1815","code description":"PROS, URINARY SPH, IMP","payer":"BC PPO","gross charge":"32,291.00","discounted cash price":"8,072.75","payer-specific negotiated charge":"15,674.82","de-identified minimum negotiated charge":"15,659.08","de-identified maximum negotiated charge":"15,674.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81261","code description":"IGH GENE REARRANGE AMP METH","payer":"CHAMPUS TRICARE","gross charge":"637","discounted cash price":"159.25","payer-specific negotiated charge":"87.04","de-identified minimum negotiated charge":"51.97","de-identified maximum negotiated charge":"145.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81264","code description":"IGK REARRANGEABN CLONAL POP","payer":"CHAMPUS TRICARE","gross charge":"383","discounted cash price":"95.75","payer-specific negotiated charge":"52.33","de-identified minimum negotiated charge":"31.25","de-identified maximum negotiated charge":"87.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"338.32","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9963","code description":"HOCM 350-399MG/ML IODINE,1ML","payer":"MEDICAID","gross charge":"4.33","discounted cash price":"1.08","payer-specific negotiated charge":"0.08","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"1.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87555","code description":"M.TUBERCULO DNA DIR PROBE","payer":"BC HMO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"29.85","de-identified minimum negotiated charge":"3.15","de-identified maximum negotiated charge":"29.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"645.75","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"PEACHSTATE-CENTENE","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"86.95","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2790","code description":"RHO D IMMUNE GLOBULIN INJ","payer":"PEACHSTATE-CENTENE","gross charge":"553.5","discounted cash price":"138.38","payer-specific negotiated charge":"83.27","de-identified minimum negotiated charge":"18.1","de-identified maximum negotiated charge":"83.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"KAISER MCARE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"43.39","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"KAISER MCARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"33.76","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"KAISER MCARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"2.3","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,064.29","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.32","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"CHAMPUS TRICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"24.56","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"UHC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,047.64","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"KAISER PPO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"99.44","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"KAISER PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"64.77","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"KAISER PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"165.65","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"KAISER PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"117.26","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"KAISER PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"25.28","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"KAISER PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"5.69","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"CIGNA HMO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"30.87","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"AETNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,982.47","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"AMERIGROUP","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"105.1","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88274","code description":"CYTOGENETICS 25-99","payer":"MEDICARE","gross charge":"211","discounted cash price":"52.75","payer-specific negotiated charge":"18.9","de-identified minimum negotiated charge":"12.11","de-identified maximum negotiated charge":"18.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97761","code description":"PROSTHETIC TRAING 1ST ENC","payer":"AETNA HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"114.08","de-identified minimum negotiated charge":"114.08","de-identified maximum negotiated charge":"114.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78071","code description":"PARATHYRD PLANAR W/WO SUBTRJ","payer":"CIGNA HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"1,288.35","de-identified minimum negotiated charge":"255.86","de-identified maximum negotiated charge":"1,288.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"UHC HMO","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"1,164.00","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"UHC PPO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"98.6","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"PHCS","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"663","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"217.24","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"336.81","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"AETNA MCARE MGD CARE","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"75.69","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"71.37","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"175.35","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"BC PPO","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"99.63","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86757","code description":"RICKETTSIA ANTIBODY","payer":"BC PPO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"31.29","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"31.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0878","code description":"DAPTOMYCIN INJECTION","payer":"MEDICARE","gross charge":"4.65","discounted cash price":"1.16","payer-specific negotiated charge":"0.22","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"0.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"FIRST HLTH NTWK","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"885.6","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"FIRST HLTH NTWK","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"155.1","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"FIRST HLTH NTWK","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"69","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"FIRST HLTH NTWK","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"34.5","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78832","code description":"RP LOCLZJ TUM SPECT W/CT 2","payer":"AMBETTER","gross charge":"5,059.00","discounted cash price":"1,264.75","payer-specific negotiated charge":"2,119.23","de-identified minimum negotiated charge":"819.94","de-identified maximum negotiated charge":"2,119.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9569","code description":"TECHNETIUM TC-99M AUTO WBC","payer":"AMBETTER","gross charge":"2,608.00","discounted cash price":"652","payer-specific negotiated charge":"1,147.14","de-identified minimum negotiated charge":"1,049.08","de-identified maximum negotiated charge":"1,147.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"AETNA PPO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"9.5","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"UHC HMO","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"7.62","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"MULTI-PLAN","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"603.5","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93351","code description":"STRESS TTE COMPLETE","payer":"UHC MCARE","gross charge":"2,281.00","discounted cash price":"570.25","payer-specific negotiated charge":"359.56","de-identified minimum negotiated charge":"350.62","de-identified maximum negotiated charge":"1,489.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1250","code description":"INJ DOBUTAMINE HCL/250 MG","payer":"UHC MCARE","gross charge":"176","discounted cash price":"44","payer-specific negotiated charge":"24.28","de-identified minimum negotiated charge":"24.28","de-identified maximum negotiated charge":"105.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"CHAMPUS TRICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.34","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"WELLCARE MCARE MGD CARE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"99.74","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"WELLCARE MCARE MGD CARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"111.83","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"WELLCARE MCARE MGD CARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"37","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"CARESOURCE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"15.82","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"CARESOURCE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"60.5","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87116","code description":"MYCOBACTERIA CULTURE","payer":"CARESOURCE","gross charge":"244","discounted cash price":"61","payer-specific negotiated charge":"37.83","de-identified minimum negotiated charge":"37.83","de-identified maximum negotiated charge":"46.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"CARESOURCE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"12.23","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87555","code description":"M.TUBERCULO DNA DIR PROBE","payer":"CARESOURCE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"7.66","de-identified minimum negotiated charge":"3.15","de-identified maximum negotiated charge":"29.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"35.67","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"HUMANA HMO","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94668","code description":"CHEST WALL MANIPULATION","payer":"HUMANA HMO","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"14.5","de-identified minimum negotiated charge":"14.5","de-identified maximum negotiated charge":"56.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84153","code description":"ASSAY OF PSA TOTAL","payer":"HUMANA HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"69.97","de-identified minimum negotiated charge":"5.65","de-identified maximum negotiated charge":"281.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"WELLCARE MCARE MGD CARE","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"785.36","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1820","code description":"GENERATOR NEURO RECHG BAT SY","payer":"WELLCARE MCARE MGD CARE","gross charge":"29,384.00","discounted cash price":"7,346.00","payer-specific negotiated charge":"2,830.49","de-identified minimum negotiated charge":"2,830.49","de-identified maximum negotiated charge":"15,477.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72190","code description":"X-RAY EXAM OF PELVIS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"34.02","de-identified minimum negotiated charge":"34.02","de-identified maximum negotiated charge":"106.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81479","code description":"UNLISTED MOLECULAR PATHOLOGY","payer":"AETNA HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"217.29","de-identified minimum negotiated charge":"213.92","de-identified maximum negotiated charge":"217.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"AETNA HMO","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"183.92","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"235.69","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86665","code description":"EPSTEIN-BARR CAPSID VCA","payer":"BC HMO","gross charge":"197","discounted cash price":"49.25","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"31.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"BC HMO","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"5.13","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.99","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"CIGNA HMO","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"40.06","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51705","code description":"CHANGE OF BLADDER TUBE","payer":"AETNA MCARE MGD CARE","gross charge":"2,399.00","discounted cash price":"599.75","payer-specific negotiated charge":"47.6","de-identified minimum negotiated charge":"47.6","de-identified maximum negotiated charge":"47.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75984","code description":"XRAY CONTROL CATHETER CHANGE","payer":"AETNA MCARE MGD CARE","gross charge":"961","discounted cash price":"240.25","payer-specific negotiated charge":"19.07","de-identified minimum negotiated charge":"19.07","de-identified maximum negotiated charge":"19.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92524","code description":"BEHAVRAL QUALIT ANALYS VOICE","payer":"KAISER MCARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"122.54","de-identified minimum negotiated charge":"122.54","de-identified maximum negotiated charge":"122.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"HUMANA HMO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"410.57","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"HUMANA HMO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"465.11","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"AMERIGROUP","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"41.08","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AMERIGROUP","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"305.67","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"305.67","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"BCBS SMARTVALUE PFFS","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"11.74","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32400","code description":"NEEDLE BIOPSY CHEST LINING","payer":"MEDICARE","gross charge":"2,620.00","discounted cash price":"655","payer-specific negotiated charge":"214.02","de-identified minimum negotiated charge":"214.02","de-identified maximum negotiated charge":"214.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2795","code description":"ROPIVACAINE HCL INJECTION","payer":"UHC HMO","gross charge":"4.73","discounted cash price":"1.18","payer-specific negotiated charge":"1.32","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"1.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70546","code description":"MR ANGIOGRAPH HEAD W/O\u0026W/DYE","payer":"HUMANA HMO","gross charge":"6,897.00","discounted cash price":"1,724.25","payer-specific negotiated charge":"1,931.07","de-identified minimum negotiated charge":"1,522.64","de-identified maximum negotiated charge":"3,111.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"4.86","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"PEACHSTATE-CENTENE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"4.36","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"KAISER","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"709.15","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"KAISER","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"165.66","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"BC HMO","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"1,896.06","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78803","code description":"RP LOCLZJ TUM SPECT 1 AREA","payer":"AETNA MCARE MGD CARE","gross charge":"2,531.00","discounted cash price":"632.75","payer-specific negotiated charge":"1,108.48","de-identified minimum negotiated charge":"1,108.48","de-identified maximum negotiated charge":"2,090.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9538","code description":"TC99M PYROPHOSPHATE","payer":"AETNA MCARE MGD CARE","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"169.05","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"319.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"PEACHSTATE-CENTENE","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"136.64","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50693","code description":"PLMT URETERAL STENT PRQ","payer":"MEDICARE","gross charge":"9,742.00","discounted cash price":"2,435.50","payer-specific negotiated charge":"1,192.28","de-identified minimum negotiated charge":"1,192.28","de-identified maximum negotiated charge":"2,239.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"KAISER SELF-FUNDED","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"537.55","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50389","code description":"REMOVE RENAL TUBE W/FLUORO","payer":"MEDICARE","gross charge":"2,444.00","discounted cash price":"611","payer-specific negotiated charge":"373.05","de-identified minimum negotiated charge":"130.52","de-identified maximum negotiated charge":"373.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"CHAMPUS TRICARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"32.52","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"80.92","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"MEDICARE","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"1,124.12","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"AETNA MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"20.09","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"AETNA MCARE MGD CARE","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"17.69","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"CLOVER HEALTH","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"183.01","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"UHC MCARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"2.92","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"27.13","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"208.52","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BCBS SMARTVALUE PFFS","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.09","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"HUMANA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"178.62","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"93.58","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"KAISER","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"331.43","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"AMBETTER","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"1,335.45","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86905","code description":"BLOOD TYPING RBC ANTIGENS","payer":"BC PPO","gross charge":"354","discounted cash price":"88.5","payer-specific negotiated charge":"122.21","de-identified minimum negotiated charge":"69.22","de-identified maximum negotiated charge":"122.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4160","code description":"NUSHIELD 1 SQUARE CM","payer":"AETNA HMO","gross charge":"662","discounted cash price":"165.5","payer-specific negotiated charge":"252.39","de-identified minimum negotiated charge":"252.39","de-identified maximum negotiated charge":"252.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"CARESOURCE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"7.78","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"CARESOURCE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"14.59","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"CARESOURCE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"10.39","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.02","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"KAISER PPO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"123.6","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"KAISER PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"302.7","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3230","code description":"CHLORPROMAZINE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"175.5","discounted cash price":"43.88","payer-specific negotiated charge":"14.04","de-identified minimum negotiated charge":"14.04","de-identified maximum negotiated charge":"91.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"KAISER","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"101.66","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"MEDICARE","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"334.91","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"CARESOURCE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"90.81","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"AETNA HMO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"1,249.88","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"UHC MCARE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"21.08","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"UHC MCARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"8.31","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"615.58","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"54.65","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"21.83","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"67.27","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"PHCS","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"78","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"KAISER","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"131.95","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"AMERIGROUP","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"64.65","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32550","code description":"INSERT PLEURAL CATH","payer":"BC HMO","gross charge":"11,492.00","discounted cash price":"2,873.00","payer-specific negotiated charge":"2,214.11","de-identified minimum negotiated charge":"2,092.99","de-identified maximum negotiated charge":"5,225.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75989","code description":"ABSCESS DRAINAGE UNDER X-RAY","payer":"BC HMO","gross charge":"1,342.00","discounted cash price":"335.5","payer-specific negotiated charge":"258.53","de-identified minimum negotiated charge":"244.39","de-identified maximum negotiated charge":"610.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49405","code description":"IMAGE CATH FLUID COLXN VISC","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,863.00","discounted cash price":"1,215.75","payer-specific negotiated charge":"1,370.65","de-identified minimum negotiated charge":"1,370.65","de-identified maximum negotiated charge":"2,042.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"CARESOURCE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"297.84","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"0.79","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84446","code description":"ASSAY OF VITAMIN E","payer":"UHC HMO","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"1.83","de-identified maximum negotiated charge":"37.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"327.04","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"AETNA PPO","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"201.73","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"AETNA PPO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"237.98","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"131.14","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.59","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"235.76","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AMERIGROUP","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"7","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1768","code description":"GRAFT, VASCULAR","payer":"CIGNA HMO","gross charge":"1,785.00","discounted cash price":"446.25","payer-specific negotiated charge":"1,001.82","de-identified minimum negotiated charge":"1,001.82","de-identified maximum negotiated charge":"1,001.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"FIRST HLTH NTWK","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"124.8","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"AMBETTER","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,208.00","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"AETNA MCARE MGD CARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"26.53","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"UHC HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"358.14","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"AETNA MCARE MGD CARE","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"138.92","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"BC PPO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"75.77","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"CIGNA PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"44.67","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"AETNA HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"7.64","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"AETNA MCARE MGD CARE","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"47.62","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"AETNA MCARE MGD CARE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"27.28","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"CIGNA HMO","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"650.34","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"CIGNA HMO","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"88.93","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"17.2","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"AMBETTER","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"748.09","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"AMBETTER","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"3,765.14","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.65","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86709","code description":"HEPATITIS A IGM ANTIBODY","payer":"UHC MCARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"8.3","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"66.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"UHC MCARE","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"6.94","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78453","code description":"HT MUSCLE IMAGE PLANAR SING","payer":"AETNA HMO","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"4,230.52","de-identified minimum negotiated charge":"1,217.32","de-identified maximum negotiated charge":"4,230.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"KAISER PPO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,267.00","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"81.43","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"3.5","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"29.37","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"CLOVER HEALTH","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"75.03","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"CLOVER HEALTH","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"89.25","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"16.08","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"3.94","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"34.22","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"18.65","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"16.32","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"UHC HMO","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"2.37","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50433","code description":"PLMT NEPHROURETERAL CATHETER","payer":"BC HMO","gross charge":"6,479.60","discounted cash price":"1,619.90","payer-specific negotiated charge":"2,322.88","de-identified minimum negotiated charge":"808.26","de-identified maximum negotiated charge":"2,601.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"MEDICAID","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"12.16","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"WELLCARE MCARE MGD CARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"34.69","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"WELLCARE MCARE MGD CARE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"6.7","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"WELLCARE MCARE MGD CARE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"3.5","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"WELLCARE MCARE MGD CARE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"32.38","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"UHC HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"827.19","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96158","code description":"HLTH BHV IVNTJ INDIV 1ST 30","payer":"CIGNA HMO","gross charge":"116.75","discounted cash price":"29.19","payer-specific negotiated charge":"73.08","de-identified minimum negotiated charge":"17.12","de-identified maximum negotiated charge":"73.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"24.54","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"30.96","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"17.42","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"17.42","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"21.29","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2354","code description":"OCTREOTIDE INJ, NON-DEPOT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"18","discounted cash price":"4.5","payer-specific negotiated charge":"1.24","de-identified minimum negotiated charge":"0.77","de-identified maximum negotiated charge":"3.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"3.97","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.38","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.38","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"CARESOURCE","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"4.73","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"HUMANA HMO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"2,067.00","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"10.65","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"CARESOURCE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"795.3","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76010","code description":"X-RAY NOSE TO RECTUM","payer":"CARESOURCE","gross charge":"554","discounted cash price":"138.5","payer-specific negotiated charge":"58.97","de-identified minimum negotiated charge":"58.97","de-identified maximum negotiated charge":"82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83873","code description":"ASSAY OF CSF PROTEIN","payer":"AMBETTER","gross charge":"174","discounted cash price":"43.5","payer-specific negotiated charge":"174","de-identified minimum negotiated charge":"23.41","de-identified maximum negotiated charge":"174"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"AMBETTER","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"225","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CLOVER HEALTH","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"161.21","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"CLOVER HEALTH","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"115.65","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CLOVER HEALTH","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"44.17","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CLOVER HEALTH","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.4","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86162","code description":"COMPLEMENT TOTAL (CH50)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"8.72","de-identified minimum negotiated charge":"8.72","de-identified maximum negotiated charge":"115.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3260","code description":"TOBRAMYCIN SULFATE INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.47","de-identified minimum negotiated charge":"1.73","de-identified maximum negotiated charge":"11.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78018","code description":"THYROID MET IMAGING BODY","payer":"AETNA HMO","gross charge":"2,505.00","discounted cash price":"626.25","payer-specific negotiated charge":"1,240.51","de-identified minimum negotiated charge":"481.37","de-identified maximum negotiated charge":"1,591.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84432","code description":"ASSAY OF THYROGLOBULIN","payer":"AETNA HMO","gross charge":"271","discounted cash price":"67.75","payer-specific negotiated charge":"134.2","de-identified minimum negotiated charge":"134.2","de-identified maximum negotiated charge":"134.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9531","code description":"I131 MAX 100UCI","payer":"AETNA HMO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"94.59","de-identified minimum negotiated charge":"94.59","de-identified maximum negotiated charge":"121.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3240","code description":"THYROTROPIN INJECTION","payer":"AETNA HMO","gross charge":"9,905.00","discounted cash price":"2,476.25","payer-specific negotiated charge":"4,905.11","de-identified minimum negotiated charge":"4,905.11","de-identified maximum negotiated charge":"6,294.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"UHC MCARE","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"50.86","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"UHC MCARE","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"10.12","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"342.87","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"9.75","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"AETNA HMO","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"1,834.00","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"AETNA HMO","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"1,506.51","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36584","code description":"COMPL RPLCMT PICC RS\u0026I","payer":"MEDICARE","gross charge":"4,657.00","discounted cash price":"1,164.25","payer-specific negotiated charge":"1,107.80","de-identified minimum negotiated charge":"971.62","de-identified maximum negotiated charge":"4,657.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"MEDICAID","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"6.18","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97166","code description":"OT EVAL MOD COMPLEX 45 MIN","payer":"KAISER MCARE","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"120.78","de-identified minimum negotiated charge":"30.99","de-identified maximum negotiated charge":"401.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"33.03","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81241","code description":"F5 GENE","payer":"PEACHSTATE-CENTENE","gross charge":"1,298.00","discounted cash price":"324.5","payer-specific negotiated charge":"206.27","de-identified minimum negotiated charge":"49.43","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"PEACHSTATE-CENTENE","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"11.85","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"PEACHSTATE-CENTENE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.84","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86146","code description":"BETA-2 GLYCOPROTEIN ANTIBODY","payer":"PEACHSTATE-CENTENE","gross charge":"138.2","discounted cash price":"34.55","payer-specific negotiated charge":"20.25","de-identified minimum negotiated charge":"9.77","de-identified maximum negotiated charge":"26.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"PEACHSTATE-CENTENE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"11.68","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86148","code description":"ANTI-PHOSPHOLIPID ANTIBODY","payer":"PEACHSTATE-CENTENE","gross charge":"100","discounted cash price":"25","payer-specific negotiated charge":"15.85","de-identified minimum negotiated charge":"7.65","de-identified maximum negotiated charge":"20.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"PHCS","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"1,109.25","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10160","code description":"PUNCTURE DRAINAGE OF LESION","payer":"AETNA HMO","gross charge":"877","discounted cash price":"219.25","payer-specific negotiated charge":"790.26","de-identified minimum negotiated charge":"90.91","de-identified maximum negotiated charge":"790.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"MEDICAID","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"142.69","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"CIGNA PPO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"89.05","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CIGNA PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"3.91","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CIGNA PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"3.91","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"4.29","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CLOVER HEALTH","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"41.23","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CLOVER HEALTH","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86593","code description":"SYPHILIS TEST NON-TREP QUANT","payer":"BC HMO","gross charge":"354","discounted cash price":"88.5","payer-specific negotiated charge":"151.52","de-identified minimum negotiated charge":"151.52","de-identified maximum negotiated charge":"161.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"BC HMO","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"50.51","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"72.39","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"AETNA HMO","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"171.74","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"MEDICARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"24.73","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"8.73","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"AETNA MCARE MGD CARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"40.42","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"PEACHSTATE-CENTENE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"545.48","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"HUMANA HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,470.79","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"MEDICAID","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"438.1","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10009","code description":"FNA BX W/CT GDN 1ST LES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,496.50","discounted cash price":"374.13","payer-specific negotiated charge":"155.13","de-identified minimum negotiated charge":"153.38","de-identified maximum negotiated charge":"1,116.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"286.13","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50693","code description":"PLMT URETERAL STENT PRQ","payer":"BC HMO","gross charge":"9,742.00","discounted cash price":"2,435.50","payer-specific negotiated charge":"2,201.19","de-identified minimum negotiated charge":"1,192.28","de-identified maximum negotiated charge":"2,239.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86762","code description":"RUBELLA ANTIBODY","payer":"MEDICAID","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"1.83","de-identified minimum negotiated charge":"1.83","de-identified maximum negotiated charge":"1.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87389","code description":"HIV-1 AG W/HIV-1\u0026-2 AB AG IA","payer":"MEDICAID","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"7.15","de-identified minimum negotiated charge":"7.15","de-identified maximum negotiated charge":"156.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"AMBETTER","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"5.88","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"AETNA MCARE MGD CARE","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"80.37","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"BC HMO","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"1,509.20","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88314","code description":"HISTOCHEMICAL STAINS ADD-ON","payer":"AETNA HMO","gross charge":"362","discounted cash price":"90.5","payer-specific negotiated charge":"77.18","de-identified minimum negotiated charge":"29","de-identified maximum negotiated charge":"77.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88319","code description":"ENZYME HISTOCHEMISTRY","payer":"AETNA HMO","gross charge":"571","discounted cash price":"142.75","payer-specific negotiated charge":"127.74","de-identified minimum negotiated charge":"77.82","de-identified maximum negotiated charge":"127.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"UHC PPO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"520","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"268.28","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"BCBS SMARTVALUE PFFS","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"96.6","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"9.67","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"25.58","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"132.57","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"CIGNA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"18.22","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"AETNA PPO","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"2,541.84","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"AETNA PPO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"549.38","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"AETNA PPO","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"404.18","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0201T","code description":"PERQ SACRAL AUGMT BILAT INJ","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"17,788.00","discounted cash price":"4,447.00","payer-specific negotiated charge":"3,811.48","de-identified minimum negotiated charge":"3,392.76","de-identified maximum negotiated charge":"3,974.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37193","code description":"REM ENDOVAS VENA CAVA FILTER","payer":"AETNA HMO","gross charge":"10,680.00","discounted cash price":"2,670.00","payer-specific negotiated charge":"3,721.70","de-identified minimum negotiated charge":"1,524.83","de-identified maximum negotiated charge":"3,721.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1773","code description":"RET DEV, INSERTABLE","payer":"AETNA HMO","gross charge":"1,546.00","discounted cash price":"386.5","payer-specific negotiated charge":"538.74","de-identified minimum negotiated charge":"220.73","de-identified maximum negotiated charge":"538.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87593","code description":"ORTHOPOXVIRUS AMP PRB EACH","payer":"AMERIGROUP","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"14.73","de-identified minimum negotiated charge":"6.26","de-identified maximum negotiated charge":"63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"CIGNA HMO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"995.77","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86709","code description":"HEPATITIS A IGM ANTIBODY","payer":"MEDICARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"10.8","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"66.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"UHC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"124.19","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"AETNA PPO","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"1,239.38","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"195.13","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"18.39","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CLOVER HEALTH","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"243.73","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CLOVER HEALTH","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"121.6","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"AETNA PPO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"788.02","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86063","code description":"ANTISTREPTOLYSIN O SCREEN","payer":"UHC HMO","gross charge":"88","discounted cash price":"22","payer-specific negotiated charge":"46.25","de-identified minimum negotiated charge":"46.25","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85048","code description":"AUTOMATED LEUKOCYTE COUNT","payer":"AMBETTER","gross charge":"142","discounted cash price":"35.5","payer-specific negotiated charge":"13.96","de-identified minimum negotiated charge":"13.96","de-identified maximum negotiated charge":"27.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"BCBS SMARTVALUE PFFS","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"65.55","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"PHCS","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"4,718.26","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"BC HMO","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"429.35","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"MULTI-PLAN","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.03","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"CARESOURCE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"143.83","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"CARESOURCE","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"355.06","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"AETNA HMO","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"466.14","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"AETNA HMO","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"72.24","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75574","code description":"CT ANGIO HRT W/3D IMAGE","payer":"HUMANA HMO","gross charge":"2,338.00","discounted cash price":"584.5","payer-specific negotiated charge":"1,110.02","de-identified minimum negotiated charge":"127.01","de-identified maximum negotiated charge":"1,478.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"48.79","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1980","code description":"HYOSCYAMINE SULFATE INJ","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"184.25","discounted cash price":"46.06","payer-specific negotiated charge":"18.38","de-identified minimum negotiated charge":"18.38","de-identified maximum negotiated charge":"19.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51102","code description":"DRAIN BL W/CATH INSERTION","payer":"AETNA HMO","gross charge":"3,155.00","discounted cash price":"788.75","payer-specific negotiated charge":"1,163.84","de-identified minimum negotiated charge":"1,163.84","de-identified maximum negotiated charge":"1,163.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19286","code description":"PERQ DEV BREAST ADD US IMAG","payer":"BC PPO","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"459.73","de-identified minimum negotiated charge":"49.1","de-identified maximum negotiated charge":"674.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"79005","code description":"NUCLEAR RX ORAL ADMIN","payer":"MEDICARE","gross charge":"2,300.00","discounted cash price":"575","payer-specific negotiated charge":"392.81","de-identified minimum negotiated charge":"392.81","de-identified maximum negotiated charge":"1,502.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9530","code description":"I131 IODIDE SOL, RX","payer":"MEDICARE","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"8.03","de-identified minimum negotiated charge":"8.03","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A6550","code description":"NEG PRES WOUND THER DRSG SET","payer":"AMBETTER","gross charge":"1,866.00","discounted cash price":"466.5","payer-specific negotiated charge":"213.9","de-identified minimum negotiated charge":"87.23","de-identified maximum negotiated charge":"213.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"AETNA PPO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"20.15","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.56","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85597","code description":"PHOSPHOLIPID PLTLT NEUTRALIZ","payer":"MEDICARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.46","de-identified minimum negotiated charge":"8.75","de-identified maximum negotiated charge":"9.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2596","code description":"PROBE, ROBOTIC, WATER-JET","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"17,713.00","discounted cash price":"4,428.25","payer-specific negotiated charge":"4,845.29","de-identified minimum negotiated charge":"2,029.80","de-identified maximum negotiated charge":"5,442.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0502T","code description":"COR FFR DATA PREP \u0026 TRANSMIS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"222.54","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0503T","code description":"COR FFR ALYS GNRJ FFR MDL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"222.54","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"CIGNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"84.84","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27369","code description":"NJX CNTRST KNE ARTHG/CT/MRI","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"180.72","de-identified minimum negotiated charge":"133.05","de-identified maximum negotiated charge":"627.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73580","code description":"CONTRAST X-RAY OF KNEE JOINT","payer":"WELLCARE MCARE MGD CARE","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"110.28","de-identified minimum negotiated charge":"81.15","de-identified maximum negotiated charge":"555.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.81","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"294.72","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"KAISER MCARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"41.31","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"KAISER MCARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"8.23","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"KAISER MCARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"15.49","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"KAISER MCARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"171.31","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"16.55","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"UHC PPO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"431.98","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9059","code description":"PLASMA, FRZ BETWEEN 8-24HOUR","payer":"CIGNA HMO","gross charge":"331","discounted cash price":"82.75","payer-specific negotiated charge":"95.23","de-identified minimum negotiated charge":"31.82","de-identified maximum negotiated charge":"95.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0585","code description":"INJECTION,ONABOTULINUMTOXINA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"33.54","discounted cash price":"8.39","payer-specific negotiated charge":"5.06","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"25.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"WELLCARE MCARE MGD CARE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"49.73","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10009","code description":"FNA BX W/CT GDN 1ST LES","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,496.50","discounted cash price":"374.13","payer-specific negotiated charge":"153.38","de-identified minimum negotiated charge":"153.38","de-identified maximum negotiated charge":"1,116.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"BCBS SMARTVALUE PFFS","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"69.13","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"AETNA PPO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"114","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"AETNA PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"23.73","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"CHAMPUS TRICARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"402.84","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"66.19","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"79.03","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"UHC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"623.7","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MULTI-PLAN","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"19.31","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MULTI-PLAN","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"19.31","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"CHAMPUS TRICARE","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"294.14","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"CHAMPUS TRICARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"77.35","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"CHAMPUS TRICARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"77.35","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"MEDICAID","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"249.46","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9254","code description":"INJECTION, LACOSAMIDE","payer":"UHC HMO","gross charge":"2.28","discounted cash price":"0.57","payer-specific negotiated charge":"1.16","de-identified minimum negotiated charge":"0.39","de-identified maximum negotiated charge":"1.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72190","code description":"X-RAY EXAM OF PELVIS","payer":"AMERIGROUP","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"49.62","de-identified minimum negotiated charge":"34.02","de-identified maximum negotiated charge":"106.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"UHC HMO","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"18.17","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"KAISER MCARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"63.59","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"KAISER MCARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"67.04","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"MULTI-PLAN","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"4,420.00","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2590","code description":"OXYTOCIN INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.01","de-identified minimum negotiated charge":"7.01","de-identified maximum negotiated charge":"7.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"BC PPO","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"8,448.00","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94645","code description":"CBT EACH ADDL HOUR","payer":"CARESOURCE","gross charge":"395","discounted cash price":"98.75","payer-specific negotiated charge":"57.46","de-identified minimum negotiated charge":"57.46","de-identified maximum negotiated charge":"65.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"CLOVER HEALTH","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"57.85","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"CLOVER HEALTH","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"53.1","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CLOVER HEALTH","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"2.58","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA PPO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"137.49","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"UHC HMO","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"127","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"AMERIGROUP","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"416.47","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"AMERIGROUP","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"94.74","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"AMERIGROUP","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"69.88","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"BC HMO","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"51.72","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82810","code description":"BLOOD GASES O2 SAT ONLY","payer":"BC HMO","gross charge":"180","discounted cash price":"45","payer-specific negotiated charge":"51.44","de-identified minimum negotiated charge":"19.1","de-identified maximum negotiated charge":"81.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84681","code description":"ASSAY OF C-PEPTIDE","payer":"MEDICARE","gross charge":"44","discounted cash price":"11","payer-specific negotiated charge":"2.03","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"2.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78453","code description":"HT MUSCLE IMAGE PLANAR SING","payer":"MEDICARE","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"1,217.32","de-identified minimum negotiated charge":"1,217.32","de-identified maximum negotiated charge":"4,230.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9560","code description":"TC99M LABELED RBC","payer":"MEDICARE","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"47.56","de-identified minimum negotiated charge":"47.56","de-identified maximum negotiated charge":"161.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"AETNA PPO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"531.96","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86769","code description":"SARS-COV-2 COVID-19 ANTIBODY","payer":"AETNA HMO","gross charge":"242","discounted cash price":"60.5","payer-specific negotiated charge":"64.34","de-identified minimum negotiated charge":"64.34","de-identified maximum negotiated charge":"64.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76857","code description":"US EXAM PELVIC LIMITED","payer":"CIGNA HMO","gross charge":"984","discounted cash price":"246","payer-specific negotiated charge":"269.47","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"UHC MCARE","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"36.62","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"HUMANA PPO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"779.83","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"HUMANA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"41.51","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"HUMANA PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.84","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50433","code description":"PLMT NEPHROURETERAL CATHETER","payer":"HUMANA HMO","gross charge":"6,479.60","discounted cash price":"1,619.90","payer-specific negotiated charge":"2,087.02","de-identified minimum negotiated charge":"808.26","de-identified maximum negotiated charge":"2,601.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"HUMANA HMO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"369.5","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"24220","code description":"INJECTION PX FOR ELBOW ARTHG","payer":"AETNA HMO","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"522.72","de-identified minimum negotiated charge":"210.73","de-identified maximum negotiated charge":"522.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73085","code description":"CONTRAST X-RAY OF ELBOW","payer":"AETNA HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"210.99","de-identified minimum negotiated charge":"85.06","de-identified maximum negotiated charge":"210.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87593","code description":"ORTHOPOXVIRUS AMP PRB EACH","payer":"CARESOURCE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"24.06","de-identified minimum negotiated charge":"6.26","de-identified maximum negotiated charge":"63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"PHCS","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"252.75","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"PHCS","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"60","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"UHC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"538.01","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"UHC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.6","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"CARESOURCE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"17.29","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"CARESOURCE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"3.36","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"252.99","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"17.06","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"BC PPO","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"1,570.93","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"1,098.48","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9963","code description":"HOCM 350-399MG/ML IODINE,1ML","payer":"BC PPO","gross charge":"4.33","discounted cash price":"1.08","payer-specific negotiated charge":"0.81","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"1.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82024","code description":"ASSAY OF ACTH","payer":"HUMANA HMO","gross charge":"343","discounted cash price":"85.75","payer-specific negotiated charge":"224.32","de-identified minimum negotiated charge":"17.51","de-identified maximum negotiated charge":"224.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97163","code description":"PT EVAL HIGH COMPLEX 45 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"92.19","de-identified minimum negotiated charge":"92.19","de-identified maximum negotiated charge":"93.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CLOVER HEALTH","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"97.2","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CLOVER HEALTH","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"279.72","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"CLOVER HEALTH","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"38.36","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"KAISER","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"401.7","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"KAISER","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"146.25","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"PEACHSTATE-CENTENE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"0.22","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"AETNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,761.00","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"KAISER MCARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"66.92","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82105","code description":"ALPHA-FETOPROTEIN SERUM","payer":"AMERIGROUP","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"8.48","de-identified minimum negotiated charge":"1.17","de-identified maximum negotiated charge":"30.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"PEACHSTATE-CENTENE","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"358.53","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CLOVER HEALTH","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"11.49","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CLOVER HEALTH","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"412.06","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CLOVER HEALTH","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"77.68","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"PO","code description":"(null)","payer":"BCBS SMARTVALUE PFFS","gross charge":"235","discounted cash price":"58.75","payer-specific negotiated charge":"1.59","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"2.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"CIGNA HMO","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"1,307.52","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"CIGNA HMO","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"103.97","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85347","code description":"COAGULATION TIME ACTIVATED","payer":"WELLCARE MCARE MGD CARE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"1.96","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"1.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"PEACHSTATE-CENTENE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"11.3","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95870","code description":"MUSCLE TEST NONPARASPINAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"676","discounted cash price":"169","payer-specific negotiated charge":"118","de-identified minimum negotiated charge":"118","de-identified maximum negotiated charge":"118"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95929","code description":"C MOTOR EVOKED LWR LIMBS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"128.29","de-identified minimum negotiated charge":"128.29","de-identified maximum negotiated charge":"128.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"627.21","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"49.92","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"1,874.10","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"1,423.22","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1820","code description":"GENERATOR NEURO RECHG BAT SY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"29,384.00","discounted cash price":"7,346.00","payer-specific negotiated charge":"5,129.35","de-identified minimum negotiated charge":"2,830.49","de-identified maximum negotiated charge":"15,477.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"MULTI-PLAN","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"1,277.55","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"AETNA MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"116.12","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82232","code description":"ASSAY OF BETA-2 PROTEIN","payer":"UHC MCARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"115.53","de-identified minimum negotiated charge":"115.53","de-identified maximum negotiated charge":"115.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"UHC MCARE","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"230.43","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"BC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"69.68","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"UHC HMO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"728","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74455","code description":"X-RAY URETHRA/BLADDER","payer":"UHC HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"691","de-identified minimum negotiated charge":"691","de-identified maximum negotiated charge":"691"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9958","code description":"HOCM \u003c=149 MG/ML IODINE, 1ML","payer":"UHC HMO","gross charge":"0.66","discounted cash price":"0.16","payer-specific negotiated charge":"0.65","de-identified minimum negotiated charge":"0.05","de-identified maximum negotiated charge":"0.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"FIRST HLTH NTWK","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"338.4","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"AETNA PPO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"103.54","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"KAISER MCARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"242.99","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AETNA MCARE PFFS","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"124.28","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AETNA MCARE PFFS","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"664.64","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AETNA MCARE PFFS","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.46","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA MCARE PFFS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"9.1","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AETNA MCARE PFFS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.14","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AETNA MCARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.96","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AETNA MCARE PFFS","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.83","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA MCARE PFFS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"14.96","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AETNA MCARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"32.93","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"BC HMO","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"6,196.98","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"98.48","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4140","code description":"BIODFENCE 1CM","payer":"BC HMO","gross charge":"924","discounted cash price":"231","payer-specific negotiated charge":"266.56","de-identified minimum negotiated charge":"86.32","de-identified maximum negotiated charge":"266.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"CARESOURCE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"37.19","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"MEDICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.25","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"KAISER MCARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"29.47","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8659","code description":"INTERPHALANGEAL JOINT REPL","payer":"WELLCARE MCARE MGD CARE","gross charge":"7,580.00","discounted cash price":"1,895.00","payer-specific negotiated charge":"1,142.75","de-identified minimum negotiated charge":"1,142.75","de-identified maximum negotiated charge":"2,910.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"CARESOURCE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"25.29","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"CARESOURCE","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"7.67","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"BC PPO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"32.21","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"CIGNA PPO","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"384.76","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CLOVER HEALTH","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"73.24","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CLOVER HEALTH","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"38.9","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CLOVER HEALTH","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"46.66","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CLOVER HEALTH","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"21.04","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CLOVER HEALTH","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"19.66","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"CLOVER HEALTH","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"114.35","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CLOVER HEALTH","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"6.79","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"CLOVER HEALTH","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"6,095.04","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CLOVER HEALTH","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.96","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CLOVER HEALTH","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.31","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"AMERIGROUP","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"1.82","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"CHAMPUS TRICARE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"324.59","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"CHAMPUS TRICARE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"156.78","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CIGNA HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"134.78","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"AETNA PPO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"125.45","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70110","code description":"X-RAY EXAM OF JAW 4/\u003e VIEWS","payer":"MEDICARE","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"102.26","de-identified maximum negotiated charge":"529.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"HUMANA HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"51.6","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"BC PPO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"49.53","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"AETNA PPO","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"1,715.24","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"AETNA PPO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"1,715.24","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"CARESOURCE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"67.05","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77076","code description":"X-RAYS BONE SURVEY INFANT","payer":"CARESOURCE","gross charge":"448","discounted cash price":"112","payer-specific negotiated charge":"26.24","de-identified minimum negotiated charge":"26.24","de-identified maximum negotiated charge":"26.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CARESOURCE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.55","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CLOVER HEALTH","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"475.23","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95939","code description":"C MOTOR EVOKED UPR\u0026LWR LIMBS","payer":"CIGNA HMO","gross charge":"1,472.00","discounted cash price":"368","payer-specific negotiated charge":"607.46","de-identified minimum negotiated charge":"167.87","de-identified maximum negotiated charge":"612.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1767","code description":"GENERATOR, NEURO NON-RECHARG","payer":"CIGNA HMO","gross charge":"28,819.00","discounted cash price":"7,204.75","payer-specific negotiated charge":"13,886.90","de-identified minimum negotiated charge":"6,948.24","de-identified maximum negotiated charge":"23,994.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"CIGNA HMO","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"12,553.59","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"CIGNA HMO","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"853.86","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1820","code description":"GENERATOR NEURO RECHG BAT SY","payer":"CIGNA HMO","gross charge":"29,384.00","discounted cash price":"7,346.00","payer-specific negotiated charge":"14,159.18","de-identified minimum negotiated charge":"2,830.49","de-identified maximum negotiated charge":"15,477.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"CHAMPUS TRICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.63","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"CIGNA PPO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"86.68","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"CIGNA PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"36.54","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.08","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CIGNA PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"130.13","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"FIRST HLTH NTWK","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"2,224.20","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"FIRST HLTH NTWK","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"3,448.20","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"CIGNA PPO","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"41.58","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"CIGNA PPO","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"47.25","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CIGNA PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"35.28","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"CIGNA PPO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"46.62","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88381","code description":"MICRODISSECTION MANUAL","payer":"AETNA HMO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"37.81","de-identified minimum negotiated charge":"8.95","de-identified maximum negotiated charge":"37.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"PHCS","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"864.75","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"36.79","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"9.74","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"86.99","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"294.43","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"363.85","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"35.65","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"98.96","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"KAISER","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"826.15","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70552","code description":"MRI BRAIN STEM W/DYE","payer":"HUMANA HMO","gross charge":"6,088.00","discounted cash price":"1,522.00","payer-specific negotiated charge":"1,953.57","de-identified minimum negotiated charge":"313.47","de-identified maximum negotiated charge":"2,905.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"MEDICAID","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"565.97","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"CARESOURCE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"417.25","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87327","code description":"CRYPTOCOCCUS NEOFORM AG IA","payer":"UHC MCARE","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"7.27","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"CIGNA PPO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"109.53","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"UHC MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.73","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0585","code description":"INJECTION,ONABOTULINUMTOXINA","payer":"BC PPO","gross charge":"33.54","discounted cash price":"8.39","payer-specific negotiated charge":"25.15","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"25.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CLOVER HEALTH","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"9.43","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CLOVER HEALTH","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"8.86","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"CLOVER HEALTH","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"35.42","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"CLOVER HEALTH","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.5","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CLOVER HEALTH","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"7.28","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85597","code description":"PHOSPHOLIPID PLTLT NEUTRALIZ","payer":"UHC HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.96","de-identified minimum negotiated charge":"8.75","de-identified maximum negotiated charge":"9.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"UHC HMO","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"10.08","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"UHC HMO","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"11.36","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"UHC HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.48","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"UHC HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"11.2","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"KAISER","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"73.65","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3260","code description":"TOBRAMYCIN SULFATE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.73","de-identified minimum negotiated charge":"1.73","de-identified maximum negotiated charge":"11.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"AMBETTER","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"16.76","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"KAISER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"38.07","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"CARESOURCE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"614.27","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"CARESOURCE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"143.73","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87389","code description":"HIV-1 AG W/HIV-1\u0026-2 AB AG IA","payer":"AMBETTER","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"65.88","de-identified minimum negotiated charge":"7.15","de-identified maximum negotiated charge":"156.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1832","code description":"KO ADJ JNT POS R SUP PRE CST","payer":"AETNA HMO","gross charge":"1,281.00","discounted cash price":"320.25","payer-specific negotiated charge":"541.02","de-identified minimum negotiated charge":"164.37","de-identified maximum negotiated charge":"541.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"CIGNA HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"2,438.00","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86361","code description":"T CELL ABSOLUTE COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"6.22","de-identified minimum negotiated charge":"6.22","de-identified maximum negotiated charge":"6.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"AETNA HMO","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"1,261.32","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0875","code description":"INJECTION, DALBAVANCIN","payer":"MEDICARE","gross charge":"93.58","discounted cash price":"23.39","payer-specific negotiated charge":"13.51","de-identified minimum negotiated charge":"13.51","de-identified maximum negotiated charge":"13.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70260","code description":"X-RAY EXAM OF SKULL","payer":"BC HMO","gross charge":"910","discounted cash price":"227.5","payer-specific negotiated charge":"138.15","de-identified minimum negotiated charge":"62.41","de-identified maximum negotiated charge":"195.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2001","code description":"LIDOCAINE INJECTION","payer":"CARESOURCE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"3.29","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"3.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"CIGNA HMO","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"109.23","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"KAISER MCARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"18.44","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"84.68","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94645","code description":"CBT EACH ADDL HOUR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"395","discounted cash price":"98.75","payer-specific negotiated charge":"65.71","de-identified minimum negotiated charge":"57.46","de-identified maximum negotiated charge":"65.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.72","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.16","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82103","code description":"ALPHA-1-ANTITRYPSIN TOTAL","payer":"HUMANA HMO","gross charge":"194","discounted cash price":"48.5","payer-specific negotiated charge":"31.71","de-identified minimum negotiated charge":"11.99","de-identified maximum negotiated charge":"88.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"BCBS SMARTVALUE PFFS","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"20.09","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"336.31","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"BC PPO","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"370.95","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"66.42","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"472.7","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81241","code description":"F5 GENE","payer":"AMERIGROUP","gross charge":"1,298.00","discounted cash price":"324.5","payer-specific negotiated charge":"209.09","de-identified minimum negotiated charge":"49.43","de-identified maximum negotiated charge":"323.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85300","code description":"ANTITHROMBIN III ACTIVITY","payer":"AMERIGROUP","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"31.09","de-identified minimum negotiated charge":"14.81","de-identified maximum negotiated charge":"40.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85303","code description":"CLOT INHIBIT PROT C ACTIVITY","payer":"AMERIGROUP","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"184.93","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"227.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85306","code description":"CLOT INHIBIT PROT S FREE","payer":"AMERIGROUP","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"184.93","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"238.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86146","code description":"BETA-2 GLYCOPROTEIN ANTIBODY","payer":"AMERIGROUP","gross charge":"138.2","discounted cash price":"34.55","payer-specific negotiated charge":"20.56","de-identified minimum negotiated charge":"9.77","de-identified maximum negotiated charge":"26.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"AMERIGROUP","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"11.92","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86148","code description":"ANTI-PHOSPHOLIPID ANTIBODY","payer":"AMERIGROUP","gross charge":"100","discounted cash price":"25","payer-specific negotiated charge":"16.11","de-identified minimum negotiated charge":"7.65","de-identified maximum negotiated charge":"20.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"KAISER MCARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"51.95","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"56.79","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"BCBS SMARTVALUE PFFS","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"82.96","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"BCBS SMARTVALUE PFFS","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"4.98","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"KAISER MCARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"1,550.00","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95909","code description":"NRV CNDJ TST 5-6 STUDIES","payer":"BC HMO","gross charge":"1,220.00","discounted cash price":"305","payer-specific negotiated charge":"841.8","de-identified minimum negotiated charge":"200.63","de-identified maximum negotiated charge":"890.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"AETNA MCARE MGD CARE","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"8.84","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"CARESOURCE","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"79.97","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"PEACHSTATE-CENTENE","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"324.79","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA PPO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"90.97","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"CIGNA PPO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"17.09","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"CIGNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"19.41","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CIGNA PPO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"145.87","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22514","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"CHAMPUS TRICARE","gross charge":"18,295.00","discounted cash price":"4,573.75","payer-specific negotiated charge":"4,604.63","de-identified minimum negotiated charge":"4,103.62","de-identified maximum negotiated charge":"4,604.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22515","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"CHAMPUS TRICARE","gross charge":"12,552.00","discounted cash price":"3,138.00","payer-specific negotiated charge":"3,159.19","de-identified minimum negotiated charge":"1,477.25","de-identified maximum negotiated charge":"3,159.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"BCBS SMARTVALUE PFFS","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"5.89","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"AETNA HMO","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"32.75","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"AETNA HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"88.69","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AETNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"203.53","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"107.76","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"29.04","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"UHC MCARE","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"713.47","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95939","code description":"C MOTOR EVOKED UPR\u0026LWR LIMBS","payer":"UHC MCARE","gross charge":"1,472.00","discounted cash price":"368","payer-specific negotiated charge":"292.29","de-identified minimum negotiated charge":"167.87","de-identified maximum negotiated charge":"612.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1778","code description":"LEAD, NEUROSTIMULATOR","payer":"UHC MCARE","gross charge":"26,052.00","discounted cash price":"6,513.00","payer-specific negotiated charge":"2,131.87","de-identified minimum negotiated charge":"1,874.10","de-identified maximum negotiated charge":"13,722.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1787","code description":"PATIENT PROGR, NEUROSTIM","payer":"UHC MCARE","gross charge":"8,153.00","discounted cash price":"2,038.25","payer-specific negotiated charge":"1,618.97","de-identified minimum negotiated charge":"785.36","de-identified maximum negotiated charge":"1,637.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1822","code description":"GEN, NEURO, HF, RECHG BAT","payer":"UHC MCARE","gross charge":"86,440.00","discounted cash price":"21,610.00","payer-specific negotiated charge":"17,164.70","de-identified minimum negotiated charge":"17,164.70","de-identified maximum negotiated charge":"17,164.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73723","code description":"MRI JOINT LWR EXTR W/O\u0026W/DYE","payer":"BC HMO","gross charge":"12,586.00","discounted cash price":"3,146.50","payer-specific negotiated charge":"2,751.60","de-identified minimum negotiated charge":"1,442.27","de-identified maximum negotiated charge":"2,777.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1772","code description":"INFUSION PUMP, PROGRAMMABLE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"39,646.50","discounted cash price":"9,911.63","payer-specific negotiated charge":"5,979.91","de-identified minimum negotiated charge":"5,979.91","de-identified maximum negotiated charge":"8,671.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"FIRST HLTH NTWK","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"34.5","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99155","code description":"MOD SED OTH PHYS/QHP \u003c5 YRS","payer":"BC HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"250.31","de-identified minimum negotiated charge":"13.42","de-identified maximum negotiated charge":"250.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99157","code description":"MOD SED OTHER PHYS/QHP EA","payer":"BC HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"71.47","de-identified minimum negotiated charge":"14.73","de-identified maximum negotiated charge":"71.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"UHC HMO","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"543.55","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82977","code description":"ASSAY OF GGT","payer":"BC HMO","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"8.77","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"49.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"AETNA PPO","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,974.00","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"CIGNA HMO","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"5,554.40","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74430","code description":"CONTRAST X-RAY BLADDER","payer":"CIGNA HMO","gross charge":"600","discounted cash price":"150","payer-specific negotiated charge":"293.75","de-identified minimum negotiated charge":"241.24","de-identified maximum negotiated charge":"359.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"UHC MCARE","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"1,272.05","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"AETNA MCARE MGD CARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"125.3","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19282","code description":"PERQ DEVICE BREAST EA IMAG","payer":"AETNA MCARE MGD CARE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"75.32","de-identified minimum negotiated charge":"75.32","de-identified maximum negotiated charge":"699"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"CARESOURCE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"77.76","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"CARESOURCE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"41.64","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"CARESOURCE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"19.48","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"HUMANA HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"599.21","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"FIRST HLTH NTWK","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"666","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,150.77","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"UHC HMO","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"33.28","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"AETNA PPO","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"239.94","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"BC PPO","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"405.41","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51798","code description":"US URINE CAPACITY MEASURE","payer":"AMBETTER","gross charge":"818","discounted cash price":"204.5","payer-specific negotiated charge":"327.03","de-identified minimum negotiated charge":"71.68","de-identified maximum negotiated charge":"411.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"UHC MCARE","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"156.45","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"AETNA MCARE MGD CARE","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"50.06","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"AETNA MCARE MGD CARE","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"32.49","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"CHAMPUS TRICARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"11.04","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"CARESOURCE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"61.32","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"CARESOURCE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"2.99","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"CARESOURCE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"3.97","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"CARESOURCE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"6.1","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"27.66","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"12.44","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"1.93","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99156","code description":"MOD SED OTH PHYS/QHP 5/\u003eYRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"91.44","de-identified minimum negotiated charge":"4.23","de-identified maximum negotiated charge":"91.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"MULTI-PLAN","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"3,584.51","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84446","code description":"ASSAY OF VITAMIN E","payer":"AETNA HMO","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"12.6","de-identified minimum negotiated charge":"1.83","de-identified maximum negotiated charge":"37.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"23.06","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"59.37","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"82.5","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"54.32","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"64.78","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"103","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"CIGNA HMO","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"2.25","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78451","code description":"HT MUSCLE IMAGE SPECT SING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"7,090.00","discounted cash price":"1,772.50","payer-specific negotiated charge":"695.99","de-identified minimum negotiated charge":"458.86","de-identified maximum negotiated charge":"1,166.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"PEACHSTATE-CENTENE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"20.52","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"AETNA MCARE MGD CARE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"107.29","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"KAISER MCARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"152.27","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"UHC MCARE","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"2,113.55","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"MEDICARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"288.61","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1120","code description":"ACETAZOLAMID SODIUM INJECTIO","payer":"MEDICAID","gross charge":"266.5","discounted cash price":"66.63","payer-specific negotiated charge":"2.67","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"83.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88182","code description":"CELL MARKER STUDY","payer":"MEDICAID","gross charge":"632","discounted cash price":"158","payer-specific negotiated charge":"92.16","de-identified minimum negotiated charge":"92.16","de-identified maximum negotiated charge":"92.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"FIRST HLTH NTWK","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"115.2","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22513","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"CIGNA HMO","gross charge":"19,210.00","discounted cash price":"4,802.50","payer-specific negotiated charge":"6,996.94","de-identified minimum negotiated charge":"2,135.79","de-identified maximum negotiated charge":"6,996.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"75.11","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"KAISER","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"157.09","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70150","code description":"X-RAY EXAM OF FACIAL BONES","payer":"AETNA HMO","gross charge":"759","discounted cash price":"189.75","payer-specific negotiated charge":"470.58","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"470.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"AMBETTER","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"163.17","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"AETNA PPO","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"1,267.81","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32550","code description":"INSERT PLEURAL CATH","payer":"UHC HMO","gross charge":"11,492.00","discounted cash price":"2,873.00","payer-specific negotiated charge":"5,225.89","de-identified minimum negotiated charge":"2,092.99","de-identified maximum negotiated charge":"5,225.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75989","code description":"ABSCESS DRAINAGE UNDER X-RAY","payer":"UHC HMO","gross charge":"1,342.00","discounted cash price":"335.5","payer-specific negotiated charge":"610.26","de-identified minimum negotiated charge":"244.39","de-identified maximum negotiated charge":"610.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"MEDICARE","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"31.5","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,069.50","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"FIRST HLTH NTWK","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"202.8","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"AMBETTER","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"294.48","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"AMBETTER","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"649.92","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1821","code description":"INTERSPINOUS IMPLANT","payer":"MEDICARE","gross charge":"34,432.00","discounted cash price":"8,608.00","payer-specific negotiated charge":"7,553.07","de-identified minimum negotiated charge":"7,553.07","de-identified maximum negotiated charge":"7,553.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"87.32","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"CARESOURCE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"8.97","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"AETNA PPO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"56.93","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"MEDICARE","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"981.32","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"KAISER","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"62.95","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"UHC MCARE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"221.03","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"UHC MCARE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"236.36","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"1,059.16","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"AETNA PPO","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"693.59","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"AETNA PPO","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"439.06","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.41","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"BC HMO","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"990.84","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"KAISER PPO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"169","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"UHC MCARE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"47.13","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"UHC MCARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"52.85","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"UHC MCARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"17.48","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47536","code description":"EXCHANGE BILIARY DRG CATH","payer":"AETNA MCARE MGD CARE","gross charge":"9,453.00","discounted cash price":"2,363.25","payer-specific negotiated charge":"1,999.91","de-identified minimum negotiated charge":"1,611.87","de-identified maximum negotiated charge":"2,168.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"106.51","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"30.41","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"UHC MCARE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"124.06","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"UHC MCARE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"156.61","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"UHC MCARE","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"290.12","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"UHC MCARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.08","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"UHC MCARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"2.56","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"MEDICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"222.72","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0702","code description":"BETAMETHASONE ACET\u0026SOD PHOSP","payer":"HUMANA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"20.17","de-identified minimum negotiated charge":"20.17","de-identified maximum negotiated charge":"20.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"CHAMPUS TRICARE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"174.62","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"PO","code description":"(null)","payer":"UHC MCARE","gross charge":"235","discounted cash price":"58.75","payer-specific negotiated charge":"2.47","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"2.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"HUMANA HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"103.77","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70542","code description":"MRI ORBIT/FACE/NECK W/DYE","payer":"MEDICARE","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"336","de-identified minimum negotiated charge":"336","de-identified maximum negotiated charge":"336"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"BC HMO","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"1,742.00","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"HUMANA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"10.07","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CIGNA PPO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"40.28","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"PHCS","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"234.75","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"PHCS","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"240","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"PHCS","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"18.76","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87497","code description":"CYTOMEG DNA QUANT","payer":"UHC MCARE","gross charge":"879","discounted cash price":"219.75","payer-specific negotiated charge":"43.99","de-identified minimum negotiated charge":"43.99","de-identified maximum negotiated charge":"43.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99001","code description":"SPECIMEN HANDLING PT-LAB","payer":"UHC MCARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"5.9","de-identified minimum negotiated charge":"5.9","de-identified maximum negotiated charge":"5.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"FIRST HLTH NTWK","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"63","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"BCBS SMARTVALUE PFFS","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"29.78","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"AETNA MCARE MGD CARE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"1.72","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"MEDICARE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"109.03","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"BC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"216","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94668","code description":"CHEST WALL MANIPULATION","payer":"BC PPO","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"56.03","de-identified minimum negotiated charge":"14.5","de-identified maximum negotiated charge":"56.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7500","code description":"AZATHIOPRINE ORAL 50MG","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"7.37","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"7.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"45.41","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97597","code description":"RMVL DEVITAL TIS 20 CM/\u003c","payer":"MEDICARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"31.99","de-identified minimum negotiated charge":"31.99","de-identified maximum negotiated charge":"116.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"CHAMPUS TRICARE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"86.27","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93458","code description":"L HRT ARTERY/VENTRICLE ANGIO","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"18,661.00","discounted cash price":"4,665.25","payer-specific negotiated charge":"1,147.35","de-identified minimum negotiated charge":"1,147.35","de-identified maximum negotiated charge":"4,471.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1725","code description":"CATH, TRANSLUMIN NON-LASER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,614.50","discounted cash price":"403.63","payer-specific negotiated charge":"96.84","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"523.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1753","code description":"CATH, INTRAVAS ULTRASOUND","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,627.00","discounted cash price":"1,156.75","payer-specific negotiated charge":"284.49","de-identified minimum negotiated charge":"284.49","de-identified maximum negotiated charge":"1,108.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"CIGNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"216","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"MEDICARE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"222.18","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"MEDICARE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"261.52","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51610","code description":"INJECTION FOR BLADDER X-RAY","payer":"UHC HMO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"764","de-identified minimum negotiated charge":"764","de-identified maximum negotiated charge":"764"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"210.22","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"UHC HMO","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"708.85","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"34.14","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36581","code description":"REPLACE TUNNELED CV CATH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,552.50","discounted cash price":"1,638.13","payer-specific negotiated charge":"517.83","de-identified minimum negotiated charge":"517.83","de-identified maximum negotiated charge":"939.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"152.99","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95861","code description":"MUSCLE TEST 2 LIMBS","payer":"CIGNA HMO","gross charge":"945","discounted cash price":"236.25","payer-specific negotiated charge":"386.57","de-identified minimum negotiated charge":"113.15","de-identified maximum negotiated charge":"386.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"CIGNA PPO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"1,958.16","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3230","code description":"CHLORPROMAZINE HCL INJECTION","payer":"KAISER","gross charge":"175.5","discounted cash price":"43.88","payer-specific negotiated charge":"67.19","de-identified minimum negotiated charge":"14.04","de-identified maximum negotiated charge":"91.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"226.34","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"UHC HMO","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"106.01","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50389","code description":"REMOVE RENAL TUBE W/FLUORO","payer":"AMERIGROUP","gross charge":"2,444.00","discounted cash price":"611","payer-specific negotiated charge":"130.52","de-identified minimum negotiated charge":"130.52","de-identified maximum negotiated charge":"373.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"BC PPO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"161.54","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87529","code description":"HSV DNA AMP PROBE","payer":"MEDICAID","gross charge":"234","discounted cash price":"58.5","payer-specific negotiated charge":"3.98","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"140.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"PEACHSTATE-CENTENE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"1.98","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"CLOVER HEALTH","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"653.95","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"205.94","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"KAISER","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"661.14","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0121","code description":"INJ., OMADACYCLINE, 1 MG","payer":"AETNA MCARE MGD CARE","gross charge":"19.25","discounted cash price":"4.81","payer-specific negotiated charge":"1.23","de-identified minimum negotiated charge":"1.23","de-identified maximum negotiated charge":"1.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"AETNA MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.02","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"AETNA MCARE MGD CARE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"84.03","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"AMBETTER","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"49.93","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"KAISER","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"8.08","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9073","code description":"PLATELETS PHERESIS PATH REDU","payer":"KAISER","gross charge":"3,788.00","discounted cash price":"947","payer-specific negotiated charge":"520.56","de-identified minimum negotiated charge":"355.11","de-identified maximum negotiated charge":"1,018.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78803","code description":"RP LOCLZJ TUM SPECT 1 AREA","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,531.00","discounted cash price":"632.75","payer-specific negotiated charge":"1,139.44","de-identified minimum negotiated charge":"1,108.48","de-identified maximum negotiated charge":"2,090.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9538","code description":"TC99M PYROPHOSPHATE","payer":"WELLCARE MCARE MGD CARE","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"173.99","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"319.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"60.34","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"PHCS","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"877.5","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"CARESOURCE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"18.58","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62302","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"CIGNA HMO","gross charge":"2,462.00","discounted cash price":"615.5","payer-specific negotiated charge":"2,062.10","de-identified minimum negotiated charge":"145.91","de-identified maximum negotiated charge":"2,062.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"336.09","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"BC HMO","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,638.28","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.1","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.1","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"702.46","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"795.92","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"795.92","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,035.71","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"16","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"7.13","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"62.96","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"44.34","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"MEDICAID","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"15.74","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"MEDICAID","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"28.38","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"PEACHSTATE-CENTENE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"411.19","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"154.64","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93925","code description":"LOWER EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"2,052.00","discounted cash price":"513","payer-specific negotiated charge":"176.88","de-identified minimum negotiated charge":"139.14","de-identified maximum negotiated charge":"206.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84403","code description":"ASSAY OF TOTAL TESTOSTERONE","payer":"UHC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"20.7","de-identified minimum negotiated charge":"4.63","de-identified maximum negotiated charge":"20.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"65.58","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"WELLCARE MCARE MGD CARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"21.19","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"AETNA PPO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"16.62","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86340","code description":"INTRINSIC FACTOR ANTIBODY","payer":"MEDICAID","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"17.06","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"17.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2596","code description":"PROBE, ROBOTIC, WATER-JET","payer":"AETNA MCARE MGD CARE","gross charge":"17,713.00","discounted cash price":"4,428.25","payer-specific negotiated charge":"5,442.30","de-identified minimum negotiated charge":"2,029.80","de-identified maximum negotiated charge":"5,442.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"AETNA HMO","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"95.01","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"UHC MCARE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"266.95","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"UHC MCARE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"48.96","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"CARESOURCE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"3.65","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7070","code description":"D5W INFUSION","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"100.63","de-identified minimum negotiated charge":"30.66","de-identified maximum negotiated charge":"100.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1734","code description":"ORTH/DEVIC/DRUG BN/BN,TIS/BN","payer":"AETNA MCARE MGD CARE","gross charge":"13,427.00","discounted cash price":"3,356.75","payer-specific negotiated charge":"2,541.45","de-identified minimum negotiated charge":"2,057.44","de-identified maximum negotiated charge":"6,151.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76380","code description":"CAT SCAN FOLLOW-UP STUDY","payer":"BC PPO","gross charge":"1,764.00","discounted cash price":"441","payer-specific negotiated charge":"1,477.28","de-identified minimum negotiated charge":"46.08","de-identified maximum negotiated charge":"1,477.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"UHC MCARE","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"11.39","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"HUMANA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,785.54","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8659","code description":"INTERPHALANGEAL JOINT REPL","payer":"UHC HMO","gross charge":"7,580.00","discounted cash price":"1,895.00","payer-specific negotiated charge":"2,910.56","de-identified minimum negotiated charge":"1,142.75","de-identified maximum negotiated charge":"2,910.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"348.52","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99155","code description":"MOD SED OTH PHYS/QHP \u003c5 YRS","payer":"PEACHSTATE-CENTENE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"13.42","de-identified minimum negotiated charge":"13.42","de-identified maximum negotiated charge":"250.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"UHC HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"475.81","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"KAISER MCARE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"1.99","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"PEACHSTATE-CENTENE","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"280.32","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"HUMANA PPO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"195.18","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"HUMANA PPO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"262.95","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"KAISER PPO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"452.4","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"HUMANA HMO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"22.64","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87493","code description":"C DIFF AMPLIFIED PROBE","payer":"HUMANA HMO","gross charge":"457","discounted cash price":"114.25","payer-specific negotiated charge":"84.8","de-identified minimum negotiated charge":"10.72","de-identified maximum negotiated charge":"84.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81235","code description":"EGFR GENE COM VARIANTS","payer":"WELLCARE MCARE MGD CARE","gross charge":"876","discounted cash price":"219","payer-specific negotiated charge":"50.26","de-identified minimum negotiated charge":"50.26","de-identified maximum negotiated charge":"78.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"WELLCARE MCARE MGD CARE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"8.26","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"WELLCARE MCARE MGD CARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"22.38","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"25.36","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88274","code description":"CYTOGENETICS 25-99","payer":"WELLCARE MCARE MGD CARE","gross charge":"211","discounted cash price":"52.75","payer-specific negotiated charge":"12.11","de-identified minimum negotiated charge":"12.11","de-identified maximum negotiated charge":"18.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"WELLCARE MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"24.55","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"29.2","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88381","code description":"MICRODISSECTION MANUAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"8.95","de-identified minimum negotiated charge":"8.95","de-identified maximum negotiated charge":"37.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"WELLCARE MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"51.35","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"BC PPO","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"1,776.31","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"UHC PPO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"530","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1230","code description":"METHADONE INJECTION","payer":"MEDICARE","gross charge":"201.5","discounted cash price":"50.38","payer-specific negotiated charge":"1.37","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"29.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"CIGNA HMO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"427.14","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"AETNA MCARE MGD CARE","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"77.11","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"AMERIGROUP","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"74.61","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"CIGNA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"193","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"UHC HMO","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"PEACHSTATE-CENTENE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.22","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"AETNA MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.2","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"AMERIGROUP","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"292","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83873","code description":"ASSAY OF CSF PROTEIN","payer":"AMERIGROUP","gross charge":"174","discounted cash price":"43.5","payer-specific negotiated charge":"23.41","de-identified minimum negotiated charge":"23.41","de-identified maximum negotiated charge":"174"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"AMERIGROUP","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"30.28","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87327","code description":"CRYPTOCOCCUS NEOFORM AG IA","payer":"AMERIGROUP","gross charge":"54","discounted cash price":"13.5","payer-specific negotiated charge":"7.27","de-identified minimum negotiated charge":"7.27","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"KAISER","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"424.21","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"KAISER MCARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"12.5","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"AMERIGROUP","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"404.49","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"AMERIGROUP","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"216.58","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"AMERIGROUP","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"101.34","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87593","code description":"ORTHOPOXVIRUS AMP PRB EACH","payer":"BC HMO","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"63","de-identified minimum negotiated charge":"6.26","de-identified maximum negotiated charge":"63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"KAISER","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"123.34","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"CARESOURCE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"12.59","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"CHAMPUS TRICARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"55.27","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"CHAMPUS TRICARE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"8.9","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0260","code description":"INJ FOR SACROILIAC JT ANESTH","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,763.00","discounted cash price":"690.75","payer-specific negotiated charge":"178.23","de-identified minimum negotiated charge":"178.23","de-identified maximum negotiated charge":"496.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2795","code description":"ROPIVACAINE HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4.73","discounted cash price":"1.18","payer-specific negotiated charge":"0.06","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"1.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7131","code description":"HYPERTONIC SALINE SOL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"4.65","de-identified minimum negotiated charge":"0.07","de-identified maximum negotiated charge":"41.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"UHC PPO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"147.27","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"UHC PPO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"28.61","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"UHC PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"69.87","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"UHC PPO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"14.76","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"UHC PPO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"36.74","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"HUMANA PPO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,172.90","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"HUMANA PPO","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"2,235.38","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"HUMANA PPO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"11.15","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"34.42","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"HUMANA HMO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"896.94","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"UHC PPO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"475.81","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71550","code description":"MRI CHEST W/O DYE","payer":"CIGNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,366.00","de-identified minimum negotiated charge":"226.34","de-identified maximum negotiated charge":"1,366.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"AETNA MCARE MGD CARE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"818.49","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"AETNA MCARE MGD CARE","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"106.43","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70540","code description":"MRI ORBIT/FACE/NECK W/O DYE","payer":"AETNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,761.00","de-identified minimum negotiated charge":"229.4","de-identified maximum negotiated charge":"1,761.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90677","code description":"PCV20 VACCINE IM","payer":"UHC HMO","gross charge":"1,299.50","discounted cash price":"324.88","payer-specific negotiated charge":"177.6","de-identified minimum negotiated charge":"119.76","de-identified maximum negotiated charge":"429.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97602","code description":"WOUND(S) CARE NON-SELECTIVE","payer":"UHC HMO","gross charge":"316","discounted cash price":"79","payer-specific negotiated charge":"43.19","de-identified minimum negotiated charge":"43.19","de-identified maximum negotiated charge":"43.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"UHC HMO","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"3.14","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"107.08","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"110","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"AMBETTER","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"20.71","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93930","code description":"UPPER EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"1,695.00","discounted cash price":"423.75","payer-specific negotiated charge":"224.95","de-identified minimum negotiated charge":"224.95","de-identified maximum negotiated charge":"238.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"CHAMPUS TRICARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"59.01","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9957","code description":"INJ PERFLUTREN LIP MICROS,ML","payer":"CHAMPUS TRICARE","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"41.64","de-identified minimum negotiated charge":"17.8","de-identified maximum negotiated charge":"520.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"AETNA MCARE MGD CARE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"214.56","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"CIGNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,477.54","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1779","code description":"LEAD, PMKR, TRANSVENOUS VDD","payer":"UHC MCARE","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"196.93","de-identified minimum negotiated charge":"196.93","de-identified maximum negotiated charge":"196.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1785","code description":"PMKR, DUAL, RATE-RESP","payer":"UHC MCARE","gross charge":"30,282.00","discounted cash price":"7,570.50","payer-specific negotiated charge":"3,020.96","de-identified minimum negotiated charge":"3,020.96","de-identified maximum negotiated charge":"3,020.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1892","code description":"INTRO/SHEATH,FIXED,PEEL-AWAY","payer":"UHC MCARE","gross charge":"268","discounted cash price":"67","payer-specific negotiated charge":"26.74","de-identified minimum negotiated charge":"20.17","de-identified maximum negotiated charge":"26.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"MEDICARE","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"7.38","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"811.51","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"115.27","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"87.8","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"130.54","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"432.07","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"46.01","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"AETNA HMO","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"105.06","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83020","code description":"HEMOGLOBIN ELECTROPHORESIS","payer":"AETNA HMO","gross charge":"90","discounted cash price":"22.5","payer-specific negotiated charge":"19.38","de-identified minimum negotiated charge":"13.62","de-identified maximum negotiated charge":"106.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"UHC HMO","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"1,910.99","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"UHC HMO","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"44.55","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"UHC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"43.18","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"CIGNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"460.71","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"UHC HMO","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"530","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"BCBS SMARTVALUE PFFS","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"243.9","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"FIRST HLTH NTWK","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"373.8","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"FIRST HLTH NTWK","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"253.5","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80051","code description":"ELECTROLYTE PANEL","payer":"CIGNA PPO","gross charge":"71","discounted cash price":"17.75","payer-specific negotiated charge":"26.12","de-identified minimum negotiated charge":"8.34","de-identified maximum negotiated charge":"26.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"CIGNA PPO","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"24.96","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"CIGNA PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"31.49","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84450","code description":"TRANSFERASE (AST) (SGOT)","payer":"CIGNA PPO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"26.88","de-identified minimum negotiated charge":"2.97","de-identified maximum negotiated charge":"28.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84460","code description":"ALANINE AMINO (ALT) (SGPT)","payer":"CIGNA PPO","gross charge":"67.5","discounted cash price":"16.88","payer-specific negotiated charge":"25.35","de-identified minimum negotiated charge":"2.8","de-identified maximum negotiated charge":"26.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84520","code description":"ASSAY OF UREA NITROGEN","payer":"CIGNA PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"57.99","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"61.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"CIGNA PPO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"16.51","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"296.23","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"147.8","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"AETNA HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"345.96","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84153","code description":"ASSAY OF PSA TOTAL","payer":"HUMANA HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"281.95","de-identified minimum negotiated charge":"5.65","de-identified maximum negotiated charge":"281.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"37.27","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"MEDICARE","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"1.69","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86665","code description":"EPSTEIN-BARR CAPSID VCA","payer":"UHC HMO","gross charge":"197","discounted cash price":"49.25","payer-specific negotiated charge":"31.52","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"31.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"37.27","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"HUMANA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"82.34","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76497","code description":"UNLISTED CT PROCEDURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"79.08","de-identified minimum negotiated charge":"78.72","de-identified maximum negotiated charge":"216"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"18.24","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84166","code description":"PROTEIN E-PHORESIS/URINE/CSF","payer":"WELLCARE MCARE MGD CARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"28.5","de-identified minimum negotiated charge":"28.5","de-identified maximum negotiated charge":"72.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86617","code description":"LYME DISEASE ANTIBODY","payer":"WELLCARE MCARE MGD CARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"6.06","de-identified minimum negotiated charge":"5.7","de-identified maximum negotiated charge":"6.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"24.82","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"MEDICAID","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"141.61","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"AMERIGROUP","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"397.4","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AMERIGROUP","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"63","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"UHC MCARE","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,111.35","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"HUMANA HMO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"7.06","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3260","code description":"TOBRAMYCIN SULFATE INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.16","de-identified minimum negotiated charge":"1.73","de-identified maximum negotiated charge":"11.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"MEDICAID","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"91.3","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"108.54","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78071","code description":"PARATHYRD PLANAR W/WO SUBTRJ","payer":"PEACHSTATE-CENTENE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"317.79","de-identified minimum negotiated charge":"255.86","de-identified maximum negotiated charge":"1,288.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"PEACHSTATE-CENTENE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"153.49","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0502T","code description":"COR FFR DATA PREP \u0026 TRANSMIS","payer":"BC PPO","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"2,037.75","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0503T","code description":"COR FFR ALYS GNRJ FFR MDL","payer":"BC PPO","gross charge":"3,083.00","discounted cash price":"770.75","payer-specific negotiated charge":"2,037.75","de-identified minimum negotiated charge":"158.22","de-identified maximum negotiated charge":"2,037.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"FIRST HLTH NTWK","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"48","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93925","code description":"LOWER EXTREMITY STUDY","payer":"UHC MCARE","gross charge":"2,052.00","discounted cash price":"513","payer-specific negotiated charge":"175.1","de-identified minimum negotiated charge":"139.14","de-identified maximum negotiated charge":"206.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"AMERIGROUP","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"1.02","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"UHC PPO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"166.18","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"UHC PPO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.39","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"184.65","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83655","code description":"ASSAY OF LEAD","payer":"PEACHSTATE-CENTENE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"6.49","de-identified minimum negotiated charge":"6.49","de-identified maximum negotiated charge":"6.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"UHC PPO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"84.2","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.61","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"HUMANA HMO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"406.11","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"WELLCARE MCARE MGD CARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"27.02","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"178.74","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0597","code description":"C-1 ESTERASE, BERINERT","payer":"BC PPO","gross charge":"192.51","discounted cash price":"48.13","payer-specific negotiated charge":"122.1","de-identified minimum negotiated charge":"122.1","de-identified maximum negotiated charge":"122.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"CIGNA PPO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"2,932.02","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73223","code description":"MRI JOINT UPR EXTR W/O\u0026W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"351.91","de-identified minimum negotiated charge":"337.29","de-identified maximum negotiated charge":"351.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"CHAMPUS TRICARE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"136.02","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"CHAMPUS TRICARE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"95.05","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"CHAMPUS TRICARE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"2.63","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"BC PPO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"3,994.87","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36598","code description":"INJ W/FLUOR EVAL CV DEVICE","payer":"AETNA MCARE MGD CARE","gross charge":"843","discounted cash price":"210.75","payer-specific negotiated charge":"137.66","de-identified minimum negotiated charge":"137.66","de-identified maximum negotiated charge":"843"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"158.46","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.83","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"4.38","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"AMERIGROUP","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"32.66","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"AMERIGROUP","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"31.4","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"CLOVER HEALTH","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.69","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"113.84","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95912","code description":"NRV CNDJ TEST 11-12 STUDIES","payer":"UHC HMO","gross charge":"2,405.00","discounted cash price":"601.25","payer-specific negotiated charge":"1,700.34","de-identified minimum negotiated charge":"262.38","de-identified maximum negotiated charge":"1,700.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96139","code description":"PSYCL/NRPSYC TST TECH EA","payer":"MEDICAID","gross charge":"113","discounted cash price":"28.25","payer-specific negotiated charge":"20.67","de-identified minimum negotiated charge":"20.67","de-identified maximum negotiated charge":"20.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"MEDICAID","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"575.56","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"PHCS","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"105.75","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"PHCS","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"66","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"PHCS","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"132","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"PHCS","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"27","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"PHCS","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"115.5","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"KAISER","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"30.6","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"KAISER MCARE","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"318.39","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"KAISER MCARE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"36.13","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"KAISER MCARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"0.91","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93931","code description":"UPPER EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"1,328.00","discounted cash price":"332","payer-specific negotiated charge":"106.43","de-identified minimum negotiated charge":"106.43","de-identified maximum negotiated charge":"231.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"AETNA MCARE MGD CARE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"9.35","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"397.48","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84134","code description":"ASSAY OF PREALBUMIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"13.07","de-identified minimum negotiated charge":"4.07","de-identified maximum negotiated charge":"47.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"WELLCARE MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"5.6","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"PHCS","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"129","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"PHCS","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"190.5","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"KAISER","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"842.38","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"AMERIGROUP","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.32","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80184","code description":"ASSAY OF PHENOBARBITAL","payer":"BC HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"15.62","de-identified minimum negotiated charge":"9.74","de-identified maximum negotiated charge":"22.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76819","code description":"FETAL BIOPHYS PROFIL W/O NST","payer":"BC PPO","gross charge":"1,214.00","discounted cash price":"303.5","payer-specific negotiated charge":"352.09","de-identified minimum negotiated charge":"352.09","de-identified maximum negotiated charge":"352.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"52.86","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"75.27","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"HUMANA HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"31.78","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7500","code description":"AZATHIOPRINE ORAL 50MG","payer":"UHC MCARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.19","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"7.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70552","code description":"MRI BRAIN STEM W/DYE","payer":"BC PPO","gross charge":"6,088.00","discounted cash price":"1,522.00","payer-specific negotiated charge":"2,905.04","de-identified minimum negotiated charge":"313.47","de-identified maximum negotiated charge":"2,905.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"457.83","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"73.1","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"CHAMPUS TRICARE","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"19.35","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"CHAMPUS TRICARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"25.02","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"CIGNA PPO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"11.75","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86022","code description":"PLATELET ANTIBODIES","payer":"MEDICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.26","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"5.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"BC PPO","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"3,657.39","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"MULTI-PLAN","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"449.65","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"MULTI-PLAN","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"606.05","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"79005","code description":"NUCLEAR RX ORAL ADMIN","payer":"AMBETTER","gross charge":"2,300.00","discounted cash price":"575","payer-specific negotiated charge":"546.42","de-identified minimum negotiated charge":"392.81","de-identified maximum negotiated charge":"1,502.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9530","code description":"I131 IODIDE SOL, RX","payer":"AMBETTER","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"11.17","de-identified minimum negotiated charge":"8.03","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"290.47","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4130","code description":"STRATTICE TM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"76","discounted cash price":"19","payer-specific negotiated charge":"7.38","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"7.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"HUMANA HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"115.6","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86161","code description":"COMPLEMENT/FUNCTION ACTIVITY","payer":"AMERIGROUP","gross charge":"158","discounted cash price":"39.5","payer-specific negotiated charge":"13.48","de-identified minimum negotiated charge":"13.48","de-identified maximum negotiated charge":"94.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"214.93","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"CHAMPUS TRICARE","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"1,987.14","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"KAISER","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"120.21","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"BC HMO","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"571.65","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1205","code description":"CHLOROTHIAZIDE SODIUM INJ","payer":"BC HMO","gross charge":"1,554.00","discounted cash price":"388.5","payer-specific negotiated charge":"528.02","de-identified minimum negotiated charge":"254.58","de-identified maximum negotiated charge":"528.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"UHC PPO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"10.08","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"27.41","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"74.25","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87106","code description":"FUNGI IDENTIFICATION YEAST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"19.61","de-identified minimum negotiated charge":"4.66","de-identified maximum negotiated charge":"19.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87116","code description":"MYCOBACTERIA CULTURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"244","discounted cash price":"61","payer-specific negotiated charge":"46.45","de-identified minimum negotiated charge":"37.83","de-identified maximum negotiated charge":"46.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87555","code description":"M.TUBERCULO DNA DIR PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"9.33","de-identified minimum negotiated charge":"3.15","de-identified maximum negotiated charge":"29.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"CIGNA HMO","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"2.75","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"CIGNA PPO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"103.51","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76010","code description":"X-RAY NOSE TO RECTUM","payer":"PEACHSTATE-CENTENE","gross charge":"554","discounted cash price":"138.5","payer-specific negotiated charge":"82","de-identified minimum negotiated charge":"58.97","de-identified maximum negotiated charge":"82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74283","code description":"THER NMA RDCTJ INTUS/OBSTRCJ","payer":"BC HMO","gross charge":"1,519.00","discounted cash price":"379.75","payer-specific negotiated charge":"477.75","de-identified minimum negotiated charge":"115.75","de-identified maximum negotiated charge":"897.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"AETNA HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"1,163.00","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19282","code description":"PERQ DEVICE BREAST EA IMAG","payer":"AETNA HMO","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"699","de-identified minimum negotiated charge":"75.32","de-identified maximum negotiated charge":"699"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38792","code description":"RA TRACER ID OF SENTINL NODE","payer":"AETNA HMO","gross charge":"909","discounted cash price":"227.25","payer-specific negotiated charge":"909","de-identified minimum negotiated charge":"117.93","de-identified maximum negotiated charge":"909"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"CIGNA PPO","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"901.53","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80051","code description":"ELECTROLYTE PANEL","payer":"HUMANA HMO","gross charge":"71","discounted cash price":"17.75","payer-specific negotiated charge":"8.34","de-identified minimum negotiated charge":"8.34","de-identified maximum negotiated charge":"26.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8613","code description":"OSSICULAR IMPLANT","payer":"AMBETTER","gross charge":"643","discounted cash price":"160.75","payer-specific negotiated charge":"90.21","de-identified minimum negotiated charge":"31.53","de-identified maximum negotiated charge":"128.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82024","code description":"ASSAY OF ACTH","payer":"PEACHSTATE-CENTENE","gross charge":"343","discounted cash price":"85.75","payer-specific negotiated charge":"24.03","de-identified minimum negotiated charge":"17.51","de-identified maximum negotiated charge":"224.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"PEACHSTATE-CENTENE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"26.56","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84305","code description":"ASSAY OF SOMATOMEDIN","payer":"PEACHSTATE-CENTENE","gross charge":"794","discounted cash price":"198.5","payer-specific negotiated charge":"55.63","de-identified minimum negotiated charge":"55.63","de-identified maximum negotiated charge":"55.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84402","code description":"ASSAY OF FREE TESTOSTERONE","payer":"PEACHSTATE-CENTENE","gross charge":"361","discounted cash price":"90.25","payer-specific negotiated charge":"25.29","de-identified minimum negotiated charge":"25.29","de-identified maximum negotiated charge":"306.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"CIGNA HMO","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"1,544.04","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0515","code description":"INJ BENZTROPINE MESYLATE","payer":"CARESOURCE","gross charge":"150.5","discounted cash price":"37.63","payer-specific negotiated charge":"26.38","de-identified minimum negotiated charge":"26.38","de-identified maximum negotiated charge":"26.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"UHC HMO","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"1,066.16","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"CIGNA HMO","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"4.07","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"BCBS SMARTVALUE PFFS","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"37.46","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"UHC PPO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"1,699.00","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"UHC PPO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"154","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"UHC PPO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"541","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"UHC PPO","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"348","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"AETNA PPO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"275.64","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"HUMANA HMO","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"738.8","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"BCBS SMARTVALUE PFFS","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"17.97","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"MEDICARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"139.82","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19282","code description":"PERQ DEVICE BREAST EA IMAG","payer":"MEDICARE","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"84.04","de-identified minimum negotiated charge":"75.32","de-identified maximum negotiated charge":"699"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"AETNA PPO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"50.84","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"WELLCARE MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"58.25","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"FIRST HLTH NTWK","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"267","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"AETNA HMO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"17.47","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"AETNA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"25.95","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"80.41","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"AETNA HMO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"99.86","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"AETNA HMO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"337.95","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"AETNA HMO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"1,458.24","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"AETNA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"26.74","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"AETNA HMO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"98.36","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"AETNA HMO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"80.93","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"AETNA HMO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"69.3","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"AETNA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"196.27","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"AETNA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"69.07","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"AETNA HMO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"80.7","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"AETNA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"176.29","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"AETNA HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"97.89","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"AETNA HMO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"237.72","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"AETNA HMO","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"3,597.12","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"AETNA HMO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"878.28","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"AETNA HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"338.37","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"350","code description":"CT SCAN","payer":"AETNA HMO","gross charge":"956","discounted cash price":"239","payer-specific negotiated charge":"257.78","de-identified minimum negotiated charge":"177.46","de-identified maximum negotiated charge":"435.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"AETNA HMO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,229.78","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"AETNA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,257.86","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"AETNA HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"988.36","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"AETNA HMO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"911.59","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"AETNA HMO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,493.33","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"AETNA HMO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"190.37","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"AETNA HMO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"393.08","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"AETNA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"827.7","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"AETNA HMO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"482.97","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"AETNA HMO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"248.64","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"AETNA HMO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"103.19","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AETNA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"253.48","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"AETNA HMO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"103.75","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AETNA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"257.4","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"AETNA HMO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"103.73","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"AETNA HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"255.97","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"AETNA HMO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,492.38","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"AETNA HMO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"582.97","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"AETNA HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"439.32","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"AETNA HMO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"602.78","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"AETNA HMO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"1,883.87","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"AETNA HMO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,457.70","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"AETNA HMO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"1,593.66","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"AETNA HMO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,293.08","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"AETNA HMO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"17.79","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"AETNA HMO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"115.79","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"AETNA HMO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"167.24","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"AETNA HMO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"578.13","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"AETNA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"776.17","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"AETNA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,410.02","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"AETNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"800","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"AETNA PPO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"11.21","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"AETNA PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"73.01","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"AETNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"79.76","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"AETNA PPO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"280.32","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"AETNA PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"23.16","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"AETNA PPO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"110.89","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"AETNA PPO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"125.96","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"AETNA PPO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"76.06","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"AETNA PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"192.33","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"AETNA PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"75.22","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"AETNA PPO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"105.89","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"AETNA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"624.41","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"AETNA PPO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"244.78","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"AETNA PPO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,052.46","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"AETNA PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,958.29","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"AETNA PPO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,232.35","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"AETNA PPO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"312.38","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"AETNA PPO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"857.55","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"AETNA PPO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"589.88","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"AETNA PPO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"414.46","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"AETNA PPO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"89.29","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AETNA PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"273.15","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"AETNA PPO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"97.43","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AETNA PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"249.94","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"AETNA PPO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"94.74","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"AETNA PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"264.53","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"AETNA PPO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,527.65","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"AETNA PPO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"978.33","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"AETNA PPO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"2,215.28","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"AETNA PPO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,948.81","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"AETNA PPO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"25.46","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"AETNA PPO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"200.54","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"762","code description":"OBSERVATION RM","payer":"AETNA PPO","gross charge":"1,686.00","discounted cash price":"421.5","payer-specific negotiated charge":"729.93","de-identified minimum negotiated charge":"729.93","de-identified maximum negotiated charge":"729.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"AETNA PPO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,091.33","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"AETNA PPO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,091.33","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"AETNA PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,247.83","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"230","code description":"INCREMENTAL NURSING RATE","payer":"AMBETTER","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"165.31","de-identified minimum negotiated charge":"146.28","de-identified maximum negotiated charge":"239.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"AMBETTER","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"16.68","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"AMBETTER","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"11.76","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"92.1","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"260","code description":"IV THERAPY","payer":"AMBETTER","gross charge":"369.92","discounted cash price":"92.48","payer-specific negotiated charge":"283.03","de-identified minimum negotiated charge":"71.64","de-identified maximum negotiated charge":"283.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"AMBETTER","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"156.83","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"AMBETTER","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"390.32","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"AMBETTER","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"2,168.79","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"AMBETTER","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"32.63","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"AMBETTER","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"103.4","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"AMBETTER","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"101.32","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"AMBETTER","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"89.71","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"AMBETTER","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"217.31","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"AMBETTER","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"74.35","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"AMBETTER","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"107.07","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"AMBETTER","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"332.35","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"AMBETTER","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"167.78","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"AMBETTER","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"319.9","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"AMBETTER","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"2,553.14","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"AMBETTER","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"1,231.81","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"AMBETTER","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"358.59","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"350","code description":"CT SCAN","payer":"AMBETTER","gross charge":"956","discounted cash price":"239","payer-specific negotiated charge":"435.36","de-identified minimum negotiated charge":"177.46","de-identified maximum negotiated charge":"435.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"AMBETTER","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,322.99","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"AMBETTER","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,707.72","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"AMBETTER","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,936.84","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"AMBETTER","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,292.20","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"AMBETTER","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"2,404.56","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"AMBETTER","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"271.37","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"AMBETTER","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"616.87","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"AMBETTER","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,000.46","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"AMBETTER","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"568.56","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"AMBETTER","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"278.74","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"412","code description":"RESPIRATORY SERVICES - INHALATION SERVICES","payer":"AMBETTER","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"327.27","de-identified minimum negotiated charge":"120.82","de-identified maximum negotiated charge":"399.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"AMBETTER","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"84.7","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AMBETTER","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"258.82","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"AMBETTER","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"81.47","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"AMBETTER","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"227.18","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"AMBETTER","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"99.79","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"AMBETTER","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"224.01","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"AMBETTER","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,791.37","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"AMBETTER","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"571.82","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"AMBETTER","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"332.79","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"AMBETTER","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"750.61","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"AMBETTER","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"1,743.24","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"AMBETTER","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"2,194.79","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"AMBETTER","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,522.94","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"635","code description":"PHARMACY - EPO 10,000 OR MORE UNITS","payer":"AMBETTER","gross charge":"5.76","discounted cash price":"1.44","payer-specific negotiated charge":"2.04","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"2.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"AMBETTER","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"20.23","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"AMBETTER","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"173.23","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"AMBETTER","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"220.16","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"AMBETTER","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"495.32","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"761","code description":"TREATMENT RM","payer":"AMBETTER","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"258.14","de-identified minimum negotiated charge":"141.86","de-identified maximum negotiated charge":"412.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"AMBETTER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,219.43","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"AMBETTER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,082.46","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"AMBETTER","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"703.01","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"230","code description":"INCREMENTAL NURSING RATE","payer":"BC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"177.1","de-identified minimum negotiated charge":"146.28","de-identified maximum negotiated charge":"239.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"BC HMO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"27.85","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"BC HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"12.12","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"105.51","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"BC HMO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"103.71","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"BC HMO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"440.19","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"274","code description":"PROSTH/ORTH DEV","payer":"BC HMO","gross charge":"392","discounted cash price":"98","payer-specific negotiated charge":"316.89","de-identified minimum negotiated charge":"61.36","de-identified maximum negotiated charge":"316.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"BC HMO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"1,012.58","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"BC HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"40.42","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"BC HMO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"133.7","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"BC HMO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"119.85","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"BC HMO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"99.56","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"BC HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"241.75","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"BC HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"86.85","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"BC HMO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"140.57","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"BC HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"315.24","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"BC HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"110.5","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"BC HMO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"380.84","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"BC HMO","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"3,770.43","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"BC HMO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"1,417.77","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"BC HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"465.24","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"350","code description":"CT SCAN","payer":"BC HMO","gross charge":"956","discounted cash price":"239","payer-specific negotiated charge":"376.3","de-identified minimum negotiated charge":"177.46","de-identified maximum negotiated charge":"435.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"BC HMO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,737.18","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"BC HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,861.76","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"BC HMO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,220.39","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"BC HMO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,769.32","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"BC HMO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"241.07","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"BC HMO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"565.17","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"BC HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,393.94","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"BC HMO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"658.04","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"BC HMO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"415.13","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"412","code description":"RESPIRATORY SERVICES - INHALATION SERVICES","payer":"BC HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"399.78","de-identified minimum negotiated charge":"120.82","de-identified maximum negotiated charge":"399.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"BC HMO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"133.78","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"BC HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"366.35","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"BC HMO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"130.93","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"BC HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"364.43","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"BC HMO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"131.63","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"BC HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"360.68","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"BC HMO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"2,073.21","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"BC HMO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"742.16","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"BC HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"491.44","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"BC HMO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"939.88","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"BC HMO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"2,545.00","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"BC HMO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,036.67","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"BC HMO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"3,939.71","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"BC HMO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"2,045.97","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"BC HMO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"23.24","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"BC HMO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"161.18","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"BC HMO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"236","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"BC HMO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"750.27","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"761","code description":"TREATMENT RM","payer":"BC HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"233.96","de-identified minimum negotiated charge":"141.86","de-identified maximum negotiated charge":"412.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"771","code description":"PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION","payer":"BC HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"418.37","de-identified minimum negotiated charge":"164.83","de-identified maximum negotiated charge":"418.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"BC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"866.58","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"BC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"850.63","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"BC HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"905.09","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"922","code description":"OTHER DIAGNOSTIC SERVICES - ELECTROMYELOGRAM","payer":"BC HMO","gross charge":"1,822.67","discounted cash price":"455.67","payer-specific negotiated charge":"422.24","de-identified minimum negotiated charge":"422.24","de-identified maximum negotiated charge":"906.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"230","code description":"INCREMENTAL NURSING RATE","payer":"BC PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"239.29","de-identified minimum negotiated charge":"146.28","de-identified maximum negotiated charge":"239.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"BC PPO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"24.45","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"BC PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"14.17","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"107.56","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"260","code description":"IV THERAPY","payer":"BC PPO","gross charge":"369.92","discounted cash price":"92.48","payer-specific negotiated charge":"130.12","de-identified minimum negotiated charge":"71.64","de-identified maximum negotiated charge":"283.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"BC PPO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"126.08","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"BC PPO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"375.14","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"BC PPO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"2,025.19","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"BC PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"38.77","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"BC PPO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"131.56","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"BC PPO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"126.9","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"BC PPO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"100.87","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"BC PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"258.43","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"BC PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"81.54","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"BC PPO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"101.34","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"BC PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"438.7","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"BC PPO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"139.87","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"BC PPO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"349.54","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"BC PPO","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"4,430.21","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"BC PPO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"1,230.54","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"BC PPO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"441.2","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"BC PPO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,782.71","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"BC PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,876.75","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"BC PPO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,425.47","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"BC PPO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,122.07","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"BC PPO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"2,959.09","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"BC PPO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"250.13","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"ANESTHESIA - INCIDENT TO OTHER DIAGNOSTIC SERVICES","payer":"BC PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"349.53","de-identified minimum negotiated charge":"349.53","de-identified maximum negotiated charge":"671.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"BC PPO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"554.06","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"BC PPO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,102.91","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"BC PPO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"573.67","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"BC PPO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"407.28","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"BC PPO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"136.7","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"BC PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"364.08","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"BC PPO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"133.23","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"BC PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"366.18","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"BC PPO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"339.21","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"BC PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"279.14","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"BC PPO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,991.17","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"BC PPO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"1,023.08","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"BC PPO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"577.44","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"BC PPO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"908.06","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"BC PPO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"2,524.53","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"BC PPO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"4,474.40","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"BC PPO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"2,913.95","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"BC PPO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,380.20","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"BC PPO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"24.69","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"BC PPO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"156.13","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"BC PPO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"233.78","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"731","code description":"EKG/ECG - HOLTER MONITOR","payer":"BC PPO","gross charge":"737.5","discounted cash price":"184.38","payer-specific negotiated charge":"320.86","de-identified minimum negotiated charge":"249.68","de-identified maximum negotiated charge":"320.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"BC PPO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"953.7","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"761","code description":"TREATMENT RM","payer":"BC PPO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"141.86","de-identified minimum negotiated charge":"141.86","de-identified maximum negotiated charge":"412.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"BC PPO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"825.16","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"BC PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,006.57","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"CIGNA HMO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"20.1","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"CIGNA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"36","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"92.19","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"260","code description":"IV THERAPY","payer":"CIGNA HMO","gross charge":"369.92","discounted cash price":"92.48","payer-specific negotiated charge":"71.64","de-identified minimum negotiated charge":"71.64","de-identified maximum negotiated charge":"283.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"CIGNA HMO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"71.07","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"CIGNA HMO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"278.13","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"CIGNA HMO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"431.28","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"CIGNA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"31.56","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"CIGNA HMO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"133.87","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"CIGNA HMO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"87.91","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"CIGNA HMO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"94.08","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"CIGNA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"230.14","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"CIGNA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"77.48","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"CIGNA HMO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"78.9","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"CIGNA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"378.73","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"CIGNA HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"79.17","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"CIGNA HMO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"326.47","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"CIGNA HMO","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"3,193.71","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"CIGNA HMO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"1,026.71","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"CIGNA HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"335.15","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"CIGNA HMO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,547.74","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"CIGNA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,709.60","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"CIGNA HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,558.37","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"CIGNA HMO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"927.8","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"CIGNA HMO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,409.55","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"CIGNA HMO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"214.77","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"CIGNA HMO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"375.99","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"CIGNA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"728.84","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"CIGNA HMO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"564.9","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"CIGNA HMO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"313.17","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"412","code description":"RESPIRATORY SERVICES - INHALATION SERVICES","payer":"CIGNA HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"278.23","de-identified minimum negotiated charge":"120.82","de-identified maximum negotiated charge":"399.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"CIGNA HMO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"133.74","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"CIGNA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"349.51","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"CIGNA HMO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"130.13","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"CIGNA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"354.7","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"CIGNA HMO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"146.45","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"CIGNA HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"318.9","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"CIGNA HMO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,763.95","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"CIGNA HMO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"811.84","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"CIGNA HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"416.27","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"CIGNA HMO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"844.57","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"CIGNA HMO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"3,186.25","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"CIGNA HMO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,792.98","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"CIGNA HMO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"2,060.30","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"CIGNA HMO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,164.96","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"CIGNA HMO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"26.94","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"CIGNA HMO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"124.49","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"CIGNA HMO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"222.77","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"731","code description":"EKG/ECG - HOLTER MONITOR","payer":"CIGNA HMO","gross charge":"737.5","discounted cash price":"184.38","payer-specific negotiated charge":"249.68","de-identified minimum negotiated charge":"249.68","de-identified maximum negotiated charge":"320.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"CIGNA HMO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"415.29","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"761","code description":"TREATMENT RM","payer":"CIGNA HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"412.12","de-identified minimum negotiated charge":"141.86","de-identified maximum negotiated charge":"412.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"CIGNA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"702.31","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"CIGNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"851.67","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"CIGNA PPO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,327.93","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"CIGNA PPO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"15.95","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"CIGNA PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"75.68","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"CIGNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"68.48","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"CIGNA PPO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"358.46","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"CIGNA PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"34.76","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"CIGNA PPO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"110.95","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"CIGNA PPO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"98.48","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"CIGNA PPO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"89.99","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"CIGNA PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"171.81","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"CIGNA PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"86.4","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"CIGNA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"130.49","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"CIGNA PPO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"215.33","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"CIGNA PPO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"702.59","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"CIGNA PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"3,707.29","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"CIGNA PPO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,034.79","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"CIGNA PPO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,471.85","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"CIGNA PPO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"213.14","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"CIGNA PPO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"744.97","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"CIGNA PPO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"243.74","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"CIGNA PPO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"194.58","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"CIGNA PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"388.56","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"CIGNA PPO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"214.19","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"CIGNA PPO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"441.99","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"CIGNA PPO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"272.53","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"CIGNA PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"626.79","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"CIGNA PPO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,508.99","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"CIGNA PPO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"333.12","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"CIGNA PPO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"867.46","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"CIGNA PPO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"508.41","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"CIGNA PPO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,973.38","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"CIGNA PPO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"1,983.00","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"CIGNA PPO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"447.29","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"CIGNA PPO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"17.93","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"CIGNA PPO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"144.66","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"CIGNA PPO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"199.73","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"CIGNA PPO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"708.77","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"CIGNA PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"621.91","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"FIRST HLTH NTWK","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"17.56","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"FIRST HLTH NTWK","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"141.44","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"FIRST HLTH NTWK","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"30.6","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"FIRST HLTH NTWK","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"213.21","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"FIRST HLTH NTWK","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"148.78","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"FIRST HLTH NTWK","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"318.92","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"FIRST HLTH NTWK","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"116.29","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"FIRST HLTH NTWK","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"892.84","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"FIRST HLTH NTWK","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"864.27","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"FIRST HLTH NTWK","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"2,232.44","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"FIRST HLTH NTWK","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,321.52","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"FIRST HLTH NTWK","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"799.68","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"FIRST HLTH NTWK","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"411.4","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"FIRST HLTH NTWK","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"2,197.08","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"FIRST HLTH NTWK","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"12.22","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"FIRST HLTH NTWK","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"303.28","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"HUMANA HMO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"22.55","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"HUMANA HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"2.36","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"81.54","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"HUMANA HMO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"67.43","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"HUMANA HMO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"257.11","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"HUMANA HMO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"197.95","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"HUMANA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"35.09","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"HUMANA HMO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"110.65","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"HUMANA HMO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"97.08","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"HUMANA HMO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"64.14","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"HUMANA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"206.94","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"HUMANA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"68.74","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"HUMANA HMO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"89.31","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"HUMANA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"282.5","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"HUMANA HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"120.66","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"HUMANA HMO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"274.53","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"HUMANA HMO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"1,062.93","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"HUMANA HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"361.19","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"350","code description":"CT SCAN","payer":"HUMANA HMO","gross charge":"956","discounted cash price":"239","payer-specific negotiated charge":"177.46","de-identified minimum negotiated charge":"177.46","de-identified maximum negotiated charge":"435.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"HUMANA HMO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,580.62","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"HUMANA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,197.58","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"HUMANA HMO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"792.28","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"HUMANA HMO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"1,781.56","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"HUMANA HMO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"162.18","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"ANESTHESIA - INCIDENT TO OTHER DIAGNOSTIC SERVICES","payer":"HUMANA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"384.12","de-identified minimum negotiated charge":"349.53","de-identified maximum negotiated charge":"671.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"HUMANA HMO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"437.17","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"HUMANA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"880.01","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"HUMANA HMO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"470.53","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"HUMANA HMO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"352.16","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"412","code description":"RESPIRATORY SERVICES - INHALATION SERVICES","payer":"HUMANA HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"226.26","de-identified minimum negotiated charge":"120.82","de-identified maximum negotiated charge":"399.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"HUMANA HMO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"184.45","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"HUMANA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"276.79","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"HUMANA HMO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"177.82","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"HUMANA HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"300.93","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"HUMANA HMO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"343.24","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"HUMANA HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"490.08","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"HUMANA HMO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,699.45","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"HUMANA HMO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"412.7","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"HUMANA HMO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"792.8","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"HUMANA HMO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"2,631.31","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"HUMANA HMO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"1,665.56","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"HUMANA HMO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"20.84","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"HUMANA HMO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"106.31","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"HUMANA HMO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"173.25","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"HUMANA HMO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"914.17","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"HUMANA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"1,009.10","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"HUMANA HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"877.65","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"HUMANA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"631.58","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"HUMANA PPO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"14.54","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"HUMANA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"18.28","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"HUMANA PPO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"81.46","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"HUMANA PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"10.37","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"HUMANA PPO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"34.39","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"HUMANA PPO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"12.92","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"HUMANA PPO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"5.94","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"HUMANA PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"24.69","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"HUMANA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"71.09","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"HUMANA PPO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"60.98","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"HUMANA PPO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"270.67","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"HUMANA PPO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"45.54","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"HUMANA PPO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"1.63","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"HUMANA PPO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"32.34","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"HUMANA PPO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"39.19","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"KAISER","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"11.73","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"KAISER","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"19.16","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"52.15","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"KAISER","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"88.14","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"KAISER","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"188.61","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"KAISER","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"2,407.05","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"KAISER","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"20.01","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"KAISER","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"66.04","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"KAISER","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"73.29","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"KAISER","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"53.72","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"KAISER","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"137.63","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"KAISER","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"45.05","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"KAISER","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"41.9","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"KAISER","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"224.47","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"KAISER","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"31.75","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"KAISER","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"162.6","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"KAISER","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"2,596.11","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"KAISER","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"905.82","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"KAISER","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"331.23","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"KAISER","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"782.57","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"KAISER","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,224.26","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"KAISER","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"602.93","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"KAISER","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"628.99","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"KAISER","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"652.7","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"KAISER","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"157.76","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"KAISER","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"233.38","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"KAISER","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"556.53","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"KAISER","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"464.56","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"KAISER","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"233.2","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"412","code description":"RESPIRATORY SERVICES - INHALATION SERVICES","payer":"KAISER","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"210.31","de-identified minimum negotiated charge":"120.82","de-identified maximum negotiated charge":"399.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"KAISER","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"96.17","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"KAISER","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"198.48","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"KAISER","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"95.2","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"KAISER","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"219.99","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"KAISER","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"122.36","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"KAISER","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"183.27","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"KAISER","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,038.01","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"KAISER","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"316.97","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"KAISER","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"338.38","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"KAISER","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"537.82","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"KAISER","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"1,152.65","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"KAISER","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"700.62","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"KAISER","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,050.57","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"KAISER","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"13.69","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"KAISER","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"88.74","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"KAISER","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"132.96","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"KAISER","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"407.48","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"771","code description":"PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION","payer":"KAISER","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"226.05","de-identified minimum negotiated charge":"164.83","de-identified maximum negotiated charge":"418.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"KAISER","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"465.07","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"KAISER","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"483","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"KAISER SELF-FUNDED","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"13.16","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"KAISER SELF-FUNDED","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"19.63","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"KAISER SELF-FUNDED","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"136.55","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"KAISER SELF-FUNDED","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"91.83","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"KAISER SELF-FUNDED","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"238.2","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"KAISER SELF-FUNDED","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,432.26","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"KAISER SELF-FUNDED","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,409.57","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"KAISER SELF-FUNDED","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"22.25","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"PHCS","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"1,167.19","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"PHCS","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"21.63","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"PHCS","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"4.24","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"PHCS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"73.01","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"PHCS","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"793.1","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"PHCS","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"42.66","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"PHCS","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"119.48","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"PHCS","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"196.84","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"PHCS","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"102.06","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"PHCS","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"209.95","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"PHCS","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"44.82","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"PHCS","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"587.34","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"PHCS","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"178.5","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"PHCS","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"384.78","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"PHCS","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,181.62","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"PHCS","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,841.92","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"PHCS","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,616.47","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"PHCS","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"246.81","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"ANESTHESIA - INCIDENT TO OTHER DIAGNOSTIC SERVICES","payer":"PHCS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"671.25","de-identified minimum negotiated charge":"349.53","de-identified maximum negotiated charge":"671.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"PHCS","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"862.5","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"PHCS","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,725.75","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"PHCS","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"301.2","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"PHCS","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"403.31","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"PHCS","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"173.63","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"PHCS","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"371.14","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"PHCS","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"168.11","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"PHCS","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"360.26","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"PHCS","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,462.18","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"PHCS","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"146.8","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"PHCS","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"783.12","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"PHCS","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,423.47","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"PHCS","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"22.72","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"PHCS","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"219.28","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"PHCS","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"253.13","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"PHCS","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"886.5","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"230","code description":"INCREMENTAL NURSING RATE","payer":"UHC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"146.28","de-identified minimum negotiated charge":"146.28","de-identified maximum negotiated charge":"239.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"UHC HMO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"19.43","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"UHC HMO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"19.59","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"87.93","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"UHC HMO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"91.32","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"271","code description":"MEDICAL/SURGICAL SUPPLIES - NONSTERILE SUPPLIES","payer":"UHC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"24.16","de-identified minimum negotiated charge":"24.16","de-identified maximum negotiated charge":"24.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"UHC HMO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"202.9","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"274","code description":"PROSTH/ORTH DEV","payer":"UHC HMO","gross charge":"392","discounted cash price":"98","payer-specific negotiated charge":"61.36","de-identified minimum negotiated charge":"61.36","de-identified maximum negotiated charge":"316.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"278","code description":"MEDICAL/SURGICAL SUPPLIES - OTHER IMPLANTS","payer":"UHC HMO","gross charge":"12,611.72","discounted cash price":"3,152.93","payer-specific negotiated charge":"4,705.38","de-identified minimum negotiated charge":"197.95","de-identified maximum negotiated charge":"4,705.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"UHC HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"30.93","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"UHC HMO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"116.54","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"UHC HMO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"87.86","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"UHC HMO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"84.23","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"UHC HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"202.42","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"UHC HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"73.82","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"LABORATORY - OTHER LABORATORY","payer":"UHC HMO","gross charge":"215.6","discounted cash price":"53.9","payer-specific negotiated charge":"99.77","de-identified minimum negotiated charge":"37.81","de-identified maximum negotiated charge":"140.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"UHC HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"248.71","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"311","code description":"LABORATORY PATHOLOGY - CYTOLOGY","payer":"UHC HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"101.62","de-identified minimum negotiated charge":"31.75","de-identified maximum negotiated charge":"253.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"UHC HMO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"261.9","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"340","code description":"NUCLEAR MEDICINE","payer":"UHC HMO","gross charge":"9,429.00","discounted cash price":"2,357.25","payer-specific negotiated charge":"2,295.62","de-identified minimum negotiated charge":"2,295.62","de-identified maximum negotiated charge":"4,430.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"341","code description":"NUCLEAR MEDICINE - DIAGNOSTIC PROCEDURES","payer":"UHC HMO","gross charge":"2,864.00","discounted cash price":"716","payer-specific negotiated charge":"686.16","de-identified minimum negotiated charge":"436.51","de-identified maximum negotiated charge":"1,417.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"NUCLEAR MEDICINE - DIAGNOSTIC RADIOPHARMACEUTICALS","payer":"UHC HMO","gross charge":"1,098.00","discounted cash price":"274.5","payer-specific negotiated charge":"258.23","de-identified minimum negotiated charge":"171.54","de-identified maximum negotiated charge":"465.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"350","code description":"CT SCAN","payer":"UHC HMO","gross charge":"956","discounted cash price":"239","payer-specific negotiated charge":"318.58","de-identified minimum negotiated charge":"177.46","de-identified maximum negotiated charge":"435.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"UHC HMO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,199.74","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"UHC HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,402.94","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"359","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - OTHER CT SCANS","payer":"UHC HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,567.68","de-identified minimum negotiated charge":"314.19","de-identified maximum negotiated charge":"1,936.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"UHC HMO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"754.9","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"UHC HMO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"2,240.96","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"UHC HMO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"192.2","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"UHC HMO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"393.28","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"UHC HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"858.97","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"402","code description":"OTHER IMAGING SERVICES - ULTRASOUND","payer":"UHC HMO","gross charge":"1,476.00","discounted cash price":"369","payer-specific negotiated charge":"593.79","de-identified minimum negotiated charge":"218.42","de-identified maximum negotiated charge":"799.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"UHC HMO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"353.68","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"420","code description":"PHYSICAL THERAPY","payer":"UHC HMO","gross charge":"240.56","discounted cash price":"60.14","payer-specific negotiated charge":"139.22","de-identified minimum negotiated charge":"54.77","de-identified maximum negotiated charge":"194.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"424","code description":"PHYSICAL THERAPY - EVALUATION/RE-EVALUATION","payer":"UHC HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"308.11","de-identified minimum negotiated charge":"109.63","de-identified maximum negotiated charge":"388.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"430","code description":"OCCUPATIONAL THERAPY","payer":"UHC HMO","gross charge":"236.38","discounted cash price":"59.09","payer-specific negotiated charge":"135.44","de-identified minimum negotiated charge":"53.7","de-identified maximum negotiated charge":"214.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"434","code description":"OCCUPATIONAL THERAPY - EVALUATION/RE-EVALUATION","payer":"UHC HMO","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"292.8","de-identified minimum negotiated charge":"125.59","de-identified maximum negotiated charge":"441.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"SPEECH-LANGUAGE THERAPY","payer":"UHC HMO","gross charge":"488","discounted cash price":"122","payer-specific negotiated charge":"107.28","de-identified minimum negotiated charge":"41.9","de-identified maximum negotiated charge":"343.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"UHC HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"245.66","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"UHC HMO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,580.06","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"CARDIOLOGY","payer":"UHC HMO","gross charge":"1,871.33","discounted cash price":"467.83","payer-specific negotiated charge":"307.89","de-identified minimum negotiated charge":"146.8","de-identified maximum negotiated charge":"1,023.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"CARDIOLOGY - STRESS TEST","payer":"UHC HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"299.22","de-identified minimum negotiated charge":"299.22","de-identified maximum negotiated charge":"577.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"UHC HMO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"606.92","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"611","code description":"MRI - BRAIN","payer":"UHC HMO","gross charge":"5,754.45","discounted cash price":"1,438.61","payer-specific negotiated charge":"1,639.42","de-identified minimum negotiated charge":"508.41","de-identified maximum negotiated charge":"3,186.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"612","code description":"MRI - SPINE","payer":"UHC HMO","gross charge":"6,123.90","discounted cash price":"1,530.98","payer-specific negotiated charge":"2,631.78","de-identified minimum negotiated charge":"700.62","de-identified maximum negotiated charge":"4,474.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"614","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRI OTHER","payer":"UHC HMO","gross charge":"6,024.20","discounted cash price":"1,506.05","payer-specific negotiated charge":"2,574.77","de-identified minimum negotiated charge":"788.27","de-identified maximum negotiated charge":"3,939.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"615","code description":"MAGNETIC RESONANCE TECH. (MRT) - MRA HEAD AND NECK","payer":"UHC HMO","gross charge":"4,727.00","discounted cash price":"1,181.75","payer-specific negotiated charge":"1,341.82","de-identified minimum negotiated charge":"447.29","de-identified maximum negotiated charge":"2,045.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"UHC HMO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"20.5","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"710","code description":"RECOVERY ROOM","payer":"UHC HMO","gross charge":"416.33","discounted cash price":"104.08","payer-specific negotiated charge":"111.86","de-identified minimum negotiated charge":"32.34","de-identified maximum negotiated charge":"219.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"UHC HMO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"163.95","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"EEG","payer":"UHC HMO","gross charge":"2,069.15","discounted cash price":"517.29","payer-specific negotiated charge":"265.67","de-identified minimum negotiated charge":"265.67","de-identified maximum negotiated charge":"953.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"801","code description":"DIALY/INPT","payer":"UHC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"956.26","de-identified minimum negotiated charge":"465.07","de-identified maximum negotiated charge":"1,219.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"803","code description":"INPATIENT RENAL DIALYSIS THERAPY - INPATIENT CAPD","payer":"UHC HMO","gross charge":"1,982.00","discounted cash price":"495.5","payer-specific negotiated charge":"996.15","de-identified minimum negotiated charge":"996.15","de-identified maximum negotiated charge":"996.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"HEMO/HOME/OTHER","payer":"UHC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"811.23","de-identified minimum negotiated charge":"811.23","de-identified maximum negotiated charge":"1,410.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"UHC HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"752.95","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"922","code description":"OTHER DIAGNOSTIC SERVICES - ELECTROMYELOGRAM","payer":"UHC HMO","gross charge":"1,822.67","discounted cash price":"455.67","payer-specific negotiated charge":"906.33","de-identified minimum negotiated charge":"422.24","de-identified maximum negotiated charge":"906.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"UHC PPO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,344.20","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"250","code description":"PHARMACY","payer":"UHC PPO","gross charge":"165.48","discounted cash price":"41.37","payer-specific negotiated charge":"17.06","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"27.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"255","code description":"PHARMACY - INCIDENT TO RADIOLOGY","payer":"UHC PPO","gross charge":"612.5","discounted cash price":"153.13","payer-specific negotiated charge":"4.46","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"258.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"258","code description":"PHARMACY - IV SOLUTIONS","payer":"UHC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"86.34","de-identified minimum negotiated charge":"18.28","de-identified maximum negotiated charge":"141.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"MEDICAL AND SURGICAL SUPPLIES","payer":"UHC PPO","gross charge":"458.64","discounted cash price":"114.66","payer-specific negotiated charge":"54.6","de-identified minimum negotiated charge":"21.3","de-identified maximum negotiated charge":"156.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"MEDICAL/SURGICAL SUPPLIES - STERILE SUPPLIES","payer":"UHC PPO","gross charge":"1,149.29","discounted cash price":"287.32","payer-specific negotiated charge":"177.07","de-identified minimum negotiated charge":"81.46","de-identified maximum negotiated charge":"793.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"LABORATORY GENERAL CLASS","payer":"UHC PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"37.18","de-identified minimum negotiated charge":"10.37","de-identified maximum negotiated charge":"42.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"LABORATORY - CHEMISTRY","payer":"UHC PPO","gross charge":"391.4","discounted cash price":"97.85","payer-specific negotiated charge":"109.38","de-identified minimum negotiated charge":"34.39","de-identified maximum negotiated charge":"213.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"302","code description":"LABORATORY - IMMUNOLOGY","payer":"UHC PPO","gross charge":"368.54","discounted cash price":"92.13","payer-specific negotiated charge":"98.78","de-identified minimum negotiated charge":"12.92","de-identified maximum negotiated charge":"196.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"LABORATORY - HEMATOLOGY","payer":"UHC PPO","gross charge":"252.34","discounted cash price":"63.09","payer-specific negotiated charge":"97.33","de-identified minimum negotiated charge":"5.94","de-identified maximum negotiated charge":"148.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"306","code description":"LABORATORY - BACTERIOLOGY/MICROBIOLOGY","payer":"UHC PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"270.55","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"355.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"LABORATORY - UROLOGY","payer":"UHC PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"103.53","de-identified minimum negotiated charge":"24.69","de-identified maximum negotiated charge":"116.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"LABORATORY PATHOLOGICAL","payer":"UHC PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"338.07","de-identified minimum negotiated charge":"71.09","de-identified maximum negotiated charge":"892.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"320","code description":"RADIOLOGY DIAGNOSTIC","payer":"UHC PPO","gross charge":"1,294.00","discounted cash price":"323.5","payer-specific negotiated charge":"247.69","de-identified minimum negotiated charge":"60.98","de-identified maximum negotiated charge":"864.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - HEAD SCAN","payer":"UHC PPO","gross charge":"3,855.70","discounted cash price":"963.93","payer-specific negotiated charge":"1,640.87","de-identified minimum negotiated charge":"581.55","de-identified maximum negotiated charge":"2,232.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"COMPUTED TOMOGRAPHIC (CT) SCAN - BODY SCAN","payer":"UHC PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,791.45","de-identified minimum negotiated charge":"977.65","de-identified maximum negotiated charge":"3,931.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"360","code description":"OR SERVICES","payer":"UHC PPO","gross charge":"4,523.00","discounted cash price":"1,130.75","payer-specific negotiated charge":"1,850.13","de-identified minimum negotiated charge":"270.67","de-identified maximum negotiated charge":"1,850.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"361","code description":"OPERATING ROOM SERVICES - MINOR SURGERY","payer":"UHC PPO","gross charge":"6,536.53","discounted cash price":"1,634.13","payer-specific negotiated charge":"2,709.56","de-identified minimum negotiated charge":"463.57","de-identified maximum negotiated charge":"2,959.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"370","code description":"ANESTHESIA","payer":"UHC PPO","gross charge":"613.31","discounted cash price":"153.33","payer-specific negotiated charge":"299.05","de-identified minimum negotiated charge":"45.54","de-identified maximum negotiated charge":"299.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"BLOOD STORAGE AND PROCESSING","payer":"UHC PPO","gross charge":"1,628.43","discounted cash price":"407.11","payer-specific negotiated charge":"447.9","de-identified minimum negotiated charge":"207.15","de-identified maximum negotiated charge":"862.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"BLOOD/ADMIN","payer":"UHC PPO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"896.23","de-identified minimum negotiated charge":"414.49","de-identified maximum negotiated charge":"1,725.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"410","code description":"RESPIRATORY SERVICES","payer":"UHC PPO","gross charge":"1,655.50","discounted cash price":"413.88","payer-specific negotiated charge":"220.58","de-identified minimum negotiated charge":"169.05","de-identified maximum negotiated charge":"670.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"SPEECH PATH/EVAL","payer":"UHC PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"338.28","de-identified minimum negotiated charge":"97.63","de-identified maximum negotiated charge":"626.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"450","code description":"EMERGENCY ROOM","payer":"UHC PPO","gross charge":"3,989.63","discounted cash price":"997.41","payer-specific negotiated charge":"1,701.69","de-identified minimum negotiated charge":"661.59","de-identified maximum negotiated charge":"2,197.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"CARDIOLOGY - ECHO CARDIOLOGY","payer":"UHC PPO","gross charge":"1,981.58","discounted cash price":"495.39","payer-specific negotiated charge":"574.74","de-identified minimum negotiated charge":"296.7","de-identified maximum negotiated charge":"978.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"636","code description":"PHARMACY - DRUGS REQUIRING DETAILED CODING","payer":"UHC PPO","gross charge":"57.26","discounted cash price":"14.32","payer-specific negotiated charge":"19.61","de-identified minimum negotiated charge":"1.63","de-identified maximum negotiated charge":"30.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"730","code description":"EKG AND ECG","payer":"UHC PPO","gross charge":"463.6","discounted cash price":"115.9","payer-specific negotiated charge":"199.47","de-identified minimum negotiated charge":"39.19","de-identified maximum negotiated charge":"303.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"921","code description":"PERI VASCUL LAB","payer":"UHC PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"804.64","de-identified minimum negotiated charge":"346.91","de-identified maximum negotiated charge":"1,247.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W CC","payer":"MEDICAID","gross charge":"79,812.00","discounted cash price":"19,953.00","payer-specific negotiated charge":"8,355.33","de-identified minimum negotiated charge":"5,832.74","de-identified maximum negotiated charge":"10,035.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC","payer":"MEDICAID","gross charge":"67,761.00","discounted cash price":"16,940.25","payer-specific negotiated charge":"5,846.59","de-identified minimum negotiated charge":"5,846.59","de-identified maximum negotiated charge":"11,540.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"124","code description":"OTHER DISORDERS OF THE EYE W MCC","payer":"MEDICAID","gross charge":"47,388.50","discounted cash price":"11,847.13","payer-specific negotiated charge":"5,962.90","de-identified minimum negotiated charge":"5,962.90","de-identified maximum negotiated charge":"11,741.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"143","code description":"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC","payer":"MEDICAID","gross charge":"106,253.50","discounted cash price":"26,563.38","payer-specific negotiated charge":"9,284.25","de-identified minimum negotiated charge":"9,284.25","de-identified maximum negotiated charge":"24,349.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"146","code description":"EAR, NOSE, MOUTH \u0026 THROAT MALIGNANCY W MCC","payer":"MEDICAID","gross charge":"36,286.00","discounted cash price":"9,071.50","payer-specific negotiated charge":"8,328.88","de-identified minimum negotiated charge":"8,328.88","de-identified maximum negotiated charge":"8,328.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"163","code description":"MAJOR CHEST PROCEDURES W MCC","payer":"MEDICAID","gross charge":"338,015.67","discounted cash price":"84,503.92","payer-specific negotiated charge":"53,505.43","de-identified minimum negotiated charge":"35,644.53","de-identified maximum negotiated charge":"82,105.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"164","code description":"MAJOR CHEST PROCEDURES W CC","payer":"MEDICAID","gross charge":"115,329.50","discounted cash price":"28,832.38","payer-specific negotiated charge":"18,183.49","de-identified minimum negotiated charge":"16,866.63","de-identified maximum negotiated charge":"34,647.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"196","code description":"INTERSTITIAL LUNG DISEASE W MCC","payer":"MEDICAID","gross charge":"117,929.50","discounted cash price":"29,482.38","payer-specific negotiated charge":"8,952.95","de-identified minimum negotiated charge":"6,890.41","de-identified maximum negotiated charge":"17,144.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"199","code description":"PNEUMOTHORAX W MCC","payer":"MEDICAID","gross charge":"272,154.50","discounted cash price":"68,038.63","payer-specific negotiated charge":"28,784.74","de-identified minimum negotiated charge":"11,400.30","de-identified maximum negotiated charge":"28,784.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"204","code description":"RESPIRATORY SIGNS \u0026 SYMPTOMS","payer":"MEDICAID","gross charge":"33,266.50","discounted cash price":"8,316.63","payer-specific negotiated charge":"4,925.77","de-identified minimum negotiated charge":"4,925.77","de-identified maximum negotiated charge":"7,918.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"242","code description":"PERMANENT CARDIAC PACEMAKER IMPLANT W MCC","payer":"MEDICAID","gross charge":"82,015.00","discounted cash price":"20,503.75","payer-specific negotiated charge":"29,300.64","de-identified minimum negotiated charge":"26,422.09","de-identified maximum negotiated charge":"29,300.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"261","code description":"CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC","payer":"MEDICAID","gross charge":"93,864.50","discounted cash price":"23,466.13","payer-specific negotiated charge":"10,315.30","de-identified minimum negotiated charge":"10,315.30","de-identified maximum negotiated charge":"10,315.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"MEDICAID","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"11,460.86","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W CC","payer":"MEDICAID","gross charge":"74,688.75","discounted cash price":"18,672.19","payer-specific negotiated charge":"5,937.41","de-identified minimum negotiated charge":"4,799.64","de-identified maximum negotiated charge":"7,950.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"328","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W/O CC/MCC","payer":"MEDICAID","gross charge":"90,333.50","discounted cash price":"22,583.38","payer-specific negotiated charge":"9,796.04","de-identified minimum negotiated charge":"9,796.04","de-identified maximum negotiated charge":"13,548.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"337","code description":"PERITONEAL ADHESIOLYSIS W/O CC/MCC","payer":"MEDICAID","gross charge":"110,987.50","discounted cash price":"27,746.88","payer-specific negotiated charge":"9,308.35","de-identified minimum negotiated charge":"9,308.35","de-identified maximum negotiated charge":"13,031.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"339","code description":"APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC","payer":"MEDICAID","gross charge":"69,193.50","discounted cash price":"17,298.38","payer-specific negotiated charge":"11,773.98","de-identified minimum negotiated charge":"11,773.98","de-identified maximum negotiated charge":"11,773.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"352","code description":"INGUINAL \u0026 FEMORAL HERNIA PROCEDURES W/O CC/MCC","payer":"MEDICAID","gross charge":"47,608.50","discounted cash price":"11,902.13","payer-specific negotiated charge":"5,486.94","de-identified minimum negotiated charge":"5,486.94","de-identified maximum negotiated charge":"5,486.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"MEDICAID","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"11,215.24","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"388","code description":"G.I. OBSTRUCTION W MCC","payer":"MEDICAID","gross charge":"199,621.25","discounted cash price":"49,905.31","payer-specific negotiated charge":"45,168.86","de-identified minimum negotiated charge":"5,362.45","de-identified maximum negotiated charge":"81,840.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"G.I. OBSTRUCTION W/O CC/MCC","payer":"MEDICAID","gross charge":"47,441.00","discounted cash price":"11,860.25","payer-specific negotiated charge":"3,870.99","de-identified minimum negotiated charge":"3,682.00","de-identified maximum negotiated charge":"8,174.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"418","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC","payer":"MEDICAID","gross charge":"80,165.50","discounted cash price":"20,041.38","payer-specific negotiated charge":"10,537.51","de-identified minimum negotiated charge":"10,537.51","de-identified maximum negotiated charge":"15,340.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"432","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W MCC","payer":"MEDICAID","gross charge":"95,825.67","discounted cash price":"23,956.42","payer-specific negotiated charge":"11,576.91","de-identified minimum negotiated charge":"8,626.23","de-identified maximum negotiated charge":"19,054.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"433","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W CC","payer":"MEDICAID","gross charge":"82,240.50","discounted cash price":"20,560.13","payer-specific negotiated charge":"6,513.06","de-identified minimum negotiated charge":"5,977.65","de-identified maximum negotiated charge":"9,309.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"438","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC","payer":"MEDICAID","gross charge":"335,682.00","discounted cash price":"83,920.50","payer-specific negotiated charge":"13,507.47","de-identified minimum negotiated charge":"12,188.91","de-identified maximum negotiated charge":"40,338.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"DISORDERS OF THE BILIARY TRACT W MCC","payer":"MEDICAID","gross charge":"80,637.50","discounted cash price":"20,159.38","payer-specific negotiated charge":"10,525.47","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"14,563.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"462","code description":"BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC","payer":"MEDICAID","gross charge":"252,175.00","discounted cash price":"63,043.75","payer-specific negotiated charge":"31,726.27","de-identified minimum negotiated charge":"22,882.05","de-identified maximum negotiated charge":"31,726.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"477","code description":"BIOPSIES OF MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W MCC","payer":"MEDICAID","gross charge":"264,739.32","discounted cash price":"66,184.83","payer-specific negotiated charge":"19,378.55","de-identified minimum negotiated charge":"19,378.55","de-identified maximum negotiated charge":"31,062.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC","payer":"MEDICAID","gross charge":"80,152.50","discounted cash price":"20,038.13","payer-specific negotiated charge":"11,551.77","de-identified minimum negotiated charge":"10,364.07","de-identified maximum negotiated charge":"13,767.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"494","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC","payer":"MEDICAID","gross charge":"75,750.50","discounted cash price":"18,937.63","payer-specific negotiated charge":"9,682.22","de-identified minimum negotiated charge":"329.72","de-identified maximum negotiated charge":"15,622.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"518","code description":"BACK \u0026 NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM","payer":"MEDICAID","gross charge":"177,478.06","discounted cash price":"44,369.52","payer-specific negotiated charge":"16,259.69","de-identified minimum negotiated charge":"16,259.69","de-identified maximum negotiated charge":"16,259.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"547","code description":"CONNECTIVE TISSUE DISORDERS W/O CC/MCC","payer":"MEDICAID","gross charge":"21,877.00","discounted cash price":"5,469.25","payer-specific negotiated charge":"8,382.23","de-identified minimum negotiated charge":"5,588.15","de-identified maximum negotiated charge":"11,176.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"563","code description":"FX, SPRN, STRN \u0026 DISL EXCEPT FEMUR, HIP, PELVIS \u0026 THIGH W/O MCC","payer":"MEDICAID","gross charge":"62,351.50","discounted cash price":"15,587.88","payer-specific negotiated charge":"5,292.84","de-identified minimum negotiated charge":"5,292.84","de-identified maximum negotiated charge":"8,824.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"593","code description":"SKIN ULCERS W CC","payer":"MEDICAID","gross charge":"42,401.00","discounted cash price":"10,600.25","payer-specific negotiated charge":"8,559.51","de-identified minimum negotiated charge":"7,067.04","de-identified maximum negotiated charge":"10,751.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"628","code description":"OTHER ENDOCRINE, NUTRIT \u0026 METAB O.R. PROC W MCC","payer":"MEDICAID","gross charge":"94,573.50","discounted cash price":"23,643.38","payer-specific negotiated charge":"16,840.38","de-identified minimum negotiated charge":"16,840.38","de-identified maximum negotiated charge":"24,838.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"802","code description":"OTHER O.R. PROC OF THE BLOOD \u0026 BLOOD FORMING ORGANS W MCC","payer":"MEDICAID","gross charge":"91,277.50","discounted cash price":"22,819.38","payer-specific negotiated charge":"10,321.59","de-identified minimum negotiated charge":"10,321.59","de-identified maximum negotiated charge":"28,024.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"819","code description":"OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC","payer":"MEDICAID","gross charge":"40,110.00","discounted cash price":"10,027.50","payer-specific negotiated charge":"5,491.32","de-identified minimum negotiated charge":"5,491.32","de-identified maximum negotiated charge":"5,491.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"832","code description":"OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC","payer":"MEDICAID","gross charge":"45,788.00","discounted cash price":"11,447.00","payer-specific negotiated charge":"5,491.32","de-identified minimum negotiated charge":"5,491.32","de-identified maximum negotiated charge":"5,491.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"844","code description":"OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC","payer":"MEDICAID","gross charge":"101,015.00","discounted cash price":"25,253.75","payer-specific negotiated charge":"6,815.49","de-identified minimum negotiated charge":"6,815.49","de-identified maximum negotiated charge":"6,815.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"862","code description":"POSTOPERATIVE \u0026 POST-TRAUMATIC INFECTIONS W MCC","payer":"MEDICAID","gross charge":"133,572.33","discounted cash price":"33,393.08","payer-specific negotiated charge":"10,940.85","de-identified minimum negotiated charge":"6,574.26","de-identified maximum negotiated charge":"66,628.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"880","code description":"ACUTE ADJUSTMENT REACTION \u0026 PSYCHOSOCIAL DYSFUNCTION","payer":"MEDICAID","gross charge":"62,681.00","discounted cash price":"15,670.25","payer-specific negotiated charge":"4,310.58","de-identified minimum negotiated charge":"314.51","de-identified maximum negotiated charge":"5,412.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"894","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA","payer":"MEDICAID","gross charge":"53,287.50","discounted cash price":"13,321.88","payer-specific negotiated charge":"3,978.48","de-identified minimum negotiated charge":"3,448.27","de-identified maximum negotiated charge":"4,023.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"948","code description":"SIGNS \u0026 SYMPTOMS W/O MCC","payer":"MEDICAID","gross charge":"180,706.00","discounted cash price":"45,176.50","payer-specific negotiated charge":"28,656.89","de-identified minimum negotiated charge":"501.56","de-identified maximum negotiated charge":"28,656.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"976","code description":"HIV W MAJOR RELATED CONDITION W/O CC/MCC","payer":"MEDICAID","gross charge":"46,865.00","discounted cash price":"11,716.25","payer-specific negotiated charge":"6,105.03","de-identified minimum negotiated charge":"6,105.03","de-identified maximum negotiated charge":"6,105.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"981","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"MEDICAID","gross charge":"155,352.00","discounted cash price":"38,838.00","payer-specific negotiated charge":"35,340.76","de-identified minimum negotiated charge":"24,351.62","de-identified maximum negotiated charge":"35,340.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"982","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC","payer":"MEDICAID","gross charge":"216,747.00","discounted cash price":"54,186.75","payer-specific negotiated charge":"17,528.33","de-identified minimum negotiated charge":"15,965.26","de-identified maximum negotiated charge":"19,793.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"987","code description":"NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"MEDICAID","gross charge":"166,700.64","discounted cash price":"41,675.16","payer-specific negotiated charge":"30,845.14","de-identified minimum negotiated charge":"30,845.14","de-identified maximum negotiated charge":"48,255.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"AMERIGROUP","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"5,274.10","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"AMERIGROUP","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"6,479.10","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"207","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"AMERIGROUP","gross charge":"595,330.50","discounted cash price":"148,832.63","payer-specific negotiated charge":"97,334.93","de-identified minimum negotiated charge":"40,864.21","de-identified maximum negotiated charge":"113,084.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"AMERIGROUP","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"9,525.34","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"304","code description":"HYPERTENSION W MCC","payer":"AMERIGROUP","gross charge":"145,341.00","discounted cash price":"36,335.25","payer-specific negotiated charge":"6,155.18","de-identified minimum negotiated charge":"5,460.31","de-identified maximum negotiated charge":"9,984.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"AMERIGROUP","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"11,707.81","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"AMERIGROUP","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"6,871.29","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"385","code description":"INFLAMMATORY BOWEL DISEASE W MCC","payer":"AMERIGROUP","gross charge":"138,526.00","discounted cash price":"34,631.50","payer-specific negotiated charge":"7,730.34","de-identified minimum negotiated charge":"7,730.34","de-identified maximum negotiated charge":"15,626.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"AMERIGROUP","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"5,129.45","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"419","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC","payer":"AMERIGROUP","gross charge":"82,426.07","discounted cash price":"20,606.52","payer-specific negotiated charge":"8,279.13","de-identified minimum negotiated charge":"8,279.13","de-identified maximum negotiated charge":"11,613.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"543","code description":"PATHOLOGICAL FRACTURES \u0026 MUSCULOSKELET \u0026 CONN TISS MALIG W CC","payer":"AMERIGROUP","gross charge":"31,811.83","discounted cash price":"7,952.96","payer-specific negotiated charge":"9,988.59","de-identified minimum negotiated charge":"6,587.61","de-identified maximum negotiated charge":"9,988.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"545","code description":"CONNECTIVE TISSUE DISORDERS W MCC","payer":"AMERIGROUP","gross charge":"79,540.00","discounted cash price":"19,885.00","payer-specific negotiated charge":"15,819.85","de-identified minimum negotiated charge":"8,719.03","de-identified maximum negotiated charge":"17,120.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"556","code description":"SIGNS \u0026 SYMPTOMS OF MUSCULOSKELETAL SYSTEM \u0026 CONN TISSUE W/O MCC","payer":"AMERIGROUP","gross charge":"79,564.00","discounted cash price":"19,891.00","payer-specific negotiated charge":"10,541.00","de-identified minimum negotiated charge":"7,800.27","de-identified maximum negotiated charge":"10,541.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"601","code description":"NON-MALIGNANT BREAST DISORDERS W/O CC/MCC","payer":"AMERIGROUP","gross charge":"22,017.50","discounted cash price":"5,504.38","payer-specific negotiated charge":"4,736.15","de-identified minimum negotiated charge":"4,736.15","de-identified maximum negotiated charge":"4,736.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"AMERIGROUP","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"9,406.87","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"AMERIGROUP","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"6,154.49","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"607","code description":"MINOR SKIN DISORDERS W/O MCC","payer":"AMERIGROUP","gross charge":"43,526.50","discounted cash price":"10,881.63","payer-specific negotiated charge":"4,774.04","de-identified minimum negotiated charge":"4,774.04","de-identified maximum negotiated charge":"4,828.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"AMERIGROUP","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"39,670.87","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"659","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NON-NEOPLASM W MCC","payer":"AMERIGROUP","gross charge":"58,609.50","discounted cash price":"14,652.38","payer-specific negotiated charge":"6,585.57","de-identified minimum negotiated charge":"6,585.57","de-identified maximum negotiated charge":"6,585.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"AMERIGROUP","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"9,229.99","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"740","code description":"UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC","payer":"AMERIGROUP","gross charge":"82,449.50","discounted cash price":"20,612.38","payer-specific negotiated charge":"12,365.93","de-identified minimum negotiated charge":"12,365.93","de-identified maximum negotiated charge":"12,365.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"AMERIGROUP","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"38,795.99","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"AMERIGROUP","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"16,135.41","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"894","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA","payer":"AMERIGROUP","gross charge":"53,287.50","discounted cash price":"13,321.88","payer-specific negotiated charge":"4,023.58","de-identified minimum negotiated charge":"3,448.27","de-identified maximum negotiated charge":"4,023.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"896","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC","payer":"AMERIGROUP","gross charge":"108,379.17","discounted cash price":"27,094.79","payer-specific negotiated charge":"9,628.66","de-identified minimum negotiated charge":"8,359.25","de-identified maximum negotiated charge":"16,783.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"AMERIGROUP","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"3,741.45","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"974","code description":"HIV W MAJOR RELATED CONDITION W MCC","payer":"AMERIGROUP","gross charge":"93,380.00","discounted cash price":"23,345.00","payer-specific negotiated charge":"19,424.70","de-identified minimum negotiated charge":"17,427.13","de-identified maximum negotiated charge":"37,469.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"CARESOURCE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"15,770.70","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"272","code description":"OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC","payer":"CARESOURCE","gross charge":"57,022.00","discounted cash price":"14,255.50","payer-specific negotiated charge":"13,886.21","de-identified minimum negotiated charge":"13,886.21","de-identified maximum negotiated charge":"13,886.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"CARESOURCE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"8,545.79","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"CARESOURCE","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"7,115.25","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"347","code description":"ANAL \u0026 STOMAL PROCEDURES W MCC","payer":"CARESOURCE","gross charge":"43,629.50","discounted cash price":"10,907.38","payer-specific negotiated charge":"8,240.74","de-identified minimum negotiated charge":"8,240.74","de-identified maximum negotiated charge":"8,240.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"CARESOURCE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"15,918.10","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC","payer":"CARESOURCE","gross charge":"31,337.50","discounted cash price":"7,834.38","payer-specific negotiated charge":"4,532.27","de-identified minimum negotiated charge":"4,532.27","de-identified maximum negotiated charge":"6,490.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"DISORDERS OF THE BILIARY TRACT W MCC","payer":"CARESOURCE","gross charge":"80,637.50","discounted cash price":"20,159.38","payer-specific negotiated charge":"10,525.47","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"14,563.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"488","code description":"KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC","payer":"CARESOURCE","gross charge":"61,894.50","discounted cash price":"15,473.63","payer-specific negotiated charge":"10,409.76","de-identified minimum negotiated charge":"10,409.76","de-identified maximum negotiated charge":"15,491.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"585","code description":"BREAST BIOPSY, LOCAL EXCISION \u0026 OTHER BREAST PROCEDURES W/O CC/MCC","payer":"CARESOURCE","gross charge":"94,998.00","discounted cash price":"23,749.50","payer-specific negotiated charge":"10,690.77","de-identified minimum negotiated charge":"10,690.77","de-identified maximum negotiated charge":"14,097.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"600","code description":"NON-MALIGNANT BREAST DISORDERS W CC/MCC","payer":"CARESOURCE","gross charge":"33,850.00","discounted cash price":"8,462.50","payer-specific negotiated charge":"6,406.66","de-identified minimum negotiated charge":"6,406.66","de-identified maximum negotiated charge":"6,761.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"607","code description":"MINOR SKIN DISORDERS W/O MCC","payer":"CARESOURCE","gross charge":"43,526.50","discounted cash price":"10,881.63","payer-specific negotiated charge":"4,828.15","de-identified minimum negotiated charge":"4,774.04","de-identified maximum negotiated charge":"4,828.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"CARESOURCE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"4,039.60","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"CARESOURCE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"5,913.46","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"820","code description":"LYMPHOMA \u0026 LEUKEMIA W MAJOR O.R. PROCEDURE W MCC","payer":"CARESOURCE","gross charge":"525,623.50","discounted cash price":"131,405.88","payer-specific negotiated charge":"86,003.12","de-identified minimum negotiated charge":"86,003.12","de-identified maximum negotiated charge":"86,003.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"832","code description":"OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC","payer":"CARESOURCE","gross charge":"45,788.00","discounted cash price":"11,447.00","payer-specific negotiated charge":"5,491.32","de-identified minimum negotiated charge":"5,491.32","de-identified maximum negotiated charge":"5,491.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"857","code description":"POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC","payer":"CARESOURCE","gross charge":"103,692.00","discounted cash price":"25,923.00","payer-specific negotiated charge":"11,031.85","de-identified minimum negotiated charge":"11,031.85","de-identified maximum negotiated charge":"17,656.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"918","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W/O MCC","payer":"CARESOURCE","gross charge":"41,857.50","discounted cash price":"10,464.38","payer-specific negotiated charge":"4,162.55","de-identified minimum negotiated charge":"3,741.45","de-identified maximum negotiated charge":"7,613.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"55","code description":"NERVOUS SYSTEM NEOPLASMS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"58,086.00","discounted cash price":"14,521.50","payer-specific negotiated charge":"11,875.69","de-identified minimum negotiated charge":"11,875.69","de-identified maximum negotiated charge":"11,875.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"16,597.21","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"5,333.89","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"149","code description":"DYSEQUILIBRIUM","payer":"PEACHSTATE-CENTENE","gross charge":"81,366.50","discounted cash price":"20,341.63","payer-specific negotiated charge":"4,627.32","de-identified minimum negotiated charge":"4,618.45","de-identified maximum negotiated charge":"7,816.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"153","code description":"OTITIS MEDIA \u0026 URI W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"33,485.75","discounted cash price":"8,371.44","payer-specific negotiated charge":"3,801.81","de-identified minimum negotiated charge":"3,117.49","de-identified maximum negotiated charge":"4,486.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"180","code description":"RESPIRATORY NEOPLASMS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"159,205.50","discounted cash price":"39,801.38","payer-specific negotiated charge":"12,277.77","de-identified minimum negotiated charge":"4,690.74","de-identified maximum negotiated charge":"14,820.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"203","code description":"BRONCHITIS \u0026 ASTHMA W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"94,345.50","discounted cash price":"23,586.38","payer-specific negotiated charge":"4,319.63","de-identified minimum negotiated charge":"4,319.63","de-identified maximum negotiated charge":"8,810.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"252","code description":"OTHER VASCULAR PROCEDURES W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"119,023.00","discounted cash price":"29,755.75","payer-specific negotiated charge":"23,681.71","de-identified minimum negotiated charge":"20,926.99","de-identified maximum negotiated charge":"37,532.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"282","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"23,041.00","discounted cash price":"5,760.25","payer-specific negotiated charge":"6,858.06","de-identified minimum negotiated charge":"6,858.06","de-identified maximum negotiated charge":"6,858.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"PEACHSTATE-CENTENE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"11,376.15","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"5,037.14","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"8,323.94","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"313","code description":"CHEST PAIN","payer":"PEACHSTATE-CENTENE","gross charge":"63,455.50","discounted cash price":"15,863.88","payer-specific negotiated charge":"4,620.50","de-identified minimum negotiated charge":"4,521.34","de-identified maximum negotiated charge":"8,272.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"328","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"90,333.50","discounted cash price":"22,583.38","payer-specific negotiated charge":"9,907.09","de-identified minimum negotiated charge":"9,796.04","de-identified maximum negotiated charge":"13,548.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"339","code description":"APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC","payer":"PEACHSTATE-CENTENE","gross charge":"69,193.50","discounted cash price":"17,298.38","payer-specific negotiated charge":"11,773.98","de-identified minimum negotiated charge":"11,773.98","de-identified maximum negotiated charge":"11,773.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"354","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W CC","payer":"PEACHSTATE-CENTENE","gross charge":"83,999.00","discounted cash price":"20,999.75","payer-specific negotiated charge":"11,013.83","de-identified minimum negotiated charge":"11,013.83","de-identified maximum negotiated charge":"14,525.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"368","code description":"MAJOR ESOPHAGEAL DISORDERS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"89,059.00","discounted cash price":"22,264.75","payer-specific negotiated charge":"7,605.67","de-identified minimum negotiated charge":"7,605.67","de-identified maximum negotiated charge":"15,317.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"11,957.19","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"386","code description":"INFLAMMATORY BOWEL DISEASE W CC","payer":"PEACHSTATE-CENTENE","gross charge":"169,988.00","discounted cash price":"42,497.00","payer-specific negotiated charge":"7,566.85","de-identified minimum negotiated charge":"7,315.72","de-identified maximum negotiated charge":"29,981.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"7,373.70","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"394","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W CC","payer":"PEACHSTATE-CENTENE","gross charge":"81,891.50","discounted cash price":"20,472.88","payer-specific negotiated charge":"6,021.97","de-identified minimum negotiated charge":"5,129.45","de-identified maximum negotiated charge":"8,774.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"15,533.55","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"419","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"82,426.07","discounted cash price":"20,606.52","payer-specific negotiated charge":"8,279.13","de-identified minimum negotiated charge":"8,279.13","de-identified maximum negotiated charge":"11,613.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"433","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W CC","payer":"PEACHSTATE-CENTENE","gross charge":"82,240.50","discounted cash price":"20,560.13","payer-specific negotiated charge":"5,977.65","de-identified minimum negotiated charge":"5,977.65","de-identified maximum negotiated charge":"9,309.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"438","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"335,682.00","discounted cash price":"83,920.50","payer-specific negotiated charge":"12,188.91","de-identified minimum negotiated charge":"12,188.91","de-identified maximum negotiated charge":"40,338.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"PEACHSTATE-CENTENE","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"6,065.46","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"486","code description":"KNEE PROCEDURES W PDX OF INFECTION W CC","payer":"PEACHSTATE-CENTENE","gross charge":"119,284.00","discounted cash price":"29,821.00","payer-specific negotiated charge":"12,997.56","de-identified minimum negotiated charge":"12,997.56","de-identified maximum negotiated charge":"16,594.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"546","code description":"CONNECTIVE TISSUE DISORDERS W CC","payer":"PEACHSTATE-CENTENE","gross charge":"56,956.50","discounted cash price":"14,239.13","payer-specific negotiated charge":"8,280.52","de-identified minimum negotiated charge":"7,345.71","de-identified maximum negotiated charge":"10,473.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"558","code description":"TENDONITIS, MYOSITIS \u0026 BURSITIS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"51,553.67","discounted cash price":"12,888.42","payer-specific negotiated charge":"6,909.60","de-identified minimum negotiated charge":"4,816.39","de-identified maximum negotiated charge":"6,909.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"619","code description":"O.R. PROCEDURES FOR OBESITY W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"67,280.00","discounted cash price":"16,820.00","payer-specific negotiated charge":"19,128.02","de-identified minimum negotiated charge":"19,128.02","de-identified maximum negotiated charge":"19,267.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"6,680.62","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"5,397.74","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"PEACHSTATE-CENTENE","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"6,855.27","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"743","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"80,353.50","discounted cash price":"20,088.38","payer-specific negotiated charge":"6,178.17","de-identified minimum negotiated charge":"6,178.17","de-identified maximum negotiated charge":"10,531.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"760","code description":"MENSTRUAL \u0026 OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"44,124.00","discounted cash price":"11,031.00","payer-specific negotiated charge":"5,070.91","de-identified minimum negotiated charge":"5,070.91","de-identified maximum negotiated charge":"5,070.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"5,880.32","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"207,105.62","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"880","code description":"ACUTE ADJUSTMENT REACTION \u0026 PSYCHOSOCIAL DYSFUNCTION","payer":"PEACHSTATE-CENTENE","gross charge":"62,681.00","discounted cash price":"15,670.25","payer-specific negotiated charge":"2,882.09","de-identified minimum negotiated charge":"314.51","de-identified maximum negotiated charge":"5,412.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"920","code description":"COMPLICATIONS OF TREATMENT W CC","payer":"PEACHSTATE-CENTENE","gross charge":"72,535.50","discounted cash price":"18,133.88","payer-specific negotiated charge":"6,002.63","de-identified minimum negotiated charge":"6,002.63","de-identified maximum negotiated charge":"9,352.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"59","code description":"MULTIPLE SCLEROSIS \u0026 CEREBELLAR ATAXIA W CC","payer":"MEDICARE","gross charge":"13,891.00","discounted cash price":"3,472.75","payer-specific negotiated charge":"7,148.34","de-identified minimum negotiated charge":"7,148.34","de-identified maximum negotiated charge":"7,148.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78","code description":"HYPERTENSIVE ENCEPHALOPATHY W CC","payer":"MEDICARE","gross charge":"57,263.50","discounted cash price":"14,315.88","payer-specific negotiated charge":"5,988.36","de-identified minimum negotiated charge":"5,988.36","de-identified maximum negotiated charge":"5,988.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83","code description":"TRAUMATIC STUPOR \u0026 COMA, COMA \u003e1 HR W CC","payer":"MEDICARE","gross charge":"40,036.50","discounted cash price":"10,009.13","payer-specific negotiated charge":"8,466.40","de-identified minimum negotiated charge":"8,466.40","de-identified maximum negotiated charge":"8,466.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"MEDICARE","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"11,440.58","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"102","code description":"HEADACHES W MCC","payer":"MEDICARE","gross charge":"152,792.00","discounted cash price":"38,198.00","payer-specific negotiated charge":"9,053.54","de-identified minimum negotiated charge":"7,266.05","de-identified maximum negotiated charge":"10,841.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"123","code description":"NEUROLOGICAL EYE DISORDERS","payer":"MEDICARE","gross charge":"51,686.00","discounted cash price":"12,921.50","payer-specific negotiated charge":"4,837.07","de-identified minimum negotiated charge":"4,837.07","de-identified maximum negotiated charge":"4,837.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"143","code description":"OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC","payer":"MEDICARE","gross charge":"106,253.50","discounted cash price":"26,563.38","payer-specific negotiated charge":"23,807.98","de-identified minimum negotiated charge":"9,284.25","de-identified maximum negotiated charge":"24,349.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"154","code description":"OTHER EAR, NOSE, MOUTH \u0026 THROAT DIAGNOSES W MCC","payer":"MEDICARE","gross charge":"67,459.78","discounted cash price":"16,864.95","payer-specific negotiated charge":"10,116.65","de-identified minimum negotiated charge":"10,116.65","de-identified maximum negotiated charge":"13,046.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"168","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC","payer":"MEDICARE","gross charge":"51,072.00","discounted cash price":"12,768.00","payer-specific negotiated charge":"781.88","de-identified minimum negotiated charge":"781.88","de-identified maximum negotiated charge":"781.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"183","code description":"MAJOR CHEST TRAUMA W MCC","payer":"MEDICARE","gross charge":"69,387.00","discounted cash price":"17,346.75","payer-specific negotiated charge":"13,754.40","de-identified minimum negotiated charge":"12,880.43","de-identified maximum negotiated charge":"13,754.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"188","code description":"PLEURAL EFFUSION W/O CC/MCC","payer":"MEDICARE","gross charge":"35,495.00","discounted cash price":"8,873.75","payer-specific negotiated charge":"4,602.53","de-identified minimum negotiated charge":"4,602.53","de-identified maximum negotiated charge":"4,602.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"192","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC","payer":"MEDICARE","gross charge":"52,731.00","discounted cash price":"13,182.75","payer-specific negotiated charge":"5,824.16","de-identified minimum negotiated charge":"4,346.74","de-identified maximum negotiated charge":"7,287.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"197","code description":"INTERSTITIAL LUNG DISEASE W CC","payer":"MEDICARE","gross charge":"34,588.25","discounted cash price":"8,647.06","payer-specific negotiated charge":"7,300.66","de-identified minimum negotiated charge":"7,300.66","de-identified maximum negotiated charge":"9,116.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"203","code description":"BRONCHITIS \u0026 ASTHMA W/O CC/MCC","payer":"MEDICARE","gross charge":"94,345.50","discounted cash price":"23,586.38","payer-specific negotiated charge":"4,343.85","de-identified minimum negotiated charge":"4,319.63","de-identified maximum negotiated charge":"8,810.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"204","code description":"RESPIRATORY SIGNS \u0026 SYMPTOMS","payer":"MEDICARE","gross charge":"33,266.50","discounted cash price":"8,316.63","payer-specific negotiated charge":"4,970.74","de-identified minimum negotiated charge":"4,925.77","de-identified maximum negotiated charge":"7,918.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"243","code description":"PERMANENT CARDIAC PACEMAKER IMPLANT W CC","payer":"MEDICARE","gross charge":"104,848.00","discounted cash price":"26,212.00","payer-specific negotiated charge":"4,702.47","de-identified minimum negotiated charge":"4,702.47","de-identified maximum negotiated charge":"4,702.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"244","code description":"PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC","payer":"MEDICARE","gross charge":"101,828.00","discounted cash price":"25,457.00","payer-specific negotiated charge":"12,873.75","de-identified minimum negotiated charge":"12,873.75","de-identified maximum negotiated charge":"12,873.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W/O CC/MCC","payer":"MEDICARE","gross charge":"46,033.00","discounted cash price":"11,508.25","payer-specific negotiated charge":"2,816.02","de-identified minimum negotiated charge":"626.04","de-identified maximum negotiated charge":"7,510.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"337","code description":"PERITONEAL ADHESIOLYSIS W/O CC/MCC","payer":"MEDICARE","gross charge":"110,987.50","discounted cash price":"27,746.88","payer-specific negotiated charge":"10,354.84","de-identified minimum negotiated charge":"9,308.35","de-identified maximum negotiated charge":"13,031.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"338","code description":"APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC","payer":"MEDICARE","gross charge":"199,671.50","discounted cash price":"49,917.88","payer-specific negotiated charge":"22,645.34","de-identified minimum negotiated charge":"22,645.34","de-identified maximum negotiated charge":"22,645.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"343","code description":"APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC","payer":"MEDICARE","gross charge":"42,842.50","discounted cash price":"10,710.63","payer-specific negotiated charge":"6,986.25","de-identified minimum negotiated charge":"6,986.25","de-identified maximum negotiated charge":"6,986.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"351","code description":"INGUINAL \u0026 FEMORAL HERNIA PROCEDURES W CC","payer":"MEDICARE","gross charge":"65,192.75","discounted cash price":"16,298.19","payer-specific negotiated charge":"9,586.83","de-identified minimum negotiated charge":"9,322.16","de-identified maximum negotiated charge":"9,851.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"353","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W MCC","payer":"MEDICARE","gross charge":"83,229.00","discounted cash price":"20,807.25","payer-specific negotiated charge":"18,947.33","de-identified minimum negotiated charge":"18,859.05","de-identified maximum negotiated charge":"19,035.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"354","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W CC","payer":"MEDICARE","gross charge":"83,999.00","discounted cash price":"20,999.75","payer-specific negotiated charge":"11,297.86","de-identified minimum negotiated charge":"11,013.83","de-identified maximum negotiated charge":"14,525.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"384","code description":"UNCOMPLICATED PEPTIC ULCER W/O MCC","payer":"MEDICARE","gross charge":"44,660.75","discounted cash price":"11,165.19","payer-specific negotiated charge":"5,970.71","de-identified minimum negotiated charge":"5,670.48","de-identified maximum negotiated charge":"6,270.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"386","code description":"INFLAMMATORY BOWEL DISEASE W CC","payer":"MEDICARE","gross charge":"169,988.00","discounted cash price":"42,497.00","payer-specific negotiated charge":"29,981.28","de-identified minimum negotiated charge":"7,315.72","de-identified maximum negotiated charge":"29,981.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"395","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC","payer":"MEDICARE","gross charge":"50,997.50","discounted cash price":"12,749.38","payer-specific negotiated charge":"5,931.77","de-identified minimum negotiated charge":"5,931.77","de-identified maximum negotiated charge":"6,852.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"419","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC","payer":"MEDICARE","gross charge":"82,426.07","discounted cash price":"20,606.52","payer-specific negotiated charge":"9,976.85","de-identified minimum negotiated charge":"8,279.13","de-identified maximum negotiated charge":"11,613.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"446","code description":"DISORDERS OF THE BILIARY TRACT W/O CC/MCC","payer":"MEDICARE","gross charge":"24,511.50","discounted cash price":"6,127.88","payer-specific negotiated charge":"703.27","de-identified minimum negotiated charge":"703.27","de-identified maximum negotiated charge":"703.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"465","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC","payer":"MEDICARE","gross charge":"89,098.00","discounted cash price":"22,274.50","payer-specific negotiated charge":"15,801.95","de-identified minimum negotiated charge":"14,486.63","de-identified maximum negotiated charge":"15,966.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"478","code description":"BIOPSIES OF MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W CC","payer":"MEDICARE","gross charge":"99,551.50","discounted cash price":"24,887.88","payer-specific negotiated charge":"14,710.55","de-identified minimum negotiated charge":"14,710.55","de-identified maximum negotiated charge":"17,683.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"489","code description":"KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC","payer":"MEDICARE","gross charge":"85,919.50","discounted cash price":"21,479.88","payer-specific negotiated charge":"8,232.04","de-identified minimum negotiated charge":"8,232.04","de-identified maximum negotiated charge":"11,498.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"498","code description":"LOCAL EXCISION \u0026 REMOVAL INT FIX DEVICES OF HIP \u0026 FEMUR W CC/MCC","payer":"MEDICARE","gross charge":"63,538.25","discounted cash price":"15,884.56","payer-specific negotiated charge":"17,155.68","de-identified minimum negotiated charge":"16,601.32","de-identified maximum negotiated charge":"17,710.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"503","code description":"FOOT PROCEDURES W MCC","payer":"MEDICARE","gross charge":"88,689.50","discounted cash price":"22,172.38","payer-specific negotiated charge":"16,467.04","de-identified minimum negotiated charge":"16,467.04","de-identified maximum negotiated charge":"16,467.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"513","code description":"HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC","payer":"MEDICARE","gross charge":"38,950.00","discounted cash price":"9,737.50","payer-specific negotiated charge":"9,815.75","de-identified minimum negotiated charge":"9,815.75","de-identified maximum negotiated charge":"9,815.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"517","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W/O CC/MCC","payer":"MEDICARE","gross charge":"62,146.00","discounted cash price":"15,536.50","payer-specific negotiated charge":"12,060.20","de-identified minimum negotiated charge":"11,600.96","de-identified maximum negotiated charge":"12,060.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"519","code description":"BACK \u0026 NECK PROC EXC SPINAL FUSION W CC","payer":"MEDICARE","gross charge":"100,879.50","discounted cash price":"25,219.88","payer-specific negotiated charge":"12,593.60","de-identified minimum negotiated charge":"12,230.78","de-identified maximum negotiated charge":"12,956.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"520","code description":"BACK \u0026 NECK PROC EXC SPINAL FUSION W/O CC/MCC","payer":"MEDICARE","gross charge":"36,031.00","discounted cash price":"9,007.75","payer-specific negotiated charge":"9,597.89","de-identified minimum negotiated charge":"9,597.89","de-identified maximum negotiated charge":"9,597.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"535","code description":"FRACTURES OF HIP \u0026 PELVIS W MCC","payer":"MEDICARE","gross charge":"85,334.17","discounted cash price":"21,333.54","payer-specific negotiated charge":"5,499.30","de-identified minimum negotiated charge":"1,026.25","de-identified maximum negotiated charge":"12,952.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"539","code description":"OSTEOMYELITIS W MCC","payer":"MEDICARE","gross charge":"18,960.00","discounted cash price":"4,740.00","payer-specific negotiated charge":"15,952.38","de-identified minimum negotiated charge":"6,491.01","de-identified maximum negotiated charge":"15,952.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"543","code description":"PATHOLOGICAL FRACTURES \u0026 MUSCULOSKELET \u0026 CONN TISS MALIG W CC","payer":"MEDICARE","gross charge":"31,811.83","discounted cash price":"7,952.96","payer-specific negotiated charge":"6,762.25","de-identified minimum negotiated charge":"6,587.61","de-identified maximum negotiated charge":"9,988.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"559","code description":"AFTERCARE, MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W MCC","payer":"MEDICARE","gross charge":"56,493.00","discounted cash price":"14,123.25","payer-specific negotiated charge":"9,407.26","de-identified minimum negotiated charge":"7,243.54","de-identified maximum negotiated charge":"11,570.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"560","code description":"AFTERCARE, MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W CC","payer":"MEDICARE","gross charge":"52,366.25","discounted cash price":"13,091.56","payer-specific negotiated charge":"7,114.07","de-identified minimum negotiated charge":"7,114.07","de-identified maximum negotiated charge":"7,114.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"584","code description":"BREAST BIOPSY, LOCAL EXCISION \u0026 OTHER BREAST PROCEDURES W CC/MCC","payer":"MEDICARE","gross charge":"58,224.00","discounted cash price":"14,556.00","payer-specific negotiated charge":"13,838.86","de-identified minimum negotiated charge":"13,838.86","de-identified maximum negotiated charge":"13,838.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"593","code description":"SKIN ULCERS W CC","payer":"MEDICARE","gross charge":"42,401.00","discounted cash price":"10,600.25","payer-specific negotiated charge":"10,751.28","de-identified minimum negotiated charge":"7,067.04","de-identified maximum negotiated charge":"10,751.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"600","code description":"NON-MALIGNANT BREAST DISORDERS W CC/MCC","payer":"MEDICARE","gross charge":"33,850.00","discounted cash price":"8,462.50","payer-specific negotiated charge":"6,761.73","de-identified minimum negotiated charge":"6,406.66","de-identified maximum negotiated charge":"6,761.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"616","code description":"AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,\u0026 METABOL DIS W MCC","payer":"MEDICARE","gross charge":"186,724.50","discounted cash price":"46,681.13","payer-specific negotiated charge":"28,870.85","de-identified minimum negotiated charge":"28,870.85","de-identified maximum negotiated charge":"28,870.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"619","code description":"O.R. PROCEDURES FOR OBESITY W MCC","payer":"MEDICARE","gross charge":"67,280.00","discounted cash price":"16,820.00","payer-specific negotiated charge":"19,267.00","de-identified minimum negotiated charge":"19,128.02","de-identified maximum negotiated charge":"19,267.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"622","code description":"SKIN GRAFTS \u0026 WOUND DEBRID FOR ENDOC, NUTRIT \u0026 METAB DIS W MCC","payer":"MEDICARE","gross charge":"67,394.00","discounted cash price":"16,848.50","payer-specific negotiated charge":"20,631.46","de-identified minimum negotiated charge":"20,631.46","de-identified maximum negotiated charge":"20,631.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"629","code description":"OTHER ENDOCRINE, NUTRIT \u0026 METAB O.R. PROC W CC","payer":"MEDICARE","gross charge":"99,313.50","discounted cash price":"24,828.38","payer-specific negotiated charge":"14,762.40","de-identified minimum negotiated charge":"14,762.40","de-identified maximum negotiated charge":"17,893.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"645","code description":"ENDOCRINE DISORDERS W/O CC/MCC","payer":"MEDICARE","gross charge":"24,994.00","discounted cash price":"6,248.50","payer-specific negotiated charge":"4,848.39","de-identified minimum negotiated charge":"4,848.39","de-identified maximum negotiated charge":"4,848.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"658","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NEOPLASM W/O CC/MCC","payer":"MEDICARE","gross charge":"100,584.50","discounted cash price":"25,146.13","payer-specific negotiated charge":"11,913.97","de-identified minimum negotiated charge":"9,937.13","de-identified maximum negotiated charge":"13,890.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"669","code description":"TRANSURETHRAL PROCEDURES W CC","payer":"MEDICARE","gross charge":"44,303.00","discounted cash price":"11,075.75","payer-specific negotiated charge":"9,762.83","de-identified minimum negotiated charge":"9,762.83","de-identified maximum negotiated charge":"9,762.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"696","code description":"KIDNEY \u0026 URINARY TRACT SIGNS \u0026 SYMPTOMS W/O MCC","payer":"MEDICARE","gross charge":"27,500.33","discounted cash price":"6,875.08","payer-specific negotiated charge":"1,816.62","de-identified minimum negotiated charge":"512.8","de-identified maximum negotiated charge":"4,366.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"700","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W/O CC/MCC","payer":"MEDICARE","gross charge":"28,635.00","discounted cash price":"7,158.75","payer-specific negotiated charge":"7,921.87","de-identified minimum negotiated charge":"7,921.87","de-identified maximum negotiated charge":"7,921.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"713","code description":"TRANSURETHRAL PROSTATECTOMY W CC/MCC","payer":"MEDICARE","gross charge":"43,067.00","discounted cash price":"10,766.75","payer-specific negotiated charge":"9,326.51","de-identified minimum negotiated charge":"9,326.51","de-identified maximum negotiated charge":"9,326.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"725","code description":"BENIGN PROSTATIC HYPERTROPHY W MCC","payer":"MEDICARE","gross charge":"31,191.25","discounted cash price":"7,797.81","payer-specific negotiated charge":"9,516.17","de-identified minimum negotiated charge":"9,516.17","de-identified maximum negotiated charge":"10,957.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"738","code description":"UTERINE \u0026 ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC","payer":"MEDICARE","gross charge":"67,724.50","discounted cash price":"16,931.13","payer-specific negotiated charge":"9,295.76","de-identified minimum negotiated charge":"9,295.76","de-identified maximum negotiated charge":"12,117.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"743","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC","payer":"MEDICARE","gross charge":"80,353.50","discounted cash price":"20,088.38","payer-specific negotiated charge":"7,183.22","de-identified minimum negotiated charge":"6,178.17","de-identified maximum negotiated charge":"10,531.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"757","code description":"INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC","payer":"MEDICARE","gross charge":"50,331.50","discounted cash price":"12,582.88","payer-specific negotiated charge":"11,463.97","de-identified minimum negotiated charge":"11,463.97","de-identified maximum negotiated charge":"11,463.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"803","code description":"OTHER O.R. PROC OF THE BLOOD \u0026 BLOOD FORMING ORGANS W CC","payer":"MEDICARE","gross charge":"71,082.50","discounted cash price":"17,770.63","payer-specific negotiated charge":"5,582.08","de-identified minimum negotiated charge":"5,582.08","de-identified maximum negotiated charge":"5,582.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"810","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W/O CC/MCC","payer":"MEDICARE","gross charge":"47,721.50","discounted cash price":"11,930.38","payer-specific negotiated charge":"6,081.47","de-identified minimum negotiated charge":"6,062.56","de-identified maximum negotiated charge":"6,100.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"813","code description":"COAGULATION DISORDERS","payer":"MEDICARE","gross charge":"63,650.00","discounted cash price":"15,912.50","payer-specific negotiated charge":"9,870.38","de-identified minimum negotiated charge":"9,730.89","de-identified maximum negotiated charge":"14,940.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"814","code description":"RETICULOENDOTHELIAL \u0026 IMMUNITY DISORDERS W MCC","payer":"MEDICARE","gross charge":"53,351.50","discounted cash price":"13,337.88","payer-specific negotiated charge":"11,910.25","de-identified minimum negotiated charge":"11,910.25","de-identified maximum negotiated charge":"11,910.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"834","code description":"ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC","payer":"MEDICARE","gross charge":"130,213.50","discounted cash price":"32,553.38","payer-specific negotiated charge":"37,701.92","de-identified minimum negotiated charge":"37,701.92","de-identified maximum negotiated charge":"37,701.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"843","code description":"OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC","payer":"MEDICARE","gross charge":"68,543.50","discounted cash price":"17,135.88","payer-specific negotiated charge":"11,904.62","de-identified minimum negotiated charge":"11,904.62","de-identified maximum negotiated charge":"11,904.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"857","code description":"POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC","payer":"MEDICARE","gross charge":"103,692.00","discounted cash price":"25,923.00","payer-specific negotiated charge":"15,445.75","de-identified minimum negotiated charge":"11,031.85","de-identified maximum negotiated charge":"17,656.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"863","code description":"POSTOPERATIVE \u0026 POST-TRAUMATIC INFECTIONS W/O MCC","payer":"MEDICARE","gross charge":"113,005.50","discounted cash price":"28,251.38","payer-specific negotiated charge":"6,326.39","de-identified minimum negotiated charge":"6,326.39","de-identified maximum negotiated charge":"9,111.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"865","code description":"VIRAL ILLNESS W MCC","payer":"MEDICARE","gross charge":"56,458.50","discounted cash price":"14,114.63","payer-specific negotiated charge":"10,845.61","de-identified minimum negotiated charge":"10,845.61","de-identified maximum negotiated charge":"10,845.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"868","code description":"OTHER INFECTIOUS \u0026 PARASITIC DISEASES DIAGNOSES W CC","payer":"MEDICARE","gross charge":"58,763.00","discounted cash price":"14,690.75","payer-specific negotiated charge":"6,718.38","de-identified minimum negotiated charge":"6,718.38","de-identified maximum negotiated charge":"9,816.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"884","code description":"ORGANIC DISTURBANCES \u0026 INTELLECTUAL DISABILITY","payer":"MEDICARE","gross charge":"80,165.00","discounted cash price":"20,041.25","payer-specific negotiated charge":"10,561.36","de-identified minimum negotiated charge":"8,669.70","de-identified maximum negotiated charge":"14,217.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"915","code description":"ALLERGIC REACTIONS W MCC","payer":"MEDICARE","gross charge":"42,184.00","discounted cash price":"10,546.00","payer-specific negotiated charge":"10,609.34","de-identified minimum negotiated charge":"10,609.34","de-identified maximum negotiated charge":"13,808.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"919","code description":"COMPLICATIONS OF TREATMENT W MCC","payer":"MEDICARE","gross charge":"124,659.50","discounted cash price":"31,164.88","payer-specific negotiated charge":"11,618.76","de-identified minimum negotiated charge":"7,353.12","de-identified maximum negotiated charge":"17,017.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"922","code description":"OTHER INJURY, POISONING \u0026 TOXIC EFFECT DIAG W MCC","payer":"MEDICARE","gross charge":"166,404.00","discounted cash price":"41,601.00","payer-specific negotiated charge":"29,717.83","de-identified minimum negotiated charge":"29,717.83","de-identified maximum negotiated charge":"29,717.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"956","code description":"LIMB REATTACHMENT, HIP \u0026 FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA","payer":"MEDICARE","gross charge":"265,906.50","discounted cash price":"66,476.63","payer-specific negotiated charge":"20,000.00","de-identified minimum negotiated charge":"20,000.00","de-identified maximum negotiated charge":"28,170.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"969","code description":"HIV W EXTENSIVE O.R. PROCEDURE W MCC","payer":"MEDICARE","gross charge":"325,377.50","discounted cash price":"81,344.38","payer-specific negotiated charge":"47,184.93","de-identified minimum negotiated charge":"47,184.93","de-identified maximum negotiated charge":"47,184.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"975","code description":"HIV W MAJOR RELATED CONDITION W CC","payer":"MEDICARE","gross charge":"48,029.00","discounted cash price":"12,007.25","payer-specific negotiated charge":"8,044.26","de-identified minimum negotiated charge":"8,011.32","de-identified maximum negotiated charge":"8,077.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"41","code description":"PERIPH/CRANIAL NERVE \u0026 OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM","payer":"AETNA MCARE MGD CARE","gross charge":"144,058.50","discounted cash price":"36,014.63","payer-specific negotiated charge":"17,936.25","de-identified minimum negotiated charge":"17,936.25","de-identified maximum negotiated charge":"17,936.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"56","code description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"264,233.00","discounted cash price":"66,058.25","payer-specific negotiated charge":"17,746.02","de-identified minimum negotiated charge":"14,453.04","de-identified maximum negotiated charge":"27,537.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"66","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"46,507.00","discounted cash price":"11,626.75","payer-specific negotiated charge":"7,172.02","de-identified minimum negotiated charge":"4,460.35","de-identified maximum negotiated charge":"7,172.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"128,289.50","discounted cash price":"32,072.38","payer-specific negotiated charge":"12,445.33","de-identified minimum negotiated charge":"8,252.22","de-identified maximum negotiated charge":"64,144.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"40,068.50","discounted cash price":"10,017.13","payer-specific negotiated charge":"9,531.65","de-identified minimum negotiated charge":"6,373.69","de-identified maximum negotiated charge":"9,531.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82","code description":"TRAUMATIC STUPOR \u0026 COMA, COMA \u003e1 HR W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"188,209.50","discounted cash price":"47,052.38","payer-specific negotiated charge":"17,861.45","de-identified minimum negotiated charge":"17,861.45","de-identified maximum negotiated charge":"17,861.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"91","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"57,677.00","discounted cash price":"14,419.25","payer-specific negotiated charge":"14,320.65","de-identified minimum negotiated charge":"10,395.51","de-identified maximum negotiated charge":"14,320.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"103","code description":"HEADACHES W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"37,429.50","discounted cash price":"9,357.38","payer-specific negotiated charge":"7,999.77","de-identified minimum negotiated charge":"7,999.77","de-identified maximum negotiated charge":"7,999.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"149","code description":"DYSEQUILIBRIUM","payer":"AETNA MCARE MGD CARE","gross charge":"81,366.50","discounted cash price":"20,341.63","payer-specific negotiated charge":"7,481.57","de-identified minimum negotiated charge":"4,618.45","de-identified maximum negotiated charge":"7,816.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"12,570.79","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"181","code description":"RESPIRATORY NEOPLASMS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"84,567.50","discounted cash price":"21,141.88","payer-specific negotiated charge":"10,280.83","de-identified minimum negotiated charge":"9,952.97","de-identified maximum negotiated charge":"10,280.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"187","code description":"PLEURAL EFFUSION W CC","payer":"AETNA MCARE MGD CARE","gross charge":"113,767.50","discounted cash price":"28,441.88","payer-specific negotiated charge":"11,251.84","de-identified minimum negotiated charge":"9,628.38","de-identified maximum negotiated charge":"12,875.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"201","code description":"PNEUMOTHORAX W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"77,165.00","discounted cash price":"19,291.25","payer-specific negotiated charge":"7,519.57","de-identified minimum negotiated charge":"7,519.57","de-identified maximum negotiated charge":"7,519.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"10,531.17","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"46,033.00","discounted cash price":"11,508.25","payer-specific negotiated charge":"6,185.93","de-identified minimum negotiated charge":"626.04","de-identified maximum negotiated charge":"7,510.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"315","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W CC","payer":"AETNA MCARE MGD CARE","gross charge":"44,713.50","discounted cash price":"11,178.38","payer-specific negotiated charge":"8,985.85","de-identified minimum negotiated charge":"8,865.91","de-identified maximum negotiated charge":"9,117.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"328","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"90,333.50","discounted cash price":"22,583.38","payer-specific negotiated charge":"13,548.29","de-identified minimum negotiated charge":"9,796.04","de-identified maximum negotiated charge":"13,548.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"13,971.07","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"379","code description":"G.I. HEMORRHAGE W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"84,697.00","discounted cash price":"21,174.25","payer-specific negotiated charge":"9,217.19","de-identified minimum negotiated charge":"9,217.19","de-identified maximum negotiated charge":"9,217.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"10,835.70","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"418","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC","payer":"AETNA MCARE MGD CARE","gross charge":"80,165.50","discounted cash price":"20,041.38","payer-specific negotiated charge":"13,868.84","de-identified minimum negotiated charge":"10,537.51","de-identified maximum negotiated charge":"15,340.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"433","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"82,240.50","discounted cash price":"20,560.13","payer-specific negotiated charge":"9,309.65","de-identified minimum negotiated charge":"5,977.65","de-identified maximum negotiated charge":"9,309.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"435","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"141,000.00","discounted cash price":"35,250.00","payer-specific negotiated charge":"14,462.18","de-identified minimum negotiated charge":"10,944.83","de-identified maximum negotiated charge":"14,462.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"AETNA MCARE MGD CARE","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"8,485.12","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"440","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"31,337.50","discounted cash price":"7,834.38","payer-specific negotiated charge":"6,490.68","de-identified minimum negotiated charge":"4,532.27","de-identified maximum negotiated charge":"6,490.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"468","code description":"REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"185,756.75","discounted cash price":"46,439.19","payer-specific negotiated charge":"20,992.81","de-identified minimum negotiated charge":"17,474.14","de-identified maximum negotiated charge":"26,780.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"470","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"140,479.23","discounted cash price":"35,119.81","payer-specific negotiated charge":"14,998.85","de-identified minimum negotiated charge":"8,467.31","de-identified maximum negotiated charge":"29,090.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"AETNA MCARE MGD CARE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"16,130.09","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"489","code description":"KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"85,919.50","discounted cash price":"21,479.88","payer-specific negotiated charge":"11,063.33","de-identified minimum negotiated charge":"8,232.04","de-identified maximum negotiated charge":"11,498.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"492","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"110,511.00","discounted cash price":"27,627.75","payer-specific negotiated charge":"25,498.11","de-identified minimum negotiated charge":"25,498.11","de-identified maximum negotiated charge":"25,498.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"554","code description":"BONE DISEASES \u0026 ARTHROPATHIES W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"53,085.50","discounted cash price":"13,271.38","payer-specific negotiated charge":"7,757.94","de-identified minimum negotiated charge":"4,963.88","de-identified maximum negotiated charge":"7,945.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"556","code description":"SIGNS \u0026 SYMPTOMS OF MUSCULOSKELETAL SYSTEM \u0026 CONN TISSUE W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"79,564.00","discounted cash price":"19,891.00","payer-specific negotiated charge":"7,800.27","de-identified minimum negotiated charge":"7,800.27","de-identified maximum negotiated charge":"10,541.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"12,244.57","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"8,566.77","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"AETNA MCARE MGD CARE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"13,947.46","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"623","code description":"SKIN GRAFTS \u0026 WOUND DEBRID FOR ENDOC, NUTRIT \u0026 METAB DIS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"130,530.50","discounted cash price":"32,632.63","payer-specific negotiated charge":"14,893.55","de-identified minimum negotiated charge":"14,893.55","de-identified maximum negotiated charge":"14,893.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"639","code description":"DIABETES W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"67,969.00","discounted cash price":"16,992.25","payer-specific negotiated charge":"6,612.87","de-identified minimum negotiated charge":"3,781.48","de-identified maximum negotiated charge":"6,612.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"641","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"61,906.50","discounted cash price":"15,476.63","payer-specific negotiated charge":"7,502.50","de-identified minimum negotiated charge":"3,663.31","de-identified maximum negotiated charge":"7,690.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"644","code description":"ENDOCRINE DISORDERS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"125,485.50","discounted cash price":"31,371.38","payer-specific negotiated charge":"9,447.42","de-identified minimum negotiated charge":"6,427.89","de-identified maximum negotiated charge":"9,501.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"658","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NEOPLASM W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"100,584.50","discounted cash price":"25,146.13","payer-specific negotiated charge":"13,002.47","de-identified minimum negotiated charge":"9,937.13","de-identified maximum negotiated charge":"13,890.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,229.77","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"AETNA MCARE MGD CARE","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"9,340.82","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"737","code description":"UTERINE \u0026 ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC","payer":"AETNA MCARE MGD CARE","gross charge":"73,569.50","discounted cash price":"18,392.38","payer-specific negotiated charge":"16,176.31","de-identified minimum negotiated charge":"16,176.31","de-identified maximum negotiated charge":"16,176.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"742","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"121,206.75","discounted cash price":"30,301.69","payer-specific negotiated charge":"13,684.33","de-identified minimum negotiated charge":"11,681.53","de-identified maximum negotiated charge":"13,684.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"746","code description":"VAGINA, CERVIX \u0026 VULVA PROCEDURES W CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"48,610.00","discounted cash price":"12,152.50","payer-specific negotiated charge":"13,204.70","de-identified minimum negotiated charge":"13,204.70","de-identified maximum negotiated charge":"13,204.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"809","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W CC","payer":"AETNA MCARE MGD CARE","gross charge":"34,541.00","discounted cash price":"8,635.25","payer-specific negotiated charge":"10,574.43","de-identified minimum negotiated charge":"8,416.04","de-identified maximum negotiated charge":"11,053.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"180,611.50","discounted cash price":"45,152.88","payer-specific negotiated charge":"23,933.99","de-identified minimum negotiated charge":"20,001.22","de-identified maximum negotiated charge":"23,933.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"AETNA MCARE MGD CARE","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"16,499.75","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"884","code description":"ORGANIC DISTURBANCES \u0026 INTELLECTUAL DISABILITY","payer":"AETNA MCARE MGD CARE","gross charge":"80,165.00","discounted cash price":"20,041.25","payer-specific negotiated charge":"11,932.18","de-identified minimum negotiated charge":"8,669.70","de-identified maximum negotiated charge":"14,217.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"896","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"108,379.17","discounted cash price":"27,094.79","payer-specific negotiated charge":"14,086.76","de-identified minimum negotiated charge":"8,359.25","de-identified maximum negotiated charge":"16,783.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"7,983.43","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"907","code description":"OTHER O.R. PROCEDURES FOR INJURIES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"126,739.50","discounted cash price":"31,684.88","payer-specific negotiated charge":"28,666.97","de-identified minimum negotiated charge":"24,605.96","de-identified maximum negotiated charge":"28,666.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"908","code description":"OTHER O.R. PROCEDURES FOR INJURIES W CC","payer":"AETNA MCARE MGD CARE","gross charge":"75,094.00","discounted cash price":"18,773.50","payer-specific negotiated charge":"16,451.71","de-identified minimum negotiated charge":"16,451.71","de-identified maximum negotiated charge":"16,451.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"916","code description":"ALLERGIC REACTIONS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"67,088.00","discounted cash price":"16,772.00","payer-specific negotiated charge":"6,827.78","de-identified minimum negotiated charge":"6,827.78","de-identified maximum negotiated charge":"6,981.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"948","code description":"SIGNS \u0026 SYMPTOMS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"180,706.00","discounted cash price":"45,176.50","payer-specific negotiated charge":"7,763.45","de-identified minimum negotiated charge":"501.56","de-identified maximum negotiated charge":"28,656.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"982","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"216,747.00","discounted cash price":"54,186.75","payer-specific negotiated charge":"19,335.51","de-identified minimum negotiated charge":"15,965.26","de-identified maximum negotiated charge":"19,793.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"987","code description":"NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"166,700.64","discounted cash price":"41,675.16","payer-specific negotiated charge":"48,255.50","de-identified minimum negotiated charge":"30,845.14","de-identified maximum negotiated charge":"48,255.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"999","code description":"UNGROUPABLE","payer":"AETNA MCARE MGD CARE","gross charge":"48,956.50","discounted cash price":"12,239.13","payer-specific negotiated charge":"11,831.47","de-identified minimum negotiated charge":"11,831.47","de-identified maximum negotiated charge":"11,831.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"AETNA MCARE PFFS","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"7,525.58","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"67,761.00","discounted cash price":"16,940.25","payer-specific negotiated charge":"9,680.14","de-identified minimum negotiated charge":"5,846.59","de-identified maximum negotiated charge":"11,540.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"BCBS SMARTVALUE PFFS","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"10,544.51","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"BCBS SMARTVALUE PFFS","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"9,487.81","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"304","code description":"HYPERTENSION W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"145,341.00","discounted cash price":"36,335.25","payer-specific negotiated charge":"9,733.50","de-identified minimum negotiated charge":"5,460.31","de-identified maximum negotiated charge":"9,984.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"469","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT","payer":"BCBS SMARTVALUE PFFS","gross charge":"284,542.00","discounted cash price":"71,135.50","payer-specific negotiated charge":"33,086.15","de-identified minimum negotiated charge":"22,534.36","de-identified maximum negotiated charge":"33,086.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"673","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"292,426.50","discounted cash price":"73,106.63","payer-specific negotiated charge":"29,549.64","de-identified minimum negotiated charge":"18,296.46","de-identified maximum negotiated charge":"41,738.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"16,551.64","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"7,752.81","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,114.69","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"8,249.32","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"840","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"144,338.00","discounted cash price":"36,084.50","payer-specific negotiated charge":"23,473.40","de-identified minimum negotiated charge":"20,117.58","de-identified maximum negotiated charge":"23,473.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99","code description":"NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"64,432.00","discounted cash price":"16,108.00","payer-specific negotiated charge":"11,523.20","de-identified minimum negotiated charge":"11,523.20","de-identified maximum negotiated charge":"11,523.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"166","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"263,642.37","discounted cash price":"65,910.59","payer-specific negotiated charge":"26,649.29","de-identified minimum negotiated charge":"23,730.18","de-identified maximum negotiated charge":"27,510.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"15,539.41","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"11,043.12","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"8,209.73","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"286","code description":"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"172,174.00","discounted cash price":"43,043.50","payer-specific negotiated charge":"16,227.90","de-identified minimum negotiated charge":"10,774.00","de-identified maximum negotiated charge":"32,184.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"10,766.52","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"12,470.74","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"15,826.88","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"11,124.71","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"436","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"68,525.50","discounted cash price":"17,131.38","payer-specific negotiated charge":"9,897.39","de-identified minimum negotiated charge":"9,460.92","de-identified maximum negotiated charge":"9,908.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"10,322.41","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"9,763.04","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"11,478.64","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,065.49","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"6,790.30","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"981","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"155,352.00","discounted cash price":"38,838.00","payer-specific negotiated charge":"32,259.61","de-identified minimum negotiated charge":"24,351.62","de-identified maximum negotiated charge":"35,340.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97","code description":"NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"326,273.00","discounted cash price":"81,568.25","payer-specific negotiated charge":"27,694.73","de-identified minimum negotiated charge":"27,694.73","de-identified maximum negotiated charge":"58,409.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"13,048.64","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"12,049.28","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"7,847.84","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"192","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"52,731.00","discounted cash price":"13,182.75","payer-specific negotiated charge":"7,208.46","de-identified minimum negotiated charge":"4,346.74","de-identified maximum negotiated charge":"7,287.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"196","code description":"INTERSTITIAL LUNG DISEASE W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"117,929.50","discounted cash price":"29,482.38","payer-specific negotiated charge":"14,675.69","de-identified minimum negotiated charge":"6,890.41","de-identified maximum negotiated charge":"17,144.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"281","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"99,423.50","discounted cash price":"24,855.88","payer-specific negotiated charge":"8,832.10","de-identified minimum negotiated charge":"5,901.04","de-identified maximum negotiated charge":"8,832.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"12,844.86","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"312","code description":"SYNCOPE \u0026 COLLAPSE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"84,413.50","discounted cash price":"21,103.38","payer-specific negotiated charge":"8,152.70","de-identified minimum negotiated charge":"1,135.61","de-identified maximum negotiated charge":"8,152.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"313","code description":"CHEST PAIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"63,455.50","discounted cash price":"15,863.88","payer-specific negotiated charge":"7,637.24","de-identified minimum negotiated charge":"4,521.34","de-identified maximum negotiated charge":"8,272.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"377","code description":"G.I. HEMORRHAGE W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"299,185.50","discounted cash price":"74,796.38","payer-specific negotiated charge":"14,635.25","de-identified minimum negotiated charge":"4,261.98","de-identified maximum negotiated charge":"66,681.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"8,116.17","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"500","code description":"SOFT TISSUE PROCEDURES W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"209,616.00","discounted cash price":"52,404.00","payer-specific negotiated charge":"24,114.39","de-identified minimum negotiated charge":"24,114.39","de-identified maximum negotiated charge":"24,114.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"534","code description":"FRACTURES OF FEMUR W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"16,150.50","discounted cash price":"4,037.63","payer-specific negotiated charge":"7,832.67","de-identified minimum negotiated charge":"7,832.67","de-identified maximum negotiated charge":"7,832.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"552","code description":"MEDICAL BACK PROBLEMS W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"84,655.50","discounted cash price":"21,163.88","payer-specific negotiated charge":"8,843.53","de-identified minimum negotiated charge":"5,903.14","de-identified maximum negotiated charge":"31,544.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"585","code description":"BREAST BIOPSY, LOCAL EXCISION \u0026 OTHER BREAST PROCEDURES W/O CC/MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94,998.00","discounted cash price":"23,749.50","payer-specific negotiated charge":"14,097.17","de-identified minimum negotiated charge":"10,690.77","de-identified maximum negotiated charge":"14,097.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"12,186.28","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"10,316.66","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"8,138.25","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"809","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"34,541.00","discounted cash price":"8,635.25","payer-specific negotiated charge":"11,053.43","de-identified minimum negotiated charge":"8,416.04","de-identified maximum negotiated charge":"11,053.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"8,542.09","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"870","code description":"SEPTICEMIA OR SEVERE SEPSIS W MV \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"288,753.50","discounted cash price":"72,188.38","payer-specific negotiated charge":"45,105.61","de-identified minimum negotiated charge":"5,067.49","de-identified maximum negotiated charge":"62,709.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,470.00","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"8,075.48","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"919","code description":"COMPLICATIONS OF TREATMENT W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"124,659.50","discounted cash price":"31,164.88","payer-specific negotiated charge":"17,017.59","de-identified minimum negotiated charge":"7,353.12","de-identified maximum negotiated charge":"17,017.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80","code description":"NONTRAUMATIC STUPOR \u0026 COMA W MCC","payer":"CLOVER HEALTH","gross charge":"30,018.50","discounted cash price":"7,504.63","payer-specific negotiated charge":"12,777.89","de-identified minimum negotiated charge":"12,777.89","de-identified maximum negotiated charge":"12,777.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"CLOVER HEALTH","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"10,981.24","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"CLOVER HEALTH","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"9,279.52","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"CLOVER HEALTH","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"15,599.91","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W CC","payer":"CLOVER HEALTH","gross charge":"125,277.50","discounted cash price":"31,319.38","payer-specific negotiated charge":"16,652.18","de-identified minimum negotiated charge":"6,437.81","de-identified maximum negotiated charge":"16,652.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"151","code description":"EPISTAXIS W/O MCC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"19,715.50","discounted cash price":"4,928.88","payer-specific negotiated charge":"7,345.41","de-identified minimum negotiated charge":"7,345.41","de-identified maximum negotiated charge":"7,345.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"16,993.70","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"40","code description":"PERIPH/CRANIAL NERVE \u0026 OTHER NERV SYST PROC W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"520,141.22","discounted cash price":"130,035.30","payer-specific negotiated charge":"28,104.68","de-identified minimum negotiated charge":"28,064.06","de-identified maximum negotiated charge":"127,150.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"54","code description":"NERVOUS SYSTEM NEOPLASMS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"40,314.50","discounted cash price":"10,078.63","payer-specific negotiated charge":"11,421.04","de-identified minimum negotiated charge":"11,421.04","de-identified maximum negotiated charge":"11,421.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"15,708.69","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"67","code description":"NONSPECIFIC CVA \u0026 PRECEREBRAL OCCLUSION W/O INFARCT W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"80,064.00","discounted cash price":"20,016.00","payer-specific negotiated charge":"11,897.38","de-identified minimum negotiated charge":"11,897.38","de-identified maximum negotiated charge":"11,897.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"128,289.50","discounted cash price":"32,072.38","payer-specific negotiated charge":"15,810.27","de-identified minimum negotiated charge":"8,252.22","de-identified maximum negotiated charge":"64,144.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97","code description":"NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"326,273.00","discounted cash price":"81,568.25","payer-specific negotiated charge":"58,409.71","de-identified minimum negotiated charge":"27,694.73","de-identified maximum negotiated charge":"58,409.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"124","code description":"OTHER DISORDERS OF THE EYE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"47,388.50","discounted cash price":"11,847.13","payer-specific negotiated charge":"11,741.80","de-identified minimum negotiated charge":"5,962.90","de-identified maximum negotiated charge":"11,741.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"149","code description":"DYSEQUILIBRIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"81,366.50","discounted cash price":"20,341.63","payer-specific negotiated charge":"7,664.27","de-identified minimum negotiated charge":"4,618.45","de-identified maximum negotiated charge":"7,816.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"155","code description":"OTHER EAR, NOSE, MOUTH \u0026 THROAT DIAGNOSES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"53,703.00","discounted cash price":"13,425.75","payer-specific negotiated charge":"8,452.46","de-identified minimum negotiated charge":"8,452.46","de-identified maximum negotiated charge":"9,342.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"158","code description":"DENTAL \u0026 ORAL DISEASES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"29,732.00","discounted cash price":"7,433.00","payer-specific negotiated charge":"8,461.91","de-identified minimum negotiated charge":"8,461.91","de-identified maximum negotiated charge":"8,461.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"166","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"263,642.37","discounted cash price":"65,910.59","payer-specific negotiated charge":"27,510.48","de-identified minimum negotiated charge":"23,730.18","de-identified maximum negotiated charge":"27,510.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"8,233.89","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"181","code description":"RESPIRATORY NEOPLASMS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84,567.50","discounted cash price":"21,141.88","payer-specific negotiated charge":"9,952.97","de-identified minimum negotiated charge":"9,952.97","de-identified maximum negotiated charge":"10,280.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"183","code description":"MAJOR CHEST TRAUMA W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69,387.00","discounted cash price":"17,346.75","payer-specific negotiated charge":"12,880.43","de-identified minimum negotiated charge":"12,880.43","de-identified maximum negotiated charge":"13,754.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"8,417.35","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"192","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"52,731.00","discounted cash price":"13,182.75","payer-specific negotiated charge":"7,019.01","de-identified minimum negotiated charge":"4,346.74","de-identified maximum negotiated charge":"7,287.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"39,288.50","discounted cash price":"9,822.13","payer-specific negotiated charge":"8,645.71","de-identified minimum negotiated charge":"8,645.71","de-identified maximum negotiated charge":"8,645.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"14,681.39","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"253","code description":"OTHER VASCULAR PROCEDURES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"206,582.50","discounted cash price":"51,645.63","payer-specific negotiated charge":"19,737.26","de-identified minimum negotiated charge":"19,737.26","de-identified maximum negotiated charge":"19,737.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"10,564.59","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"304","code description":"HYPERTENSION W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"145,341.00","discounted cash price":"36,335.25","payer-specific negotiated charge":"9,984.20","de-identified minimum negotiated charge":"5,460.31","de-identified maximum negotiated charge":"9,984.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"10,484.25","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"314","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"149,738.64","discounted cash price":"37,434.66","payer-specific negotiated charge":"17,673.09","de-identified minimum negotiated charge":"13,123.80","de-identified maximum negotiated charge":"47,913.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"329","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"259,669.00","discounted cash price":"64,917.25","payer-specific negotiated charge":"34,715.77","de-identified minimum negotiated charge":"26,606.22","de-identified maximum negotiated charge":"34,715.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"330","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"129,503.00","discounted cash price":"32,375.75","payer-specific negotiated charge":"16,695.10","de-identified minimum negotiated charge":"14,115.89","de-identified maximum negotiated charge":"19,274.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"346","code description":"MINOR SMALL \u0026 LARGE BOWEL PROCEDURES W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"50,940.50","discounted cash price":"12,735.13","payer-specific negotiated charge":"13,042.07","de-identified minimum negotiated charge":"13,042.07","de-identified maximum negotiated charge":"13,042.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"354","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"83,999.00","discounted cash price":"20,999.75","payer-specific negotiated charge":"14,243.89","de-identified minimum negotiated charge":"11,013.83","de-identified maximum negotiated charge":"14,525.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"369","code description":"MAJOR ESOPHAGEAL DISORDERS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"82,447.50","discounted cash price":"20,611.88","payer-specific negotiated charge":"9,700.10","de-identified minimum negotiated charge":"9,427.18","de-identified maximum negotiated charge":"9,892.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"14,543.60","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"377","code description":"G.I. HEMORRHAGE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"299,185.50","discounted cash price":"74,796.38","payer-specific negotiated charge":"14,548.14","de-identified minimum negotiated charge":"4,261.98","de-identified maximum negotiated charge":"66,681.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"393","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"101,432.00","discounted cash price":"25,358.00","payer-specific negotiated charge":"13,555.85","de-identified minimum negotiated charge":"10,370.95","de-identified maximum negotiated charge":"15,376.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"441","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"241,062.00","discounted cash price":"60,265.50","payer-specific negotiated charge":"15,359.93","de-identified minimum negotiated charge":"12,280.82","de-identified maximum negotiated charge":"18,320.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"462","code description":"BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"252,175.00","discounted cash price":"63,043.75","payer-specific negotiated charge":"22,882.05","de-identified minimum negotiated charge":"22,882.05","de-identified maximum negotiated charge":"31,726.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"468","code description":"REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"185,756.75","discounted cash price":"46,439.19","payer-specific negotiated charge":"21,090.40","de-identified minimum negotiated charge":"17,474.14","de-identified maximum negotiated charge":"26,780.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"477","code description":"BIOPSIES OF MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"264,739.32","discounted cash price":"66,184.83","payer-specific negotiated charge":"31,062.85","de-identified minimum negotiated charge":"19,378.55","de-identified maximum negotiated charge":"31,062.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"180,854.00","discounted cash price":"45,213.50","payer-specific negotiated charge":"22,355.43","de-identified minimum negotiated charge":"18,897.33","de-identified maximum negotiated charge":"22,355.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"488","code description":"KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"61,894.50","discounted cash price":"15,473.63","payer-specific negotiated charge":"13,325.44","de-identified minimum negotiated charge":"10,409.76","de-identified maximum negotiated charge":"15,491.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"501","code description":"SOFT TISSUE PROCEDURES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"68,795.00","discounted cash price":"17,198.75","payer-specific negotiated charge":"13,917.25","de-identified minimum negotiated charge":"9,485.08","de-identified maximum negotiated charge":"13,917.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"517","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"62,146.00","discounted cash price":"15,536.50","payer-specific negotiated charge":"11,614.49","de-identified minimum negotiated charge":"11,600.96","de-identified maximum negotiated charge":"12,060.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"535","code description":"FRACTURES OF HIP \u0026 PELVIS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"85,334.17","discounted cash price":"21,333.54","payer-specific negotiated charge":"12,952.21","de-identified minimum negotiated charge":"1,026.25","de-identified maximum negotiated charge":"12,952.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"536","code description":"FRACTURES OF HIP \u0026 PELVIS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"42,609.75","discounted cash price":"10,652.44","payer-specific negotiated charge":"7,642.09","de-identified minimum negotiated charge":"3,375.00","de-identified maximum negotiated charge":"7,854.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"546","code description":"CONNECTIVE TISSUE DISORDERS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"56,956.50","discounted cash price":"14,239.13","payer-specific negotiated charge":"10,473.77","de-identified minimum negotiated charge":"7,345.71","de-identified maximum negotiated charge":"10,473.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"557","code description":"TENDONITIS, MYOSITIS \u0026 BURSITIS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"50,036.75","discounted cash price":"12,509.19","payer-specific negotiated charge":"11,978.71","de-identified minimum negotiated charge":"11,722.86","de-identified maximum negotiated charge":"12,234.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"570","code description":"SKIN DEBRIDEMENT W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"104,616.00","discounted cash price":"26,154.00","payer-specific negotiated charge":"20,954.32","de-identified minimum negotiated charge":"20,954.32","de-identified maximum negotiated charge":"20,954.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"617","code description":"AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,\u0026 METABOL DIS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"45,070.00","discounted cash price":"11,267.50","payer-specific negotiated charge":"15,701.09","de-identified minimum negotiated charge":"15,701.09","de-identified maximum negotiated charge":"15,701.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"684","code description":"RENAL FAILURE W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"37,240.00","discounted cash price":"9,310.00","payer-specific negotiated charge":"6,650.17","de-identified minimum negotiated charge":"476.58","de-identified maximum negotiated charge":"6,650.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"741","code description":"UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"59,048.50","discounted cash price":"14,762.13","payer-specific negotiated charge":"11,500.19","de-identified minimum negotiated charge":"11,500.19","de-identified maximum negotiated charge":"11,500.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"743","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"80,353.50","discounted cash price":"20,088.38","payer-specific negotiated charge":"10,531.91","de-identified minimum negotiated charge":"6,178.17","de-identified maximum negotiated charge":"10,531.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"813","code description":"COAGULATION DISORDERS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"63,650.00","discounted cash price":"15,912.50","payer-specific negotiated charge":"12,677.14","de-identified minimum negotiated charge":"9,730.89","de-identified maximum negotiated charge":"14,940.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"863","code description":"POSTOPERATIVE \u0026 POST-TRAUMATIC INFECTIONS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"113,005.50","discounted cash price":"28,251.38","payer-specific negotiated charge":"9,111.79","de-identified minimum negotiated charge":"6,326.39","de-identified maximum negotiated charge":"9,111.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"864","code description":"FEVER AND INFLAMMATORY CONDITIONS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"26,215.50","discounted cash price":"6,553.88","payer-specific negotiated charge":"8,338.14","de-identified minimum negotiated charge":"8,338.14","de-identified maximum negotiated charge":"8,338.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"884","code description":"ORGANIC DISTURBANCES \u0026 INTELLECTUAL DISABILITY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"80,165.00","discounted cash price":"20,041.25","payer-specific negotiated charge":"13,895.52","de-identified minimum negotiated charge":"8,669.70","de-identified maximum negotiated charge":"14,217.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"896","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"108,379.17","discounted cash price":"27,094.79","payer-specific negotiated charge":"8,359.25","de-identified minimum negotiated charge":"8,359.25","de-identified maximum negotiated charge":"16,783.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"915","code description":"ALLERGIC REACTIONS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"42,184.00","discounted cash price":"10,546.00","payer-specific negotiated charge":"13,808.72","de-identified minimum negotiated charge":"10,609.34","de-identified maximum negotiated charge":"13,808.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"920","code description":"COMPLICATIONS OF TREATMENT W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"72,535.50","discounted cash price":"18,133.88","payer-specific negotiated charge":"9,352.82","de-identified minimum negotiated charge":"6,002.63","de-identified maximum negotiated charge":"9,352.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"974","code description":"HIV W MAJOR RELATED CONDITION W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"93,380.00","discounted cash price":"23,345.00","payer-specific negotiated charge":"23,167.56","de-identified minimum negotiated charge":"17,427.13","de-identified maximum negotiated charge":"37,469.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"4","code description":"TRACH W MV \u003e96 HRS OR PDX EXC FACE, MOUTH \u0026 NECK W/O MAJ O.R.","payer":"KAISER MCARE","gross charge":"1,585,331.00","discounted cash price":"396,332.75","payer-specific negotiated charge":"82,914.10","de-identified minimum negotiated charge":"82,914.10","de-identified maximum negotiated charge":"244,756.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"KAISER MCARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,461.90","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W CC","payer":"KAISER MCARE","gross charge":"55,048.50","discounted cash price":"13,762.13","payer-specific negotiated charge":"9,220.71","de-identified minimum negotiated charge":"6,233.59","de-identified maximum negotiated charge":"9,220.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"154","code description":"OTHER EAR, NOSE, MOUTH \u0026 THROAT DIAGNOSES W MCC","payer":"KAISER MCARE","gross charge":"67,459.78","discounted cash price":"16,864.95","payer-specific negotiated charge":"13,046.38","de-identified minimum negotiated charge":"10,116.65","de-identified maximum negotiated charge":"13,046.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"167","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W CC","payer":"KAISER MCARE","gross charge":"103,599.50","discounted cash price":"25,899.88","payer-specific negotiated charge":"15,809.57","de-identified minimum negotiated charge":"11,451.24","de-identified maximum negotiated charge":"16,146.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"KAISER MCARE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"8,592.38","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"KAISER MCARE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"8,447.73","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"KAISER MCARE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"20,660.09","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"KAISER MCARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"11,235.42","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"315","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W CC","payer":"KAISER MCARE","gross charge":"44,713.50","discounted cash price":"11,178.38","payer-specific negotiated charge":"9,117.36","de-identified minimum negotiated charge":"8,865.91","de-identified maximum negotiated charge":"9,117.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"354","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W CC","payer":"KAISER MCARE","gross charge":"83,999.00","discounted cash price":"20,999.75","payer-specific negotiated charge":"14,525.95","de-identified minimum negotiated charge":"11,013.83","de-identified maximum negotiated charge":"14,525.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"377","code description":"G.I. HEMORRHAGE W MCC","payer":"KAISER MCARE","gross charge":"299,185.50","discounted cash price":"74,796.38","payer-specific negotiated charge":"13,423.28","de-identified minimum negotiated charge":"4,261.98","de-identified maximum negotiated charge":"66,681.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"G.I. OBSTRUCTION W/O CC/MCC","payer":"KAISER MCARE","gross charge":"47,441.00","discounted cash price":"11,860.25","payer-specific negotiated charge":"8,174.79","de-identified minimum negotiated charge":"3,682.00","de-identified maximum negotiated charge":"8,174.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"KAISER MCARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"11,458.45","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"KAISER MCARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"7,671.66","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"522","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC","payer":"KAISER MCARE","gross charge":"217,207.00","discounted cash price":"54,301.75","payer-specific negotiated charge":"20,264.59","de-identified minimum negotiated charge":"13,614.19","de-identified maximum negotiated charge":"20,264.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"592","code description":"SKIN ULCERS W MCC","payer":"KAISER MCARE","gross charge":"25,356.50","discounted cash price":"6,339.13","payer-specific negotiated charge":"8,002.91","de-identified minimum negotiated charge":"8,002.91","de-identified maximum negotiated charge":"8,002.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"KAISER MCARE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"8,736.41","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"643","code description":"ENDOCRINE DISORDERS W MCC","payer":"KAISER MCARE","gross charge":"81,849.00","discounted cash price":"20,462.25","payer-specific negotiated charge":"14,023.41","de-identified minimum negotiated charge":"5,447.61","de-identified maximum negotiated charge":"17,235.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"644","code description":"ENDOCRINE DISORDERS W CC","payer":"KAISER MCARE","gross charge":"125,485.50","discounted cash price":"31,371.38","payer-specific negotiated charge":"9,477.52","de-identified minimum negotiated charge":"6,427.89","de-identified maximum negotiated charge":"9,501.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"660","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NON-NEOPLASM W CC","payer":"KAISER MCARE","gross charge":"90,836.50","discounted cash price":"22,709.13","payer-specific negotiated charge":"12,334.29","de-identified minimum negotiated charge":"9,154.40","de-identified maximum negotiated charge":"12,334.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"KAISER MCARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,559.73","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"KAISER MCARE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"7,921.57","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"KAISER MCARE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,461.32","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"809","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W CC","payer":"KAISER MCARE","gross charge":"34,541.00","discounted cash price":"8,635.25","payer-specific negotiated charge":"10,876.56","de-identified minimum negotiated charge":"8,416.04","de-identified maximum negotiated charge":"11,053.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"KAISER MCARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"70,116.51","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"884","code description":"ORGANIC DISTURBANCES \u0026 INTELLECTUAL DISABILITY","payer":"KAISER MCARE","gross charge":"80,165.00","discounted cash price":"20,041.25","payer-specific negotiated charge":"12,384.09","de-identified minimum negotiated charge":"8,669.70","de-identified maximum negotiated charge":"14,217.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"KAISER MCARE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"8,207.58","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"13,943.92","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"13,463.82","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"14,573.18","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,949.80","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"40","code description":"PERIPH/CRANIAL NERVE \u0026 OTHER NERV SYST PROC W MCC","payer":"UHC MCARE","gross charge":"520,141.22","discounted cash price":"130,035.30","payer-specific negotiated charge":"28,064.06","de-identified minimum negotiated charge":"28,064.06","de-identified maximum negotiated charge":"127,150.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42","code description":"PERIPH/CRANIAL NERVE \u0026 OTHER NERV SYST PROC W/O CC/MCC","payer":"UHC MCARE","gross charge":"83,698.00","discounted cash price":"20,924.50","payer-specific negotiated charge":"15,002.82","de-identified minimum negotiated charge":"15,002.82","de-identified maximum negotiated charge":"15,002.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62","code description":"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC","payer":"UHC MCARE","gross charge":"127,040.50","discounted cash price":"31,760.13","payer-specific negotiated charge":"15,559.88","de-identified minimum negotiated charge":"15,559.88","de-identified maximum negotiated charge":"15,921.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"102","code description":"HEADACHES W MCC","payer":"UHC MCARE","gross charge":"152,792.00","discounted cash price":"38,198.00","payer-specific negotiated charge":"10,228.26","de-identified minimum negotiated charge":"7,266.05","de-identified maximum negotiated charge":"10,841.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"165","code description":"MAJOR CHEST PROCEDURES W/O CC/MCC","payer":"UHC MCARE","gross charge":"111,758.00","discounted cash price":"27,939.50","payer-specific negotiated charge":"14,820.48","de-identified minimum negotiated charge":"14,820.48","de-identified maximum negotiated charge":"20,121.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"180","code description":"RESPIRATORY NEOPLASMS W MCC","payer":"UHC MCARE","gross charge":"159,205.50","discounted cash price":"39,801.38","payer-specific negotiated charge":"13,953.17","de-identified minimum negotiated charge":"4,690.74","de-identified maximum negotiated charge":"14,820.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"185","code description":"MAJOR CHEST TRAUMA W/O CC/MCC","payer":"UHC MCARE","gross charge":"35,248.00","discounted cash price":"8,812.00","payer-specific negotiated charge":"7,506.51","de-identified minimum negotiated charge":"7,506.51","de-identified maximum negotiated charge":"7,506.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"195","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W/O CC/MCC","payer":"UHC MCARE","gross charge":"39,231.50","discounted cash price":"9,807.88","payer-specific negotiated charge":"6,811.72","de-identified minimum negotiated charge":"4,202.00","de-identified maximum negotiated charge":"6,811.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"197","code description":"INTERSTITIAL LUNG DISEASE W CC","payer":"UHC MCARE","gross charge":"34,588.25","discounted cash price":"8,647.06","payer-specific negotiated charge":"9,054.97","de-identified minimum negotiated charge":"7,300.66","de-identified maximum negotiated charge":"9,116.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"PNEUMOTHORAX W CC","payer":"UHC MCARE","gross charge":"37,338.50","discounted cash price":"9,334.63","payer-specific negotiated charge":"9,599.49","de-identified minimum negotiated charge":"9,599.49","de-identified maximum negotiated charge":"9,804.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"203","code description":"BRONCHITIS \u0026 ASTHMA W/O CC/MCC","payer":"UHC MCARE","gross charge":"94,345.50","discounted cash price":"23,586.38","payer-specific negotiated charge":"8,810.43","de-identified minimum negotiated charge":"4,319.63","de-identified maximum negotiated charge":"8,810.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"242","code description":"PERMANENT CARDIAC PACEMAKER IMPLANT W MCC","payer":"UHC MCARE","gross charge":"82,015.00","discounted cash price":"20,503.75","payer-specific negotiated charge":"26,422.09","de-identified minimum negotiated charge":"26,422.09","de-identified maximum negotiated charge":"29,300.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"270","code description":"OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC","payer":"UHC MCARE","gross charge":"226,259.00","discounted cash price":"56,564.75","payer-specific negotiated charge":"36,985.35","de-identified minimum negotiated charge":"36,985.35","de-identified maximum negotiated charge":"36,985.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"UHC MCARE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"12,902.85","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"UHC MCARE","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"9,229.12","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"UHC MCARE","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"7,525.57","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"310","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W/O CC/MCC","payer":"UHC MCARE","gross charge":"46,033.00","discounted cash price":"11,508.25","payer-specific negotiated charge":"6,817.57","de-identified minimum negotiated charge":"626.04","de-identified maximum negotiated charge":"7,510.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"312","code description":"SYNCOPE \u0026 COLLAPSE","payer":"UHC MCARE","gross charge":"84,413.50","discounted cash price":"21,103.38","payer-specific negotiated charge":"8,045.02","de-identified minimum negotiated charge":"1,135.61","de-identified maximum negotiated charge":"8,152.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"313","code description":"CHEST PAIN","payer":"UHC MCARE","gross charge":"63,455.50","discounted cash price":"15,863.88","payer-specific negotiated charge":"8,272.11","de-identified minimum negotiated charge":"4,521.34","de-identified maximum negotiated charge":"8,272.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"331","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W/O CC/MCC","payer":"UHC MCARE","gross charge":"153,028.00","discounted cash price":"38,257.00","payer-specific negotiated charge":"13,500.16","de-identified minimum negotiated charge":"10,677.81","de-identified maximum negotiated charge":"14,383.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"337","code description":"PERITONEAL ADHESIOLYSIS W/O CC/MCC","payer":"UHC MCARE","gross charge":"110,987.50","discounted cash price":"27,746.88","payer-specific negotiated charge":"13,031.23","de-identified minimum negotiated charge":"9,308.35","de-identified maximum negotiated charge":"13,031.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"345","code description":"MINOR SMALL \u0026 LARGE BOWEL PROCEDURES W CC","payer":"UHC MCARE","gross charge":"61,995.00","discounted cash price":"15,498.75","payer-specific negotiated charge":"12,656.46","de-identified minimum negotiated charge":"12,656.46","de-identified maximum negotiated charge":"12,656.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"355","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W/O CC/MCC","payer":"UHC MCARE","gross charge":"63,160.50","discounted cash price":"15,790.13","payer-specific negotiated charge":"11,355.04","de-identified minimum negotiated charge":"8,497.44","de-identified maximum negotiated charge":"11,355.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"369","code description":"MAJOR ESOPHAGEAL DISORDERS W CC","payer":"UHC MCARE","gross charge":"82,447.50","discounted cash price":"20,611.88","payer-specific negotiated charge":"9,427.18","de-identified minimum negotiated charge":"9,427.18","de-identified maximum negotiated charge":"9,892.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W CC","payer":"UHC MCARE","gross charge":"125,277.50","discounted cash price":"31,319.38","payer-specific negotiated charge":"9,294.11","de-identified minimum negotiated charge":"6,437.81","de-identified maximum negotiated charge":"16,652.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"376","code description":"DIGESTIVE MALIGNANCY W/O CC/MCC","payer":"UHC MCARE","gross charge":"58,226.00","discounted cash price":"14,556.50","payer-specific negotiated charge":"8,369.69","de-identified minimum negotiated charge":"8,369.69","de-identified maximum negotiated charge":"8,369.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"393","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC","payer":"UHC MCARE","gross charge":"101,432.00","discounted cash price":"25,358.00","payer-specific negotiated charge":"14,398.85","de-identified minimum negotiated charge":"10,370.95","de-identified maximum negotiated charge":"15,376.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"395","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC","payer":"UHC MCARE","gross charge":"50,997.50","discounted cash price":"12,749.38","payer-specific negotiated charge":"6,852.41","de-identified minimum negotiated charge":"5,931.77","de-identified maximum negotiated charge":"6,852.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"UHC MCARE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"18,452.45","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"432","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W MCC","payer":"UHC MCARE","gross charge":"95,825.67","discounted cash price":"23,956.42","payer-specific negotiated charge":"16,116.85","de-identified minimum negotiated charge":"8,626.23","de-identified maximum negotiated charge":"19,054.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"UHC MCARE","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"8,022.18","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"465","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC","payer":"UHC MCARE","gross charge":"89,098.00","discounted cash price":"22,274.50","payer-specific negotiated charge":"15,023.36","de-identified minimum negotiated charge":"14,486.63","de-identified maximum negotiated charge":"15,966.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"470","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC","payer":"UHC MCARE","gross charge":"140,479.23","discounted cash price":"35,119.81","payer-specific negotiated charge":"15,242.88","de-identified minimum negotiated charge":"8,467.31","de-identified maximum negotiated charge":"29,090.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"473","code description":"CERVICAL SPINAL FUSION W/O CC/MCC","payer":"UHC MCARE","gross charge":"79,895.50","discounted cash price":"19,973.88","payer-specific negotiated charge":"19,159.76","de-identified minimum negotiated charge":"19,159.76","de-identified maximum negotiated charge":"19,159.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"478","code description":"BIOPSIES OF MUSCULOSKELETAL SYSTEM \u0026 CONNECTIVE TISSUE W CC","payer":"UHC MCARE","gross charge":"99,551.50","discounted cash price":"24,887.88","payer-specific negotiated charge":"17,683.18","de-identified minimum negotiated charge":"14,710.55","de-identified maximum negotiated charge":"17,683.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"486","code description":"KNEE PROCEDURES W PDX OF INFECTION W CC","payer":"UHC MCARE","gross charge":"119,284.00","discounted cash price":"29,821.00","payer-specific negotiated charge":"16,594.80","de-identified minimum negotiated charge":"12,997.56","de-identified maximum negotiated charge":"16,594.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"487","code description":"KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC","payer":"UHC MCARE","gross charge":"111,431.00","discounted cash price":"27,857.75","payer-specific negotiated charge":"13,167.08","de-identified minimum negotiated charge":"13,167.08","de-identified maximum negotiated charge":"13,167.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"489","code description":"KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC","payer":"UHC MCARE","gross charge":"85,919.50","discounted cash price":"21,479.88","payer-specific negotiated charge":"11,463.52","de-identified minimum negotiated charge":"8,232.04","de-identified maximum negotiated charge":"11,498.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"493","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC","payer":"UHC MCARE","gross charge":"278,549.00","discounted cash price":"69,637.25","payer-specific negotiated charge":"31,370.80","de-identified minimum negotiated charge":"15,390.44","de-identified maximum negotiated charge":"31,370.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"516","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W CC","payer":"UHC MCARE","gross charge":"80,385.25","discounted cash price":"20,096.31","payer-specific negotiated charge":"15,185.63","de-identified minimum negotiated charge":"11,092.47","de-identified maximum negotiated charge":"15,254.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"517","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W/O CC/MCC","payer":"UHC MCARE","gross charge":"62,146.00","discounted cash price":"15,536.50","payer-specific negotiated charge":"11,600.96","de-identified minimum negotiated charge":"11,600.96","de-identified maximum negotiated charge":"12,060.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"522","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC","payer":"UHC MCARE","gross charge":"217,207.00","discounted cash price":"54,301.75","payer-specific negotiated charge":"16,568.08","de-identified minimum negotiated charge":"13,614.19","de-identified maximum negotiated charge":"20,264.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"536","code description":"FRACTURES OF HIP \u0026 PELVIS W/O MCC","payer":"UHC MCARE","gross charge":"42,609.75","discounted cash price":"10,652.44","payer-specific negotiated charge":"7,546.52","de-identified minimum negotiated charge":"3,375.00","de-identified maximum negotiated charge":"7,854.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"542","code description":"PATHOLOGICAL FRACTURES \u0026 MUSCULOSKELET \u0026 CONN TISS MALIG W MCC","payer":"UHC MCARE","gross charge":"248,507.50","discounted cash price":"62,126.88","payer-specific negotiated charge":"14,761.31","de-identified minimum negotiated charge":"14,761.31","de-identified maximum negotiated charge":"25,586.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"545","code description":"CONNECTIVE TISSUE DISORDERS W MCC","payer":"UHC MCARE","gross charge":"79,540.00","discounted cash price":"19,885.00","payer-specific negotiated charge":"17,120.11","de-identified minimum negotiated charge":"8,719.03","de-identified maximum negotiated charge":"17,120.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"549","code description":"SEPTIC ARTHRITIS W CC","payer":"UHC MCARE","gross charge":"69,025.50","discounted cash price":"17,256.38","payer-specific negotiated charge":"10,733.01","de-identified minimum negotiated charge":"10,733.01","de-identified maximum negotiated charge":"10,733.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"551","code description":"MEDICAL BACK PROBLEMS W MCC","payer":"UHC MCARE","gross charge":"171,842.00","discounted cash price":"42,960.50","payer-specific negotiated charge":"13,815.06","de-identified minimum negotiated charge":"4,774.84","de-identified maximum negotiated charge":"13,815.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"563","code description":"FX, SPRN, STRN \u0026 DISL EXCEPT FEMUR, HIP, PELVIS \u0026 THIGH W/O MCC","payer":"UHC MCARE","gross charge":"62,351.50","discounted cash price":"15,587.88","payer-specific negotiated charge":"8,129.83","de-identified minimum negotiated charge":"5,292.84","de-identified maximum negotiated charge":"8,824.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"581","code description":"OTHER SKIN, SUBCUT TISS \u0026 BREAST PROC W/O CC/MCC","payer":"UHC MCARE","gross charge":"38,871.50","discounted cash price":"9,717.88","payer-specific negotiated charge":"11,362.41","de-identified minimum negotiated charge":"11,362.41","de-identified maximum negotiated charge":"11,362.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"UHC MCARE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"13,809.37","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"628","code description":"OTHER ENDOCRINE, NUTRIT \u0026 METAB O.R. PROC W MCC","payer":"UHC MCARE","gross charge":"94,573.50","discounted cash price":"23,643.38","payer-specific negotiated charge":"24,838.13","de-identified minimum negotiated charge":"16,840.38","de-identified maximum negotiated charge":"24,838.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"629","code description":"OTHER ENDOCRINE, NUTRIT \u0026 METAB O.R. PROC W CC","payer":"UHC MCARE","gross charge":"99,313.50","discounted cash price":"24,828.38","payer-specific negotiated charge":"17,893.56","de-identified minimum negotiated charge":"14,762.40","de-identified maximum negotiated charge":"17,893.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"656","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NEOPLASM W MCC","payer":"UHC MCARE","gross charge":"209,351.50","discounted cash price":"52,337.88","payer-specific negotiated charge":"24,190.00","de-identified minimum negotiated charge":"20,478.00","de-identified maximum negotiated charge":"24,190.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"660","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NON-NEOPLASM W CC","payer":"UHC MCARE","gross charge":"90,836.50","discounted cash price":"22,709.13","payer-specific negotiated charge":"11,975.04","de-identified minimum negotiated charge":"9,154.40","de-identified maximum negotiated charge":"12,334.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"684","code description":"RENAL FAILURE W/O CC/MCC","payer":"UHC MCARE","gross charge":"37,240.00","discounted cash price":"9,310.00","payer-specific negotiated charge":"6,436.67","de-identified minimum negotiated charge":"476.58","de-identified maximum negotiated charge":"6,650.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"694","code description":"URINARY STONES W/O ESW LITHOTRIPSY W/O MCC","payer":"UHC MCARE","gross charge":"45,394.50","discounted cash price":"11,348.63","payer-specific negotiated charge":"7,869.83","de-identified minimum negotiated charge":"7,869.83","de-identified maximum negotiated charge":"7,869.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"UHC MCARE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,090.87","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"UHC MCARE","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"9,307.10","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"709","code description":"PENIS PROCEDURES W CC/MCC","payer":"UHC MCARE","gross charge":"77,514.50","discounted cash price":"19,378.63","payer-specific negotiated charge":"17,539.93","de-identified minimum negotiated charge":"17,539.93","de-identified maximum negotiated charge":"17,539.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"725","code description":"BENIGN PROSTATIC HYPERTROPHY W MCC","payer":"UHC MCARE","gross charge":"31,191.25","discounted cash price":"7,797.81","payer-specific negotiated charge":"10,867.69","de-identified minimum negotiated charge":"9,516.17","de-identified maximum negotiated charge":"10,957.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"802","code description":"OTHER O.R. PROC OF THE BLOOD \u0026 BLOOD FORMING ORGANS W MCC","payer":"UHC MCARE","gross charge":"91,277.50","discounted cash price":"22,819.38","payer-specific negotiated charge":"28,024.16","de-identified minimum negotiated charge":"10,321.59","de-identified maximum negotiated charge":"28,024.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"808","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W MCC","payer":"UHC MCARE","gross charge":"70,891.50","discounted cash price":"17,722.88","payer-specific negotiated charge":"16,545.03","de-identified minimum negotiated charge":"16,545.03","de-identified maximum negotiated charge":"17,729.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"823","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W OTHER PROC W MCC","payer":"UHC MCARE","gross charge":"90,573.00","discounted cash price":"22,643.25","payer-specific negotiated charge":"11,764.61","de-identified minimum negotiated charge":"11,764.61","de-identified maximum negotiated charge":"23,133.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"835","code description":"ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC","payer":"UHC MCARE","gross charge":"67,823.50","discounted cash price":"16,955.88","payer-specific negotiated charge":"12,214.53","de-identified minimum negotiated charge":"12,214.53","de-identified maximum negotiated charge":"12,214.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"870","code description":"SEPTICEMIA OR SEVERE SEPSIS W MV \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"UHC MCARE","gross charge":"288,753.50","discounted cash price":"72,188.38","payer-specific negotiated charge":"44,222.83","de-identified minimum negotiated charge":"5,067.49","de-identified maximum negotiated charge":"62,709.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"916","code description":"ALLERGIC REACTIONS W/O MCC","payer":"UHC MCARE","gross charge":"67,088.00","discounted cash price":"16,772.00","payer-specific negotiated charge":"6,981.40","de-identified minimum negotiated charge":"6,827.78","de-identified maximum negotiated charge":"6,981.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"918","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W/O MCC","payer":"UHC MCARE","gross charge":"41,857.50","discounted cash price":"10,464.38","payer-specific negotiated charge":"7,613.49","de-identified minimum negotiated charge":"3,741.45","de-identified maximum negotiated charge":"7,613.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"919","code description":"COMPLICATIONS OF TREATMENT W MCC","payer":"UHC MCARE","gross charge":"124,659.50","discounted cash price":"31,164.88","payer-specific negotiated charge":"15,504.28","de-identified minimum negotiated charge":"7,353.12","de-identified maximum negotiated charge":"17,017.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"923","code description":"OTHER INJURY, POISONING \u0026 TOXIC EFFECT DIAG W/O MCC","payer":"UHC MCARE","gross charge":"53,104.50","discounted cash price":"13,276.13","payer-specific negotiated charge":"8,562.89","de-identified minimum negotiated charge":"8,562.89","de-identified maximum negotiated charge":"8,562.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"956","code description":"LIMB REATTACHMENT, HIP \u0026 FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA","payer":"UHC MCARE","gross charge":"265,906.50","discounted cash price":"66,476.63","payer-specific negotiated charge":"28,170.52","de-identified minimum negotiated charge":"20,000.00","de-identified maximum negotiated charge":"28,170.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"988","code description":"NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC","payer":"UHC MCARE","gross charge":"94,414.50","discounted cash price":"23,603.63","payer-specific negotiated charge":"13,717.10","de-identified minimum negotiated charge":"13,608.62","de-identified maximum negotiated charge":"13,717.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58","code description":"MULTIPLE SCLEROSIS \u0026 CEREBELLAR ATAXIA W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"81,646.64","discounted cash price":"20,411.66","payer-specific negotiated charge":"14,291.98","de-identified minimum negotiated charge":"14,291.98","de-identified maximum negotiated charge":"14,291.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62","code description":"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"127,040.50","discounted cash price":"31,760.13","payer-specific negotiated charge":"15,921.29","de-identified minimum negotiated charge":"15,559.88","de-identified maximum negotiated charge":"15,921.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"128,289.50","discounted cash price":"32,072.38","payer-specific negotiated charge":"13,948.17","de-identified minimum negotiated charge":"8,252.22","de-identified maximum negotiated charge":"64,144.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"79,812.00","discounted cash price":"19,953.00","payer-specific negotiated charge":"10,035.44","de-identified minimum negotiated charge":"5,832.74","de-identified maximum negotiated charge":"10,035.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"8,480.64","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"149","code description":"DYSEQUILIBRIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"81,366.50","discounted cash price":"20,341.63","payer-specific negotiated charge":"7,816.04","de-identified minimum negotiated charge":"4,618.45","de-identified maximum negotiated charge":"7,816.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"PNEUMOTHORAX W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"37,338.50","discounted cash price":"9,334.63","payer-specific negotiated charge":"9,804.63","de-identified minimum negotiated charge":"9,599.49","de-identified maximum negotiated charge":"9,804.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"204","code description":"RESPIRATORY SIGNS \u0026 SYMPTOMS","payer":"WELLCARE MCARE MGD CARE","gross charge":"33,266.50","discounted cash price":"8,316.63","payer-specific negotiated charge":"7,918.89","de-identified minimum negotiated charge":"4,925.77","de-identified maximum negotiated charge":"7,918.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"207","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"WELLCARE MCARE MGD CARE","gross charge":"595,330.50","discounted cash price":"148,832.63","payer-specific negotiated charge":"40,864.21","de-identified minimum negotiated charge":"40,864.21","de-identified maximum negotiated charge":"113,084.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"286","code description":"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"172,174.00","discounted cash price":"43,043.50","payer-specific negotiated charge":"16,592.06","de-identified minimum negotiated charge":"10,774.00","de-identified maximum negotiated charge":"32,184.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"287","code description":"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"85,976.50","discounted cash price":"21,494.13","payer-specific negotiated charge":"9,976.48","de-identified minimum negotiated charge":"9,976.48","de-identified maximum negotiated charge":"9,976.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"331","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W/O CC/MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"153,028.00","discounted cash price":"38,257.00","payer-specific negotiated charge":"14,383.39","de-identified minimum negotiated charge":"10,677.81","de-identified maximum negotiated charge":"14,383.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"369","code description":"MAJOR ESOPHAGEAL DISORDERS W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"82,447.50","discounted cash price":"20,611.88","payer-specific negotiated charge":"9,892.17","de-identified minimum negotiated charge":"9,427.18","de-identified maximum negotiated charge":"9,892.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"380","code description":"COMPLICATED PEPTIC ULCER W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"64,017.50","discounted cash price":"16,004.38","payer-specific negotiated charge":"15,728.13","de-identified minimum negotiated charge":"11,773.91","de-identified maximum negotiated charge":"15,728.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"8,116.19","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"438","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"335,682.00","discounted cash price":"83,920.50","payer-specific negotiated charge":"40,338.21","de-identified minimum negotiated charge":"12,188.91","de-identified maximum negotiated charge":"40,338.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"442","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"42,333.50","discounted cash price":"10,583.38","payer-specific negotiated charge":"8,875.35","de-identified minimum negotiated charge":"6,446.39","de-identified maximum negotiated charge":"8,875.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"466","code description":"REVISION OF HIP OR KNEE REPLACEMENT W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"276,646.00","discounted cash price":"69,161.50","payer-specific negotiated charge":"38,261.90","de-identified minimum negotiated charge":"33,628.42","de-identified maximum negotiated charge":"38,261.90"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"470","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"140,479.23","discounted cash price":"35,119.81","payer-specific negotiated charge":"15,338.73","de-identified minimum negotiated charge":"8,467.31","de-identified maximum negotiated charge":"29,090.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"17,219.10","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"494","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"75,750.50","discounted cash price":"18,937.63","payer-specific negotiated charge":"15,622.77","de-identified minimum negotiated charge":"329.72","de-identified maximum negotiated charge":"15,622.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"537","code description":"SPRAINS, STRAINS, \u0026 DISLOCATIONS OF HIP, PELVIS \u0026 THIGH W CC/MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"47,324.00","discounted cash price":"11,831.00","payer-specific negotiated charge":"8,937.44","de-identified minimum negotiated charge":"8,937.44","de-identified maximum negotiated charge":"8,937.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"551","code description":"MEDICAL BACK PROBLEMS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"171,842.00","discounted cash price":"42,960.50","payer-specific negotiated charge":"13,356.84","de-identified minimum negotiated charge":"4,774.84","de-identified maximum negotiated charge":"13,815.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"579","code description":"OTHER SKIN, SUBCUT TISS \u0026 BREAST PROC W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"56,441.50","discounted cash price":"14,110.38","payer-specific negotiated charge":"27,696.27","de-identified minimum negotiated charge":"27,696.27","de-identified maximum negotiated charge":"27,696.27"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"14,378.64","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"10,577.39","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"743","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"80,353.50","discounted cash price":"20,088.38","payer-specific negotiated charge":"10,235.24","de-identified minimum negotiated charge":"6,178.17","de-identified maximum negotiated charge":"10,531.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"868","code description":"OTHER INFECTIOUS \u0026 PARASITIC DISEASES DIAGNOSES W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"58,763.00","discounted cash price":"14,690.75","payer-specific negotiated charge":"9,816.78","de-identified minimum negotiated charge":"6,718.38","de-identified maximum negotiated charge":"9,816.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"885","code description":"PSYCHOSES","payer":"WELLCARE MCARE MGD CARE","gross charge":"59,807.50","discounted cash price":"14,951.88","payer-specific negotiated charge":"10,890.45","de-identified minimum negotiated charge":"7,745.52","de-identified maximum negotiated charge":"10,890.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"896","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"108,379.17","discounted cash price":"27,094.79","payer-specific negotiated charge":"15,704.88","de-identified minimum negotiated charge":"8,359.25","de-identified maximum negotiated charge":"16,783.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"12,539.20","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"CHAMPUS TRICARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,503.55","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W MCC","payer":"CHAMPUS TRICARE","gross charge":"120,969.50","discounted cash price":"30,242.38","payer-specific negotiated charge":"17,564.33","de-identified minimum negotiated charge":"10,291.97","de-identified maximum negotiated charge":"17,564.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"155","code description":"OTHER EAR, NOSE, MOUTH \u0026 THROAT DIAGNOSES W CC","payer":"CHAMPUS TRICARE","gross charge":"53,703.00","discounted cash price":"13,425.75","payer-specific negotiated charge":"9,342.58","de-identified minimum negotiated charge":"8,452.46","de-identified maximum negotiated charge":"9,342.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"167","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W CC","payer":"CHAMPUS TRICARE","gross charge":"103,599.50","discounted cash price":"25,899.88","payer-specific negotiated charge":"16,146.68","de-identified minimum negotiated charge":"11,451.24","de-identified maximum negotiated charge":"16,146.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"CHAMPUS TRICARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"7,873.46","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"207","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"CHAMPUS TRICARE","gross charge":"595,330.50","discounted cash price":"148,832.63","payer-specific negotiated charge":"62,061.57","de-identified minimum negotiated charge":"40,864.21","de-identified maximum negotiated charge":"113,084.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"CHAMPUS TRICARE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"22,013.83","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"CHAMPUS TRICARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"5,038.54","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"CHAMPUS TRICARE","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"17,391.24","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"388","code description":"G.I. OBSTRUCTION W MCC","payer":"CHAMPUS TRICARE","gross charge":"199,621.25","discounted cash price":"49,905.31","payer-specific negotiated charge":"5,362.45","de-identified minimum negotiated charge":"5,362.45","de-identified maximum negotiated charge":"81,840.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"CHAMPUS TRICARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"4,557.37","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"436","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC","payer":"CHAMPUS TRICARE","gross charge":"68,525.50","discounted cash price":"17,131.38","payer-specific negotiated charge":"9,460.92","de-identified minimum negotiated charge":"9,460.92","de-identified maximum negotiated charge":"9,908.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"445","code description":"DISORDERS OF THE BILIARY TRACT W CC","payer":"CHAMPUS TRICARE","gross charge":"56,398.50","discounted cash price":"14,099.63","payer-specific negotiated charge":"7,783.54","de-identified minimum negotiated charge":"7,783.54","de-identified maximum negotiated charge":"9,445.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"464","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC","payer":"CHAMPUS TRICARE","gross charge":"130,184.50","discounted cash price":"32,546.13","payer-specific negotiated charge":"22,884.57","de-identified minimum negotiated charge":"14,217.14","de-identified maximum negotiated charge":"34,872.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"556","code description":"SIGNS \u0026 SYMPTOMS OF MUSCULOSKELETAL SYSTEM \u0026 CONN TISSUE W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"79,564.00","discounted cash price":"19,891.00","payer-specific negotiated charge":"8,352.40","de-identified minimum negotiated charge":"7,800.27","de-identified maximum negotiated charge":"10,541.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"565","code description":"OTHER MUSCULOSKELETAL SYS \u0026 CONNECTIVE TISSUE DIAGNOSES W CC","payer":"CHAMPUS TRICARE","gross charge":"10,369.50","discounted cash price":"2,592.38","payer-specific negotiated charge":"6,474.64","de-identified minimum negotiated charge":"6,474.64","de-identified maximum negotiated charge":"6,474.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"5,133.78","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"CHAMPUS TRICARE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"14,261.57","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"CHAMPUS TRICARE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"5,586.05","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"641","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"61,906.50","discounted cash price":"15,476.63","payer-specific negotiated charge":"5,917.81","de-identified minimum negotiated charge":"3,663.31","de-identified maximum negotiated charge":"7,690.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"CHAMPUS TRICARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"11,270.57","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"CHAMPUS TRICARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"4,121.84","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"CHAMPUS TRICARE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"14,047.35","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"743","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC","payer":"CHAMPUS TRICARE","gross charge":"80,353.50","discounted cash price":"20,088.38","payer-specific negotiated charge":"10,107.66","de-identified minimum negotiated charge":"6,178.17","de-identified maximum negotiated charge":"10,531.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"809","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W CC","payer":"CHAMPUS TRICARE","gross charge":"34,541.00","discounted cash price":"8,635.25","payer-specific negotiated charge":"8,416.04","de-identified minimum negotiated charge":"8,416.04","de-identified maximum negotiated charge":"11,053.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"CHAMPUS TRICARE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"12,378.84","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"857","code description":"POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC","payer":"CHAMPUS TRICARE","gross charge":"103,692.00","discounted cash price":"25,923.00","payer-specific negotiated charge":"14,590.88","de-identified minimum negotiated charge":"11,031.85","de-identified maximum negotiated charge":"17,656.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"CHAMPUS TRICARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,392.77","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"6,622.40","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CHAMPUS TRICARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.1","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"UHC MCARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.59","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"UHC HMO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"1.39","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"UHC MCARE","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CLOVER HEALTH","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.41","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.21","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"CHAMPUS TRICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"0.65","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"CIGNA HMO","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.82","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CHAMPUS TRICARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.89","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"WELLCARE MCARE MGD CARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.89","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"MEDICARE","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.17","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"HUMANA PPO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.02","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.69","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"BC PPO","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.66","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"UHC MCARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.19","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"KAISER","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.96","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"BCBS SMARTVALUE PFFS","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"0.86","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"UHC MCARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.92","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.26","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"AETNA PPO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"2.59","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"HUMANA HMO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"2.19","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"UHC HMO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"3.35","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"494","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC","payer":"MEDICARE","gross charge":"75,750.50","discounted cash price":"18,937.63","payer-specific negotiated charge":"329.72","de-identified minimum negotiated charge":"329.72","de-identified maximum negotiated charge":"15,622.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4081","code description":"EPOETIN ALFA, 100 UNITS ESRD","payer":"MEDICAID","gross charge":"9.25","discounted cash price":"2.31","payer-specific negotiated charge":"1.39","de-identified minimum negotiated charge":"1.39","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"1.21","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"CIGNA HMO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"1.01","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CHAMPUS TRICARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.43","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"MEDICARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.86","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"AETNA MCARE MGD CARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.9","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.91","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"MEDICARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"BCBS SMARTVALUE PFFS","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.92","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"BC HMO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"3.26","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"KAISER SELF-FUNDED","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.12","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"HUMANA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.3","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"BCBS SMARTVALUE PFFS","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.46","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"WELLCARE MCARE MGD CARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"HUMANA HMO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.75","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.45","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"MEDICARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"FIRST HLTH NTWK","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.66","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"AMBETTER","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"HUMANA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"0.94","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"MEDICAID","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"21.11","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"PHCS","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AETNA HMO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.96","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"MEDICAID","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"25.15","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.41","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BCBS SMARTVALUE PFFS","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.09","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"UHC MCARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AETNA MCARE MGD CARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CHAMPUS TRICARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.52","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.36","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AMBETTER","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2.63","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"BC HMO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.44","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"BC PPO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.5","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"MEDICARE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"6.18","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AMBETTER","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.74","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"BC PPO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"3.61","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BC HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.81","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"UHC PPO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.38","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BC PPO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"3.11","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CIGNA HMO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.07","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AETNA PPO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.84","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AETNA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.38","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84403","code description":"ASSAY OF TOTAL TESTOSTERONE","payer":"MEDICARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"4.63","de-identified minimum negotiated charge":"4.63","de-identified maximum negotiated charge":"20.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"AMBETTER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"5.93","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"UHC HMO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"1.22","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"8.5","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"AETNA MCARE MGD CARE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.09","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"684","code description":"RENAL FAILURE W/O CC/MCC","payer":"MEDICARE","gross charge":"37,240.00","discounted cash price":"9,310.00","payer-specific negotiated charge":"476.58","de-identified minimum negotiated charge":"476.58","de-identified maximum negotiated charge":"6,650.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CIGNA PPO","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.9","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"0.79","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BC PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"4.4","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"MEDICARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.21","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.17","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.84","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"AMBETTER","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"2.82","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"AETNA HMO","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.17","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"521","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC","payer":"MEDICARE","gross charge":"242,607.00","discounted cash price":"60,651.75","payer-specific negotiated charge":"1,372.56","de-identified minimum negotiated charge":"1,372.56","de-identified maximum negotiated charge":"25,486.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"MEDICARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.58","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"BC HMO","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.78","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"AMERIGROUP","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.71","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"AETNA PPO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"9.1","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"UHC HMO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"HUMANA PPO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"BCBS SMARTVALUE PFFS","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"8.11","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.19","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CLOVER HEALTH","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.47","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"MEDICAID","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.07","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"AETNA HMO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.66","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"AETNA MCARE MGD CARE","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"6.64","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"MEDICAID","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.72","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"0.94","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CIGNA HMO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.83","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"PEACHSTATE-CENTENE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"5.09","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"PEACHSTATE-CENTENE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"1.33","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BC HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"4.25","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"AMBETTER","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.22","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AETNA MCARE PFFS","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.89","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"7.6","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"AETNA MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"3.52","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"HUMANA PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.87","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"CARESOURCE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"10.39","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA MCARE MGD CARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.44","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"UHC MCARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"1.29","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"78.15","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81002","code description":"URINALYSIS NONAUTO W/O SCOPE","payer":"AMBETTER","gross charge":"92","discounted cash price":"23","payer-specific negotiated charge":"4.55","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"12.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.58","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CHAMPUS TRICARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"KAISER","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.57","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"BC PPO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.88","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CIGNA HMO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"2.5","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AMBETTER","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.94","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.21","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"3.27","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"CARESOURCE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"28.22","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"MEDICAID","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"UHC PPO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"15.56","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"UHC MCARE","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"33.46","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"AETNA HMO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.67","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"AMBETTER","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"3.45","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AETNA HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"1.49","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"AETNA HMO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"2.48","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.8","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"HUMANA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.37","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"BCBS SMARTVALUE PFFS","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"19.65","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"UHC HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"AMERIGROUP","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.42","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"AETNA HMO","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"970.93","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2997","code description":"ALTEPLASE RECOMBINANT","payer":"KAISER","gross charge":"491.07","discounted cash price":"122.77","payer-specific negotiated charge":"11.29","de-identified minimum negotiated charge":"11.29","de-identified maximum negotiated charge":"229.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"HUMANA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.43","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"CARESOURCE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"11.6","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"CARESOURCE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"8.62","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"CIGNA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.44","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.33","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"UHC MCARE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.11","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BCBS SMARTVALUE PFFS","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.56","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0010","code description":"ADMIN HEPATITIS B VACCINE","payer":"AMBETTER","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"2.19","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"18.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"PEACHSTATE-CENTENE","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"3.02","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"PEACHSTATE-CENTENE","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"11.06","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"PHCS","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"26.44","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"UHC HMO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"29.07","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"UHC HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"30.92","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"AMBETTER","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"5.62","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"UHC HMO","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"6.83","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"MEDICARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.15","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"MEDICAID","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"19.45","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"AMBETTER","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"18.5","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.46","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"HUMANA HMO","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"31.72","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62328","code description":"DX LMBR SPI PNXR W/FLUOR/CT","payer":"HUMANA HMO","gross charge":"2,067.00","discounted cash price":"516.75","payer-specific negotiated charge":"306.38","de-identified minimum negotiated charge":"306.38","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83873","code description":"ASSAY OF CSF PROTEIN","payer":"HUMANA HMO","gross charge":"174","discounted cash price":"43.5","payer-specific negotiated charge":"24.6","de-identified minimum negotiated charge":"23.41","de-identified maximum negotiated charge":"174"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"MEDICAID","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"4.57","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0185","code description":"INJ., APREPITANT, 1 MG","payer":"HUMANA HMO","gross charge":"18.03","discounted cash price":"4.51","payer-specific negotiated charge":"1.56","de-identified minimum negotiated charge":"1.54","de-identified maximum negotiated charge":"1.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CIGNA PPO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.92","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"KAISER MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.24","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"WELLCARE MCARE MGD CARE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"11.72","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CIGNA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.3","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.08","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90746","code description":"HEPB VACCINE 3 DOSE ADULT IM","payer":"AMBETTER","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"16.41","de-identified minimum negotiated charge":"16.41","de-identified maximum negotiated charge":"136.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"39.41","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.91","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"HUMANA HMO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.3","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"UHC HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"68.86","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"UHC HMO","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"14.08","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"UHC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"65.28","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"40.96","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"BC HMO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"9.1","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"UHC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.76","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.63","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"0.98","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"BC HMO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.88","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"MEDICARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.68","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"MEDICARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"CARESOURCE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"143.95","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"BCBS SMARTVALUE PFFS","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"36.73","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CIGNA PPO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"31.16","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"FIRST HLTH NTWK","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"3.15","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"UHC HMO","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"51.52","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"AMBETTER","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"19.5","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"CARESOURCE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"15.78","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"CARESOURCE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"22.99","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"CARESOURCE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"176.35","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"MEDICAID","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"20.71","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"MEDICARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"1.81","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"MEDICAID","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"11.09","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"UHC MCARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"BC HMO","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"4.3","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"HUMANA HMO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.88","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"HUMANA HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"38.55","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"UHC PPO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"38.55","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"PHCS","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"3.61","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.7","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BCBS SMARTVALUE PFFS","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.74","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82977","code description":"ASSAY OF GGT","payer":"AMBETTER","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"21.7","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"49.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"UHC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"14.52","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"MEDICARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"1.68","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"429.76","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"AETNA MCARE MGD CARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.13","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"MEDICAID","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"5.14","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"CARESOURCE","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"6.01","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AETNA HMO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.88","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"AETNA HMO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"8.42","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"HUMANA HMO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.53","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"AMBETTER","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.68","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"UHC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"7.25","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.61","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC","payer":"MEDICARE","gross charge":"180,611.50","discounted cash price":"45,152.88","payer-specific negotiated charge":"20,001.22","de-identified minimum negotiated charge":"20,001.22","de-identified maximum negotiated charge":"23,933.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"FIRST HLTH NTWK","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.75","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"PHCS","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.94","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CIGNA HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"1.87","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"CIGNA HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"22.15","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"UHC HMO","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"70.87","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CLOVER HEALTH","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"HUMANA PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"9.47","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"CHAMPUS TRICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.24","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AMBETTER","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"3.28","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"BC PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"2.91","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"PHCS","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"15.01","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"UHC HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"61.76","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"10,494.22","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"UHC HMO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"22.78","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"920","code description":"COMPLICATIONS OF TREATMENT W CC","payer":"MEDICARE","gross charge":"72,535.50","discounted cash price":"18,133.88","payer-specific negotiated charge":"6,458.07","de-identified minimum negotiated charge":"6,002.63","de-identified maximum negotiated charge":"9,352.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"BCBS SMARTVALUE PFFS","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"75.53","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3230","code description":"CHLORPROMAZINE HCL INJECTION","payer":"AETNA HMO","gross charge":"175.5","discounted cash price":"43.88","payer-specific negotiated charge":"36.74","de-identified minimum negotiated charge":"14.04","de-identified maximum negotiated charge":"91.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"4.51","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CIGNA PPO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"7.2","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AETNA MCARE MGD CARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.66","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"UHC HMO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"14.63","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"CIGNA PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"107.04","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AMBETTER","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.34","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"MEDICARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.96","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"7.86","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96523","code description":"IRRIG DRUG DELIVERY DEVICE","payer":"MEDICARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"7.2","de-identified minimum negotiated charge":"7.2","de-identified maximum negotiated charge":"7.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.95","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"MEDICAID","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.12","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1050","code description":"MEDROXYPROGESTERONE ACETATE","payer":"AMERIGROUP","gross charge":"2.22","discounted cash price":"0.56","payer-specific negotiated charge":"0.3","de-identified minimum negotiated charge":"0.3","de-identified maximum negotiated charge":"1.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CHAMPUS TRICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.47","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86800","code description":"THYROGLOBULIN ANTIBODY","payer":"HUMANA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"9.64","de-identified minimum negotiated charge":"9.64","de-identified maximum negotiated charge":"50.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"MEDICAID","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.2","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"UHC HMO","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"42.54","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"17.41","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"40.25","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"UHC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"17.76","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"CIGNA HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"5.94","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"BC HMO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"2.83","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"HUMANA HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"25.49","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"HUMANA HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"18.82","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"AETNA HMO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"50.04","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"HUMANA HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"46.39","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AETNA PPO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"9.04","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CHAMPUS TRICARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"4.06","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"AMBETTER","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"10.44","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"UHC HMO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"60.82","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"UHC HMO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"84.23","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"UHC PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"2.73","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81002","code description":"URINALYSIS NONAUTO W/O SCOPE","payer":"MEDICARE","gross charge":"92","discounted cash price":"23","payer-specific negotiated charge":"1.64","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"12.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"BC PPO","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"12.48","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.85","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"2.35","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"BC PPO","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"11.08","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"HUMANA HMO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"63.27","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"UHC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"46.95","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"BC PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.32","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83090","code description":"ASSAY OF HOMOCYSTEINE","payer":"BC PPO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"23.38","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"23.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"MEDICAID","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.46","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"AETNA HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"177.86","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"UHC HMO","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"226.43","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"MEDICARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"47.98","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"UHC HMO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"830.51","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"AETNA HMO","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"6.65","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"UHC HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"UHC HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"109.88","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84450","code description":"TRANSFERASE (AST) (SGOT)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"2.97","de-identified minimum negotiated charge":"2.97","de-identified maximum negotiated charge":"28.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"BCBS SMARTVALUE PFFS","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.81","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"UHC HMO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"92","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"UHC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"21.9","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BC HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2.25","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"CIGNA HMO","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"14.88","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"UHC HMO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"65.55","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"CHAMPUS TRICARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.46","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"CHAMPUS TRICARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"10.62","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"CHAMPUS TRICARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.46","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"FIRST HLTH NTWK","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"14.18","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"3.88","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"BC HMO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"43.76","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"BC HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.89","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0558","code description":"PENG BENZATHINE/PROCAINE INJ","payer":"UHC HMO","gross charge":"70.21","discounted cash price":"17.55","payer-specific negotiated charge":"51.4","de-identified minimum negotiated charge":"2.39","de-identified maximum negotiated charge":"51.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.06","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CIGNA PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.14","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"22.06","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"27.58","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"26.43","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84146","code description":"ASSAY OF PROLACTIN","payer":"UHC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"8.37","de-identified minimum negotiated charge":"1.02","de-identified maximum negotiated charge":"8.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"HUMANA HMO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"9.21","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"UHC HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"472.44","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"UHC HMO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"86.83","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AMERIGROUP","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"6.33","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"UHC MCARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"9.05","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CIGNA HMO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"2.08","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"UHC HMO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"25.28","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"CARESOURCE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"54.68","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"KAISER","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"21.62","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"34.75","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"WELLCARE MCARE MGD CARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.96","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"HUMANA HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"75.23","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"AETNA HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"288.1","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"WELLCARE MCARE MGD CARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"22.43","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"9.17","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"BC HMO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"5.5","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"UHC HMO","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"884.55","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"BC HMO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"383.72","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"143.67","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"MEDICAID","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"7.34","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"CARESOURCE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.4","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"UHC HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"45.07","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"UHC PPO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"5.4","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CHAMPUS TRICARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.01","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.28","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"UHC HMO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"48.73","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.52","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"BC HMO","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"192.2","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"23.85","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AETNA MCARE MGD CARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.56","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"PEACHSTATE-CENTENE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"HUMANA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"7.07","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"UHC HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"45.08","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"KAISER","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"12.86","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"4.51","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74360","code description":"X-RAY GUIDE GI DILATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,407.50","discounted cash price":"351.88","payer-specific negotiated charge":"68.08","de-identified minimum negotiated charge":"66.91","de-identified maximum negotiated charge":"697.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"HUMANA HMO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"39.79","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"UHC HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"83.49","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"AETNA PPO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"11.92","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"UHC PPO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"38.55","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"CIGNA HMO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"35.89","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"HUMANA HMO","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"49.95","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AETNA PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.77","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"UHC HMO","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"21.6","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"UHC HMO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"2.41","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"AMBETTER","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"12.44","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CHAMPUS TRICARE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"107.03","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"AETNA MCARE MGD CARE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"13.96","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"UHC HMO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"238.54","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"UHC HMO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"62.75","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87529","code description":"HSV DNA AMP PROBE","payer":"HUMANA HMO","gross charge":"234","discounted cash price":"58.5","payer-specific negotiated charge":"33.06","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"140.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"11.47","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"HUMANA HMO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"160.56","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"WELLCARE MCARE MGD CARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"5.19","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"CHAMPUS TRICARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"31.63","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"UHC HMO","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"127.48","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"UHC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"43.6","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"BC PPO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"2.17","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"BC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"68.14","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"HUMANA HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"4.62","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"UHC HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"8.6","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"AETNA PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"11.26","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"KAISER","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.32","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"BC PPO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"13.27","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"BC PPO","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"9.95","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.85","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"UHC HMO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"23.27","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"BC HMO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"UHC HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"14.54","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"UHC PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"75.22","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"432","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"95,825.67","discounted cash price":"23,956.42","payer-specific negotiated charge":"15,165.86","de-identified minimum negotiated charge":"8,626.23","de-identified maximum negotiated charge":"19,054.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82105","code description":"ALPHA-FETOPROTEIN SERUM","payer":"UHC MCARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"1.47","de-identified minimum negotiated charge":"1.17","de-identified maximum negotiated charge":"30.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"CARESOURCE","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"24.76","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"20.81","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"HUMANA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"6.86","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"AETNA MCARE MGD CARE","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"60.31","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"UHC PPO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"12.42","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"HUMANA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"363.07","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82042","code description":"OTHER SOURCE ALBUMIN QUAN EA","payer":"AMBETTER","gross charge":"128.5","discounted cash price":"32.13","payer-specific negotiated charge":"38.16","de-identified minimum negotiated charge":"3.8","de-identified maximum negotiated charge":"38.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"AETNA MCARE MGD CARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"8.45","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.73","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.92","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CIGNA PPO","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"1.86","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"HUMANA PPO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"140.77","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"KAISER","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"377.85","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AMERIGROUP","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.57","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"UHC HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"111.76","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"4.82","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"HUMANA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.03","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AETNA PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"8.02","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"UHC HMO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"54.87","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"AMBETTER","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.8","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.68","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"40.97","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AETNA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.2","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"CARESOURCE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"4.33","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"BC HMO","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"157.99","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"KAISER","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"41.88","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"UHC HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"18.57","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"CHAMPUS TRICARE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"2.22","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"CHAMPUS TRICARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"11.49","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CLOVER HEALTH","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"5.21","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"2.13","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"MEDICARE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.13","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"AMERIGROUP","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"81.52","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"UHC MCARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"352.54","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"BCBS SMARTVALUE PFFS","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.66","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"AMERIGROUP","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.28","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49451","code description":"REPLACE DUOD/JEJ TUBE PERC","payer":"MEDICARE","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"108.98","de-identified minimum negotiated charge":"108.98","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"HUMANA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"14.91","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.1","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81002","code description":"URINALYSIS NONAUTO W/O SCOPE","payer":"UHC HMO","gross charge":"92","discounted cash price":"23","payer-specific negotiated charge":"12.58","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"12.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.67","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"UHC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"16.32","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"AETNA PPO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"20.26","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"UHC HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"499.38","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"WELLCARE MCARE MGD CARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"10.19","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"194.25","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"2,048.62","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"HUMANA HMO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"44.7","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"WELLCARE MCARE MGD CARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"9.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.85","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"AMBETTER","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"81.88","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"AMERIGROUP","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"14.15","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"4.55","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"33.66","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"PEACHSTATE-CENTENE","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"17.2","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"545","code description":"CONNECTIVE TISSUE DISORDERS W MCC","payer":"MEDICARE","gross charge":"79,540.00","discounted cash price":"19,885.00","payer-specific negotiated charge":"8,719.03","de-identified minimum negotiated charge":"8,719.03","de-identified maximum negotiated charge":"17,120.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"MEDICAID","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"9.8","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CIGNA PPO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"677.97","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.74","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"BC PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"472.11","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"KAISER MCARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"23.4","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"UHC HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"529.68","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"UHC MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.05","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"PHCS","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"7,962.96","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"BCBS SMARTVALUE PFFS","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"19.42","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"CARESOURCE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"6.27","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AMBETTER","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"5.03","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICAID","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"48.22","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"3.51","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"CHAMPUS TRICARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"52.68","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"UHC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"18.19","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"UHC HMO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"39.73","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"UHC HMO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"97.63","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"UHC HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"16.41","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"WELLCARE MCARE MGD CARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"10.21","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"AMERIGROUP","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"2.47","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"UHC HMO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"6","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"MEDICARE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"35.28","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"AMBETTER","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"141.08","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"MEDICAID","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.6","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"UHC MCARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.8","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"BC HMO","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"6.61","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"PEACHSTATE-CENTENE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88325","code description":"COMPREHENSIVE REVIEW OF DATA","payer":"BC HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"199.78","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"827"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"AETNA MCARE MGD CARE","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"27.5","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"BC PPO","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"5.74","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"MEDICARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.81","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"KAISER","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"121.84","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"UHC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"9.21","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"11.98","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.42","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"CIGNA PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"12.22","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"UHC HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"172.31","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"AETNA MCARE MGD CARE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"58.34","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"315.75","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"BC PPO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"15.28","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"UHC HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"69.25","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81050","code description":"URINALYSIS VOLUME MEASURE","payer":"UHC HMO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"14.3","de-identified minimum negotiated charge":"14.3","de-identified maximum negotiated charge":"14.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85244","code description":"CLOT FACTOR VIII RELTD ANTGN","payer":"BC PPO","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"52.3","de-identified minimum negotiated charge":"32","de-identified maximum negotiated charge":"52.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"MEDICARE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"51.32","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"AETNA MCARE MGD CARE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"4.11","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"CIGNA PPO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"47.77","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.33","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CIGNA HMO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"7.74","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"UHC HMO","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CIGNA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.35","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"UHC HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"29.66","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"KAISER","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"118.87","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81270","code description":"JAK2 GENE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"608","discounted cash price":"152","payer-specific negotiated charge":"35.12","de-identified minimum negotiated charge":"35.12","de-identified maximum negotiated charge":"72.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"MEDICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.29","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"BCBS SMARTVALUE PFFS","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"50.93","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"UHC PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.76","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"5.84","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"PHCS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.47","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"KAISER","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"39.75","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"WELLCARE MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"69.49","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"WELLCARE MCARE MGD CARE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"4.21","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"UHC HMO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"93.31","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"AETNA MCARE MGD CARE","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"64","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"KAISER MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.94","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"AMERIGROUP","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"125.6","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"AMBETTER","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"309.5","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"FIRST HLTH NTWK","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"34.5","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"MULTI-PLAN","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"48.88","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"UHC HMO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"77.83","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"CIGNA PPO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"174.28","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"UHC HMO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,008.23","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"AETNA PPO","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.87","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.34","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"MEDICAID","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"165.92","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"20.74","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0358T","code description":"BIA WHOLE BODY","payer":"HUMANA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"16.55","de-identified minimum negotiated charge":"13.54","de-identified maximum negotiated charge":"45.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MEDICARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.45","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"CHAMPUS TRICARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"97.01","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"880","code description":"ACUTE ADJUSTMENT REACTION \u0026 PSYCHOSOCIAL DYSFUNCTION","payer":"MEDICARE","gross charge":"62,681.00","discounted cash price":"15,670.25","payer-specific negotiated charge":"2,863.28","de-identified minimum negotiated charge":"314.51","de-identified maximum negotiated charge":"5,412.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"CIGNA PPO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"43.31","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CARESOURCE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"109.53","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"UHC HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"23.52","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2469","code description":"PALONOSETRON HCL","payer":"MEDICARE","gross charge":"126","discounted cash price":"31.5","payer-specific negotiated charge":"10.8","de-identified minimum negotiated charge":"10.8","de-identified maximum negotiated charge":"10.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"UHC HMO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"750.62","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"28.01","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"78.77","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"BC PPO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"44.91","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"UHC MCARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.31","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"UHC HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"16.58","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CIGNA PPO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"15.58","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"AMBETTER","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"11.51","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3489","code description":"ZOLEDRONIC ACID 1MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"365.4","discounted cash price":"91.35","payer-specific negotiated charge":"16.7","de-identified minimum negotiated charge":"16.7","de-identified maximum negotiated charge":"16.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"UHC HMO","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"77.55","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"BC PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"47.18","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"UHC HMO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"777.6","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"UHC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"20.18","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"UHC HMO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"10.46","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BC PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"5.08","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"UHC HMO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"241.03","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"AETNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"37.25","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CHAMPUS TRICARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.49","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"26.86","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"AMBETTER","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"34.69","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"KAISER","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"269.37","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83090","code description":"ASSAY OF HOMOCYSTEINE","payer":"BC HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"3.78","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"23.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"UHC PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"5.79","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"MEDICARE","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"44.02","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"HUMANA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"7.77","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"UHC MCARE","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"32.46","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2540","code description":"PENICILLIN G POTASSIUM INJ","payer":"AETNA HMO","gross charge":"10.5","discounted cash price":"2.63","payer-specific negotiated charge":"2.07","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"2.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"UHC HMO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"66.69","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"AETNA HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"93.38","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"HUMANA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"8.32","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"KAISER","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"9.23","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"BC HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"5.33","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"UHC HMO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"542.63","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"BCBS SMARTVALUE PFFS","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"91.75","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"5.5","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AETNA MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.31","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"BC PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86038","code description":"ANTINUCLEAR ANTIBODIES","payer":"MEDICARE","gross charge":"148.5","discounted cash price":"37.13","payer-specific negotiated charge":"6.36","de-identified minimum negotiated charge":"6.36","de-identified maximum negotiated charge":"11.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"3.79","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"12,230.38","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"CHAMPUS TRICARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"13,665.11","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86038","code description":"ANTINUCLEAR ANTIBODIES","payer":"UHC MCARE","gross charge":"148.5","discounted cash price":"37.13","payer-specific negotiated charge":"7.12","de-identified minimum negotiated charge":"6.36","de-identified maximum negotiated charge":"11.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84144","code description":"ASSAY OF PROGESTERONE","payer":"BC PPO","gross charge":"40","discounted cash price":"10","payer-specific negotiated charge":"11.76","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"26.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"UHC HMO","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"1,137.41","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"UHC HMO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"55.64","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"FIRST HLTH NTWK","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.28","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AETNA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.58","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"UHC HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"112.76","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"PHCS","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"43.13","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"BC HMO","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"24.36","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"UHC MCARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"10.72","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95912","code description":"NRV CNDJ TEST 11-12 STUDIES","payer":"PEACHSTATE-CENTENE","gross charge":"2,405.00","discounted cash price":"601.25","payer-specific negotiated charge":"439.93","de-identified minimum negotiated charge":"262.38","de-identified maximum negotiated charge":"1,700.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"4.47","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82105","code description":"ALPHA-FETOPROTEIN SERUM","payer":"MEDICARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"3.8","de-identified minimum negotiated charge":"1.17","de-identified maximum negotiated charge":"30.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"AETNA HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"96.95","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"UHC HMO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"661.95","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"AETNA PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"12.19","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"KAISER MCARE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"4.54","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"AMBETTER","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"37.78","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BCBS SMARTVALUE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"15.96","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"AETNA HMO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"129.48","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.18","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"UHC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"838.03","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"4.74","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"MEDICARE","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"6.69","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.69","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"AETNA PPO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"641.13","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"WELLCARE MCARE MGD CARE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"13.11","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"UHC HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.48","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7507","code description":"TACROLIMUS IMME REL ORAL 1MG","payer":"MEDICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.77","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"7.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"CHAMPUS TRICARE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"39.48","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BC PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"6.08","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"UHC HMO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,055.59","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"CHAMPUS TRICARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"44.27","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"CHAMPUS TRICARE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"235.23","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CHAMPUS TRICARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"9.95","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"UHC HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"161.48","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"CHAMPUS TRICARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"14.64","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"UHC HMO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"18.5","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"CHAMPUS TRICARE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"18.14","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"AMERIGROUP","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"358.53","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"39.94","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"CIGNA HMO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"94.41","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"PEACHSTATE-CENTENE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.2","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"59.29","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"MEDICARE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"4.09","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"AETNA PPO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"10.83","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"PEACHSTATE-CENTENE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"6.99","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AMBETTER","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.79","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"AETNA PPO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"254.71","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"UHC HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.73","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"27.4","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"UHC HMO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"22.52","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AETNA MCARE MGD CARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.95","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"24.36","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BC HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"5.15","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"3.25","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"WELLCARE MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"94.13","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"CHAMPUS TRICARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"33.75","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"WELLCARE MCARE MGD CARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"2.36","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.1","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AETNA HMO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"8.71","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"BCBS SMARTVALUE PFFS","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"32.93","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"551","code description":"MEDICAL BACK PROBLEMS W MCC","payer":"MEDICARE","gross charge":"171,842.00","discounted cash price":"42,960.50","payer-specific negotiated charge":"7,511.61","de-identified minimum negotiated charge":"4,774.84","de-identified maximum negotiated charge":"13,815.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"UHC HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"45.82","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"BCBS SMARTVALUE PFFS","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"22.01","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"MEDICARE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"7.7","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"HUMANA HMO","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"281.69","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"MEDICARE","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"18.2","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"HUMANA HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"108.81","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"MEDICARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"26.24","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"BC PPO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"86.62","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"AETNA HMO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"216.79","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"MEDICAID","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"53.44","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"PHCS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"40.93","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"HUMANA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.42","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"134.98","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"BC HMO","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"22.23","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"CIGNA PPO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"9.22","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"UHC MCARE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"WELLCARE MCARE MGD CARE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"4.49","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"HUMANA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"12.27","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"BCBS SMARTVALUE PFFS","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"15.07","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"UHC HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"36.21","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"MEDICAID","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"0.93","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"WELLCARE MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"34.83","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"HUMANA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"9.43","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.42","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"MEDICARE","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"124.69","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"UHC HMO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"27.49","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"UHC HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"163.43","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"UHC HMO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"116.4","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"UHC HMO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"70.81","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"UHC HMO","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"42.25","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"CIGNA HMO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"56.46","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"AMERIGROUP","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"545.48","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"PEACHSTATE-CENTENE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"9.95","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"HUMANA HMO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"70.9","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"UHC HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"4.15","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"UHC MCARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"24.15","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"153.48","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"192.11","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"PEACHSTATE-CENTENE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"0.8","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"AMERIGROUP","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"3.62","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2501","code description":"PARICALCITOL","payer":"MEDICARE","gross charge":"18.9","discounted cash price":"4.73","payer-specific negotiated charge":"1.57","de-identified minimum negotiated charge":"1.57","de-identified maximum negotiated charge":"7.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.55","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"HUMANA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"500.86","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"UHC MCARE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"13.78","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"KAISER","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.52","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"UHC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"23.37","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"17.34","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"CIGNA HMO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"59.73","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.93","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"25.23","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"UHC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"62.17","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CIGNA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.22","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"UHC HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"70.54","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"WELLCARE MCARE MGD CARE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"10.91","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"CHAMPUS TRICARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"19.38","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"303","code description":"ATHEROSCLEROSIS W/O MCC","payer":"MEDICARE","gross charge":"21,544.00","discounted cash price":"5,386.00","payer-specific negotiated charge":"4,402.05","de-identified minimum negotiated charge":"4,402.05","de-identified maximum negotiated charge":"4,402.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"WELLCARE MCARE MGD CARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"52.4","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"BC PPO","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"3.61","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"34.26","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"UHC PPO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"164.83","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"UHC HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"53.1","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"UHC HMO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"1,477.45","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"BC PPO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"16.12","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.45","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"BCBS SMARTVALUE PFFS","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"12.49","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"BC PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"16.15","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"AMBETTER","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"6.21","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"UHC HMO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"44.64","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"MEDICARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.83","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"UHC HMO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"134.38","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CIGNA PPO","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"1.53","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84597","code description":"ASSAY OF VITAMIN K","payer":"MEDICAID","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"6.44","de-identified minimum negotiated charge":"2.69","de-identified maximum negotiated charge":"56.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"UHC MCARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"494.13","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"UHC PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"109.98","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.46","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"UHC HMO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,152.78","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"CIGNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"20.02","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"UHC HMO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"54.2","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"BC PPO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"260.26","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"AMBETTER","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"6.55","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"HUMANA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"216.29","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"AETNA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"444.84","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"AETNA HMO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"49.36","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"MEDICAID","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"6.9","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"298.53","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"PEACHSTATE-CENTENE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.35","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"UHC HMO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"167.16","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"UHC HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"8.56","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.71","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"BC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"65.72","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"UHC MCARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"4.06","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"MEDICAID","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"5.71","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74330","code description":"X-RAY BILE/PANC ENDOSCOPY","payer":"AETNA MCARE MGD CARE","gross charge":"1,240.00","discounted cash price":"310","payer-specific negotiated charge":"119.19","de-identified minimum negotiated charge":"119.19","de-identified maximum negotiated charge":"318.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"MEDICAID","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"5.63","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"MEDICAID","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"0.96","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"UHC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.21","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"KAISER MCARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.95","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"UHC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"20.12","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"60.75","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86146","code description":"BETA-2 GLYCOPROTEIN ANTIBODY","payer":"MEDICAID","gross charge":"138.2","discounted cash price":"34.55","payer-specific negotiated charge":"9.77","de-identified minimum negotiated charge":"9.77","de-identified maximum negotiated charge":"26.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"CARESOURCE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"3.74","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"MEDICAID","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"5.07","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"UHC HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"150.08","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"MULTI-PLAN","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"42.29","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85300","code description":"ANTITHROMBIN III ACTIVITY","payer":"MEDICAID","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"14.81","de-identified minimum negotiated charge":"14.81","de-identified maximum negotiated charge":"40.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"122.07","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"AETNA HMO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"196.4","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"UHC MCARE","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"6.12","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"PEACHSTATE-CENTENE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"35.47","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"PEACHSTATE-CENTENE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"62.85","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"UHC PPO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"95.62","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"UHC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"927.46","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86148","code description":"ANTI-PHOSPHOLIPID ANTIBODY","payer":"MEDICAID","gross charge":"100","discounted cash price":"25","payer-specific negotiated charge":"7.65","de-identified minimum negotiated charge":"7.65","de-identified maximum negotiated charge":"20.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72120","code description":"X-RAY BEND ONLY L-S SPINE","payer":"MEDICARE","gross charge":"757","discounted cash price":"189.25","payer-specific negotiated charge":"33.44","de-identified minimum negotiated charge":"33.44","de-identified maximum negotiated charge":"383.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"WELLCARE MCARE MGD CARE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"11.24","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.59","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"36.52","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"MEDICARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.77","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"AMBETTER","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"17.56","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"MEDICAID","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"4.27","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"UHC HMO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"811.16","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CARESOURCE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"9.91","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"PEACHSTATE-CENTENE","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"8.12","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"MEDICAID","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"244.16","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"CHAMPUS TRICARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"31.48","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"PEACHSTATE-CENTENE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"36.88","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"UHC HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"19.26","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"23.44","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"1.96","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"5.26","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"UHC HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"66.02","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"BC HMO","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"21.49","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"UHC MCARE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"18.29","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"WELLCARE MCARE MGD CARE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"24.71","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"BCBS SMARTVALUE PFFS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.5","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CIGNA PPO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"17.14","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"KAISER SELF-FUNDED","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"63.65","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"AETNA HMO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"10.76","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81450","code description":"TGSAP HL NEO 5-50DNA/DNA\u0026RNA","payer":"MEDICARE","gross charge":"2,839.50","discounted cash price":"709.88","payer-specific negotiated charge":"125.97","de-identified minimum negotiated charge":"125.97","de-identified maximum negotiated charge":"643.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"CHAMPUS TRICARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"68.31","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.91","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"UHC MCARE","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"26.63","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"UHC HMO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"98.11","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"UHC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"11.63","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"UHC HMO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"277.41","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"UHC MCARE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"14.52","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"UHC PPO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"87.76","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"3.45","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"AETNA HMO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"138.98","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"MEDICAID","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"3.09","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"387.5","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"UHC HMO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"106.11","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"HUMANA HMO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"16.13","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"34.53","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"KAISER","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.17","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"UHC MCARE","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"35.25","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"8.88","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"WELLCARE MCARE MGD CARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"5.17","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"UHC HMO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"192.78","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"UHC HMO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"2,154.91","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"HUMANA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"17.35","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"CLOVER HEALTH","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"52.76","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0175","code description":"PERPHENAZINE 4MG ORAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.41","de-identified minimum negotiated charge":"1.41","de-identified maximum negotiated charge":"1.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"UHC HMO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"74.3","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"MEDICARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.89","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"52.11","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"28.76","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"11.74","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"KAISER PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"63.81","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"UHC PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"779.39","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"MEDICARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"10.95","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"KAISER PPO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"20.71","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"KAISER","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"1,353.37","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"CARESOURCE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"3.05","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"CIGNA HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"131.68","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"AMERIGROUP","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"397.4","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"CIGNA HMO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"19.6","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"AMBETTER","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.69","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"UHC MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"3.98","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"BC HMO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"21.38","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"UHC PPO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"444.49","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"AETNA MCARE MGD CARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"40.14","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"6.25","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"18.34","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CARESOURCE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"638.92","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"27.16","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.68","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"CHAMPUS TRICARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"68.2","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"CIGNA HMO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"150.32","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"85.8","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BC HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"4.42","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"CIGNA PPO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"83.47","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"68.61","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"UHC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"74.09","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"CHAMPUS TRICARE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"129.39","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.34","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"HUMANA HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"35.48","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"HUMANA PPO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"14.66","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"68.6","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"UHC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"59.94","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"BC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"15.47","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.11","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"UHC HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"21.84","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"UHC HMO","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"768.85","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"MEDICAID","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"10,386.08","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1874","code description":"STENT, COATED/COV W/DEL SYS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"12,863.00","discounted cash price":"3,215.75","payer-specific negotiated charge":"969.6","de-identified minimum negotiated charge":"969.6","de-identified maximum negotiated charge":"4,273.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"UHC HMO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"85.74","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"UHC HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"120.91","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"37.01","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"AMERIGROUP","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"4.31","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"UHC MCARE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"8.52","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CIGNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"20.43","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.55","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"KAISER","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"24.06","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"UHC PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"9.86","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"KAISER MCARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"12.23","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"KAISER MCARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"27.08","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"174.97","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"MEDICAID","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"143.41","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"KAISER MCARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"11.4","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.14","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"UHC PPO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"35.24","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"KAISER SELF-FUNDED","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"352.74","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"MEDICAID","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"5,333.89","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"12.76","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"KAISER","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"11.97","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CHAMPUS TRICARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"227.81","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"UHC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"956.07","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"AMBETTER","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"708.42","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"AMBETTER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"7.61","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"HUMANA HMO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"46.26","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"44.21","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CARESOURCE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"6.73","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.9","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"KAISER","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"136.47","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"UHC PPO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"113.55","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CLOVER HEALTH","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"6.16","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"UHC HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"372.36","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"UHC PPO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"35.09","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"AETNA HMO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"60.77","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"BC PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,356.02","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"UHC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"90.84","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"CHAMPUS TRICARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"27.32","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"UHC HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"4.3","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"AMERIGROUP","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"146.23","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"CIGNA HMO","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"1,878.66","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AMBETTER","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"249.36","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"HUMANA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.15","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"UHC HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"128.46","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"536","code description":"FRACTURES OF HIP \u0026 PELVIS W/O MCC","payer":"MEDICARE","gross charge":"42,609.75","discounted cash price":"10,652.44","payer-specific negotiated charge":"4,432.62","de-identified minimum negotiated charge":"3,375.00","de-identified maximum negotiated charge":"7,854.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.91","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"BC PPO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"16.52","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"UHC HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"161.61","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"AETNA PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"17.31","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.48","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"AMBETTER","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"25.87","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"AMERIGROUP","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"45.89","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"MEDICAID","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"6,259.67","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"UHC HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"235.93","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"CHAMPUS TRICARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"94.66","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0133","code description":"ACYCLOVIR INJECTION","payer":"MEDICARE","gross charge":"0.95","discounted cash price":"0.24","payer-specific negotiated charge":"0.06","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"0.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.9","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"PEACHSTATE-CENTENE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"35.92","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"CIGNA HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"17.09","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"UHC HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"98.47","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"29.9","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"894","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA","payer":"MEDICARE","gross charge":"53,287.50","discounted cash price":"13,321.88","payer-specific negotiated charge":"3,448.27","de-identified minimum negotiated charge":"3,448.27","de-identified maximum negotiated charge":"4,023.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"28.91","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"629.34","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"47.66","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.92","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"53.43","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"17.68","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"17.46","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"539","code description":"OSTEOMYELITIS W MCC","payer":"MEDICAID","gross charge":"18,960.00","discounted cash price":"4,740.00","payer-specific negotiated charge":"6,491.01","de-identified minimum negotiated charge":"6,491.01","de-identified maximum negotiated charge":"15,952.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"36.17","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"AMBETTER","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"56.99","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82375","code description":"ASSAY CARBOXYHB QUANT","payer":"AMERIGROUP","gross charge":"190","discounted cash price":"47.5","payer-specific negotiated charge":"7.88","de-identified minimum negotiated charge":"7.38","de-identified maximum negotiated charge":"153.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76380","code description":"CAT SCAN FOLLOW-UP STUDY","payer":"MEDICARE","gross charge":"1,764.00","discounted cash price":"441","payer-specific negotiated charge":"46.08","de-identified minimum negotiated charge":"46.08","de-identified maximum negotiated charge":"1,477.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"MEDICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"7.45","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CHAMPUS TRICARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"25.5","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"UHC MCARE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"7.47","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"MEDICAID","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"17.32","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"UHC HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"208.7","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1335","code description":"ERTAPENEM INJECTION","payer":"MEDICARE","gross charge":"326.25","discounted cash price":"81.56","payer-specific negotiated charge":"25.36","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"126.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"KAISER MCARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"17.38","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"8.21","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"AETNA PPO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"191.46","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"KAISER","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"31.08","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"8.1","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"UHC HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"19.38","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"129.05","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CARESOURCE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"49.95","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"UHC HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"230.07","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"KAISER MCARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"43.49","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"KAISER MCARE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"185.67","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"KAISER MCARE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"92.79","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"UHC MCARE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.64","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.76","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"CARESOURCE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"8.47","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"MEDICAID","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"545.48","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"MEDICAID","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"11.57","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"32.12","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"AMBETTER","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"332.04","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"MEDICARE","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"25.7","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA HMO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"132.15","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.35","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"CHAMPUS TRICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"16.66","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"UHC PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"77.64","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"UHC HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"128","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"MEDICAID","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"3.16","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"WELLCARE MCARE MGD CARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"45.96","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"UHC HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"16.45","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"PEACHSTATE-CENTENE","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"41.99","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"63.51","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"CARESOURCE","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"12.69","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"CIGNA HMO","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"180.42","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"WELLCARE MCARE MGD CARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"23.97","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"UHC MCARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AMBETTER","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"3.05","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICARE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"61.74","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"AMBETTER","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"72.15","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"KAISER","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"3.6","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"464","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"130,184.50","discounted cash price":"32,546.13","payer-specific negotiated charge":"15,278.24","de-identified minimum negotiated charge":"14,217.14","de-identified maximum negotiated charge":"34,872.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MEDICAID","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.63","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"66","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC","payer":"MEDICARE","gross charge":"46,507.00","discounted cash price":"11,626.75","payer-specific negotiated charge":"4,460.35","de-identified minimum negotiated charge":"4,460.35","de-identified maximum negotiated charge":"7,172.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"UHC HMO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"112.83","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"UHC HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"87.92","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"UHC MCARE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"14.8","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"UHC MCARE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"6.5","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"AMERIGROUP","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"64.19","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"AETNA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"11.43","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"AETNA MCARE MGD CARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"55.99","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"MEDICAID","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"12,987.41","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"HUMANA HMO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.09","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"CIGNA PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"17.63","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"870","code description":"SEPTICEMIA OR SEVERE SEPSIS W MV \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"MEDICARE","gross charge":"288,753.50","discounted cash price":"72,188.38","payer-specific negotiated charge":"32,180.77","de-identified minimum negotiated charge":"5,067.49","de-identified maximum negotiated charge":"62,709.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"3.39","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"UHC PPO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"30.37","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA HMO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"218.62","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"UHC HMO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"264.55","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"CARESOURCE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"9.39","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22513","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"AETNA MCARE MGD CARE","gross charge":"19,210.00","discounted cash price":"4,802.50","payer-specific negotiated charge":"2,135.79","de-identified minimum negotiated charge":"2,135.79","de-identified maximum negotiated charge":"6,996.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"UHC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"43.96","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"303.51","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"13.05","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"56.87","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"30.78","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"3.59","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"MEDICAID","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"12.03","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AMERIGROUP","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"2.67","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"AETNA HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"23.2","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"UHC MCARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"3.3","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"AMBETTER","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"18.09","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"HUMANA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"8.1","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"UHC HMO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"14.3","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8606","code description":"SYNTHETIC IMPLNT URINARY 1ML","payer":"MEDICARE","gross charge":"968","discounted cash price":"242","payer-specific negotiated charge":"140.71","de-identified minimum negotiated charge":"140.71","de-identified maximum negotiated charge":"140.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"AETNA HMO","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"17.97","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"60.99","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"HUMANA HMO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"74.71","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"UHC MCARE","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"15,846.60","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"AETNA MCARE MGD CARE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"264.24","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"UHC HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"582.66","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"639","code description":"DIABETES W/O CC/MCC","payer":"MEDICARE","gross charge":"67,969.00","discounted cash price":"16,992.25","payer-specific negotiated charge":"3,915.23","de-identified minimum negotiated charge":"3,781.48","de-identified maximum negotiated charge":"6,612.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"UHC HMO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"396.06","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"UHC HMO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"339.34","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"MEDICARE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"7.24","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"BC HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"61.77","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"UHC HMO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"173.85","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"UHC HMO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"38.12","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"WELLCARE MCARE MGD CARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"23.2","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"BC PPO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"364.11","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"23.57","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"UHC HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"34.46","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"UHC MCARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.65","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70250","code description":"X-RAY EXAM OF SKULL","payer":"AETNA MCARE MGD CARE","gross charge":"668","discounted cash price":"167","payer-specific negotiated charge":"41.23","de-identified minimum negotiated charge":"41.23","de-identified maximum negotiated charge":"123.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"HUMANA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"27.35","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"24.32","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"6.89","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"BC PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"24.62","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"BC HMO","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"116.95","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"CIGNA HMO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"365.26","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86376","code description":"MICROSOMAL ANTIBODY EACH","payer":"HUMANA HMO","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"133.71","de-identified minimum negotiated charge":"23.38","de-identified maximum negotiated charge":"283.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"CHAMPUS TRICARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"25.24","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"AETNA HMO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"39.4","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"48.56","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"MEDICARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"5.08","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"39.22","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"16.7","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"BC HMO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"102.56","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"BC PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"18.94","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"UHC HMO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"15.47","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"MEDICAID","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"49.49","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.17","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"AETNA PPO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"41.54","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CIGNA PPO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"2.07","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"AETNA MCARE MGD CARE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"106.05","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"UHC MCARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"4.73","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CIGNA PPO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"32.67","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"36.06","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"UHC HMO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"148.86","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CIGNA PPO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"30.47","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"UHC HMO","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"240.19","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"AMBETTER","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"80.99","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"UHC HMO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"755.19","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"UHC HMO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"72.28","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"195","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W/O CC/MCC","payer":"MEDICARE","gross charge":"39,231.50","discounted cash price":"9,807.88","payer-specific negotiated charge":"4,202.00","de-identified minimum negotiated charge":"4,202.00","de-identified maximum negotiated charge":"6,811.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"AETNA MCARE MGD CARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"60.73","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"MEDICAID","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"46.78","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"BCBS SMARTVALUE PFFS","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"10.99","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"UHC MCARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"17.19","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"UHC HMO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"15.09","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"MEDICARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.66","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"96.84","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"MEDICARE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"40.73","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"18.1","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"UHC HMO","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"540.38","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"BC PPO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"7.6","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94668","code description":"CHEST WALL MANIPULATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"23.25","de-identified minimum negotiated charge":"14.5","de-identified maximum negotiated charge":"56.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CARESOURCE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.6","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"CIGNA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"18.79","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"51.58","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"UHC MCARE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"141.97","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"16.33","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CARESOURCE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"5.26","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"UHC HMO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"1,027.42","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"27.8","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"AMERIGROUP","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"40.49","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"MEDICARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"2.76","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"AETNA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"13.6","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"BCBS SMARTVALUE PFFS","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"26.81","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"312","code description":"SYNCOPE \u0026 COLLAPSE","payer":"MEDICARE","gross charge":"84,413.50","discounted cash price":"21,103.38","payer-specific negotiated charge":"4,981.76","de-identified minimum negotiated charge":"1,135.61","de-identified maximum negotiated charge":"8,152.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"MEDICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.37","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"UHC HMO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"177.82","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"FIRST HLTH NTWK","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"887.25","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"BC HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"113.86","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"UHC PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"410.27","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"AETNA HMO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"286.61","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"MEDICARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"29.53","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"BC HMO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"61.24","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"BC HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"24.49","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"AMBETTER","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"692.32","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"MEDICARE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"19.45","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.75","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"UHC PPO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"113.86","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"AETNA MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.69","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"KAISER MCARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.6","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"UHC HMO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"326.96","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"639","code description":"DIABETES W/O CC/MCC","payer":"AMERIGROUP","gross charge":"67,969.00","discounted cash price":"16,992.25","payer-specific negotiated charge":"3,781.48","de-identified minimum negotiated charge":"3,781.48","de-identified maximum negotiated charge":"6,612.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"UHC HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"194.29","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"UHC HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"194.29","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"UHC HMO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"738.88","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"PEACHSTATE-CENTENE","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"8.3","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"KAISER MCARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"27.52","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"KAISER MCARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"20.78","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"KAISER MCARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"22.03","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"AMERIGROUP","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"46.79","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"UHC HMO","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"81.3","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"MEDICARE","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"7,025.26","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"202","code description":"BRONCHITIS \u0026 ASTHMA W CC/MCC","payer":"MEDICARE","gross charge":"30,532.50","discounted cash price":"7,633.13","payer-specific negotiated charge":"5,364.74","de-identified minimum negotiated charge":"492.7","de-identified maximum negotiated charge":"8,824.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"HUMANA PPO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"83.35","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.02","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"BC PPO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"16.86","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"BC HMO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"98.68","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"149","code description":"DYSEQUILIBRIUM","payer":"MEDICARE","gross charge":"81,366.50","discounted cash price":"20,341.63","payer-specific negotiated charge":"4,618.45","de-identified minimum negotiated charge":"4,618.45","de-identified maximum negotiated charge":"7,816.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90472","code description":"IMMUNIZATION ADMIN EACH ADD","payer":"BC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"28.95","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"28.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.22","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"HUMANA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"13.77","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"KAISER","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"17.55","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"387","code description":"INFLAMMATORY BOWEL DISEASE W/O CC/MCC","payer":"MEDICARE","gross charge":"22,876.50","discounted cash price":"5,719.13","payer-specific negotiated charge":"4,509.48","de-identified minimum negotiated charge":"4,509.48","de-identified maximum negotiated charge":"4,509.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"BC HMO","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"60.32","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"HUMANA HMO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"857.56","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76815","code description":"OB US LIMITED FETUS(S)","payer":"KAISER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"142.63","de-identified minimum negotiated charge":"95.67","de-identified maximum negotiated charge":"729.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"UHC PPO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"90.74","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.57","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"BC PPO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"11.35","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"WELLCARE MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"3.66","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"BC PPO","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"113.33","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"3.44","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"51.65","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"WELLCARE MCARE MGD CARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"11.92","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"MEDICARE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"72.77","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"AETNA HMO","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"121.58","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.87","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"UHC PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"10.99","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"AMBETTER","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"150.75","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78018","code description":"THYROID MET IMAGING BODY","payer":"CIGNA HMO","gross charge":"2,505.00","discounted cash price":"626.25","payer-specific negotiated charge":"1,578.15","de-identified minimum negotiated charge":"481.37","de-identified maximum negotiated charge":"1,591.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"AETNA HMO","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"1,848.84","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CIGNA PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"242.09","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"UHC PPO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"72.23","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CIGNA PPO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"317.2","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"HUMANA HMO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"18.27","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"MEDICARE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"5,216.27","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"MEDICARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"16.41","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"230.83","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"UHC HMO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"361.15","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"BCBS SMARTVALUE PFFS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"63.05","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"WELLCARE MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"63.52","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"CIGNA HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"AETNA MCARE MGD CARE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"129.6","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.08","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"UHC MCARE","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"101.45","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"UHC HMO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"94.72","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"MEDICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.82","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"69","code description":"TRANSIENT ISCHEMIA W/O THROMBOLYTIC","payer":"MEDICARE","gross charge":"69,297.50","discounted cash price":"17,324.38","payer-specific negotiated charge":"5,103.08","de-identified minimum negotiated charge":"4,930.29","de-identified maximum negotiated charge":"8,154.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.66","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"948","code description":"SIGNS \u0026 SYMPTOMS W/O MCC","payer":"MEDICARE","gross charge":"180,706.00","discounted cash price":"45,176.50","payer-specific negotiated charge":"4,721.44","de-identified minimum negotiated charge":"501.56","de-identified maximum negotiated charge":"28,656.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"149.16","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"AETNA HMO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"67.93","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"PEACHSTATE-CENTENE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"54.38","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CARESOURCE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"18.18","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.44","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"CIGNA PPO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"71.73","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"UHC HMO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"456.18","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"UHC MCARE","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"12.88","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CHAMPUS TRICARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"7.7","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"MEDICARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.41","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"AMERIGROUP","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"4.84","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"FIRST HLTH NTWK","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"31.43","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"MEDICARE","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"153.4","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"3.46","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82310","code description":"ASSAY OF CALCIUM","payer":"MEDICARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"5.04","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"28.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"AETNA HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"185.26","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"UHC HMO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"614.15","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"402.11","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"18.95","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"AETNA MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"40.97","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"CHAMPUS TRICARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.45","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"BC PPO","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"59.9","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CARESOURCE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"44.56","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92526","code description":"ORAL FUNCTION THERAPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"37.22","de-identified minimum negotiated charge":"37.22","de-identified maximum negotiated charge":"99.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CIGNA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"4.64","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"UHC HMO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,032.43","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"AMERIGROUP","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"635.17","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.57","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"MULTI-PLAN","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"1,016.59","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"AMBETTER","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"81.93","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"18,844.84","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.16","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"CIGNA PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"641.84","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"11.31","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"30.9","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"641","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","payer":"MEDICARE","gross charge":"61,906.50","discounted cash price":"15,476.63","payer-specific negotiated charge":"4,788.64","de-identified minimum negotiated charge":"3,663.31","de-identified maximum negotiated charge":"7,690.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"MEDICAID","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.41","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"BC PPO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"307.18","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CHAMPUS TRICARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.01","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"295.81","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"UHC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"67.13","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"MEDICARE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"7.59","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"AMBETTER","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"13.13","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AETNA PPO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"385.61","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"CARESOURCE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"8.36","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AETNA MCARE MGD CARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.97","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76815","code description":"OB US LIMITED FETUS(S)","payer":"PEACHSTATE-CENTENE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"112.17","de-identified minimum negotiated charge":"95.67","de-identified maximum negotiated charge":"729.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.32","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"UHC HMO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,272.98","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"MEDICARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"8,513.79","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"MEDICARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"9.68","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"CIGNA PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"406.01","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"AMBETTER","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"593.08","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"BC PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"11.24","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"AETNA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.35","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"CIGNA PPO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"66.69","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"BC HMO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"5.1","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"AMERIGROUP","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"58.58","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.36","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"PEACHSTATE-CENTENE","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"42.87","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"HUMANA HMO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"1,723.99","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"KAISER SELF-FUNDED","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"246.45","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"MEDICARE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"5,206.35","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"33.45","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"BC HMO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"76.29","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"BC HMO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"56.62","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"KAISER","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"202.32","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"AMERIGROUP","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.2","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82310","code description":"ASSAY OF CALCIUM","payer":"HUMANA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"28.16","de-identified minimum negotiated charge":"2.04","de-identified maximum negotiated charge":"28.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CHAMPUS TRICARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"246.28","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"AMERIGROUP","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"4.74","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"BC HMO","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"38.93","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"AMERIGROUP","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.11","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"143.87","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"BC HMO","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"2,057.58","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"CIGNA HMO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"277.28","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"MEDICARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"47.53","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"KAISER MCARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"6.75","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"UHC MCARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.94","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"AMBETTER","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"90.77","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"WELLCARE MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"24.26","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"AETNA MCARE MGD CARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"20.2","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"136.03","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"BC PPO","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"95.51","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"BC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"28.32","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"HUMANA HMO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"52.59","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"PEACHSTATE-CENTENE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"96.59","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"UHC PPO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"49.79","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"KAISER","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"307.06","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"AMBETTER","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"192.99","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CLOVER HEALTH","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"55.73","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"PHCS","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"16.89","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"183.94","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"139.39","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.05","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"CARESOURCE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"16.35","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9073","code description":"PLATELETS PHERESIS PATH REDU","payer":"AMBETTER","gross charge":"3,788.00","discounted cash price":"947","payer-specific negotiated charge":"536.29","de-identified minimum negotiated charge":"355.11","de-identified maximum negotiated charge":"1,018.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"AMBETTER","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"95.34","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"CARESOURCE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"61.46","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"MEDICARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"26.29","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"13.82","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"UHC HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,911.64","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"11.72","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"286","code description":"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"172,174.00","discounted cash price":"43,043.50","payer-specific negotiated charge":"10,774.00","de-identified minimum negotiated charge":"10,774.00","de-identified maximum negotiated charge":"32,184.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"105.86","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"UHC HMO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"99.85","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"UHC MCARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"144.57","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"BC PPO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"18.57","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"AMBETTER","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"18.62","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"CARESOURCE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"308.04","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"12.4","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"UHC HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"201.08","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"AMBETTER","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.15","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"BC PPO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"69.38","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"PEACHSTATE-CENTENE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"47.43","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"KAISER SELF-FUNDED","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"71.12","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"AMBETTER","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"32.96","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"UHC MCARE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"26.77","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MULTI-PLAN","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"128.3","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"CARESOURCE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"68.45","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"PEACHSTATE-CENTENE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"26.16","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"3.28","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"UHC HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"746.01","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"BCBS SMARTVALUE PFFS","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.33","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80184","code description":"ASSAY OF PHENOBARBITAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"9.74","de-identified minimum negotiated charge":"9.74","de-identified maximum negotiated charge":"22.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"UHC HMO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"53.08","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.13","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"AMBETTER","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"62.03","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"52.59","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"UHC HMO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"49.55","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"CARESOURCE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"52.14","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"304","code description":"HYPERTENSION W MCC","payer":"MEDICARE","gross charge":"145,341.00","discounted cash price":"36,335.25","payer-specific negotiated charge":"7,023.39","de-identified minimum negotiated charge":"5,460.31","de-identified maximum negotiated charge":"9,984.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"34.24","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"165.01","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"UHC MCARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"77.55","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"MEDICARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"35.52","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"BCBS SMARTVALUE PFFS","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"4.05","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"BC HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"48.45","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"CARESOURCE","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"86.33","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"MEDICAID","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"78.94","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.2","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"MEDICARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.13","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"426.88","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"40.34","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19001","code description":"DRAIN BREAST LESION ADD-ON","payer":"AMBETTER","gross charge":"458","discounted cash price":"114.5","payer-specific negotiated charge":"208.37","de-identified minimum negotiated charge":"208.37","de-identified maximum negotiated charge":"458"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"BC HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"316.33","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"184.71","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"UHC PPO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"958.88","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"BCBS SMARTVALUE PFFS","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"50.9","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"AETNA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"7.29","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"CIGNA HMO","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"66.72","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"UHC MCARE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"199.81","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"HUMANA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"41.51","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.21","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"BC PPO","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"159.81","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"CHAMPUS TRICARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"96.82","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"WELLCARE MCARE MGD CARE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"44.78","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87555","code description":"M.TUBERCULO DNA DIR PROBE","payer":"MEDICARE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"3.15","de-identified minimum negotiated charge":"3.15","de-identified maximum negotiated charge":"29.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"17.46","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"MEDICAID","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.41","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"UHC HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"411.97","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"BC HMO","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,289.77","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"UHC HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"19.24","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"PEACHSTATE-CENTENE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"329.34","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"UHC PPO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"480.8","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"UHC HMO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"86.24","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"AETNA MCARE MGD CARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"12.09","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"FIRST HLTH NTWK","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"14.15","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"MEDICAID","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"5.53","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"AETNA HMO","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"67.41","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"870","code description":"SEPTICEMIA OR SEVERE SEPSIS W MV \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"MEDICAID","gross charge":"288,753.50","discounted cash price":"72,188.38","payer-specific negotiated charge":"36,942.97","de-identified minimum negotiated charge":"5,067.49","de-identified maximum negotiated charge":"62,709.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"BC PPO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"127.71","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.54","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"AETNA MCARE MGD CARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"55.77","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"HUMANA PPO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"89.94","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"CHAMPUS TRICARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"11.77","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"HUMANA HMO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"69.42","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"AETNA PPO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"119.67","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.44","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"64.39","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CARESOURCE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"445.04","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"UHC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,288.20","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"UHC MCARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"8.65","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"120.91","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"54.53","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"MEDICARE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"5,698.50","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"2.95","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"UHC PPO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"134.55","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.92","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"KAISER","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"42.05","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"CIGNA HMO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"137.2","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"BCBS SMARTVALUE PFFS","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"34.91","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"CIGNA HMO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,533.66","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"HUMANA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"21.55","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"UHC PPO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"9.87","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"AETNA MCARE MGD CARE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"8.62","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"AETNA HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"98.7","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"PEACHSTATE-CENTENE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"17.95","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"HUMANA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.32","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"CARESOURCE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"89.03","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AETNA HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"4.39","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"MEDICARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"39.66","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"MEDICARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"241.97","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CHAMPUS TRICARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"53.97","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"PEACHSTATE-CENTENE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"584.37","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76706","code description":"US ABDL AORTA SCREEN AAA","payer":"MEDICARE","gross charge":"418","discounted cash price":"104.5","payer-specific negotiated charge":"67.7","de-identified minimum negotiated charge":"67.7","de-identified maximum negotiated charge":"418"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"BC HMO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"153.06","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"PEACHSTATE-CENTENE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"24.73","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"MEDICARE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"5,356.79","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"217.55","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"AETNA MCARE MGD CARE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"45.48","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"BC HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,873.65","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.26","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"MEDICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.24","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CHAMPUS TRICARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"45.46","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"HUMANA HMO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"MULTI-PLAN","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"95.2","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"MEDICARE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"3.3","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"AMERIGROUP","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"32.53","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"MEDICARE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"7.81","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"UHC MCARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"3.03","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W CC","payer":"MEDICARE","gross charge":"79,812.00","discounted cash price":"19,953.00","payer-specific negotiated charge":"6,080.81","de-identified minimum negotiated charge":"5,832.74","de-identified maximum negotiated charge":"10,035.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"AMERIGROUP","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"25.82","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"KAISER SELF-FUNDED","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"68.39","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"AMERIGROUP","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"37.5","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"UHC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"12.79","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"WELLCARE MCARE MGD CARE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"21.65","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"AETNA HMO","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"19.89","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CIGNA PPO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"24.76","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"MEDICARE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"5,795.42","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"AMBETTER","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"14.63","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"186.58","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"22.67","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"WELLCARE MCARE MGD CARE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"2.77","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"CIGNA HMO","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"79.5","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"CARESOURCE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"68.4","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"BC PPO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"40.67","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"402.34","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"WELLCARE MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"3.13","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"24.4","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"CHAMPUS TRICARE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"70.39","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"MEDICARE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"19,065.94","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W CC","payer":"MEDICARE","gross charge":"125,277.50","discounted cash price":"31,319.38","payer-specific negotiated charge":"6,437.81","de-identified minimum negotiated charge":"6,437.81","de-identified maximum negotiated charge":"16,652.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"WELLCARE MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"26.09","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"PEACHSTATE-CENTENE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"38.16","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"AMBETTER","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"50.14","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"18,123.84","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"AMBETTER","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"6.81","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"MEDICAID","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"700.12","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"130.7","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"UHC HMO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"364.3","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"368.19","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"WELLCARE MCARE MGD CARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"13.63","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"6","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"9.61","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"433","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W CC","payer":"MEDICARE","gross charge":"82,240.50","discounted cash price":"20,560.13","payer-specific negotiated charge":"6,491.39","de-identified minimum negotiated charge":"5,977.65","de-identified maximum negotiated charge":"9,309.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96413","code description":"CHEMO IV INFUSION 1 HR","payer":"MEDICARE","gross charge":"995","discounted cash price":"248.75","payer-specific negotiated charge":"85.31","de-identified minimum negotiated charge":"85.31","de-identified maximum negotiated charge":"85.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71110","code description":"X-RAY EXAM RIBS BIL 3 VIEWS","payer":"MEDICARE","gross charge":"645","discounted cash price":"161.25","payer-specific negotiated charge":"33.33","de-identified minimum negotiated charge":"33.33","de-identified maximum negotiated charge":"112.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"AETNA PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"56.53","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"13.78","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"AMBETTER","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"386.12","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"MEDICAID","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.69","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"AETNA MCARE MGD CARE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"18.89","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"UHC MCARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"36.36","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"CHAMPUS TRICARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"104.33","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"AETNA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"10.4","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CARESOURCE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"33.76","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"12.46","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"33.08","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"11.42","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81270","code description":"JAK2 GENE","payer":"MEDICARE","gross charge":"608","discounted cash price":"152","payer-specific negotiated charge":"59.74","de-identified minimum negotiated charge":"35.12","de-identified maximum negotiated charge":"72.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"281","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","payer":"MEDICARE","gross charge":"99,423.50","discounted cash price":"24,855.88","payer-specific negotiated charge":"5,923.95","de-identified minimum negotiated charge":"5,901.04","de-identified maximum negotiated charge":"8,832.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97129","code description":"THER IVNTJ 1ST 15 MIN","payer":"MEDICARE","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"16.21","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97130","code description":"THER IVNTJ EA ADDL 15 MIN","payer":"MEDICARE","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"16.21","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"BC HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"11.3","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"BC HMO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"45.66","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"MEDICAID","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.81","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"AMERIGROUP","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"120.02","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"BC HMO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"186.09","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"57.17","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"CIGNA HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"132.17","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"CIGNA PPO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"11.08","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"UHC MCARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"43.93","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"MEDICAID","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"53.59","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"UHC HMO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"269.77","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"AMERIGROUP","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"16.11","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"UHC MCARE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"28.74","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"MEDICARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"105.44","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95912","code description":"NRV CNDJ TEST 11-12 STUDIES","payer":"AMBETTER","gross charge":"2,405.00","discounted cash price":"601.25","payer-specific negotiated charge":"1,130.35","de-identified minimum negotiated charge":"262.38","de-identified maximum negotiated charge":"1,700.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"497.35","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"HUMANA HMO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"3.57","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"UHC PPO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"110.66","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"142.74","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"AETNA HMO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"2,036.30","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"AMBETTER","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"11.7","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"PEACHSTATE-CENTENE","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"22.56","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"BC PPO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"52.94","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"WELLCARE MCARE MGD CARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"20.19","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"24.7","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.14","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9271","code description":"INJ PEMBROLIZUMAB","payer":"MEDICARE","gross charge":"286.5","discounted cash price":"71.63","payer-specific negotiated charge":"24.56","de-identified minimum negotiated charge":"24.56","de-identified maximum negotiated charge":"24.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"AETNA MCARE MGD CARE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"48.27","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"UHC HMO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"1,377.92","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"AMBETTER","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"69.78","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"BC PPO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"79.15","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"38.02","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2.3","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.89","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W/O MCC","payer":"MEDICARE","gross charge":"40,068.50","discounted cash price":"10,017.13","payer-specific negotiated charge":"6,398.27","de-identified minimum negotiated charge":"6,373.69","de-identified maximum negotiated charge":"9,531.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"HUMANA PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"1.56","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"AMERIGROUP","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"204.01","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"644","code description":"ENDOCRINE DISORDERS W CC","payer":"MEDICARE","gross charge":"125,485.50","discounted cash price":"31,371.38","payer-specific negotiated charge":"6,447.28","de-identified minimum negotiated charge":"6,427.89","de-identified maximum negotiated charge":"9,501.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"UHC HMO","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"763.23","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"AMERIGROUP","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"7.69","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"CARESOURCE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"170.87","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"AMBETTER","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"153.24","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"G.I. OBSTRUCTION W/O CC/MCC","payer":"MEDICARE","gross charge":"47,441.00","discounted cash price":"11,860.25","payer-specific negotiated charge":"4,516.66","de-identified minimum negotiated charge":"3,682.00","de-identified maximum negotiated charge":"8,174.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"MEDICAID","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.33","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AMERIGROUP","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.87","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"MEDICAID","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"255.18","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"MEDICAID","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"55.71","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"AMERIGROUP","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"15.06","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82627","code description":"DEHYDROEPIANDROSTERONE","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.2","de-identified minimum negotiated charge":"13.2","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"8,559.73","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"184","code description":"MAJOR CHEST TRAUMA W CC","payer":"MEDICARE","gross charge":"36,794.25","discounted cash price":"9,198.56","payer-specific negotiated charge":"6,535.29","de-identified minimum negotiated charge":"6,510.01","de-identified maximum negotiated charge":"6,560.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"8.49","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"BC HMO","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"124.98","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"UHC HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"62.27","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"UHC MCARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"57.2","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"BC PPO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"193.56","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"15.54","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"AMBETTER","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"10.96","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"AETNA MCARE MGD CARE","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"222.4","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"UHC HMO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"122.48","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"AETNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"20.16","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"78.21","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"KAISER","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"42.94","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"UHC PPO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"24.07","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"PEACHSTATE-CENTENE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"34.69","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"UHC PPO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"22.48","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"BC PPO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"107.22","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"156.31","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"BC HMO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"20.26","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"UHC MCARE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"10.45","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"32.52","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"BC PPO","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"37.9","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"MEDICARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"5,461.93","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CLOVER HEALTH","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"195.47","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"AMBETTER","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"7.48","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"54.94","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CHAMPUS TRICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"22.96","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"AETNA PPO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"257.78","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"KAISER","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"32.19","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"KAISER","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"32.19","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"AMERIGROUP","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"46.54","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"KAISER MCARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"51.12","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"23.68","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"501","code description":"SOFT TISSUE PROCEDURES W CC","payer":"MEDICARE","gross charge":"68,795.00","discounted cash price":"17,198.75","payer-specific negotiated charge":"9,485.08","de-identified minimum negotiated charge":"9,485.08","de-identified maximum negotiated charge":"13,917.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"47.99","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"PEACHSTATE-CENTENE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"46.38","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"MEDICARE","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"8,538.46","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.11","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CARESOURCE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"6.64","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"MEDICARE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"5,706.64","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"20.72","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"2","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"MEDICARE","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"8,724.96","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"71.9","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"20.67","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"BC PPO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"44.94","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"AMBETTER","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"12.69","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"PEACHSTATE-CENTENE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"145.34","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"UHC MCARE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"56.87","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"7.35","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PEACHSTATE-CENTENE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"57.3","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"AETNA MCARE MGD CARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"131.8","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.74","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"CIGNA HMO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"179.5","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CHAMPUS TRICARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"63.69","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"KAISER MCARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"228.31","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"CIGNA HMO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"1,386.46","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"UHC PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"90.19","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"CHAMPUS TRICARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"60.59","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"CHAMPUS TRICARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"677.19","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"UHC PPO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"120.13","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CIGNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"58.67","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"BC HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"707.79","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"BC HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"21.72","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"BC PPO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"195.15","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"BC PPO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"589.06","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"BC PPO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"176.43","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"BC PPO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"377.07","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"BC PPO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"704.23","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"CIGNA HMO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"205.66","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CIGNA HMO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"8.27","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"CHAMPUS TRICARE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"52.4","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"BCBS SMARTVALUE PFFS","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.13","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"BCBS SMARTVALUE PFFS","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"40.7","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"UHC MCARE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"45.98","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.62","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"PEACHSTATE-CENTENE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"5.28","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"BC PPO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"192.02","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"BC PPO","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"111.58","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CARESOURCE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"1.53","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"907","code description":"OTHER O.R. PROCEDURES FOR INJURIES W MCC","payer":"MEDICARE","gross charge":"126,739.50","discounted cash price":"31,684.88","payer-specific negotiated charge":"24,605.96","de-identified minimum negotiated charge":"24,605.96","de-identified maximum negotiated charge":"28,666.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"DISORDERS OF THE BILIARY TRACT W MCC","payer":"MEDICARE","gross charge":"80,637.50","discounted cash price":"20,159.38","payer-specific negotiated charge":"10,097.03","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"14,563.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.67","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"PEACHSTATE-CENTENE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"50.4","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86376","code description":"MICROSOMAL ANTIBODY EACH","payer":"AMBETTER","gross charge":"386","discounted cash price":"96.5","payer-specific negotiated charge":"23.38","de-identified minimum negotiated charge":"23.38","de-identified maximum negotiated charge":"283.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"151.72","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"KAISER","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"14.35","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"885","code description":"PSYCHOSES","payer":"MEDICARE","gross charge":"59,807.50","discounted cash price":"14,951.88","payer-specific negotiated charge":"7,954.95","de-identified minimum negotiated charge":"7,745.52","de-identified maximum negotiated charge":"10,890.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CIGNA PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"7.94","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"HUMANA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"186.06","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"UHC HMO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"29.44","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"AETNA HMO","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"91.97","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.63","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2274","code description":"INJ MORPHINE PF EPID ITHC","payer":"WELLCARE MCARE MGD CARE","gross charge":"343.67","discounted cash price":"85.92","payer-specific negotiated charge":"19.73","de-identified minimum negotiated charge":"19.73","de-identified maximum negotiated charge":"156.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"BC PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"220.37","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88321","code description":"MICROSLIDE CONSULTATION","payer":"BC HMO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"199.78","de-identified minimum negotiated charge":"54.43","de-identified maximum negotiated charge":"298.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC MCARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"90.77","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"KAISER SELF-FUNDED","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"47.73","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"WELLCARE MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"20.38","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"MEDICARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"5.85","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.4","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"BC HMO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"700.43","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"MEDICARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"8,954.59","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"PEACHSTATE-CENTENE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"59.05","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"CARESOURCE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"180.95","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AETNA MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.72","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"HUMANA HMO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"30.09","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"22.22","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"BCBS SMARTVALUE PFFS","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"33.69","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"PEACHSTATE-CENTENE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"66.09","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"CHAMPUS TRICARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"18.04","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"BC HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"253.59","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"BC PPO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"217.5","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CHAMPUS TRICARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"25.24","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"AMERIGROUP","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"133.57","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"PEACHSTATE-CENTENE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"80.42","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"24.42","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"18.91","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"CARESOURCE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"33.51","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"UHC HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"28.96","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"UHC HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"27.2","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"5.21","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"521","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"242,607.00","discounted cash price":"60,651.75","payer-specific negotiated charge":"25,486.61","de-identified minimum negotiated charge":"1,372.56","de-identified maximum negotiated charge":"25,486.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.31","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"MEDICARE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"156.58","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"CIGNA PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"140.85","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"CIGNA PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"140.85","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"MEDICAID","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"11.14","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AETNA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"4.68","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"MEDICAID","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"67.33","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"343.84","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"AETNA MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.9","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"CARESOURCE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"55.44","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"MEDICAID","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.35","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"PEACHSTATE-CENTENE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"411.72","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"11,919.83","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"10.4","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE MGD CARE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"45.88","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"823","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W OTHER PROC W MCC","payer":"MEDICARE","gross charge":"90,573.00","discounted cash price":"22,643.25","payer-specific negotiated charge":"23,133.91","de-identified minimum negotiated charge":"11,764.61","de-identified maximum negotiated charge":"23,133.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"UHC HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"132.62","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"UHC HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"132.62","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"UHC PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"12.35","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"UHC MCARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"21.55","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W CC","payer":"MEDICARE","gross charge":"55,048.50","discounted cash price":"13,762.13","payer-specific negotiated charge":"6,518.70","de-identified minimum negotiated charge":"6,233.59","de-identified maximum negotiated charge":"9,220.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83519","code description":"RIA NONANTIBODY","payer":"UHC HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"37.76","de-identified minimum negotiated charge":"18.11","de-identified maximum negotiated charge":"37.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"UHC MCARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"3.95","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"918","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W/O MCC","payer":"MEDICARE","gross charge":"41,857.50","discounted cash price":"10,464.38","payer-specific negotiated charge":"5,317.48","de-identified minimum negotiated charge":"3,741.45","de-identified maximum negotiated charge":"7,613.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"MEDICAID","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"58.91","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"BC PPO","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"105.63","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"605","code description":"TRAUMA TO THE SKIN, SUBCUT TISS \u0026 BREAST W/O MCC","payer":"MEDICARE","gross charge":"49,119.67","discounted cash price":"12,279.92","payer-specific negotiated charge":"6,150.97","de-identified minimum negotiated charge":"5,699.13","de-identified maximum negotiated charge":"7,022.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"BC HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"965.42","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"BC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"26.42","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"HUMANA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"581.18","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"CHAMPUS TRICARE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"26.7","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"AMBETTER","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"82.46","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"PEACHSTATE-CENTENE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"198.97","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"AMBETTER","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"1,401.54","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"MEDICARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"6.47","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"BC HMO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"24.11","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"18.63","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"216.53","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"AETNA PPO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,595.29","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"BC HMO","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"1,513.07","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"AMERIGROUP","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"77.39","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"BCBS SMARTVALUE PFFS","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"454.14","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"UHC HMO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"315.29","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"AMBETTER","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"159.66","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"KAISER MCARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"6.28","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"BC HMO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"52.02","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"BC HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"165.92","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"AMERIGROUP","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"742.08","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMBETTER","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"187.94","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"MEDICARE","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"14,294.84","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"AMERIGROUP","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"2,731.43","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"AMBETTER","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"27.2","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"21.45","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"AMERIGROUP","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"365.12","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CIGNA HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"195.75","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"HUMANA HMO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"817.43","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"64.77","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"UHC HMO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"315.8","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"84.87","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.04","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"UHC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"206.07","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CHAMPUS TRICARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"31.12","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9073","code description":"PLATELETS PHERESIS PATH REDU","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,788.00","discounted cash price":"947","payer-specific negotiated charge":"355.11","de-identified minimum negotiated charge":"355.11","de-identified maximum negotiated charge":"1,018.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"MEDICARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"133","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"AMBETTER","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"32.32","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CLOVER HEALTH","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.21","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"MEDICARE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"5,869.20","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"17.72","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"MEDICAID","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.73","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"CIGNA PPO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"264.23","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"AMERIGROUP","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"250.02","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"394","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W CC","payer":"MEDICARE","gross charge":"81,891.50","discounted cash price":"20,472.88","payer-specific negotiated charge":"6,145.91","de-identified minimum negotiated charge":"5,129.45","de-identified maximum negotiated charge":"8,774.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"MEDICARE","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"8,728.04","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"196","code description":"INTERSTITIAL LUNG DISEASE W MCC","payer":"MEDICARE","gross charge":"117,929.50","discounted cash price":"29,482.38","payer-specific negotiated charge":"10,282.16","de-identified minimum negotiated charge":"6,890.41","de-identified maximum negotiated charge":"17,144.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"5.36","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"UHC HMO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"9.49","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"13,230.59","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"AMERIGROUP","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"13.08","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"313","code description":"CHEST PAIN","payer":"MEDICARE","gross charge":"63,455.50","discounted cash price":"15,863.88","payer-specific negotiated charge":"4,714.52","de-identified minimum negotiated charge":"4,521.34","de-identified maximum negotiated charge":"8,272.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"AETNA HMO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"209.58","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"BC PPO","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"109.23","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CHAMPUS TRICARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"438.55","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"BC HMO","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"515","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"UHC HMO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"363.99","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"HUMANA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"54.11","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"CIGNA HMO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"306.18","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"UHC HMO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"437.19","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82042","code description":"OTHER SOURCE ALBUMIN QUAN EA","payer":"MEDICARE","gross charge":"128.5","discounted cash price":"32.13","payer-specific negotiated charge":"6.79","de-identified minimum negotiated charge":"3.8","de-identified maximum negotiated charge":"38.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"24.33","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"18.25","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"MEDICAID","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"10.2","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"MEDICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"11.57","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"BC HMO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"368.98","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"MEDICAID","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"12.72","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"355","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W/O CC/MCC","payer":"MEDICARE","gross charge":"63,160.50","discounted cash price":"15,790.13","payer-specific negotiated charge":"8,497.44","de-identified minimum negotiated charge":"8,497.44","de-identified maximum negotiated charge":"11,355.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"747","code description":"VAGINA, CERVIX \u0026 VULVA PROCEDURES W/O CC/MCC","payer":"MEDICARE","gross charge":"46,069.00","discounted cash price":"11,517.25","payer-specific negotiated charge":"6,602.57","de-identified minimum negotiated charge":"6,602.57","de-identified maximum negotiated charge":"6,602.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA HMO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"92.53","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"180","code description":"RESPIRATORY NEOPLASMS W MCC","payer":"MEDICARE","gross charge":"159,205.50","discounted cash price":"39,801.38","payer-specific negotiated charge":"11,244.53","de-identified minimum negotiated charge":"4,690.74","de-identified maximum negotiated charge":"14,820.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"AETNA HMO","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"101.78","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"AMBETTER","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"9.64","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"AETNA MCARE MGD CARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"57.4","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"45.16","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"WELLCARE MCARE MGD CARE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"51.57","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"MEDICAID","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"49.2","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"KAISER SELF-FUNDED","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"48.56","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"MEDICARE","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"86.21","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"MEDICARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"7,955.87","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"UHC HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"199.41","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"3","code description":"ECMO OR TRACH W MV \u003e96 HRS OR PDX EXC FACE, MOUTH \u0026 NECK W MAJ O.R.","payer":"MEDICAID","gross charge":"191,745.00","discounted cash price":"47,936.25","payer-specific negotiated charge":"101,596.55","de-identified minimum negotiated charge":"101,596.55","de-identified maximum negotiated charge":"101,596.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70260","code description":"X-RAY EXAM OF SKULL","payer":"MEDICARE","gross charge":"910","discounted cash price":"227.5","payer-specific negotiated charge":"74.83","de-identified minimum negotiated charge":"62.41","de-identified maximum negotiated charge":"195.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"CIGNA PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,077.82","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"KAISER","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"36.24","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"MEDICARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"18.12","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"16.41","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"MEDICAID","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"866.35","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9260","code description":"METHOTREXATE SODIUM INJ","payer":"BC PPO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"29.12","de-identified minimum negotiated charge":"29.12","de-identified maximum negotiated charge":"29.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"MEDICARE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"5.63","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84244","code description":"ASSAY OF RENIN","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"15.07","de-identified minimum negotiated charge":"15.07","de-identified maximum negotiated charge":"48.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMERIGROUP","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"17.41","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"KAISER","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"26.58","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.95","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.51","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.97","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CLOVER HEALTH","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.64","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"49.94","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"442","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC","payer":"MEDICARE","gross charge":"42,333.50","discounted cash price":"10,583.38","payer-specific negotiated charge":"6,446.39","de-identified minimum negotiated charge":"6,446.39","de-identified maximum negotiated charge":"8,875.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"AMBETTER","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"3.26","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"AETNA HMO","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"11.98","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"UHC HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"135.83","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BC PPO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"9.07","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"MEDICAID","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"6.99","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"CARESOURCE","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"22.18","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"MEDICAID","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"10.57","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82088","code description":"ASSAY OF ALDOSTERONE","payer":"UHC MCARE","gross charge":"123","discounted cash price":"30.75","payer-specific negotiated charge":"8.47","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"27.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.53","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"AETNA HMO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"164.97","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"CIGNA PPO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"401.21","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"24.38","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"AMERIGROUP","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"UHC HMO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"419.43","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"KAISER","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"227.91","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"BC PPO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"733.62","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"177.08","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"AETNA MCARE MGD CARE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"6.88","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"MEDICARE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"6,409.80","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"MEDICARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"16.28","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"AMERIGROUP","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"5.64","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"BC HMO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"1,707.44","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"AETNA MCARE MGD CARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"3.97","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"HUMANA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"18.68","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.09","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"CHAMPUS TRICARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"24.2","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"12.3","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"912.68","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"HUMANA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"24.92","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"30.14","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"31.16","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"833.49","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"BC PPO","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"405.68","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"MEDICARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"53.85","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"43.27","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"KAISER","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"90.1","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"BC PPO","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"146.12","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"111.14","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"388","code description":"G.I. OBSTRUCTION W MCC","payer":"MEDICARE","gross charge":"199,621.25","discounted cash price":"49,905.31","payer-specific negotiated charge":"9,531.98","de-identified minimum negotiated charge":"5,362.45","de-identified maximum negotiated charge":"81,840.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"17,322.11","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"AMERIGROUP","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"2.74","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.15","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"AETNA MCARE MGD CARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"62.86","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICARE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"86.72","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"AMERIGROUP","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"56.7","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"KAISER","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"93.2","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"UHC PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"45.89","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"MEDICARE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"9,380.85","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC MCARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"8.39","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"UHC HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"164.13","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"MEDICARE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"12,532.84","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AMERIGROUP","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"29.75","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"BC PPO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"30.08","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"MEDICAID","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"39.6","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"660","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NON-NEOPLASM W CC","payer":"MEDICARE","gross charge":"90,836.50","discounted cash price":"22,709.13","payer-specific negotiated charge":"9,158.14","de-identified minimum negotiated charge":"9,154.40","de-identified maximum negotiated charge":"12,334.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"11.34","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"PEACHSTATE-CENTENE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"12.13","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"MEDICAID","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"91.48","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"HUMANA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"19.81","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CIGNA HMO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"4.11","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"585.11","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"977.8","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"MEDICAID","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"170.52","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"KAISER","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"27.29","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"MEDICARE","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"5,730.45","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CARESOURCE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"15.67","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"9.53","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"UHC HMO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"46.89","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"CIGNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"13.3","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"9.17","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"AETNA MCARE MGD CARE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"280.45","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"CARESOURCE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.95","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"262.54","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"UHC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"74.73","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"26.64","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"BC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"10.55","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"AETNA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"146.57","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"CARESOURCE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"4.2","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC HMO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"336.98","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"516","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W CC","payer":"MEDICARE","gross charge":"80,385.25","discounted cash price":"20,096.31","payer-specific negotiated charge":"11,779.45","de-identified minimum negotiated charge":"11,092.47","de-identified maximum negotiated charge":"15,254.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"KAISER SELF-FUNDED","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"765.91","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"16.97","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"PEACHSTATE-CENTENE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"16.11","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.55","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"BC PPO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"573.66","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"MEDICARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"48.76","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"PEACHSTATE-CENTENE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"46.12","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"444.44","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"PEACHSTATE-CENTENE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"12.88","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"CARESOURCE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"6.28","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"HUMANA HMO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"253.64","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"BCBS SMARTVALUE PFFS","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"31.33","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"BC PPO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"79.65","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"CARESOURCE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"6.92","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CLOVER HEALTH","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"12.19","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"HUMANA HMO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"10.81","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"563","code description":"FX, SPRN, STRN \u0026 DISL EXCEPT FEMUR, HIP, PELVIS \u0026 THIGH W/O MCC","payer":"MEDICARE","gross charge":"62,351.50","discounted cash price":"15,587.88","payer-specific negotiated charge":"6,510.09","de-identified minimum negotiated charge":"5,292.84","de-identified maximum negotiated charge":"8,824.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"184.43","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.6","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"MEDICARE","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"18.88","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"UHC HMO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"527.23","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"MEDICAID","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"92.67","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9045","code description":"CARBOPLATIN INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.1","de-identified minimum negotiated charge":"8.1","de-identified maximum negotiated charge":"8.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"UHC PPO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"270.81","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"WELLCARE MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"5.71","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74330","code description":"X-RAY BILE/PANC ENDOSCOPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,240.00","discounted cash price":"310","payer-specific negotiated charge":"227.45","de-identified minimum negotiated charge":"119.19","de-identified maximum negotiated charge":"318.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"UHC HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"62.92","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"UHC HMO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"199.95","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"BC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"12.93","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"MEDICAID","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"695.29","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"PEACHSTATE-CENTENE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"162.61","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"KAISER","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"28.34","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"AMBETTER","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"426.29","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"BC HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"21.64","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.69","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"PEACHSTATE-CENTENE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"234.6","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"MEDICARE","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"11.85","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"CIGNA HMO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"18.69","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82105","code description":"ALPHA-FETOPROTEIN SERUM","payer":"AETNA MCARE MGD CARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"7.57","de-identified minimum negotiated charge":"1.17","de-identified maximum negotiated charge":"30.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"UHC PPO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"128.04","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"WELLCARE MCARE MGD CARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"10.65","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"PEACHSTATE-CENTENE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"109.61","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"BCBS SMARTVALUE PFFS","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.8","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"MEDICARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"7,429.51","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"AETNA MCARE MGD CARE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"246.79","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CIGNA HMO","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"17.65","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"6.85","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"MEDICARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"48.1","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"377","code description":"G.I. HEMORRHAGE W MCC","payer":"MEDICARE","gross charge":"299,185.50","discounted cash price":"74,796.38","payer-specific negotiated charge":"11,121.60","de-identified minimum negotiated charge":"4,261.98","de-identified maximum negotiated charge":"66,681.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"KAISER MCARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"92.71","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"661","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC","payer":"MEDICARE","gross charge":"43,293.50","discounted cash price":"10,823.38","payer-specific negotiated charge":"7,513.13","de-identified minimum negotiated charge":"7,513.13","de-identified maximum negotiated charge":"7,513.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"UHC HMO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"437.25","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"PEACHSTATE-CENTENE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"10.67","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"163.41","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"BC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"6.03","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"UHC HMO","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"7.57","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"393","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC","payer":"MEDICARE","gross charge":"101,432.00","discounted cash price":"25,358.00","payer-specific negotiated charge":"10,426.62","de-identified minimum negotiated charge":"10,370.95","de-identified maximum negotiated charge":"15,376.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"CHAMPUS TRICARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"34.3","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"331","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W/O CC/MCC","payer":"MEDICARE","gross charge":"153,028.00","discounted cash price":"38,257.00","payer-specific negotiated charge":"10,677.81","de-identified minimum negotiated charge":"10,677.81","de-identified maximum negotiated charge":"14,383.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"52.81","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"11,787.37","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"CHAMPUS TRICARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"385.33","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"14.13","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"MEDICARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"5.74","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78831","code description":"RP LOCLZJ TUM SPECT 2 AREAS","payer":"BC PPO","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"2,158.15","de-identified minimum negotiated charge":"776.87","de-identified maximum negotiated charge":"2,158.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"MEDICARE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"8,372.09","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"CHAMPUS TRICARE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"240.01","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"AMERIGROUP","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"10.69","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"BC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"17.13","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"KAISER MCARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"6.05","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"19.59","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"CIGNA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"25.18","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"UHC MCARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"10.14","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"56.77","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"BC HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"22","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"HUMANA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"32.34","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"CIGNA HMO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"41.44","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"172.15","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"HUMANA HMO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"50.97","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"167","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W CC","payer":"MEDICARE","gross charge":"103,599.50","discounted cash price":"25,899.88","payer-specific negotiated charge":"11,451.24","de-identified minimum negotiated charge":"11,451.24","de-identified maximum negotiated charge":"16,146.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86617","code description":"LYME DISEASE ANTIBODY","payer":"MEDICARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"5.7","de-identified minimum negotiated charge":"5.7","de-identified maximum negotiated charge":"6.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"AMERIGROUP","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"110.58","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"MEDICAID","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"45.41","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"AETNA HMO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"256.34","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"BC PPO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"795.74","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"UHC HMO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"793.25","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CARESOURCE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"29.9","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"AMBETTER","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.04","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"AETNA MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.89","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"AMERIGROUP","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"14.75","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"12.44","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"144.24","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"MEDICARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"22.01","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"MEDICAID","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"60.31","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"163.86","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"UHC PPO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"299.73","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"KAISER SELF-FUNDED","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"22.18","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74330","code description":"X-RAY BILE/PANC ENDOSCOPY","payer":"MEDICARE","gross charge":"1,240.00","discounted cash price":"310","payer-specific negotiated charge":"160.22","de-identified minimum negotiated charge":"119.19","de-identified maximum negotiated charge":"318.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"186","code description":"PLEURAL EFFUSION W MCC","payer":"MEDICARE","gross charge":"69,081.83","discounted cash price":"17,270.46","payer-specific negotiated charge":"9,782.40","de-identified minimum negotiated charge":"9,722.72","de-identified maximum negotiated charge":"9,901.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"29.17","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J9267","code description":"PACLITAXEL INJECTION","payer":"MEDICARE","gross charge":"3","discounted cash price":"0.75","payer-specific negotiated charge":"0.26","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"0.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.6","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"HUMANA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"179.97","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"BC PPO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"57.29","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AETNA MCARE PFFS","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"78.55","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"AETNA MCARE MGD CARE","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"97.33","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"23.04","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"MEDICARE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"60.84","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86780","code description":"TREPONEMA PALLIDUM","payer":"AETNA HMO","gross charge":"124","discounted cash price":"31","payer-specific negotiated charge":"39.03","de-identified minimum negotiated charge":"4.89","de-identified maximum negotiated charge":"90.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"MEDICAID","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"26.42","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2354","code description":"OCTREOTIDE INJ, NON-DEPOT","payer":"UHC HMO","gross charge":"18","discounted cash price":"4.5","payer-specific negotiated charge":"3.43","de-identified minimum negotiated charge":"0.77","de-identified maximum negotiated charge":"3.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"CARESOURCE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"222.47","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"PEACHSTATE-CENTENE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"596.78","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"HUMANA HMO","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"25.02","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"CIGNA HMO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"73.5","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"MEDICARE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"9,326.61","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"UHC HMO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"24.11","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"AMERIGROUP","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"62.44","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"AETNA HMO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"391.5","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"AMERIGROUP","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"56.31","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86147","code description":"CARDIOLIPIN ANTIBODY EA IG","payer":"MEDICARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"11.83","de-identified minimum negotiated charge":"5.63","de-identified maximum negotiated charge":"46.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"18.97","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"CARESOURCE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"30.74","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"UHC HMO","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"207.29","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"MULTI-PLAN","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"387.6","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"PEACHSTATE-CENTENE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"32.17","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"HUMANA HMO","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"45.46","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"143.36","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"MEDICAID","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"331.93","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CHAMPUS TRICARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"14.75","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"13.99","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"AETNA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"784.4","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"BC HMO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"39.68","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"AMERIGROUP","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"441.34","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"BC PPO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"258.81","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"BC PPO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"3,434.35","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"CIGNA HMO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"378.92","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"UHC HMO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,548.40","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"HUMANA HMO","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"1,020.10","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"UHC MCARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"1.95","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"AETNA HMO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"4.02","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"MEDICARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"21.49","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"PEACHSTATE-CENTENE","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"103.79","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"MEDICAID","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"320.95","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"65.4","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"MEDICAID","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"534.96","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"BC PPO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"22.74","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"5.98","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"AETNA HMO","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"1,005.86","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"MEDICAID","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"45.87","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"AETNA PPO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"100.83","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"CHAMPUS TRICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.01","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"UHC MCARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.95","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"380","code description":"COMPLICATED PEPTIC ULCER W MCC","payer":"MEDICARE","gross charge":"64,017.50","discounted cash price":"16,004.38","payer-specific negotiated charge":"11,773.91","de-identified minimum negotiated charge":"11,773.91","de-identified maximum negotiated charge":"15,728.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"KAISER","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"95.79","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AETNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"24.18","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"BCBS SMARTVALUE PFFS","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.4","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"MEDICARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"9,126.47","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"KAISER MCARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.53","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"MEDICAID","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"983.42","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"WELLCARE MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"16.66","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"UHC MCARE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"3.52","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"CHAMPUS TRICARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"59.01","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"MEDICARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"317.78","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"CARESOURCE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"162.2","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"108.9","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"MEDICAID","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"112.95","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"MEDICARE","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"37.26","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"6.84","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"CARESOURCE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"122.69","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CIGNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"30.14","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"KAISER","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"112.13","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.18","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"MEDICAID","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"98.99","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"44.64","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"CARESOURCE","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"124.86","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"WELLCARE MCARE MGD CARE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"59.15","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"368","code description":"MAJOR ESOPHAGEAL DISORDERS W MCC","payer":"MEDICARE","gross charge":"89,059.00","discounted cash price":"22,264.75","payer-specific negotiated charge":"12,162.93","de-identified minimum negotiated charge":"7,605.67","de-identified maximum negotiated charge":"15,317.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"AMBETTER","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"972.65","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"PEACHSTATE-CENTENE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"3.82","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"CIGNA PPO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"397.2","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"AETNA MCARE MGD CARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"13.26","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"UHC MCARE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"14.12","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"UHC MCARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"82.16","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"HUMANA HMO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"667.9","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"PEACHSTATE-CENTENE","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"62.76","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"UHC MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"MEDICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"3.84","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"PEACHSTATE-CENTENE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"31.93","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"WELLCARE MCARE MGD CARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"3.57","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"233.01","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"742","code description":"UTERINE \u0026 ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC","payer":"MEDICARE","gross charge":"121,206.75","discounted cash price":"30,301.69","payer-specific negotiated charge":"11,681.53","de-identified minimum negotiated charge":"11,681.53","de-identified maximum negotiated charge":"13,684.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC MCARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"3.06","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"43.62","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"AMBETTER","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"8.27","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"AETNA MCARE MGD CARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"11.26","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"30.49","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"UHC HMO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"156.1","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AMBETTER","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"5.42","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"BC PPO","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"180.93","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"BC HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"130.89","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.96","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"AMERIGROUP","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"35.99","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"MEDICARE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"11,339.17","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"MEDICAID","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"14.77","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"KAISER PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"41.47","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"23.15","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"268.93","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"292","code description":"HEART FAILURE \u0026 SHOCK W CC","payer":"MEDICARE","gross charge":"49,807.00","discounted cash price":"12,451.75","payer-specific negotiated charge":"6,659.99","de-identified minimum negotiated charge":"5,609.04","de-identified maximum negotiated charge":"8,761.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"HUMANA HMO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"133.54","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"HUMANA HMO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,492.59","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"BC PPO","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"229.04","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"HUMANA PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"532.24","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"CIGNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"31.93","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"MEDICARE","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"10,032.97","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"UHC MCARE","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"32.01","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49450","code description":"REPLACE G/C TUBE PERC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"88.75","de-identified minimum negotiated charge":"88.75","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"KAISER MCARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"399.73","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"MEDICAID","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"552.03","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"19.54","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"AETNA PPO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"562.34","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"340.15","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"CIGNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"13.89","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"AMBETTER","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"685.35","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"MULTI-PLAN","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"8.03","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"23.15","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"AMERIGROUP","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"66.58","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86665","code description":"EPSTEIN-BARR CAPSID VCA","payer":"CARESOURCE","gross charge":"197","discounted cash price":"49.25","payer-specific negotiated charge":"20.94","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"31.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"CIGNA PPO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"720.9","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"KAISER","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.56","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"BC HMO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"104.02","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"AETNA MCARE MGD CARE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"90.77","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"AETNA MCARE MGD CARE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"21.08","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"219.29","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CHAMPUS TRICARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.97","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"CARESOURCE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"81.89","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.84","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"13.14","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"UHC PPO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"115.46","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"HUMANA HMO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"42.24","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"UHC HMO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"114.95","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"64.35","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"AETNA HMO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"87.85","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"CHAMPUS TRICARE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"12.34","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"25.99","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"BC PPO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,315.76","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"HUMANA HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"14.82","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"CIGNA HMO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"16.47","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"17.01","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"BC HMO","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.7","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"BCBS SMARTVALUE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.8","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"PEACHSTATE-CENTENE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"27.94","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"26.79","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"PHCS","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"10.97","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"CARESOURCE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"26.08","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"CARESOURCE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"21.1","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"328","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W/O CC/MCC","payer":"MEDICARE","gross charge":"90,333.50","discounted cash price":"22,583.38","payer-specific negotiated charge":"10,748.00","de-identified minimum negotiated charge":"9,796.04","de-identified maximum negotiated charge":"13,548.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.18","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"KAISER","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"219.11","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"UHC HMO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"289.47","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"CHAMPUS TRICARE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"59.72","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"AMBETTER","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"85.52","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0897","code description":"DENOSUMAB INJECTION","payer":"UHC HMO","gross charge":"133.38","discounted cash price":"33.35","payer-specific negotiated charge":"64.51","de-identified minimum negotiated charge":"64.51","de-identified maximum negotiated charge":"64.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"33.72","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"AETNA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"789.53","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"58.66","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"CIGNA HMO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"109.98","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"MEDICARE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"7,787.65","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"UHC MCARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"4.89","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,037.66","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"MEDICARE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"10,178.29","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"KAISER","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"75.44","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"UHC HMO","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"40.81","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"19.03","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"UHC HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"114.31","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"MEDICAID","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"3.89","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"31.33","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"MEDICAID","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"333.85","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"MEDICARE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"384.56","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"BC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"91.61","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"134.24","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"AETNA MCARE MGD CARE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"46.83","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"BC PPO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"61.49","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.67","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"58.76","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"AMERIGROUP","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"30","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"AETNA MCARE MGD CARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"49.72","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"AMBETTER","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"109.68","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"WELLCARE MCARE MGD CARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"5.64","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"AETNA HMO","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"113.11","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"AETNA HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"113.31","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"BC HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"231.76","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"BC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"142.19","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"AETNA PPO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"89.89","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"554","code description":"BONE DISEASES \u0026 ARTHROPATHIES W/O MCC","payer":"MEDICARE","gross charge":"53,085.50","discounted cash price":"13,271.38","payer-specific negotiated charge":"6,454.84","de-identified minimum negotiated charge":"4,963.88","de-identified maximum negotiated charge":"7,945.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"19.94","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"HUMANA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"632.98","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"AETNA HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"25.57","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"AMBETTER","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"598.94","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"KAISER","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"64.06","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"KAISER","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"283.02","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"MEDICARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.17","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.49","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"BC PPO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"226.15","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"CHAMPUS TRICARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"53.69","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"AETNA MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"7.77","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"5.91","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CHAMPUS TRICARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"24.74","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"AETNA MCARE MGD CARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"9.42","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"AMBETTER","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"20.66","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"UHC MCARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"MEDICAID","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"121.69","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,853.40","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"55.99","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"CHAMPUS TRICARE","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"422.9","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CARESOURCE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"47.3","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"HUMANA HMO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"15.23","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"KAISER MCARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"257.58","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BCBS SMARTVALUE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"26.86","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CHAMPUS TRICARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"97.16","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88365","code description":"INSITU HYBRIDIZATION (FISH)","payer":"MEDICARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"33.78","de-identified minimum negotiated charge":"33.78","de-identified maximum negotiated charge":"120.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"BC PPO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"28.48","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"60.39","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"AETNA MCARE MGD CARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"149.5","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.35","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"UHC PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"122.2","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"MEDICARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"12.37","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"MEDICARE","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"9.89","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"316.16","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95910","code description":"NRV CNDJ TEST 7-8 STUDIES","payer":"MEDICARE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"118.9","de-identified minimum negotiated charge":"113.59","de-identified maximum negotiated charge":"1,197.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"UHC HMO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,049.87","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"AMBETTER","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"9.16","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"CIGNA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"79.87","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"BC PPO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"126.49","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"MEDICARE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"9,611.40","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"326.89","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"UHC HMO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"91.83","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.47","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"PEACHSTATE-CENTENE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"42.48","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"HUMANA HMO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"221.76","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.25","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"AMERIGROUP","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"44.8","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"MULTI-PLAN","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"20.08","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"CARESOURCE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"21.64","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83835","code description":"ASSAY OF METANEPHRINES","payer":"MEDICARE","gross charge":"112","discounted cash price":"28","payer-specific negotiated charge":"11","de-identified minimum negotiated charge":"11","de-identified maximum negotiated charge":"38.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"KAISER","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.29","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"AETNA MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.96","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.62","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"AETNA HMO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"18.97","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"AETNA MCARE MGD CARE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"8.56","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.41","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.49","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"16.09","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"BC PPO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"68.47","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"MEDICAID","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"12.09","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"336","code description":"PERITONEAL ADHESIOLYSIS W CC","payer":"MEDICARE","gross charge":"109,220.50","discounted cash price":"27,305.13","payer-specific negotiated charge":"14,292.88","de-identified minimum negotiated charge":"14,292.88","de-identified maximum negotiated charge":"14,292.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MULTI-PLAN","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"45.97","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"BC PPO","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"1,515.77","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"CARESOURCE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"467.86","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMERIGROUP","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"82.3","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"22.48","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"FIRST HLTH NTWK","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"159.75","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"AMERIGROUP","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"10.67","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"MEDICARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"199.25","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"AMERIGROUP","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"25.99","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"AETNA MCARE MGD CARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"44.85","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"BC PPO","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,613.74","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AMBETTER","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"187.92","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"BC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"61.62","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"WELLCARE MCARE MGD CARE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"48.7","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"194.37","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"UHC MCARE","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"9.61","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"329","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W MCC","payer":"MEDICARE","gross charge":"259,669.00","discounted cash price":"64,917.25","payer-specific negotiated charge":"29,827.41","de-identified minimum negotiated charge":"26,606.22","de-identified maximum negotiated charge":"34,715.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"MEDICARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"69.09","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0439","code description":"PPPS, SUBSEQ VISIT","payer":"AETNA MCARE MGD CARE","gross charge":"380","discounted cash price":"95","payer-specific negotiated charge":"96.96","de-identified minimum negotiated charge":"96.96","de-identified maximum negotiated charge":"202.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"UHC MCARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.57","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"KAISER SELF-FUNDED","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"30.66","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CIGNA HMO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"716.52","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"639.38","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"UHC MCARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"3.82","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"580","code description":"OTHER SKIN, SUBCUT TISS \u0026 BREAST PROC W CC","payer":"MEDICARE","gross charge":"93,373.00","discounted cash price":"23,343.25","payer-specific negotiated charge":"10,791.72","de-identified minimum negotiated charge":"10,791.72","de-identified maximum negotiated charge":"10,791.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"HUMANA HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"113.56","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"MEDICAID","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"47.03","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"AETNA PPO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,095.85","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"BC PPO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"334.65","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"UHC MCARE","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"17.11","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"UHC PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"9.22","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CHAMPUS TRICARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"56.77","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"36.85","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"MEDICARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"14,262.56","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"AMERIGROUP","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"9.16","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"HUMANA HMO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"48.08","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"28.69","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"53.4","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"18,631.14","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"AETNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"5.12","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"48.37","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"KAISER","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"73.69","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"353.16","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"AMBETTER","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.25","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"MEDICAID","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"503.34","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"BC HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"47.36","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70150","code description":"X-RAY EXAM OF FACIAL BONES","payer":"MEDICARE","gross charge":"759","discounted cash price":"189.75","payer-specific negotiated charge":"61.88","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"470.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75726","code description":"ARTERY X-RAYS ABDOMEN","payer":"UHC HMO","gross charge":"10,686.00","discounted cash price":"2,671.50","payer-specific negotiated charge":"2,556.63","de-identified minimum negotiated charge":"1,301.50","de-identified maximum negotiated charge":"2,556.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"PHCS","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"1,710.75","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"BC HMO","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"64.09","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"PEACHSTATE-CENTENE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"6.71","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"AMBETTER","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"42.99","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"BC PPO","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"2,661.50","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"AMBETTER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.07","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"AETNA MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"176.91","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"AMERIGROUP","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"10.33","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"BC PPO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"2,586.69","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W CC","payer":"MEDICARE","gross charge":"74,688.75","discounted cash price":"18,672.19","payer-specific negotiated charge":"6,375.12","de-identified minimum negotiated charge":"4,799.64","de-identified maximum negotiated charge":"7,950.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"BC PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"92.36","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"641","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","payer":"MEDICAID","gross charge":"61,906.50","discounted cash price":"15,476.63","payer-specific negotiated charge":"5,340.68","de-identified minimum negotiated charge":"3,663.31","de-identified maximum negotiated charge":"7,690.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"MEDICARE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"279.93","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"MEDICARE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"11.86","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"CARESOURCE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"94.11","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"BC PPO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"148.54","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"MEDICAID","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"6.32","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.88","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"HUMANA HMO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"87.38","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"CIGNA HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"61.12","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"BCBS SMARTVALUE PFFS","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"22.61","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"KAISER MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.32","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"UHC MCARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"25.26","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"UHC MCARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"25.26","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.16","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"673","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W MCC","payer":"MEDICARE","gross charge":"292,426.50","discounted cash price":"73,106.63","payer-specific negotiated charge":"22,221.57","de-identified minimum negotiated charge":"18,296.46","de-identified maximum negotiated charge":"41,738.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.69","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"91","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W MCC","payer":"MEDICARE","gross charge":"57,677.00","discounted cash price":"14,419.25","payer-specific negotiated charge":"11,535.94","de-identified minimum negotiated charge":"10,395.51","de-identified maximum negotiated charge":"14,320.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"HUMANA HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"21.65","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"842.21","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"AMBETTER","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"244.46","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"HUMANA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"55.91","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"AETNA MCARE MGD CARE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"217.54","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"AETNA HMO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"20.21","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"MEDICAID","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"8.95","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"WELLCARE MCARE MGD CARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"97.45","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"MEDICARE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"74.97","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3240","code description":"THYROTROPIN INJECTION","payer":"CIGNA HMO","gross charge":"9,905.00","discounted cash price":"2,476.25","payer-specific negotiated charge":"6,240.15","de-identified minimum negotiated charge":"4,905.11","de-identified maximum negotiated charge":"6,294.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CHAMPUS TRICARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"49.41","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"604","code description":"TRAUMA TO THE SKIN, SUBCUT TISS \u0026 BREAST W MCC","payer":"MEDICARE","gross charge":"29,544.50","discounted cash price":"7,386.13","payer-specific negotiated charge":"9,308.34","de-identified minimum negotiated charge":"9,308.34","de-identified maximum negotiated charge":"9,308.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"MEDICARE","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"113.34","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"KAISER MCARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"478.5","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"CIGNA HMO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"311.85","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"BC HMO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"222.14","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"BCBS SMARTVALUE PFFS","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"55.82","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES","payer":"MEDICARE","gross charge":"136,809.83","discounted cash price":"34,202.46","payer-specific negotiated charge":"15,056.56","de-identified minimum negotiated charge":"14,880.47","de-identified maximum negotiated charge":"18,484.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"BC HMO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"6.25","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CARESOURCE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"12.79","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"CARESOURCE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"21.56","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"AMERIGROUP","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"80.79","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.33","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"16.92","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"CIGNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"32.02","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"UHC HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"129.06","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"PEACHSTATE-CENTENE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"59.23","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"MEDICAID","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"96.52","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"MEDICAID","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"50.05","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"240.7","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"CARESOURCE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"826.92","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"AMBETTER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"32.64","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"43.25","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"PEACHSTATE-CENTENE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"103.69","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"AMERIGROUP","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"56.97","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"PEACHSTATE-CENTENE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"79.58","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"MEDICAID","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,040.97","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CHAMPUS TRICARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"6.73","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"MEDICARE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"126.25","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"AETNA MCARE MGD CARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"45.44","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95913","code description":"NRV CNDJ TEST 13/\u003e STUDIES","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,982.00","discounted cash price":"745.5","payer-specific negotiated charge":"286.01","de-identified minimum negotiated charge":"199.81","de-identified maximum negotiated charge":"2,057.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"MEDICAID","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"16.29","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"435","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"141,000.00","discounted cash price":"35,250.00","payer-specific negotiated charge":"14,140.82","de-identified minimum negotiated charge":"10,944.83","de-identified maximum negotiated charge":"14,462.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"BC PPO","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"107.43","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"BC HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"17.47","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"UHC HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"483.2","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"AMBETTER","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"399.71","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"105.27","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"MEDICAID","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"7.95","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CIGNA PPO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"3.87","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"31,882.22","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"BC PPO","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"27.06","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"UHC MCARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"19.63","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9250","code description":"ARTISS FIBRIN SEALANT","payer":"AETNA MCARE MGD CARE","gross charge":"787","discounted cash price":"196.75","payer-specific negotiated charge":"54.27","de-identified minimum negotiated charge":"54.27","de-identified maximum negotiated charge":"264.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"MEDICAID","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"30.92","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"CHAMPUS TRICARE","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"86.27","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"674","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W CC","payer":"MEDICARE","gross charge":"75,675.00","discounted cash price":"18,918.75","payer-specific negotiated charge":"15,178.45","de-identified minimum negotiated charge":"15,000.71","de-identified maximum negotiated charge":"17,629.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"AMERIGROUP","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"2.55","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"BC HMO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"27.9","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"20.92","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"AETNA MCARE MGD CARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"69.53","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"AMBETTER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"29.25","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"22.94","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"UHC MCARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"176.54","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"MEDICARE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"7.46","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"51.15","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"BC PPO","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"86.47","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"WELLCARE MCARE MGD CARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"5.13","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"BC PPO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"25.73","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"FIRST HLTH NTWK","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"78.8","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CARESOURCE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"125.05","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"BC PPO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"133.7","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CARESOURCE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"121.49","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"200.94","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"31.48","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"322.56","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"WELLCARE MCARE MGD CARE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"25.98","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"BC HMO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"252.45","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"KAISER","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"71.2","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22514","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"MEDICARE","gross charge":"18,295.00","discounted cash price":"4,573.75","payer-specific negotiated charge":"4,558.59","de-identified minimum negotiated charge":"4,103.62","de-identified maximum negotiated charge":"4,604.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"CARESOURCE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"684.98","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"KAISER MCARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"23.15","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"AMBETTER","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"26.66","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"MEDICARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"63.84","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"54.64","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"UHC HMO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"350.96","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"BC HMO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"3,590.79","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"10,441.43","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CHAMPUS TRICARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"18.48","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"KAISER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"48.19","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,503.04","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"643","code description":"ENDOCRINE DISORDERS W MCC","payer":"MEDICARE","gross charge":"81,849.00","discounted cash price":"20,462.25","payer-specific negotiated charge":"11,113.44","de-identified minimum negotiated charge":"5,447.61","de-identified maximum negotiated charge":"17,235.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"UHC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"80.39","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"16.73","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86320","code description":"SERUM IMMUNOELECTROPHORESIS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"10.39","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"31.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"MEDICARE","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"7,963.30","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"AMERIGROUP","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"80.92","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"PEACHSTATE-CENTENE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"841.14","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"HUMANA HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"108.6","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"UHC HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"133.28","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"PEACHSTATE-CENTENE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"83.48","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"AETNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"14.18","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"MEDICARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"16,050.59","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"103.47","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"AETNA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"73.52","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.25","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.21","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"BC HMO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"665.81","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"MEDICAID","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"7.51","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"CIGNA PPO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"742.22","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"MEDICAID","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"8,352.28","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CHAMPUS TRICARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"17.26","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"BC PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"36.82","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"57.31","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"AETNA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,084.58","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"AMERIGROUP","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.76","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"AMERIGROUP","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"18.02","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"UHC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"22.24","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.04","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CIGNA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"97.89","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"CIGNA HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"171.13","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"PEACHSTATE-CENTENE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"362.69","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"AMERIGROUP","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"76.46","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"AMBETTER","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"42","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"UHC HMO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"391.01","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"KAISER MCARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"22.03","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"CARESOURCE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"19.52","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"109.42","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"AMBETTER","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"85.92","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"MEDICAID","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"169.26","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.35","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"UHC MCARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"53","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"UHC MCARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"53","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"UHC MCARE","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"201.53","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"17.92","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"KAISER MCARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.6","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"UHC HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"331.86","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"MEDICARE","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"15.33","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"MEDICAID","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"211.86","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CHAMPUS TRICARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"44.15","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"CHAMPUS TRICARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"38.68","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"KAISER","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"AMERIGROUP","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"112.42","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"KAISER MCARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"4.43","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.73","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"CARESOURCE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"22.17","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"UHC HMO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"48.46","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AMBETTER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"18.43","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.04","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"HUMANA HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"687.37","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"UHC PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"746.48","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"KAISER","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"225.52","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"BC HMO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"335.14","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"AMBETTER","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"279.33","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"PHCS","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"600.38","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"38.08","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"HUMANA PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"76.44","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC","payer":"MEDICARE","gross charge":"80,152.50","discounted cash price":"20,038.13","payer-specific negotiated charge":"11,363.05","de-identified minimum negotiated charge":"10,364.07","de-identified maximum negotiated charge":"13,767.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"UHC HMO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"481.32","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"AETNA HMO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"391.23","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"BC HMO","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"1,729.28","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"HUMANA HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"238.95","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"CIGNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"366.66","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"PEACHSTATE-CENTENE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"141.46","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"UHC MCARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"190.49","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"KAISER","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"191.42","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"PEACHSTATE-CENTENE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"159.08","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"232.56","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"MEDICAID","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"6,759.27","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"CARESOURCE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.56","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"CHAMPUS TRICARE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"63.72","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"BCBS SMARTVALUE PFFS","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"4,924.54","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.22","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"PEACHSTATE-CENTENE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.96","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"2.83","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"CIGNA HMO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"642.2","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"BC PPO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"308.21","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74450","code description":"X-RAY URETHRA/BLADDER","payer":"UHC HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"338.15","de-identified minimum negotiated charge":"338.15","de-identified maximum negotiated charge":"338.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"UHC PPO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"23.4","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"AMERIGROUP","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"11.33","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BC PPO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"64.82","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"MEDICARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"167.7","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"CHAMPUS TRICARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"45.16","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"UHC MCARE","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"30.92","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"MEDICAID","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"84.59","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.48","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"AETNA HMO","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"5.22","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"PEACHSTATE-CENTENE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"561.93","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"AMERIGROUP","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"10.58","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"WELLCARE MCARE MGD CARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"43.18","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"CARESOURCE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"201.46","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"BC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"51.98","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"BC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"51.98","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,108.88","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"99.11","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"MEDICAID","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"16.69","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"79.48","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"KAISER MCARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"23.24","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"KAISER SELF-FUNDED","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,142.49","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"BCBS SMARTVALUE PFFS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"23.93","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"AMBETTER","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"183.41","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"HUMANA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.37","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.28","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"MEDICARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"12.93","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"CHAMPUS TRICARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"57.92","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"CIGNA HMO","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"371.7","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"BC PPO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"2,487.67","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72020","code description":"X-RAY EXAM OF SPINE 1 VIEW","payer":"MEDICARE","gross charge":"520","discounted cash price":"130","payer-specific negotiated charge":"39.15","de-identified minimum negotiated charge":"39.15","de-identified maximum negotiated charge":"39.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"327","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W CC","payer":"MEDICARE","gross charge":"73,920.00","discounted cash price":"18,480.00","payer-specific negotiated charge":"16,589.69","de-identified minimum negotiated charge":"16,589.69","de-identified maximum negotiated charge":"16,589.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CIGNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"74.15","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"BC PPO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,502.96","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"842.21","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"427.05","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"164","code description":"MAJOR CHEST PROCEDURES W CC","payer":"MEDICARE","gross charge":"115,329.50","discounted cash price":"28,832.38","payer-specific negotiated charge":"16,866.63","de-identified minimum negotiated charge":"16,866.63","de-identified maximum negotiated charge":"34,647.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"UHC MCARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"22.74","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"KAISER","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"761.39","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74430","code description":"CONTRAST X-RAY BLADDER","payer":"BC PPO","gross charge":"600","discounted cash price":"150","payer-specific negotiated charge":"241.24","de-identified minimum negotiated charge":"241.24","de-identified maximum negotiated charge":"359.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"MEDICAID","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"639.37","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"553","code description":"BONE DISEASES \u0026 ARTHROPATHIES W MCC","payer":"MEDICARE","gross charge":"37,876.75","discounted cash price":"9,469.19","payer-specific negotiated charge":"10,702.24","de-identified minimum negotiated charge":"8,602.94","de-identified maximum negotiated charge":"12,801.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"CHAMPUS TRICARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"63.85","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.58","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"CARESOURCE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"78.06","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"59.23","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"AMBETTER","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"111.02","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"MEDICARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"249.96","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"60.63","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"CIGNA HMO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"26.96","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"UHC HMO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"22.69","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,576.81","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"MEDICARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"106.02","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"AMERIGROUP","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"10.56","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"UHC MCARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"5.46","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"86.57","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"47.03","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"UHC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,560.49","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"13.86","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMBETTER","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"122.3","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"UHC HMO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"169.2","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC","payer":"MEDICARE","gross charge":"180,854.00","discounted cash price":"45,213.50","payer-specific negotiated charge":"20,011.97","de-identified minimum negotiated charge":"18,897.33","de-identified maximum negotiated charge":"22,355.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"UHC HMO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"252.63","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CLOVER HEALTH","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"33.31","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CIGNA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"842.07","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"MEDICARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"54.32","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"11.79","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"UHC HMO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"280.1","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"AETNA MCARE MGD CARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"59.54","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"AMERIGROUP","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"72.62","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82525","code description":"ASSAY OF COPPER","payer":"MEDICARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"9.71","de-identified minimum negotiated charge":"2.07","de-identified maximum negotiated charge":"28.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"PEACHSTATE-CENTENE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"124.69","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"BC HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,260.52","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"AMERIGROUP","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"62.4","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"656","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NEOPLASM W MCC","payer":"MEDICARE","gross charge":"209,351.50","discounted cash price":"52,337.88","payer-specific negotiated charge":"20,478.00","de-identified minimum negotiated charge":"20,478.00","de-identified maximum negotiated charge":"24,190.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"AMERIGROUP","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"74.53","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"AETNA MCARE MGD CARE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"2.61","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"CARESOURCE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"50.77","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"AMERIGROUP","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"78.27","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"CARESOURCE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"41.14","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"UHC PPO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"112","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.36","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"BC PPO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"263.49","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AMERIGROUP","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"3.17","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"439.04","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"HUMANA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"81.08","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"AETNA HMO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"40.52","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"HUMANA HMO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"171.42","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"PEACHSTATE-CENTENE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"65.79","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.55","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"28.42","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CIGNA PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"19.81","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"PEACHSTATE-CENTENE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"40.85","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"MEDICAID","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"63.69","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"164.94","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"AETNA HMO","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"501.75","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CIGNA HMO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"19.96","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"KAISER","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"87.26","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"PEACHSTATE-CENTENE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"10.65","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"25.01","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"100.88","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CARESOURCE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"22.65","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"AETNA HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"193.66","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"BC PPO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"116.1","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"AMERIGROUP","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"30.8","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"872.75","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"PEACHSTATE-CENTENE","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"86.32","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"205.25","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"HUMANA HMO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"67.46","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"CIGNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"36.17","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"238.83","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74283","code description":"THER NMA RDCTJ INTUS/OBSTRCJ","payer":"MEDICARE","gross charge":"1,519.00","discounted cash price":"379.75","payer-specific negotiated charge":"125.07","de-identified minimum negotiated charge":"115.75","de-identified maximum negotiated charge":"897.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"UHC MCARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.6","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80198","code description":"ASSAY OF THEOPHYLLINE","payer":"MEDICARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"20.7","de-identified minimum negotiated charge":"10.36","de-identified maximum negotiated charge":"20.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"PEACHSTATE-CENTENE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"209.23","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87880","code description":"STREP A ASSAY W/OPTIC","payer":"CARESOURCE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"19.69","de-identified minimum negotiated charge":"11.26","de-identified maximum negotiated charge":"19.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"UHC MCARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"30.92","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AMERIGROUP","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.67","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"MEDICAID","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"207.65","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CARESOURCE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"13.4","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"MEDICAID","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"80.42","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"CARESOURCE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"138.1","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"KAISER MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"8.23","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"KAISER SELF-FUNDED","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"59.41","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"418","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC","payer":"MEDICARE","gross charge":"80,165.50","discounted cash price":"20,041.38","payer-specific negotiated charge":"11,789.02","de-identified minimum negotiated charge":"10,537.51","de-identified maximum negotiated charge":"15,340.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"MEDICARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"13.1","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.16","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"CHAMPUS TRICARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"53.39","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"UHC MCARE","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"148.69","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"74.55","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"HUMANA PPO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"28.83","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,366.06","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"105.36","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"121.51","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"BC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"12.77","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"PEACHSTATE-CENTENE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"30.25","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"UHC MCARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"6.2","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AMBETTER","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"95.84","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"16.54","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"3.55","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9059","code description":"PLASMA, FRZ BETWEEN 8-24HOUR","payer":"AETNA HMO","gross charge":"331","discounted cash price":"82.75","payer-specific negotiated charge":"94.8","de-identified minimum negotiated charge":"31.82","de-identified maximum negotiated charge":"95.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.97","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CHAMPUS TRICARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"64.47","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"MULTI-PLAN","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"118.25","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"AMERIGROUP","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"34.44","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"493","code description":"LOWER EXTREM \u0026 HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC","payer":"MEDICARE","gross charge":"278,549.00","discounted cash price":"69,637.25","payer-specific negotiated charge":"15,390.44","de-identified minimum negotiated charge":"15,390.44","de-identified maximum negotiated charge":"31,370.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"BC HMO","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"71.48","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"MEDICARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"51.46","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"AETNA PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"149.22","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"BC PPO","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"38.38","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"PEACHSTATE-CENTENE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"29.08","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"CHAMPUS TRICARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"28.47","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"KAISER MCARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"60.45","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"CHAMPUS TRICARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"82.9","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"BC PPO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"258.14","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"UHC HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"54.29","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"KAISER MCARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"88.08","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"KAISER MCARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"675.74","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"5.52","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"AETNA HMO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"44.04","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"KAISER","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"8.57","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"UHC PPO","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"7.31","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"AETNA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"47.65","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"HUMANA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"9.93","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"UHC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"62.19","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"8.3","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"PEACHSTATE-CENTENE","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"339.22","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"MEDICAID","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"690.56","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"KAISER","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"57.45","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"HUMANA HMO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"36.54","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"AMBETTER","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"732.82","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"BC PPO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"448.77","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"CIGNA PPO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"162.92","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"129.93","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"UHC PPO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"132.5","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA MCARE MGD CARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"25.1","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"UHC MCARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"205.5","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"68.92","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"48.09","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"32.19","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AETNA MCARE MGD CARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.55","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"KAISER MCARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"298.31","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"UHC PPO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"171.28","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"BC HMO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"214.72","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"CIGNA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"291.37","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"CIGNA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"291.37","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"MEDICARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"70.68","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"AETNA PPO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"369.37","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"CIGNA HMO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,108.03","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"WELLCARE MCARE MGD CARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"14.85","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"UHC HMO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"668.45","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CARESOURCE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.1","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"AMBETTER","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"2,213.29","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"38.28","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"UHC HMO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"412.05","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PEACHSTATE-CENTENE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"98.04","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"1,743.16","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"CARESOURCE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"108.39","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.53","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"UHC MCARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"6.97","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AETNA HMO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"18.32","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"AETNA HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"157.91","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96417","code description":"CHEMO IV INFUS EACH ADDL SEQ","payer":"MEDICARE","gross charge":"316","discounted cash price":"79","payer-specific negotiated charge":"27.09","de-identified minimum negotiated charge":"27.09","de-identified maximum negotiated charge":"27.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"MEDICAID","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.7","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"UHC HMO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"316.87","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"13,477.31","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"375.58","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CHAMPUS TRICARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"26.02","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"BC PPO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"997.3","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36558","code description":"INSERT TUNNELED CV CATH","payer":"AETNA HMO","gross charge":"8,448.00","discounted cash price":"2,112.00","payer-specific negotiated charge":"2,560.21","de-identified minimum negotiated charge":"1,123.70","de-identified maximum negotiated charge":"8,448.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"166","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W MCC","payer":"MEDICARE","gross charge":"263,642.37","discounted cash price":"65,910.59","payer-specific negotiated charge":"23,730.18","de-identified minimum negotiated charge":"23,730.18","de-identified maximum negotiated charge":"27,510.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"MEDICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"29.65","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"UHC MCARE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"138.44","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"HUMANA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"265.93","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"23.84","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"23.84","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"AMERIGROUP","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"154.69","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"AETNA HMO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"39.98","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"AETNA HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"62.48","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"238.54","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"PEACHSTATE-CENTENE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"145.48","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"10,937.34","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"UHC HMO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"372.66","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"MEDICAID","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"10,568.78","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"55.22","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"CIGNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,098.81","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.91","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"KAISER SELF-FUNDED","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"6.06","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"UHC HMO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"64.46","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"AETNA HMO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"122.54","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"AMBETTER","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"589.13","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.59","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"UHC HMO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"112.22","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"AETNA HMO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"489.12","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"CARESOURCE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,035.46","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"32.77","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CHAMPUS TRICARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"33.68","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CARESOURCE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"141.14","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"MEDICARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"32.25","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"AETNA MCARE MGD CARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.81","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"AETNA HMO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"24.91","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"BC PPO","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"1,408.71","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"CIGNA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"242.95","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"MEDICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"11.34","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"BC HMO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"210.79","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"104.07","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"344.22","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,057.55","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CLOVER HEALTH","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"12.59","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"PHCS","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"35.18","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"MEDICARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"14.97","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"BCBS SMARTVALUE PFFS","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.11","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CHAMPUS TRICARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"37.52","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"BC PPO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"336.25","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"22.55","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"PHCS","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"346.35","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"29.33","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"441","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC","payer":"MEDICARE","gross charge":"241,062.00","discounted cash price":"60,265.50","payer-specific negotiated charge":"13,136.21","de-identified minimum negotiated charge":"12,280.82","de-identified maximum negotiated charge":"18,320.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"MEDICAID","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"162.25","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CARESOURCE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"140.46","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"MEDICARE","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"7,327.77","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"AMERIGROUP","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"65.17","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"CHAMPUS TRICARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"5.43","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"MEDICAID","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"77.63","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"68.02","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"AETNA HMO","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,595.00","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"MEDICARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"9,234.83","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"KAISER","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,660.45","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"HUMANA HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"36.65","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"39.72","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AMBETTER","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"14.91","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CIGNA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"870.04","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"HUMANA PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"107.9","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"BC PPO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"77.11","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"HUMANA PPO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"41.51","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"UHC HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"482.36","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"HUMANA HMO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"62.61","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"UHC HMO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"1,102.32","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"UHC HMO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"111.37","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"MEDICAID","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"769.96","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"KAISER SELF-FUNDED","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"379.11","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"UHC HMO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"91.02","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37193","code description":"REM ENDOVAS VENA CAVA FILTER","payer":"AMERIGROUP","gross charge":"10,680.00","discounted cash price":"2,670.00","payer-specific negotiated charge":"1,785.17","de-identified minimum negotiated charge":"1,524.83","de-identified maximum negotiated charge":"3,721.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1773","code description":"RET DEV, INSERTABLE","payer":"AMERIGROUP","gross charge":"1,546.00","discounted cash price":"386.5","payer-specific negotiated charge":"258.42","de-identified minimum negotiated charge":"220.73","de-identified maximum negotiated charge":"538.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"896","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC","payer":"MEDICARE","gross charge":"108,379.17","discounted cash price":"27,094.79","payer-specific negotiated charge":"12,587.82","de-identified minimum negotiated charge":"8,359.25","de-identified maximum negotiated charge":"16,783.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"35.43","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"55.5","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.87","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"HUMANA HMO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"85.3","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"7.02","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.04","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"PEACHSTATE-CENTENE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"111.07","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PHCS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"113.54","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"KAISER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"18.2","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"UHC HMO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"150.97","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"BC PPO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"48.82","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"UHC HMO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"219.7","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"19.11","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"MEDICARE","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"88.9","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"PEACHSTATE-CENTENE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"51.59","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"UHC HMO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"926.15","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"23.35","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"MEDICARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"11.2","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"UHC HMO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"229.99","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72194","code description":"CT PELVIS W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"4,739.00","discounted cash price":"1,184.75","payer-specific negotiated charge":"1,276.31","de-identified minimum negotiated charge":"159.46","de-identified maximum negotiated charge":"1,276.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"AETNA MCARE MGD CARE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"250.05","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"KAISER SELF-FUNDED","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"131.65","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC MCARE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"60.31","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"219.58","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"PEACHSTATE-CENTENE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"180.42","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"CIGNA HMO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"254.68","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"CIGNA PPO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"113.5","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"BC PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"950.64","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"HUMANA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"10.67","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"MEDICAID","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"208.78","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"AMERIGROUP","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"76.22","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"105.23","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CHAMPUS TRICARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"4.33","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"AETNA HMO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"482.92","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"HUMANA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"10.54","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"AETNA MCARE MGD CARE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"2.54","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CHAMPUS TRICARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"102.47","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"MEDICAID","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"143.81","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"MEDICARE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.26","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"AETNA MCARE MGD CARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"44.59","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"MEDICAID","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"50.72","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"CIGNA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"301.36","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"MEDICAID","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"166.53","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.23","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"CIGNA PPO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,051.18","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"AMBETTER","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"152.69","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84155","code description":"ASSAY OF PROTEIN SERUM","payer":"AETNA MCARE MGD CARE","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"3.68","de-identified minimum negotiated charge":"3.68","de-identified maximum negotiated charge":"36.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"UHC MCARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"201.4","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AMERIGROUP","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"246.87","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,094.72","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CHAMPUS TRICARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"25.59","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"UHC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"52.4","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"AMERIGROUP","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"63.65","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CHAMPUS TRICARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"41.56","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"AETNA HMO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"350.01","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"60.5","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"AMERIGROUP","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"64.23","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"MEDICARE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"30.98","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CARESOURCE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"3.94","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"CARESOURCE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"30.37","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"AMBETTER","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"61.25","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"PEACHSTATE-CENTENE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"751.94","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"BC HMO","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"101.52","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.31","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"PEACHSTATE-CENTENE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"229.02","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"215.33","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"AETNA HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"88","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"KAISER MCARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"7.45","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"PEACHSTATE-CENTENE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"73.94","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96158","code description":"HLTH BHV IVNTJ INDIV 1ST 30","payer":"CHAMPUS TRICARE","gross charge":"116.75","discounted cash price":"29.19","payer-specific negotiated charge":"64.4","de-identified minimum negotiated charge":"17.12","de-identified maximum negotiated charge":"73.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"MEDICAID","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"24.39","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"MEDICARE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"6.12","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"13,998.83","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"UHC MCARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"97.27","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"MEDICARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"6,868.91","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"PEACHSTATE-CENTENE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"67.16","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"MEDICAID","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"182.27","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"AMBETTER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"23.96","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"UHC MCARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"907.72","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"AETNA MCARE MGD CARE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"4.21","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICAID","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"84.66","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"AETNA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"457.97","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"PEACHSTATE-CENTENE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"227.01","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"PEACHSTATE-CENTENE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"245.92","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"AMBETTER","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"234.64","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1670","code description":"TETANUS IMMUNE GLOBULIN INJ","payer":"CARESOURCE","gross charge":"3,105.00","discounted cash price":"776.25","payer-specific negotiated charge":"88.4","de-identified minimum negotiated charge":"88.4","de-identified maximum negotiated charge":"1,400.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"MEDICARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"4.62","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"MEDICARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"116.12","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"AMBETTER","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"9.92","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"8,396.65","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"299","code description":"PERIPHERAL VASCULAR DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"65,834.00","discounted cash price":"16,458.50","payer-specific negotiated charge":"11,049.97","de-identified minimum negotiated charge":"7,714.90","de-identified maximum negotiated charge":"13,463.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"MEDICAID","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"50.33","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87880","code description":"STREP A ASSAY W/OPTIC","payer":"PEACHSTATE-CENTENE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"18.18","de-identified minimum negotiated charge":"11.26","de-identified maximum negotiated charge":"19.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"3.17","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"107.22","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"BC HMO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"2,775.68","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"732.42","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"318.45","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA PPO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"322","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"BC PPO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"233.54","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"UHC HMO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"443.58","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"PEACHSTATE-CENTENE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"249.57","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"MEDICAID","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"74.47","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"AETNA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"21.08","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"8.34","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"PEACHSTATE-CENTENE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"48.78","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97803","code description":"MED NUTRITION INDIV SUBSEQ","payer":"PEACHSTATE-CENTENE","gross charge":"77.43","discounted cash price":"19.36","payer-specific negotiated charge":"12.55","de-identified minimum negotiated charge":"12.55","de-identified maximum negotiated charge":"48.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"KAISER MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.79","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"PEACHSTATE-CENTENE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"89.86","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"20.04","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"158.84","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"PEACHSTATE-CENTENE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"51.31","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"109","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"12,142.22","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"AMERIGROUP","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"8.31","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CHAMPUS TRICARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"85.05","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"AETNA HMO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"306.39","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"AETNA HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"792.33","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"522","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC","payer":"MEDICARE","gross charge":"217,207.00","discounted cash price":"54,301.75","payer-specific negotiated charge":"14,571.59","de-identified minimum negotiated charge":"13,614.19","de-identified maximum negotiated charge":"20,264.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"222.78","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"CIGNA HMO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"380.64","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"MEDICARE","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"11.65","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.19","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"AMERIGROUP","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"40.16","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.91","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"47.57","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"BC PPO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,608.01","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"AETNA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"115.15","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"AETNA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"115.15","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"MEDICARE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"64.25","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"UHC HMO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"163.41","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"CHAMPUS TRICARE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"48.33","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"BC HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"3.62","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"27.41","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"MEDICARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"72.06","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"8.84","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"MEDICAID","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"226.95","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"AMBETTER","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"253.74","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"CHAMPUS TRICARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"129.49","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"MEDICARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"23.83","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.7","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"UHC MCARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"45.12","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"40.36","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"MEDICARE","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"5,217.21","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"332.23","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"MEDICAID","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"33.01","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"226.86","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"MEDICAID","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"731.05","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"BC PPO","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"83.12","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"UHC HMO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"23.38","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"MEDICARE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"221.05","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"CLOVER HEALTH","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"226.9","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"BC PPO","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"261.7","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CARESOURCE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"31.04","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.09","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"CHAMPUS TRICARE","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"136.71","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"MEDICARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"23.1","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"AETNA MCARE MGD CARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"35.03","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"13,185.60","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"25.05","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"AMERIGROUP","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"6.53","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"BC HMO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"345.16","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"AETNA MCARE MGD CARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"94.93","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"AMBETTER","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"131.52","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"58.66","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"MEDICAID","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"249.71","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"AMERIGROUP","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"16.48","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"MEDICAID","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"69.2","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"AETNA MCARE MGD CARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"14.71","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"CARESOURCE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"88.11","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CHAMPUS TRICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.66","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"53.4","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"AMBETTER","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"134.92","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"MEDICAID","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"8.32","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"PEACHSTATE-CENTENE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"59.71","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AMBETTER","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"86.06","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"UHC HMO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,602.61","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"BC HMO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"122.13","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"385","code description":"INFLAMMATORY BOWEL DISEASE W MCC","payer":"UHC MCARE","gross charge":"138,526.00","discounted cash price":"34,631.50","payer-specific negotiated charge":"13,167.35","de-identified minimum negotiated charge":"7,730.34","de-identified maximum negotiated charge":"15,626.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"AETNA MCARE MGD CARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"5.12","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"UHC MCARE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"108.63","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"KAISER MCARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"48.48","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"AETNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"9.47","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"MEDICAID","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"11,015.02","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"25.42","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"UHC HMO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"881.65","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"PEACHSTATE-CENTENE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"20.87","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"39.83","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"466","code description":"REVISION OF HIP OR KNEE REPLACEMENT W MCC","payer":"MEDICARE","gross charge":"276,646.00","discounted cash price":"69,161.50","payer-specific negotiated charge":"33,628.42","de-identified minimum negotiated charge":"33,628.42","de-identified maximum negotiated charge":"38,261.90"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"BC HMO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"141.53","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AMERIGROUP","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"23.82","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"AETNA MCARE MGD CARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"19.71","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"UHC MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"8.43","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"AETNA HMO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"224.7","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"47.51","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"MEDICARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"18.66","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"AETNA HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"47.21","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"350.47","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"BC PPO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"31.27","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"PEACHSTATE-CENTENE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"66.17","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"PEACHSTATE-CENTENE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"18.23","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"CIGNA HMO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"131.21","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86162","code description":"COMPLEMENT TOTAL (CH50)","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"115.43","de-identified minimum negotiated charge":"8.72","de-identified maximum negotiated charge":"115.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"CIGNA HMO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"468.52","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"HUMANA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"479.99","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"AETNA MCARE MGD CARE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"26.47","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CHAMPUS TRICARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"6.26","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"AETNA HMO","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"12.55","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"MEDICARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"17.22","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"CIGNA HMO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"62.88","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"9.01","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"AMERIGROUP","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"147.91","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"UHC PPO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"541.22","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"BC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"45.51","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"MEDICAID","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"34.57","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9250","code description":"ARTISS FIBRIN SEALANT","payer":"MEDICARE","gross charge":"787","discounted cash price":"196.75","payer-specific negotiated charge":"59.81","de-identified minimum negotiated charge":"54.27","de-identified maximum negotiated charge":"264.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"MEDICAID","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"637.03","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"MEDICAID","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"670.2","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.99","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"711.11","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"CIGNA HMO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"806.69","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"PEACHSTATE-CENTENE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"87.72","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"CHAMPUS TRICARE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"53.96","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"MEDICAID","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"895.6","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"KAISER SELF-FUNDED","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"34.8","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"1,353.10","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"42.53","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"PEACHSTATE-CENTENE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"319.99","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AETNA MCARE MGD CARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"18.2","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"PEACHSTATE-CENTENE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"38.16","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"HUMANA HMO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"15.68","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"CARESOURCE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.72","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"AMERIGROUP","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,130.04","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.53","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AMERIGROUP","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"68.32","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"MEDICAID","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"38.83","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"CARESOURCE","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"106.64","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"WELLCARE MCARE MGD CARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"53.58","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"AMBETTER","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"10.3","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"65.72","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"138.35","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"AMERIGROUP","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"70.96","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"PEACHSTATE-CENTENE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"19.54","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CARESOURCE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.61","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"MEDICARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"304.91","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"HUMANA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,041.69","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"MEDICAID","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"107.69","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"CIGNA PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"31.57","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"UHC HMO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"37.09","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"187.82","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"63.88","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"BC PPO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"217.4","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"AETNA PPO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,031.84","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"55.27","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AETNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"67.8","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"AMBETTER","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"311.34","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"AMBETTER","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"311.34","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"KAISER","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"53.04","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"UHC MCARE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"74.8","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"PHCS","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"503.25","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"AMBETTER","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,183.98","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"CHAMPUS TRICARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"13.54","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"CIGNA HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"55.47","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"MEDICARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"54.76","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.73","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"36.96","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"BC PPO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"54.66","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"BC PPO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"579.99","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"BC HMO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"14.23","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"CHAMPUS TRICARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"65.99","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"CARESOURCE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"4.52","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA MCARE MGD CARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"24.17","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"BCBS SMARTVALUE PFFS","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"35.66","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"187.45","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"PEACHSTATE-CENTENE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"86.52","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"MEDICARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"242.83","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"AETNA MCARE MGD CARE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"58.51","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"PEACHSTATE-CENTENE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"22.24","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"AETNA HMO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"26.63","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CARESOURCE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"47.96","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"AMERIGROUP","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"53.78","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"UHC HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"354.88","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"HUMANA HMO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"102.83","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"MEDICAID","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"26.62","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76604","code description":"US EXAM CHEST","payer":"MEDICAID","gross charge":"820","discounted cash price":"205","payer-specific negotiated charge":"128.5","de-identified minimum negotiated charge":"77.11","de-identified maximum negotiated charge":"328.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"468","code description":"REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC","payer":"MEDICARE","gross charge":"185,756.75","discounted cash price":"46,439.19","payer-specific negotiated charge":"19,672.55","de-identified minimum negotiated charge":"17,474.14","de-identified maximum negotiated charge":"26,780.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"MEDICARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"7.92","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"27.84","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"AETNA PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"143.05","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"AETNA PPO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,001.83","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"BC PPO","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"42.27","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"UHC MCARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"11,195.26","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"AETNA MCARE MGD CARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"35.41","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"25.85","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"MULTI-PLAN","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"2.14","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"AETNA MCARE MGD CARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"21.88","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"BC HMO","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"1,390.22","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"BC PPO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"113.48","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"MEDICAID","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"18.19","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"UHC MCARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"168.53","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"MEDICARE","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"15.54","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"AMERIGROUP","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"868.85","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"MEDICARE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"203.37","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"BC HMO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"66.04","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"PEACHSTATE-CENTENE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"106.01","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CARESOURCE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"110.71","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"MEDICARE","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"39.49","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"MEDICAID","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"15,407.65","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"AETNA HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"12.73","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"MEDICARE","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"149.96","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.78","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"20","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"AMERIGROUP","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"22.87","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"PEACHSTATE-CENTENE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"CARESOURCE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"177.37","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"KAISER MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.32","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.16","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"BC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"14.84","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"HUMANA HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"203.83","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"MEDICAID","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"710.95","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"AETNA PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"90.57","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88321","code description":"MICROSLIDE CONSULTATION","payer":"BC PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"291.34","de-identified minimum negotiated charge":"54.43","de-identified maximum negotiated charge":"298.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"AETNA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"77.33","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"14.24","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"BC PPO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"230.17","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"BC HMO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"1,756.43","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"PEACHSTATE-CENTENE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"106.83","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"BC PPO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,516.62","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"HUMANA HMO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"299.28","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"MEDICAID","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"21.47","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"KAISER","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"68.56","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"PEACHSTATE-CENTENE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"55.39","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"204.16","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"515","code description":"OTHER MUSCULOSKELET SYS \u0026 CONN TISS O.R. PROC W MCC","payer":"MEDICARE","gross charge":"79,855.50","discounted cash price":"19,963.88","payer-specific negotiated charge":"19,914.91","de-identified minimum negotiated charge":"19,914.91","de-identified maximum negotiated charge":"19,914.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"AMERIGROUP","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"26.99","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"232.9","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"MEDICAID","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,689.36","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0585","code description":"INJECTION,ONABOTULINUMTOXINA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"33.54","discounted cash price":"8.39","payer-specific negotiated charge":"4.86","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"25.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"AETNA HMO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"896.7","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"AMERIGROUP","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"104.52","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"CARESOURCE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"18.2","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"HUMANA HMO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"146.7","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"AMBETTER","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"25.39","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"AMERIGROUP","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.06","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"HUMANA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"23.04","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70487","code description":"CT MAXILLOFACIAL W/DYE","payer":"MEDICARE","gross charge":"3,442.00","discounted cash price":"860.5","payer-specific negotiated charge":"216.55","de-identified minimum negotiated charge":"125.6","de-identified maximum negotiated charge":"1,390.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"UHC PPO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"44.98","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"MEDICAID","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"724.17","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"BC HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"7.65","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"KAISER","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"157.29","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"CIGNA HMO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"495.58","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"77.95","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"HUMANA PPO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"51.07","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"KAISER MCARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"12.97","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"360.99","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"UHC HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"66.65","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CHAMPUS TRICARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"122.96","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"AETNA PPO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,186.29","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"MEDICAID","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"269.31","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.15","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CIGNA PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"212.98","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CIGNA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"143.04","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"BC PPO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"1,125.23","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"MEDICAID","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"7.12","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"CARESOURCE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"21.55","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"PEACHSTATE-CENTENE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"138.34","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"MEDICAID","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"35.47","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"9.12","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"16.3","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"11.98","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CARESOURCE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"27.29","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"PEACHSTATE-CENTENE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"67.65","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"UHC MCARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"659.39","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"PHCS","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"49.64","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"BC PPO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,663.44","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"BC PPO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"147.06","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62302","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"UHC HMO","gross charge":"2,462.00","discounted cash price":"615.5","payer-specific negotiated charge":"622.88","de-identified minimum negotiated charge":"145.91","de-identified maximum negotiated charge":"2,062.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"KAISER MCARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"40.21","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"PEACHSTATE-CENTENE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"902.17","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"21.38","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0358T","code description":"BIA WHOLE BODY","payer":"PEACHSTATE-CENTENE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"13.54","de-identified minimum negotiated charge":"13.54","de-identified maximum negotiated charge":"45.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"104.07","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"UHC HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,170.32","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"MEDICARE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"12,799.96","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"165.4","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"KAISER SELF-FUNDED","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"92.15","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"AETNA PPO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,128.30","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"MEDICARE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"9,241.81","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"HUMANA HMO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"60.06","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"MEDICAID","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"13.7","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"39.6","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"UHC HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"154.67","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"AMBETTER","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"724.58","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"AMBETTER","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"75.03","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AMERIGROUP","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"104.12","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"AMBETTER","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"1,311.41","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"MEDICAID","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"24.66","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.33","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"UHC MCARE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"11,184.83","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"PEACHSTATE-CENTENE","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"38.59","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CARESOURCE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"52.2","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"CHAMPUS TRICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.76","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CIGNA HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"5.18","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"8.12","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"BC HMO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"885.08","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"KAISER SELF-FUNDED","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"18.5","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"UHC MCARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"31.1","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"435","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC","payer":"MEDICARE","gross charge":"141,000.00","discounted cash price":"35,250.00","payer-specific negotiated charge":"11,021.68","de-identified minimum negotiated charge":"10,944.83","de-identified maximum negotiated charge":"14,462.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"AMERIGROUP","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"3.9","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"AETNA HMO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"102.82","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BC PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"37.37","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"CARESOURCE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"120.22","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"AMBETTER","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"73.65","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"AETNA MCARE MGD CARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"93.39","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"KAISER","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"193.81","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"MEDICARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"53.78","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"MEDICARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"5.46","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"BC PPO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"848.11","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"UHC MCARE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"735.5","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"BC PPO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"898.1","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"BC PPO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"479.23","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"BC HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"81","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"AETNA MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.21","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"AETNA HMO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"226.77","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,150.78","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"AMERIGROUP","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"MEDICAID","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"MEDICAID","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"AMERIGROUP","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"1,060.59","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"832.36","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"CARESOURCE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"688.71","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"BC HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"84.81","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"UHC PPO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"460.99","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"6.39","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"BC PPO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"61.15","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"8.68","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"AMERIGROUP","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"95.76","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"UHC MCARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"25.14","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"WELLCARE MCARE MGD CARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"53.49","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"AETNA HMO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"19.18","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"UHC MCARE","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"86.09","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"76.07","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"MEDICAID","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"246.47","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"MEDICAID","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"65.43","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"HUMANA HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"207.83","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"PEACHSTATE-CENTENE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"167.78","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"MEDICAID","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"352.6","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"UHC MCARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"109.8","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"UHC HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"431.99","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.95","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"229.4","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"222.72","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"UHC MCARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.38","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"UHC HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"1,222.82","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CARESOURCE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.66","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CARESOURCE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"24.42","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"AMBETTER","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"935.21","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"CARESOURCE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"35.89","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"252","code description":"OTHER VASCULAR PROCEDURES W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"119,023.00","discounted cash price":"29,755.75","payer-specific negotiated charge":"25,637.67","de-identified minimum negotiated charge":"20,926.99","de-identified maximum negotiated charge":"37,532.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"AMERIGROUP","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"17.3","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"MEDICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.21","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"51.22","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"PEACHSTATE-CENTENE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"137.95","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"PEACHSTATE-CENTENE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"40.16","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"KAISER","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"131.04","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"UHC HMO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,777.68","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"MEDICARE","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"103.06","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"BC PPO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"138.77","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"AETNA HMO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"438.76","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"HUMANA HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"88.86","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"8,596.48","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"CIGNA HMO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,216.18","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"BC PPO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"133.87","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"MEDICAID","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"197.6","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"MEDICARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"71.96","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"BC HMO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"27.83","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CARESOURCE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"79.24","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"BCBS SMARTVALUE PFFS","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"130.94","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CARESOURCE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"105.37","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CARESOURCE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"182.88","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"MEDICAID","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"33.36","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"PHCS","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"122.55","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"AETNA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"61.67","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"CIGNA HMO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,062.81","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"16","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"919","code description":"COMPLICATIONS OF TREATMENT W MCC","payer":"MEDICAID","gross charge":"124,659.50","discounted cash price":"31,164.88","payer-specific negotiated charge":"7,353.12","de-identified minimum negotiated charge":"7,353.12","de-identified maximum negotiated charge":"17,017.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"808","code description":"MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS \u0026 COAGUL W MCC","payer":"MEDICAID","gross charge":"70,891.50","discounted cash price":"17,722.88","payer-specific negotiated charge":"17,729.93","de-identified minimum negotiated charge":"16,545.03","de-identified maximum negotiated charge":"17,729.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"KAISER MCARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"7.92","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"BC HMO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"468.61","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AETNA HMO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"13.02","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"HUMANA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"3.75","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"UHC HMO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"275.51","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA HMO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"250.56","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"AETNA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"208.84","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"BC PPO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"413.33","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"BC PPO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"19,716.47","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"UHC HMO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"133.95","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"146.12","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"94.19","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"18.37","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"AMBETTER","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"39.85","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"467","code description":"REVISION OF HIP OR KNEE REPLACEMENT W CC","payer":"MEDICARE","gross charge":"187,551.42","discounted cash price":"46,887.85","payer-specific negotiated charge":"23,946.00","de-identified minimum negotiated charge":"13,527.44","de-identified maximum negotiated charge":"32,127.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CARESOURCE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"62.87","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"BC PPO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"336.21","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"5.21","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"CARESOURCE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"907.88","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"22.36","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"AMERIGROUP","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"72.2","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"PEACHSTATE-CENTENE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"100.43","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.92","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"57.73","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"PEACHSTATE-CENTENE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"423.24","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"BC HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"72.54","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"37.81","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"KAISER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"46.96","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"BC PPO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"481.56","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"AETNA MCARE MGD CARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"84.24","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"UHC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"51.55","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70150","code description":"X-RAY EXAM OF FACIAL BONES","payer":"MEDICAID","gross charge":"759","discounted cash price":"189.75","payer-specific negotiated charge":"131.03","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"470.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"PEACHSTATE-CENTENE","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"211.3","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"MEDICARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"86.88","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"AETNA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"23.16","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"320.63","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"MEDICARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"22.67","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"BC PPO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"229.26","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"KAISER MCARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"101.96","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"UHC HMO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"195.6","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"AMBETTER","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"38.97","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"MEDICAID","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"172.16","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"MEDICARE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"398.94","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"BC PPO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"108.71","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"PEACHSTATE-CENTENE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"4.53","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"MEDICAID","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"32.6","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"MEDICARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"132.06","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"AMERIGROUP","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"7.83","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"WELLCARE MCARE MGD CARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.48","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"6.03","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"BC PPO","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"848.98","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"156.6","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"PEACHSTATE-CENTENE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"73.24","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"CARESOURCE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"918.44","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"BC PPO","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"537.42","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"UHC HMO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"293.38","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"UHC HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"412.65","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.2","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"AMERIGROUP","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"80.52","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"UHC MCARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"51.36","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"MEDICAID","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"148.75","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"4,458.99","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"MEDICAID","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.6","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CARESOURCE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"349.54","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"312","code description":"SYNCOPE \u0026 COLLAPSE","payer":"MEDICAID","gross charge":"84,413.50","discounted cash price":"21,103.38","payer-specific negotiated charge":"4,716.28","de-identified minimum negotiated charge":"1,135.61","de-identified maximum negotiated charge":"8,152.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"192","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC","payer":"MEDICAID","gross charge":"52,731.00","discounted cash price":"13,182.75","payer-specific negotiated charge":"4,346.74","de-identified minimum negotiated charge":"4,346.74","de-identified maximum negotiated charge":"7,287.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"AMERIGROUP","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"89.93","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"AETNA MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"71.21","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"MEDICAID","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"49.9","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AETNA PPO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"401.3","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"AMERIGROUP","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"15.73","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"13","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"PEACHSTATE-CENTENE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"26.75","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"AETNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"70.94","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"MEDICAID","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.32","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CARESOURCE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"35.49","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81305","code description":"MYD88 GENE P.LEU265PRO VRNT","payer":"MEDICARE","gross charge":"497","discounted cash price":"124.25","payer-specific negotiated charge":"39.78","de-identified minimum negotiated charge":"39.78","de-identified maximum negotiated charge":"131.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"45.21","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICARE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"94.09","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"UHC HMO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"414.46","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CIGNA HMO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"85.09","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.4","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86320","code description":"SERUM IMMUNOELECTROPHORESIS","payer":"AETNA MCARE MGD CARE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"12.11","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"31.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19281","code description":"PERQ DEVICE BREAST 1ST IMAG","payer":"AMBETTER","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"287.11","de-identified minimum negotiated charge":"125.3","de-identified maximum negotiated charge":"1,163.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"MEDICAID","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"108.44","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CARESOURCE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"21.41","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"BC HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"181.83","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"BC HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"59.65","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"MEDICARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"16.95","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"UHC MCARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,567.02","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"UHC MCARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"31.95","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"PEACHSTATE-CENTENE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"179.1","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"AETNA HMO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"13,448.75","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"AMERIGROUP","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"3.84","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"HUMANA HMO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"33.41","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"20.8","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"UHC MCARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"847.06","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"CARESOURCE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"155.93","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BC HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"135.99","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"982","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC","payer":"MEDICARE","gross charge":"216,747.00","discounted cash price":"54,186.75","payer-specific negotiated charge":"17,879.21","de-identified minimum negotiated charge":"15,965.26","de-identified maximum negotiated charge":"19,793.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"AMERIGROUP","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"90.55","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CHAMPUS TRICARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"93.5","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"KAISER","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"94.83","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"MEDICAID","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"176","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"PEACHSTATE-CENTENE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"33.77","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"KAISER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"160.84","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"CIGNA HMO","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"196.41","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"1,107.55","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"63.32","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CIGNA PPO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,615.77","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"BC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"34.76","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"11.86","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"AMERIGROUP","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"55.31","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"AMERIGROUP","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.41","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"212.46","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"CIGNA HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"677.23","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"CHAMPUS TRICARE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"11.61","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"CARESOURCE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"20.49","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"200","code description":"INTENSIVE CARE","payer":"CIGNA HMO","gross charge":"5,844.00","discounted cash price":"1,461.00","payer-specific negotiated charge":"1,984.98","de-identified minimum negotiated charge":"1,011.67","de-identified maximum negotiated charge":"2,775.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"AETNA PPO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"398.51","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"AMERIGROUP","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"113.35","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"AETNA HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"39.36","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"199","code description":"PNEUMOTHORAX W MCC","payer":"MEDICARE","gross charge":"272,154.50","discounted cash price":"68,038.63","payer-specific negotiated charge":"13,406.93","de-identified minimum negotiated charge":"11,400.30","de-identified maximum negotiated charge":"28,784.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"UHC MCARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"70.91","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"BC HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,044.51","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"HUMANA HMO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"31.19","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"AMERIGROUP","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,266.95","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"PHCS","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"111.38","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"310.77","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"MEDICAID","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"457.82","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"AETNA HMO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"76.78","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"AMERIGROUP","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"175.91","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"WELLCARE MCARE MGD CARE","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"17.83","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"BC PPO","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"1,643.89","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.89","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"UHC MCARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"40.88","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"BC PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"67.07","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"PEACHSTATE-CENTENE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"963.03","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"MEDICAID","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"63.5","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"MEDICAID","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"917.39","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"CIGNA HMO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,202.09","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"26.75","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"MEDICARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"47.64","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"PEACHSTATE-CENTENE","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"196.84","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"AMERIGROUP","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"43.44","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"18.92","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"MEDICARE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"8,628.79","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"24.47","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"BC PPO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"715.96","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"CIGNA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"171.75","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"CARESOURCE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"18.88","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"3.93","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"8.5","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.19","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"AMERIGROUP","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"27.04","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"AMERIGROUP","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"27.04","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"209.63","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"AETNA PPO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"270.5","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"374","code description":"DIGESTIVE MALIGNANCY W MCC","payer":"MEDICARE","gross charge":"177,471.50","discounted cash price":"44,367.88","payer-specific negotiated charge":"15,185.63","de-identified minimum negotiated charge":"1,920.64","de-identified maximum negotiated charge":"26,819.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"MEDICARE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"195.8","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"MEDICARE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"13.93","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"MEDICARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"14.04","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"UHC MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"13.47","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"KAISER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"80.36","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"AMBETTER","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"239.49","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"UHC MCARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"228.99","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"KAISER","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"173.28","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"CLOVER HEALTH","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"237.66","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"BC PPO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"66.63","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74248","code description":"X-RAY SM INT F-THRU STD","payer":"PEACHSTATE-CENTENE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"230.3","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"599.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"CARESOURCE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"78.21","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"AMERIGROUP","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"261.76","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"AMERIGROUP","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"107.38","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"AETNA PPO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"955.9","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"BC HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,532.55","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"CARESOURCE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"107.38","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"AMERIGROUP","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"452.37","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"CARESOURCE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"452.37","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"AMERIGROUP","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"210.73","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"MEDICAID","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"62.37","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"237.54","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"CARESOURCE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"103.17","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"CARESOURCE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"30.55","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"MEDICAID","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"290.12","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"HUMANA HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"46.18","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"UHC PPO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"148.65","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"MEDICAID","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"41.71","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"MEDICAID","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"41.71","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"467","code description":"REVISION OF HIP OR KNEE REPLACEMENT W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"187,551.42","discounted cash price":"46,887.85","payer-specific negotiated charge":"25,116.09","de-identified minimum negotiated charge":"13,527.44","de-identified maximum negotiated charge":"32,127.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"BC HMO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"32.06","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"AMBETTER","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"22.07","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"AMERIGROUP","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"90.55","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"179.91","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"BCBS SMARTVALUE PFFS","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"20.8","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"58.3","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"BC PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"78.96","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.02","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"MEDICAID","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"159.63","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"MEDICAID","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"50.01","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"UHC MCARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"23.7","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"CIGNA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"51.75","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"MEDICAID","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"43.61","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"CIGNA HMO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"383.44","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"328.91","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"191.84","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CIGNA PPO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"47.05","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80185","code description":"ASSAY OF PHENYTOIN TOTAL","payer":"MEDICAID","gross charge":"367","discounted cash price":"91.75","payer-specific negotiated charge":"26.29","de-identified minimum negotiated charge":"12.82","de-identified maximum negotiated charge":"165.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"PHCS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.83","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"HUMANA HMO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"147.71","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"PEACHSTATE-CENTENE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"5.96","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CIGNA PPO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"454.95","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"KAISER","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"138.86","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"AMERIGROUP","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"11.74","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"MEDICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.21","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"227.02","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"11,326.21","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"UHC HMO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"393.19","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"38.15","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"UHC MCARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"32.47","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"CIGNA HMO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"673.58","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"KAISER MCARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"64.75","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.19","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"KAISER","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"658.68","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"237.47","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"MEDICARE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"60.45","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CIGNA PPO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"59.43","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.71","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"MEDICARE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"81.6","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"CIGNA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"56.94","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82103","code description":"ALPHA-1-ANTITRYPSIN TOTAL","payer":"MEDICARE","gross charge":"194","discounted cash price":"48.5","payer-specific negotiated charge":"11.99","de-identified minimum negotiated charge":"11.99","de-identified maximum negotiated charge":"88.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"AMBETTER","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"37.24","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PEACHSTATE-CENTENE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"79.57","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"HUMANA HMO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"1,322.22","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"BCBS SMARTVALUE PFFS","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"15.1","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"AMBETTER","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"120.15","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"BC PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"105.66","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"AMERIGROUP","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"234.88","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CIGNA PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"13.3","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CHAMPUS TRICARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"67.41","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"KAISER","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"118.01","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"UHC HMO","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"506.88","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"MEDICAID","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"803.18","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"UHC HMO","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,153.48","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"MEDICARE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"43.14","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"CARESOURCE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"215.41","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"817.24","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"UHC MCARE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"63.43","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,648.71","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"UHC MCARE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"54.97","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"KAISER","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"29.56","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"AETNA MCARE MGD CARE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"204.64","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"MEDICAID","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"33.99","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"AETNA MCARE MGD CARE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"138.62","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"10.94","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICAID","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"107.56","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"MEDICAID","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"11.38","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"CARESOURCE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"77.78","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"MEDICAID","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"73.81","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"KAISER","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"27.6","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"MEDICAID","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"32.3","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"AMERIGROUP","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"81.12","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"BC PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,240.18","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"AETNA MCARE MGD CARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"6.19","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"AMBETTER","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"410.06","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"PEACHSTATE-CENTENE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"66.19","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"UHC MCARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"50.37","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"AETNA MCARE MGD CARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"18.32","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"KAISER","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"35.09","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CIGNA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"233.85","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"PEACHSTATE-CENTENE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"22.03","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86880","code description":"COOMBS TEST DIRECT","payer":"MEDICAID","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"23.62","de-identified minimum negotiated charge":"23.62","de-identified maximum negotiated charge":"24.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"512.61","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"PEACHSTATE-CENTENE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"467.4","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"MEDICAID","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"68.6","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"MEDICARE","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"155.95","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"28.59","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"UHC MCARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"33.76","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"BCBS SMARTVALUE PFFS","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"14.11","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"MEDICARE","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"9.05","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"BC PPO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,711.75","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"7.96","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"AMERIGROUP","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"77.8","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"AMERIGROUP","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"13,185.60","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"UHC HMO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"20,517.43","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CHAMPUS TRICARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"321.34","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"10.04","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AETNA PPO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"28.15","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AETNA PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"461.4","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"MEDICARE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"119.11","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"AMERIGROUP","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"28.72","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70250","code description":"X-RAY EXAM OF SKULL","payer":"AMERIGROUP","gross charge":"668","discounted cash price":"167","payer-specific negotiated charge":"117.52","de-identified minimum negotiated charge":"41.23","de-identified maximum negotiated charge":"123.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"AMERIGROUP","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"32.19","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97164","code description":"PT RE-EVAL EST PLAN CARE","payer":"BC PPO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"343.42","de-identified minimum negotiated charge":"209.62","de-identified maximum negotiated charge":"343.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"MEDICAID","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"79.43","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"UHC MCARE","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"11,653.66","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"50.63","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"BC PPO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"338.54","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"AETNA HMO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"383.69","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"MEDICARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"31,552.26","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.32","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"906.77","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"UHC PPO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"165.81","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"HUMANA HMO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"1,087.14","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"UHC HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"126.9","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"6.92","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"AMBETTER","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"141.48","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"HUMANA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"46.01","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"96.95","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"MEDICAID","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"59.42","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AMERIGROUP","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"32.48","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"CHAMPUS TRICARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"175.23","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"BC HMO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"254","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"AETNA MCARE MGD CARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"43.56","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"AMERIGROUP","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"83.02","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"KAISER","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"80.07","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"PEACHSTATE-CENTENE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"182.2","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"AETNA HMO","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"37.53","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"CIGNA PPO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"79.46","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"AMERIGROUP","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"274.76","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"HUMANA HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"53.3","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"AMERIGROUP","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"34.66","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"UHC MCARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"64.14","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"AETNA HMO","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"42.63","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"BCBS SMARTVALUE PFFS","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"37.73","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"97.37","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"CARESOURCE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"40.79","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"CARESOURCE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"41.71","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CIGNA PPO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,547.90","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"AMERIGROUP","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"235.42","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"HUMANA PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"73.47","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CHAMPUS TRICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.85","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"AETNA HMO","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"42.27","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"KAISER MCARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"21.61","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"CIGNA PPO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,703.29","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"BC PPO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"137.53","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"UHC HMO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"562.53","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"AETNA MCARE MGD CARE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"440.57","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AMERIGROUP","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"153.01","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"PEACHSTATE-CENTENE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"56.19","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"25.95","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"MEDICAID","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"21.14","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"MEDICARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"22.62","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"AMERIGROUP","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"192.62","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.16","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"243.62","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"BC HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"185.84","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"BCBS SMARTVALUE PFFS","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"28.49","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"CARESOURCE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"113.08","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"CIGNA HMO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"340.59","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"MEDICAID","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"9.43","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"KAISER","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"9.54","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"UHC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"399.67","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"MEDICAID","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"113.71","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"AETNA PPO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"767.19","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.32","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"WELLCARE MCARE MGD CARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"235.82","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"69.97","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0439","code description":"PPPS, SUBSEQ VISIT","payer":"MEDICARE","gross charge":"380","discounted cash price":"95","payer-specific negotiated charge":"113.97","de-identified minimum negotiated charge":"96.96","de-identified maximum negotiated charge":"202.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"AMBETTER","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,947.74","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CIGNA PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"77.06","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AMERIGROUP","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"18.82","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CARESOURCE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"4.69","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"MEDICARE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"65.47","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"AETNA MCARE MGD CARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"730.44","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"AETNA PPO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"17.4","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"UHC MCARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"29.92","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90651","code description":"9VHPV VACCINE 2/3 DOSE IM","payer":"BC HMO","gross charge":"1,320.00","discounted cash price":"330","payer-specific negotiated charge":"764.21","de-identified minimum negotiated charge":"704.21","de-identified maximum negotiated charge":"764.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"MEDICAID","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"74.03","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.86","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"MEDICAID","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"131.79","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"WELLCARE MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"17.47","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"MEDICAID","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"74.11","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"30.7","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"MEDICARE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"122.04","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"MEDICAID","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"34.21","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CARESOURCE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"39.73","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"KAISER","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"354.87","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"MEDICAID","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"101.79","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"PEACHSTATE-CENTENE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"95.08","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"UHC HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"144.26","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"PEACHSTATE-CENTENE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,215.35","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.1","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"BC PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"241.16","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"CARESOURCE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"524.88","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"84.54","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CHAMPUS TRICARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"84.01","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CARESOURCE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"16.96","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"UHC MCARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"105.92","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"AETNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"25.36","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"BC PPO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"16.25","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"AETNA MCARE MGD CARE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"80.51","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"HUMANA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"9.79","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"AMERIGROUP","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"180.15","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"AMBETTER","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"7.02","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"KAISER MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.7","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"MEDICAID","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"63.29","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"862","code description":"POSTOPERATIVE \u0026 POST-TRAUMATIC INFECTIONS W MCC","payer":"UHC MCARE","gross charge":"133,572.33","discounted cash price":"33,393.08","payer-specific negotiated charge":"14,827.05","de-identified minimum negotiated charge":"6,574.26","de-identified maximum negotiated charge":"66,628.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"HUMANA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"150.14","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"23","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"21.12","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"49.55","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"43,587.53","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"BC PPO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"36.55","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"MEDICARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"43.97","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"BC HMO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"477.53","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.82","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"HUMANA HMO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"198.47","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"AETNA MCARE MGD CARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"31.07","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"UHC MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.88","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"32.74","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"MEDICAID","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"36.93","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"MEDICAID","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"62.87","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.09","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"MEDICAID","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"54.15","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,752.10","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"AETNA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"27.67","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"HUMANA HMO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"836.71","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"UHC HMO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"385.85","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.38","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"MEDICAID","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"45.37","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"MEDICAID","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"35.49","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"68.7","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"HUMANA PPO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"436.06","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CIGNA HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"186.16","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"MEDICARE","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"13.76","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.17","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"PEACHSTATE-CENTENE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"87.98","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"108.98","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1734","code description":"ORTH/DEVIC/DRUG BN/BN,TIS/BN","payer":"AMBETTER","gross charge":"13,427.00","discounted cash price":"3,356.75","payer-specific negotiated charge":"4,157.62","de-identified minimum negotiated charge":"2,057.44","de-identified maximum negotiated charge":"6,151.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"AETNA PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"16.95","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"UHC MCARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"723.39","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"WELLCARE MCARE MGD CARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"28.91","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"UHC MCARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"26.94","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"AETNA MCARE MGD CARE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"21.83","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"WELLCARE MCARE MGD CARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"11.9","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"AETNA PPO","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"4.72","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"MEDICAID","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"14.18","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"MEDICAID","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"11.21","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"MEDICAID","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"60.73","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AETNA PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"98.31","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"BC PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"135.39","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"MEDICAID","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"76.24","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"15.3","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"UHC HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"164.81","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"BC PPO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"503.35","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"MEDICAID","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"73.86","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"179.19","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"AMERIGROUP","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"118.72","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"MEDICAID","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"47.49","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"37.99","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"PEACHSTATE-CENTENE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"199.5","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"MEDICAID","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"29.42","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMERIGROUP","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"92.46","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"AMBETTER","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"21.72","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"25.58","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"BC PPO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"3,399.58","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AETNA MCARE MGD CARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"21.96","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"KAISER MCARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"8.16","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CHAMPUS TRICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.69","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.58","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"BC PPO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"506.79","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9250","code description":"ARTISS FIBRIN SEALANT","payer":"UHC MCARE","gross charge":"787","discounted cash price":"196.75","payer-specific negotiated charge":"56.47","de-identified minimum negotiated charge":"54.27","de-identified maximum negotiated charge":"264.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.03","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.02","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"AMBETTER","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"47.19","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"AETNA MCARE MGD CARE","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"26.64","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"BC HMO","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"1,638.12","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"MEDICARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"27.79","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"AMERIGROUP","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"29.61","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"CARESOURCE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"4.78","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"MEDICAID","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"83.31","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"HUMANA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"60.44","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"BC PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"841.82","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"UHC HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"269.27","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"BC HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"219.64","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"46.38","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"327.13","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"228.2","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"AETNA HMO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"286.89","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"WELLCARE MCARE MGD CARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"56.76","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"52.17","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"BCBS SMARTVALUE PFFS","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"33.49","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CIGNA HMO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"55.26","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"BC HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,828.12","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"AMBETTER","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"191.02","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"CIGNA HMO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"298.28","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AETNA MCARE MGD CARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"106.8","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"KAISER","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"71.27","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"AMERIGROUP","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"12.99","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"BC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"134.44","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"CIGNA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"102.57","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"AETNA HMO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"774.94","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"KAISER MCARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"245.09","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"MEDICAID","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"52.5","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"KAISER","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"56.98","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"MEDICAID","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"42.91","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"242.59","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"242.59","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"HUMANA HMO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"93.62","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"PHCS","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"5.97","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"UHC MCARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"96.42","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"UHC MCARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"52.08","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"AETNA HMO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"84.78","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"BC HMO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"135.07","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"71.25","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"BC HMO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"138.18","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"BC HMO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"824.36","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"66.41","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"432","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W MCC","payer":"MEDICARE","gross charge":"95,825.67","discounted cash price":"23,956.42","payer-specific negotiated charge":"15,447.97","de-identified minimum negotiated charge":"8,626.23","de-identified maximum negotiated charge":"19,054.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"CIGNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"25.05","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"BC PPO","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"1,804.40","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"AMBETTER","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"147.31","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.77","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"HUMANA HMO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"90.98","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"UHC MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.87","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"UHC MCARE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"102.02","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"UHC HMO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"246.13","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"MEDICARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"447.91","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,333.57","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"HUMANA HMO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"148.21","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"45.64","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"AETNA MCARE MGD CARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"57.98","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"BC PPO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"2,607.66","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"WELLCARE MCARE MGD CARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"112.77","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"152.94","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"UHC PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"96.76","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"BC PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"588.31","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"AETNA MCARE MGD CARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"1.86","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.25","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"BCBS SMARTVALUE PFFS","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"40.21","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"AETNA MCARE MGD CARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"27.99","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,044.13","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE MGD CARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"68.35","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"KAISER","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"10.86","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"13.47","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"BC PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,356.39","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"UHC MCARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"207.5","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"MEDICAID","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"58.41","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICAID","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"86.62","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"BC HMO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"305.35","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"BC PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"172.37","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CARESOURCE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"7.19","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MEDICARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.5","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"8.47","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"MEDICAID","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"23.67","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"AETNA MCARE MGD CARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"325.03","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"MEDICARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"19.49","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"MEDICAID","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"MEDICAID","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"609.32","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"BC PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"445.82","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"HUMANA HMO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"44.83","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"MEDICARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"16.96","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"128","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CHAMPUS TRICARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"233.26","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.78","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"PEACHSTATE-CENTENE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"274.43","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"AMBETTER","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"117.53","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"BC HMO","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"1,467.34","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"MEDICAID","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"70.51","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"MEDICAID","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"46.1","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"UHC MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"22.76","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"AMBETTER","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"67.18","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"65.88","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"AMERIGROUP","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"982.85","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"PHCS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"16.1","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"BC HMO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"332.15","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"92.43","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"MEDICARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"25.66","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"MEDICAID","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"916.44","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"BC HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"312.29","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"CIGNA HMO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"70.92","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"PEACHSTATE-CENTENE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"35.4","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"545.99","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71552","code description":"MRI CHEST W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"341.75","de-identified minimum negotiated charge":"340.26","de-identified maximum negotiated charge":"2,513.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"MEDICARE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"41.49","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"MEDICARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"54.67","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"193.65","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MEDICARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"8.69","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"BCBS SMARTVALUE PFFS","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"5.3","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"667.51","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"MEDICARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"24.26","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"BC PPO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"376.13","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2795","code description":"ROPIVACAINE HCL INJECTION","payer":"AMBETTER","gross charge":"4.73","discounted cash price":"1.18","payer-specific negotiated charge":"0.67","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"1.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"BC PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"341.2","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"MEDICAID","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,086.95","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"MEDICARE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"27.39","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"AMERIGROUP","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"178.17","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"AMERIGROUP","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"64.79","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"PEACHSTATE-CENTENE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"178","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"MEDICARE","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"19.09","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"MEDICAID","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"795.3","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"BC PPO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,728.67","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA HMO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"275.6","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,836.96","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"91","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W MCC","payer":"UHC MCARE","gross charge":"57,677.00","discounted cash price":"14,419.25","payer-specific negotiated charge":"12,614.30","de-identified minimum negotiated charge":"10,395.51","de-identified maximum negotiated charge":"14,320.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"KAISER","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"258.31","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"MEDICARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"23.8","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"BC PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"173.29","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"HUMANA HMO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"335.5","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"36.96","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC HMO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"300.43","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"AMERIGROUP","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"10.21","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"MEDICARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"54.98","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"353.21","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"545","code description":"CONNECTIVE TISSUE DISORDERS W MCC","payer":"MEDICAID","gross charge":"79,540.00","discounted cash price":"19,885.00","payer-specific negotiated charge":"15,642.53","de-identified minimum negotiated charge":"8,719.03","de-identified maximum negotiated charge":"17,120.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"AMBETTER","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"664.49","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"MEDICAID","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"413.92","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"PEACHSTATE-CENTENE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"101.6","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"89.83","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"KAISER","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"30.96","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"MEDICARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"107.51","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"CARESOURCE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"10.39","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"AETNA MCARE MGD CARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"354.98","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"37.89","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CIGNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"30.2","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"UHC MCARE","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"10,352.07","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73706","code description":"CT ANGIO LWR EXTR W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"3,731.33","discounted cash price":"932.83","payer-specific negotiated charge":"213.8","de-identified minimum negotiated charge":"158.88","de-identified maximum negotiated charge":"735.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"AETNA MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"61.23","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"AMBETTER","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"582.06","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"BC PPO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"2,054.66","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"MEDICARE","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"9.51","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"HUMANA HMO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"9.09","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"UHC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"11.09","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"CARESOURCE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"72.57","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"CARESOURCE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"100.64","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"CHAMPUS TRICARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"111.24","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"AETNA MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"108.16","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"AETNA PPO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"40.87","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"AMERIGROUP","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"518.54","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AMBETTER","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"310.26","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"CIGNA HMO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"483.02","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"PEACHSTATE-CENTENE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"24.76","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"WELLCARE MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"20.49","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"BC HMO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,514.14","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"UHC MCARE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"9,763.04","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"86.61","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"110.27","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"MEDICAID","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"95.62","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"MEDICARE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"89.28","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"29.2","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"CARESOURCE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"35.07","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"AMERIGROUP","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"210.06","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"PHCS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"72.76","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"CIGNA HMO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"228.08","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"BC PPO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"123.58","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"48.16","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"210.23","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"KAISER SELF-FUNDED","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"18.44","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"KAISER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.88","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"624.99","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"624.99","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"UHC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"47.86","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"BC PPO","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"127.12","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"23.33","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"AETNA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"17.73","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84450","code description":"TRANSFERASE (AST) (SGOT)","payer":"AETNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"15.74","de-identified minimum negotiated charge":"2.97","de-identified maximum negotiated charge":"28.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84460","code description":"ALANINE AMINO (ALT) (SGPT)","payer":"AETNA HMO","gross charge":"67.5","discounted cash price":"16.88","payer-specific negotiated charge":"14.84","de-identified minimum negotiated charge":"2.8","de-identified maximum negotiated charge":"26.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"UHC HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"875.06","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"MEDICARE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"73.76","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"CHAMPUS TRICARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"22.2","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"BC HMO","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"963.24","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"385","code description":"INFLAMMATORY BOWEL DISEASE W MCC","payer":"MEDICARE","gross charge":"138,526.00","discounted cash price":"34,631.50","payer-specific negotiated charge":"12,921.38","de-identified minimum negotiated charge":"7,730.34","de-identified maximum negotiated charge":"15,626.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"BC HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"326.82","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CHAMPUS TRICARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"28.38","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"MEDICAID","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"161.07","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"PEACHSTATE-CENTENE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"18.27","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"MEDICAID","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"399.33","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"MEDICAID","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"19.06","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"AMBETTER","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"392.01","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CIGNA PPO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"470.71","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"BCBS SMARTVALUE PFFS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"57.12","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"AMERIGROUP","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"78.84","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"470","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC","payer":"MEDICARE","gross charge":"140,479.23","discounted cash price":"35,119.81","payer-specific negotiated charge":"15,141.69","de-identified minimum negotiated charge":"8,467.31","de-identified maximum negotiated charge":"29,090.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"UHC HMO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"455.92","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"AMERIGROUP","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"30.32","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"MEDICAID","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"473.28","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"PEACHSTATE-CENTENE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"760.84","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CIGNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"40.45","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"MEDICARE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"21.38","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"MEDICAID","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"70.01","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"MEDICAID","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"709.3","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"BC HMO","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"176.67","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"WELLCARE MCARE MGD CARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"96.84","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"AETNA HMO","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"382.77","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"AETNA HMO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,217.53","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"HUMANA HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"56.72","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"CARESOURCE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"11,185.28","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"CIGNA HMO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"220.51","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.2","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"20","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"92.17","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"AMERIGROUP","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"56.36","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"AETNA HMO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"220.1","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"PEACHSTATE-CENTENE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"65.9","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"20.86","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"HUMANA HMO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"929.15","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"KAISER MCARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"46.94","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"KAISER","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"66.03","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"PEACHSTATE-CENTENE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"78.8","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"KAISER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"32.69","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"CIGNA HMO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,178.48","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.08","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"42","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"AMERIGROUP","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"74.51","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"UHC HMO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"438.82","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"UHC HMO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"753.82","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"PEACHSTATE-CENTENE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"50.81","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"UHC HMO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"600.1","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2795","code description":"ROPIVACAINE HCL INJECTION","payer":"BC HMO","gross charge":"4.73","discounted cash price":"1.18","payer-specific negotiated charge":"1.13","de-identified minimum negotiated charge":"0.06","de-identified maximum negotiated charge":"1.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"7,500.76","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CARESOURCE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"BC HMO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"62.61","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"67.7","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"MEDICAID","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"31.21","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"AMBETTER","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"14.01","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CARESOURCE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"91.13","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"CHAMPUS TRICARE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"205.18","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"CHAMPUS TRICARE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"62.97","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"56.82","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"KAISER","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"36.64","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"AETNA HMO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"313.32","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"HUMANA HMO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"70.98","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"MEDICAID","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.93","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"552","code description":"MEDICAL BACK PROBLEMS W/O MCC","payer":"MEDICARE","gross charge":"84,655.50","discounted cash price":"21,163.88","payer-specific negotiated charge":"9,787.54","de-identified minimum negotiated charge":"5,903.14","de-identified maximum negotiated charge":"31,544.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"UHC MCARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"33.3","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"UHC MCARE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"25.36","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"7.1","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"PEACHSTATE-CENTENE","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"33.79","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"CIGNA HMO","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"38.23","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"WELLCARE MCARE MGD CARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"83.26","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"MEDICAID","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"69.38","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"CHAMPUS TRICARE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"4.26","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"BC PPO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"134.82","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"PEACHSTATE-CENTENE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"65.14","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AMERIGROUP","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"0.73","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"UHC HMO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,140.35","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"BC PPO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"332.84","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"PEACHSTATE-CENTENE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.69","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"KAISER","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"579.48","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"5.3","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"UHC HMO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"238.54","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"BC HMO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"192.55","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"AMBETTER","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"220.07","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"37.38","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"UHC MCARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"65.19","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"AMERIGROUP","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"12.02","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AMERIGROUP","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"29.01","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"381.52","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"204","code description":"RESPIRATORY SIGNS \u0026 SYMPTOMS","payer":"KAISER MCARE","gross charge":"33,266.50","discounted cash price":"8,316.63","payer-specific negotiated charge":"7,855.10","de-identified minimum negotiated charge":"4,925.77","de-identified maximum negotiated charge":"7,918.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"AETNA MCARE MGD CARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"56.25","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"AMBETTER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,137.76","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"PEACHSTATE-CENTENE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"48.91","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"MEDICAID","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"93.54","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CARESOURCE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"189.85","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CARESOURCE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"354.04","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"BC PPO","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"2,133.46","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"110.36","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"AMBETTER","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"126.18","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"MEDICARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"24.45","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"350.35","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"BCBS SMARTVALUE PFFS","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.8","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"KAISER","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"931.15","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.62","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"MEDICAID","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"906.87","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CARESOURCE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"49.79","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"AETNA MCARE MGD CARE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"195.81","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"25.11","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"UHC HMO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"139.09","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"PEACHSTATE-CENTENE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"6.14","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73201","code description":"CT UPPER EXTREMITY W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,867.00","discounted cash price":"1,216.75","payer-specific negotiated charge":"419.26","de-identified minimum negotiated charge":"387","de-identified maximum negotiated charge":"1,745.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"AMERIGROUP","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"82.21","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"17.41","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"PEACHSTATE-CENTENE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"67.27","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA HMO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"310.48","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"AMBETTER","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"1,862.87","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"PEACHSTATE-CENTENE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"293.96","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"MEDICAID","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"108.06","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"BC PPO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"1,350.82","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"HUMANA HMO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"14,246.85","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"904.82","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"MEDICAID","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"860.89","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"MEDICAID","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"95.81","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"39.07","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"UHC MCARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"19.06","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"MEDICAID","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"53.87","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"26.43","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"BC HMO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"412.26","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"AMBETTER","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"144","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"MEDICAID","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"6,325.35","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"HUMANA HMO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"17.63","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.96","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"AETNA MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"163.73","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"KAISER MCARE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"8,421.23","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"PEACHSTATE-CENTENE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"6.59","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"BC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"111.83","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"BC PPO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"254.3","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"HUMANA HMO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"53.32","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CIGNA HMO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"115.31","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"AMERIGROUP","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"14.6","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"UHC MCARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"27.94","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"MEDICARE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"11.77","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"AETNA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"91.09","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CIGNA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"211.38","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"PEACHSTATE-CENTENE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"73.3","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"HUMANA HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"769.73","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"AMERIGROUP","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"94.09","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"AMBETTER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"24.45","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AMERIGROUP","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"144.41","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"BC PPO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"139.24","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"MEDICAID","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"35.49","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"MEDICARE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"10.95","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"MEDICARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"19.55","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"CARESOURCE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"5,807.09","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"MEDICAID","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"39.21","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"BC PPO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"192.02","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"MEDICARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"8.29","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"73.17","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"KAISER","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"513.97","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"44.93","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC HMO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"303.74","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"BC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"45.56","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"BCBS SMARTVALUE PFFS","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"89.12","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.45","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"MEDICAID","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"82.13","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"162.02","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"PEACHSTATE-CENTENE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,557.11","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"AETNA MCARE MGD CARE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"351.95","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CARESOURCE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"178.17","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"MEDICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.29","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"MEDICARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"6.2","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"PEACHSTATE-CENTENE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"37.72","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"MEDICAID","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"177.8","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"MEDICARE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"211.53","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"MEDICARE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"50.48","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"74,688.75","discounted cash price":"18,672.19","payer-specific negotiated charge":"7,633.48","de-identified minimum negotiated charge":"4,799.64","de-identified maximum negotiated charge":"7,950.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"AMBETTER","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"818.96","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"MEDICAID","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"6.16","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"MEDICARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"16.66","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"AMERIGROUP","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"244.21","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"UHC HMO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"1,628.93","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"MEDICAID","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"232.5","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"MEDICARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"216.16","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"AETNA MCARE MGD CARE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"51.08","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"AMBETTER","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"191.87","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"171.78","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"UHC MCARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"45.91","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"HUMANA HMO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"646.64","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"MEDICARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"8,548.42","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"BC PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"26.6","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"BC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"117.48","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"MEDICARE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"20.86","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"MEDICAID","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"72.91","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"MEDICAID","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"52.52","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"BC PPO","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"153.18","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"MEDICAID","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"139.63","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"KAISER","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"527.78","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AETNA PPO","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"18.27","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"WELLCARE MCARE MGD CARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"15.34","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CHAMPUS TRICARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"55.95","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"64.56","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"PEACHSTATE-CENTENE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"34.96","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"27.65","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"KAISER MCARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"344.12","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"MEDICARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.93","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"BC HMO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"2,779.03","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"KAISER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"24.18","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"CIGNA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"432.52","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"BC HMO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"165.96","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"MEDICARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"273.61","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"202","code description":"BRONCHITIS \u0026 ASTHMA W CC/MCC","payer":"UHC MCARE","gross charge":"30,532.50","discounted cash price":"7,633.13","payer-specific negotiated charge":"8,730.19","de-identified minimum negotiated charge":"492.7","de-identified maximum negotiated charge":"8,824.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"84.21","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"WELLCARE MCARE MGD CARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"30.39","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85","code description":"TRAUMATIC STUPOR \u0026 COMA, COMA \u003c1 HR W MCC","payer":"MEDICARE","gross charge":"43,618.50","discounted cash price":"10,904.63","payer-specific negotiated charge":"17,907.55","de-identified minimum negotiated charge":"17,907.55","de-identified maximum negotiated charge":"17,907.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"4.44","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"298.72","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"47.78","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"AETNA MCARE MGD CARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"184.55","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"39.08","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"AETNA HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"135.66","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"UHC MCARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"206.31","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"130.63","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CLOVER HEALTH","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"36.78","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AMERIGROUP","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"112.98","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"MEDICAID","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"66.17","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"UHC MCARE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"7,690.84","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"146.47","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"66.67","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"13.59","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"AETNA PPO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"89.5","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"CIGNA HMO","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"1,421.91","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"AETNA MCARE MGD CARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"29.57","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"BC PPO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"1,253.71","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"PEACHSTATE-CENTENE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"236.61","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"281","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","payer":"AETNA MCARE MGD CARE","gross charge":"99,423.50","discounted cash price":"24,855.88","payer-specific negotiated charge":"8,624.80","de-identified minimum negotiated charge":"5,901.04","de-identified maximum negotiated charge":"8,832.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CLOVER HEALTH","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.8","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.14","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"HUMANA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"80.29","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"UHC MCARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"6.2","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"48.42","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"179.75","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC PPO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"373.5","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"UHC MCARE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"8,229.76","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"301","code description":"PERIPHERAL VASCULAR DISORDERS W/O CC/MCC","payer":"UHC MCARE","gross charge":"32,881.50","discounted cash price":"8,220.38","payer-specific negotiated charge":"7,400.14","de-identified minimum negotiated charge":"7,400.14","de-identified maximum negotiated charge":"7,400.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"AMBETTER","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"741.09","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"MEDICAID","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"8,841.71","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"51.66","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"MEDICAID","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"79.15","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"MEDICARE","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"12.35","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"BC HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"40.01","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"BC HMO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"387.41","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W CC","payer":"UHC MCARE","gross charge":"79,812.00","discounted cash price":"19,953.00","payer-specific negotiated charge":"9,024.14","de-identified minimum negotiated charge":"5,832.74","de-identified maximum negotiated charge":"10,035.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"BC PPO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,534.77","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80175","code description":"DRUG SCREEN QUAN LAMOTRIGINE","payer":"BC PPO","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"133.98","de-identified minimum negotiated charge":"1.59","de-identified maximum negotiated charge":"133.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"BC PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"455.47","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"BC PPO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"524.8","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"AETNA HMO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"138.93","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"UHC HMO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"65.29","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"AETNA HMO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"13.97","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"AMBETTER","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"41.73","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"UHC HMO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"120.92","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"AMERIGROUP","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"22.17","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"CHAMPUS TRICARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"73.97","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.59","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38792","code description":"RA TRACER ID OF SENTINL NODE","payer":"AMBETTER","gross charge":"909","discounted cash price":"227.25","payer-specific negotiated charge":"241.04","de-identified minimum negotiated charge":"117.93","de-identified maximum negotiated charge":"909"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"MEDICAID","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"12.33","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"UHC MCARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"14.58","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"644","code description":"ENDOCRINE DISORDERS W CC","payer":"UHC MCARE","gross charge":"125,485.50","discounted cash price":"31,371.38","payer-specific negotiated charge":"9,075.39","de-identified minimum negotiated charge":"6,427.89","de-identified maximum negotiated charge":"9,501.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"4,894.78","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"UHC MCARE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"363.14","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"UHC MCARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"59.58","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"BC HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"297.8","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"PEACHSTATE-CENTENE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"76.78","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"PEACHSTATE-CENTENE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"76.78","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AETNA MCARE MGD CARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"31.28","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"BC PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"20.28","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.62","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"AMBETTER","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"407.22","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"BC PPO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"167.58","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"BC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,035.07","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"49.01","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"66.38","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"AMERIGROUP","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"20.49","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"PEACHSTATE-CENTENE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"37.13","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"BC PPO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"130.8","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"BC HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"62.49","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"AMERIGROUP","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"41.93","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"714.56","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"MEDICAID","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"68.67","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"BC PPO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"482.72","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"AETNA PPO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"106.92","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"AETNA HMO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"320.16","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"MEDICARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"49.41","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"CARESOURCE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"364.26","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"112.72","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"HUMANA HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"142.15","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"27.49","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"HUMANA HMO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"505.42","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"AETNA MCARE MGD CARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"10,938.57","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"PEACHSTATE-CENTENE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"47.01","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"AMERIGROUP","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"261.21","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"MEDICARE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"36.32","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AETNA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"90.84","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"445","code description":"DISORDERS OF THE BILIARY TRACT W CC","payer":"UHC MCARE","gross charge":"56,398.50","discounted cash price":"14,099.63","payer-specific negotiated charge":"9,445.03","de-identified minimum negotiated charge":"7,783.54","de-identified maximum negotiated charge":"9,445.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"UHC HMO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"283.19","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AMBETTER","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"16.75","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CIGNA PPO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"105.42","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"UHC MCARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"10,866.63","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"16.69","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"BC PPO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,178.86","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"8,380.84","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4722","code description":"DIALYS SOL FLD VOL \u003e 1999CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"322.5","discounted cash price":"80.63","payer-specific negotiated charge":"18.42","de-identified minimum negotiated charge":"16.85","de-identified maximum negotiated charge":"72.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC MCARE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"117.53","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"UHC MCARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.71","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"MEDICAID","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"11.18","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"KAISER","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"86.79","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"621.75","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"KAISER","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"246.62","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"70.58","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"1,076.77","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73701","code description":"CT LOWER EXTREMITY W/DYE","payer":"CIGNA HMO","gross charge":"6,676.00","discounted cash price":"1,669.00","payer-specific negotiated charge":"1,230.91","de-identified minimum negotiated charge":"153.4","de-identified maximum negotiated charge":"2,026.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CIGNA PPO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"617.51","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"UHC MCARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"101.83","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"74,688.75","discounted cash price":"18,672.19","payer-specific negotiated charge":"7,544.97","de-identified minimum negotiated charge":"4,799.64","de-identified maximum negotiated charge":"7,950.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"69.25","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"CIGNA HMO","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"730.84","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"KAISER SELF-FUNDED","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"801.99","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CIGNA PPO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"442.05","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"AMERIGROUP","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"31.12","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"BC HMO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"165.93","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"PEACHSTATE-CENTENE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"56.59","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CARESOURCE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"41.39","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"23.52","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"MEDICAID","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"106.77","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CLOVER HEALTH","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"30.7","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"AMBETTER","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"127.33","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,070.65","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"UHC HMO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"29.39","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"AETNA MCARE MGD CARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"23.31","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"AMERIGROUP","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"25.8","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"123.13","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"24.05","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BC PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"13.02","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"9,225.62","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"MEDICARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"27.53","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"CIGNA HMO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"65.87","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"109.7","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"7,591.01","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"AMBETTER","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"296.18","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"51.12","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"KAISER","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"442.27","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"BC PPO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"236.83","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0153","code description":"ADENOSINE INJ 1MG","payer":"UHC MCARE","gross charge":"16.83","discounted cash price":"4.21","payer-specific negotiated charge":"1.16","de-identified minimum negotiated charge":"1.16","de-identified maximum negotiated charge":"11.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"AETNA MCARE MGD CARE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"65.67","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA PPO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"380.68","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92526","code description":"ORAL FUNCTION THERAPY","payer":"UHC MCARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"69.97","de-identified minimum negotiated charge":"37.22","de-identified maximum negotiated charge":"99.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"8,000.77","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"CARESOURCE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"141.22","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"MEDICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.11","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"UHC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,979.49","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"8,546.21","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"KAISER MCARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"44.93","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"MEDICAID","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"326.34","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BC PPO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"149.38","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AETNA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"515.3","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"552","code description":"MEDICAL BACK PROBLEMS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"84,655.50","discounted cash price":"21,163.88","payer-specific negotiated charge":"8,744.26","de-identified minimum negotiated charge":"5,903.14","de-identified maximum negotiated charge":"31,544.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"MEDICARE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"171.73","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"7,655.97","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"88.93","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"BC HMO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"1,646.18","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.86","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"MEDICAID","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"405.87","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"KAISER SELF-FUNDED","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"43.59","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"45.06","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"WELLCARE MCARE MGD CARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"81.53","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CIGNA PPO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"131.09","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"MEDICAID","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"7.49","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"AMBETTER","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"141.22","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"MEDICARE","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"152.56","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"51.69","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"BC HMO","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"85.52","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"328.61","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"AETNA MCARE MGD CARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"24.41","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"AMERIGROUP","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"5.52","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"AETNA MCARE MGD CARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"103.23","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"17.67","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"AETNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"43.54","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"MEDICARE","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"27.46","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"MEDICAID","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"24.69","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"WELLCARE MCARE MGD CARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"53.78","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"HUMANA HMO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"298.75","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"303.64","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"UHC MCARE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"12,254.51","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"AETNA MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"69.68","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"BC HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"85.46","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"AETNA HMO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"371.43","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"MEDICAID","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"275.39","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"WELLCARE MCARE MGD CARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"50.99","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"UHC HMO","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"993.12","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"AETNA HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"114.04","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"KAISER MCARE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"8,567.95","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"AETNA MCARE MGD CARE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"8,401.59","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,117.69","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"AMBETTER","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"191.18","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"79,812.00","discounted cash price":"19,953.00","payer-specific negotiated charge":"9,191.35","de-identified minimum negotiated charge":"5,832.74","de-identified maximum negotiated charge":"10,035.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"87.55","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"BC HMO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"951.78","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"11.04","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.33","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W CC","payer":"UHC MCARE","gross charge":"55,048.50","discounted cash price":"13,762.13","payer-specific negotiated charge":"8,952.15","de-identified minimum negotiated charge":"6,233.59","de-identified maximum negotiated charge":"9,220.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"AETNA MCARE MGD CARE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"63.8","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"BC PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"284.34","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"AETNA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"79.33","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"22.84","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"CIGNA HMO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"872","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.73","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"BC HMO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,540.33","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"13.19","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"BC HMO","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"2,195.61","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"UHC HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"312.3","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"WELLCARE MCARE MGD CARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"40.16","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"BC HMO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"484.65","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"11,680.22","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"MEDICAID","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"309.68","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,153.42","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"8,008.58","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"7,853.08","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"MEDICAID","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"329.68","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"386","code description":"INFLAMMATORY BOWEL DISEASE W CC","payer":"UHC MCARE","gross charge":"169,988.00","discounted cash price":"42,497.00","payer-specific negotiated charge":"8,790.77","de-identified minimum negotiated charge":"7,315.72","de-identified maximum negotiated charge":"29,981.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"CARESOURCE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"98.21","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"AETNA HMO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"321.59","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"KAISER","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"840.08","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"HUMANA HMO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"174.58","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"UHC MCARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"98.41","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"MEDICARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"166","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"948","code description":"SIGNS \u0026 SYMPTOMS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"180,706.00","discounted cash price":"45,176.50","payer-specific negotiated charge":"7,816.86","de-identified minimum negotiated charge":"501.56","de-identified maximum negotiated charge":"28,656.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"UHC MCARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"7,610.17","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"AETNA MCARE MGD CARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,244.95","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"13.21","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"MEDICAID","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"72.32","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"CARESOURCE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"667.3","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"MEDICARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"48.74","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"BC PPO","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"15.9","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"AETNA MCARE MGD CARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"736.31","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"CHAMPUS TRICARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"54.6","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"UHC MCARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.69","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"MEDICARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"8.6","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"552","code description":"MEDICAL BACK PROBLEMS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84,655.50","discounted cash price":"21,163.88","payer-specific negotiated charge":"8,671.81","de-identified minimum negotiated charge":"5,903.14","de-identified maximum negotiated charge":"31,544.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"MEDICAID","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"7,359.00","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"MEDICAID","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"191.96","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"UHC MCARE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"9,814.08","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"MEDICARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"29.92","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"176","code description":"PULMONARY EMBOLISM W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"61,166.50","discounted cash price":"15,291.63","payer-specific negotiated charge":"8,616.93","de-identified minimum negotiated charge":"5,557.07","de-identified maximum negotiated charge":"8,616.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"UHC MCARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,096.95","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"91.35","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"AETNA MCARE MGD CARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"38.43","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"MEDICAID","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"45.65","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"PEACHSTATE-CENTENE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"20.82","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97803","code description":"MED NUTRITION INDIV SUBSEQ","payer":"CARESOURCE","gross charge":"77.43","discounted cash price":"19.36","payer-specific negotiated charge":"14.09","de-identified minimum negotiated charge":"12.55","de-identified maximum negotiated charge":"48.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CIGNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"29.71","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"UHC MCARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"25.95","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"BC PPO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"214.31","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.06","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"BC HMO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"19,518.60","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"394","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W CC","payer":"AETNA MCARE MGD CARE","gross charge":"81,891.50","discounted cash price":"20,472.88","payer-specific negotiated charge":"8,774.68","de-identified minimum negotiated charge":"5,129.45","de-identified maximum negotiated charge":"8,774.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"MEDICAID","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"311.86","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"9,919.21","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.71","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"385.11","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81235","code description":"EGFR GENE COM VARIANTS","payer":"MEDICARE","gross charge":"876","discounted cash price":"219","payer-specific negotiated charge":"78.41","de-identified minimum negotiated charge":"50.26","de-identified maximum negotiated charge":"78.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"MEDICARE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"12.59","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"BC PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"375.81","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"AETNA MCARE MGD CARE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"4.64","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"MEDICAID","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"5,941.33","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"AMBETTER","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"982.03","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"842","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W/O CC/MCC","payer":"UHC MCARE","gross charge":"46,934.00","discounted cash price":"11,733.50","payer-specific negotiated charge":"9,651.72","de-identified minimum negotiated charge":"9,651.72","de-identified maximum negotiated charge":"9,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"AMERIGROUP","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.53","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"KAISER MCARE","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"11,701.95","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"AETNA MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"156.93","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"0.91","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"WELLCARE MCARE MGD CARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"94.46","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"45.33","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"AETNA MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"25.98","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"MEDICARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"30.5","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CARESOURCE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"384.36","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"30.16","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"AMBETTER","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"2,305.01","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"MEDICARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"14.99","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"AMERIGROUP","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"132.62","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"CIGNA HMO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,109.88","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"MEDICARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"85.92","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"MEDICARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.48","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"AETNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"28.01","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"738","code description":"UTERINE \u0026 ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"67,724.50","discounted cash price":"16,931.13","payer-specific negotiated charge":"12,117.20","de-identified minimum negotiated charge":"9,295.76","de-identified maximum negotiated charge":"12,117.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"AETNA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"139.04","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"MEDICARE","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"17.76","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"92.86","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"UHC MCARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"62.18","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"BC HMO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"683.65","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"AETNA HMO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"103.41","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"56.79","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"332.18","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"MEDICAID","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"37,400.71","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"BC PPO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"261.66","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"9,860.67","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"BC PPO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"2,934.74","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"UHC HMO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"814.86","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"AMBETTER","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"95.38","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"552","code description":"MEDICAL BACK PROBLEMS W/O MCC","payer":"UHC MCARE","gross charge":"84,655.50","discounted cash price":"21,163.88","payer-specific negotiated charge":"8,729.42","de-identified minimum negotiated charge":"5,903.14","de-identified maximum negotiated charge":"31,544.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"138.87","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"AETNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"58.93","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"MEDICAID","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"295.61","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"30.02","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"BC HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"167.74","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"KAISER","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"69.7","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"UHC MCARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"90.62","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"AETNA MCARE MGD CARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"10,569.30","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"47.47","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"AETNA MCARE MGD CARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"72.9","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"BC PPO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"346.78","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"UHC HMO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"400.95","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"HUMANA HMO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"148.56","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"UHC MCARE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"7,932.62","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"558","code description":"TENDONITIS, MYOSITIS \u0026 BURSITIS W/O MCC","payer":"MEDICAID","gross charge":"51,553.67","discounted cash price":"12,888.42","payer-specific negotiated charge":"5,225.01","de-identified minimum negotiated charge":"4,816.39","de-identified maximum negotiated charge":"6,909.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CARESOURCE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"152.36","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"546","code description":"CONNECTIVE TISSUE DISORDERS W CC","payer":"MEDICAID","gross charge":"56,956.50","discounted cash price":"14,239.13","payer-specific negotiated charge":"7,937.98","de-identified minimum negotiated charge":"7,345.71","de-identified maximum negotiated charge":"10,473.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"AMBETTER","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"164.78","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"AETNA HMO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"91.58","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"160.62","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"G.I. OBSTRUCTION W/O CC/MCC","payer":"UHC MCARE","gross charge":"47,441.00","discounted cash price":"11,860.25","payer-specific negotiated charge":"6,374.17","de-identified minimum negotiated charge":"3,682.00","de-identified maximum negotiated charge":"8,174.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"KAISER MCARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"54.95","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"BC HMO","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"161.29","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"MEDICAID","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"101.69","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"MEDICARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"90.66","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"UHC MCARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"332.53","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"UHC MCARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"68.79","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"9,854.30","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.83","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.36","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"BCBS SMARTVALUE PFFS","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"18.65","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"PEACHSTATE-CENTENE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"697.17","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"PHCS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"42.45","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.08","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"389","code description":"G.I. OBSTRUCTION W CC","payer":"AETNA MCARE MGD CARE","gross charge":"48,358.25","discounted cash price":"12,089.56","payer-specific negotiated charge":"7,955.07","de-identified minimum negotiated charge":"4,868.19","de-identified maximum negotiated charge":"8,887.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"CIGNA PPO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,366.00","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"UHC HMO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"344.14","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"10,497.02","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"50.03","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"UHC MCARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"29.58","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"BC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"55.52","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86320","code description":"SERUM IMMUNOELECTROPHORESIS","payer":"AETNA HMO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"31.83","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"31.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"45.28","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"KAISER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.56","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"AETNA MCARE MGD CARE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"9,071.74","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"PEACHSTATE-CENTENE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"83.68","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"UHC MCARE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"127.71","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"PEACHSTATE-CENTENE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"180.25","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"170.17","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"HUMANA HMO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"153.01","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AMBETTER","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"863.76","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"7,909.40","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"CARESOURCE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"6,647.15","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"MEDICARE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"59.18","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"102.72","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"AETNA MCARE MGD CARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"27.32","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"MEDICARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"20.04","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"8,400.44","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"40,068.50","discounted cash price":"10,017.13","payer-specific negotiated charge":"9,500.32","de-identified minimum negotiated charge":"6,373.69","de-identified maximum negotiated charge":"9,531.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"AETNA HMO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"1,723.21","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"8,517.29","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"116.57","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"11,098.40","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.41","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"HUMANA HMO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"90.87","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"PEACHSTATE-CENTENE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"2,919.15","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"48.37","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"AETNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,280.29","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"UHC MCARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,365.32","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"8,140.68","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"AETNA MCARE MGD CARE","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"11.12","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"4.8","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"PHCS","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"446.14","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"AETNA MCARE MGD CARE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"92.28","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"15.36","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"UHC MCARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"54.9","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"369","code description":"MAJOR ESOPHAGEAL DISORDERS W CC","payer":"MEDICARE","gross charge":"82,447.50","discounted cash price":"20,611.88","payer-specific negotiated charge":"9,879.70","de-identified minimum negotiated charge":"9,427.18","de-identified maximum negotiated charge":"9,892.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"KAISER MCARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"25.49","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"AMERIGROUP","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"3.41","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"BC HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"91.96","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"AETNA MCARE MGD CARE","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"17.66","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"372","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"125,277.50","discounted cash price":"31,319.38","payer-specific negotiated charge":"9,383.84","de-identified minimum negotiated charge":"6,437.81","de-identified maximum negotiated charge":"16,652.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"AMERIGROUP","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"177.74","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"CIGNA HMO","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"601.32","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"36.57","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"10,183.58","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"13.4","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"MEDICAID","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"58.29","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"MEDICAID","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"76.97","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"MEDICARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"33.68","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"418","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC","payer":"UHC MCARE","gross charge":"80,165.50","discounted cash price":"20,041.38","payer-specific negotiated charge":"13,362.40","de-identified minimum negotiated charge":"10,537.51","de-identified maximum negotiated charge":"15,340.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"BC PPO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"96.94","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"MEDICARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.23","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"BC PPO","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"2,574.38","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"BC PPO","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"511.5","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"BC PPO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"219.79","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"UHC MCARE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"12,067.26","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"BC HMO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"13.23","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"UHC HMO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"4,230.12","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"187.08","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"AETNA MCARE MGD CARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"48.99","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"AETNA MCARE MGD CARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"43.51","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"121.09","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"PEACHSTATE-CENTENE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"12.52","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"MEDICARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.91","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"394","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W CC","payer":"UHC MCARE","gross charge":"81,891.50","discounted cash price":"20,472.88","payer-specific negotiated charge":"8,641.51","de-identified minimum negotiated charge":"5,129.45","de-identified maximum negotiated charge":"8,774.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"11.78","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,357.85","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"205","code description":"OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC","payer":"UHC MCARE","gross charge":"70,569.50","discounted cash price":"17,642.38","payer-specific negotiated charge":"13,335.50","de-identified minimum negotiated charge":"13,335.50","de-identified maximum negotiated charge":"14,007.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"UHC MCARE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"8,163.52","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"CIGNA PPO","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"51.85","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"AMERIGROUP","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"18.34","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"162.06","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"BC HMO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"1,181.41","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"KAISER MCARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"10,834.59","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"AMBETTER","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"104.1","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"HUMANA HMO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"123.79","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"UHC MCARE","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"7,931.47","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36247","code description":"INS CATH ABD/L-EXT ART 3RD","payer":"UHC HMO","gross charge":"4,681.00","discounted cash price":"1,170.25","payer-specific negotiated charge":"1,842.00","de-identified minimum negotiated charge":"542.96","de-identified maximum negotiated charge":"1,962.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"AETNA HMO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"926.68","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"MULTI-PLAN","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"963.9","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"BC HMO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,516.02","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"UHC PPO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"390.29","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.44","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"AETNA MCARE MGD CARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"28.77","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,346.58","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"35.68","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"CARESOURCE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"111.69","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"CIGNA HMO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"1,109.85","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"KAISER MCARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"27.74","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,343.53","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"AMBETTER","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"143.37","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"PEACHSTATE-CENTENE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"9,534.45","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"UHC MCARE","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"11,831.34","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"241.04","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"781.53","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"14,041.75","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"UHC MCARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"17,822.29","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"MEDICAID","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"44.93","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"AETNA MCARE MGD CARE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"439.28","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"UHC MCARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"10,482.37","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"CHAMPUS TRICARE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"28.35","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.5","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"BC HMO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"295.4","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AETNA PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"13.14","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"CHAMPUS TRICARE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"75.45","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"CHAMPUS TRICARE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"140.67","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.35","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CARESOURCE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"14.99","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"MEDICARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"280.95","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"46.56","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"UHC MCARE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"11,478.64","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"CIGNA HMO","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,078.44","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"CARESOURCE","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"33.65","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"MEDICARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,568.52","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"CIGNA HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"879.57","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"CHAMPUS TRICARE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"158.35","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"31.22","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"AETNA MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"22.98","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"19.89","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"185.96","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"UHC PPO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"657.97","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"BCBS SMARTVALUE PFFS","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"20.69","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"HUMANA HMO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,146.94","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"AETNA HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"181.71","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"UHC MCARE","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"8,458.23","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"MEDICARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"23.68","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"27.61","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"MEDICARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"6.5","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"7.67","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62305","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"MEDICARE","gross charge":"2,746.00","discounted cash price":"686.5","payer-specific negotiated charge":"190.21","de-identified minimum negotiated charge":"190.21","de-identified maximum negotiated charge":"366.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"HUMANA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,003.47","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"AMERIGROUP","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"AETNA HMO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"219.31","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC PPO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"387.38","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"469","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"284,542.00","discounted cash price":"71,135.50","payer-specific negotiated charge":"22,534.36","de-identified minimum negotiated charge":"22,534.36","de-identified maximum negotiated charge":"33,086.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"AETNA MCARE MGD CARE","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"16.17","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"MEDICAID","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"35.81","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"436","code description":"MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"68,525.50","discounted cash price":"17,131.38","payer-specific negotiated charge":"9,908.37","de-identified minimum negotiated charge":"9,460.92","de-identified maximum negotiated charge":"9,908.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES","payer":"AETNA MCARE MGD CARE","gross charge":"136,809.83","discounted cash price":"34,202.46","payer-specific negotiated charge":"18,003.87","de-identified minimum negotiated charge":"14,880.47","de-identified maximum negotiated charge":"18,484.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"WELLCARE MCARE MGD CARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.55","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"BC HMO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"361.88","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CARESOURCE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"13.99","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"30.4","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"14,999.83","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"237.04","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"UHC MCARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"73.65","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"AETNA HMO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"241.64","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"14,681.39","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"13,972.89","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"12,120.62","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50432","code description":"PLMT NEPHROSTOMY CATHETER","payer":"MEDICARE","gross charge":"6,542.00","discounted cash price":"1,635.50","payer-specific negotiated charge":"1,013.09","de-identified minimum negotiated charge":"860.64","de-identified maximum negotiated charge":"3,848.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"BC PPO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"275.06","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"AETNA MCARE MGD CARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"66.94","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"AETNA MCARE MGD CARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"66.94","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"AETNA MCARE MGD CARE","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"80.38","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BC PPO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"146.19","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"MEDICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"278.55","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"240.88","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"MEDICARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"735.5","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"884","code description":"ORGANIC DISTURBANCES \u0026 INTELLECTUAL DISABILITY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"80,165.00","discounted cash price":"20,041.25","payer-specific negotiated charge":"12,276.29","de-identified minimum negotiated charge":"8,669.70","de-identified maximum negotiated charge":"14,217.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"9,528.44","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"AETNA MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"40.97","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,521.09","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"MEDICAID","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"19.18","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AETNA PPO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"335.78","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"11,625.35","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"AMERIGROUP","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"40.11","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"WELLCARE MCARE MGD CARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"10,848.28","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CIGNA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"352.92","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"202","code description":"BRONCHITIS \u0026 ASTHMA W CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"30,532.50","discounted cash price":"7,633.13","payer-specific negotiated charge":"8,824.53","de-identified minimum negotiated charge":"492.7","de-identified maximum negotiated charge":"8,824.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"BC HMO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"439.44","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"56.06","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"41.58","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"BC PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,800.84","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"UHC HMO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,160.58","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,345.14","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"1,017.32","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"UHC MCARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"10.87","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"MEDICAID","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"115.28","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"309","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W CC","payer":"UHC MCARE","gross charge":"74,688.75","discounted cash price":"18,672.19","payer-specific negotiated charge":"7,350.19","de-identified minimum negotiated charge":"4,799.64","de-identified maximum negotiated charge":"7,950.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"PEACHSTATE-CENTENE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"37.03","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"MEDICARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"243.79","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"BC HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"47.3","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"AETNA MCARE MGD CARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"3.2","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"BC HMO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"13.98","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"MEDICARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"94.97","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"UHC HMO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"1,863.82","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"BCBS SMARTVALUE PFFS","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"12.63","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0185","code description":"INJ., APREPITANT, 1 MG","payer":"MEDICARE","gross charge":"18.03","discounted cash price":"4.51","payer-specific negotiated charge":"1.54","de-identified minimum negotiated charge":"1.54","de-identified maximum negotiated charge":"1.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"41.95","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"AETNA MCARE MGD CARE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"202.49","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"388","code description":"G.I. OBSTRUCTION W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"199,621.25","discounted cash price":"49,905.31","payer-specific negotiated charge":"12,477.80","de-identified minimum negotiated charge":"5,362.45","de-identified maximum negotiated charge":"81,840.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"AETNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"16.77","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"AMERIGROUP","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"41.3","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"BCBS SMARTVALUE PFFS","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"81.3","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"PEACHSTATE-CENTENE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"16.57","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"MEDICARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"720.52","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"AMBETTER","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"117.58","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2788","code description":"PRESBYOPIA-CORRECT FUNCTION","payer":"UHC MCARE","gross charge":"6,104.00","discounted cash price":"1,526.00","payer-specific negotiated charge":"626.56","de-identified minimum negotiated charge":"503.98","de-identified maximum negotiated charge":"644.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CHAMPUS TRICARE","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"30.62","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"AMBETTER","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"97.64","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"MEDICARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"75.13","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"AMBETTER","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"828.23","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.85","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"UHC MCARE","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"8,275.22","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"MEDICAID","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"19.21","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"MEDICARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"195.41","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"536","code description":"FRACTURES OF HIP \u0026 PELVIS W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"42,609.75","discounted cash price":"10,652.44","payer-specific negotiated charge":"7,854.34","de-identified minimum negotiated charge":"3,375.00","de-identified maximum negotiated charge":"7,854.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"BC HMO","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"81.26","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"HUMANA HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"113.85","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"522","code description":"HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC","payer":"AETNA MCARE MGD CARE","gross charge":"217,207.00","discounted cash price":"54,301.75","payer-specific negotiated charge":"16,733.76","de-identified minimum negotiated charge":"13,614.19","de-identified maximum negotiated charge":"20,264.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA MCARE MGD CARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"28.93","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"90","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"AETNA MCARE MGD CARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"106.57","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"MEDICAID","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"50.81","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"AETNA PPO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"97.51","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AETNA PPO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.98","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"432","code description":"CIRRHOSIS \u0026 ALCOHOLIC HEPATITIS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"95,825.67","discounted cash price":"23,956.42","payer-specific negotiated charge":"14,804.21","de-identified minimum negotiated charge":"8,626.23","de-identified maximum negotiated charge":"19,054.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"641","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC","payer":"UHC MCARE","gross charge":"61,906.50","discounted cash price":"15,476.63","payer-specific negotiated charge":"7,584.66","de-identified minimum negotiated charge":"3,663.31","de-identified maximum negotiated charge":"7,690.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"HUMANA HMO","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"60.51","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"HUMANA HMO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,492.06","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"PEACHSTATE-CENTENE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"69.47","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"MEDICARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"58.69","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"BC PPO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"440.52","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"WELLCARE MCARE MGD CARE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"62.65","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"236.44","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"MEDICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.48","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"UHC MCARE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"12,875.27","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"MEDICARE","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"338.73","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"BC HMO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"142.12","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"UHC HMO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"527.2","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"CHAMPUS TRICARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"284.34","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"981","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"MEDICARE","gross charge":"155,352.00","discounted cash price":"38,838.00","payer-specific negotiated charge":"24,367.44","de-identified minimum negotiated charge":"24,351.62","de-identified maximum negotiated charge":"35,340.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"UHC MCARE","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"157.86","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"MEDICAID","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"467.54","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"MEDICAID","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"55.33","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"69","code description":"TRANSIENT ISCHEMIA W/O THROMBOLYTIC","payer":"WELLCARE MCARE MGD CARE","gross charge":"69,297.50","discounted cash price":"17,324.38","payer-specific negotiated charge":"8,111.43","de-identified minimum negotiated charge":"4,930.29","de-identified maximum negotiated charge":"8,154.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"MEDICAID","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"318.84","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"MEDICARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"22.16","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"160.79","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"CIGNA PPO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"350.23","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"BC HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"241.07","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"AETNA MCARE MGD CARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"88.41","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"AMERIGROUP","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"964.12","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"MEDICARE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"350.09","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"18,338.76","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"MEDICAID","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"124.3","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"59.54","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"AMBETTER","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"548.45","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"232.95","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"8,280.33","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"37.83","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"PHCS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"71.12","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"PEACHSTATE-CENTENE","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"6,761.88","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22514","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"UHC MCARE","gross charge":"18,295.00","discounted cash price":"4,573.75","payer-specific negotiated charge":"4,103.62","de-identified minimum negotiated charge":"4,103.62","de-identified maximum negotiated charge":"4,604.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"33.12","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"BC PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,232.26","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"157.89","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"BC PPO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,681.16","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"8,944.42","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"470","code description":"MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"140,479.23","discounted cash price":"35,119.81","payer-specific negotiated charge":"14,953.64","de-identified minimum negotiated charge":"8,467.31","de-identified maximum negotiated charge":"29,090.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"AETNA HMO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,296.66","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"AETNA PPO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"135.27","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"388","code description":"G.I. OBSTRUCTION W MCC","payer":"KAISER MCARE","gross charge":"199,621.25","discounted cash price":"49,905.31","payer-specific negotiated charge":"12,721.25","de-identified minimum negotiated charge":"5,362.45","de-identified maximum negotiated charge":"81,840.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"120,969.50","discounted cash price":"30,242.38","payer-specific negotiated charge":"12,367.70","de-identified minimum negotiated charge":"10,291.97","de-identified maximum negotiated charge":"17,564.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"86.06","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"BC PPO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"334.79","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86593","code description":"SYPHILIS TEST NON-TREP QUANT","payer":"AETNA HMO","gross charge":"354","discounted cash price":"88.5","payer-specific negotiated charge":"161.95","de-identified minimum negotiated charge":"151.52","de-identified maximum negotiated charge":"161.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"HUMANA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"814.25","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"MEDICAID","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"215.18","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA HMO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"205.23","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"16,204.37","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"BC PPO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"1,742.00","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"643","code description":"ENDOCRINE DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"81,849.00","discounted cash price":"20,462.25","payer-specific negotiated charge":"13,478.50","de-identified minimum negotiated charge":"5,447.61","de-identified maximum negotiated charge":"17,235.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"AMERIGROUP","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"32.66","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"AMERIGROUP","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"70.39","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"MEDICARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"27.73","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"MEDICARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"27.52","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"MEDICARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"20.93","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"226.34","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"867","code description":"OTHER INFECTIOUS \u0026 PARASITIC DISEASES DIAGNOSES W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"53,036.00","discounted cash price":"13,259.00","payer-specific negotiated charge":"17,379.86","de-identified minimum negotiated charge":"17,379.86","de-identified maximum negotiated charge":"17,379.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"UHC HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"67.87","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"BC PPO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"1,453.83","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"BC PPO","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"702.33","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"591.25","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"CARESOURCE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"125.38","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"BC PPO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"175.56","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"UHC HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"403.14","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"AMBETTER","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,529.52","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"BC PPO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"194.04","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"PEACHSTATE-CENTENE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"158.57","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"664.54","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,047.49","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"69","code description":"TRANSIENT ISCHEMIA W/O THROMBOLYTIC","payer":"KAISER MCARE","gross charge":"69,297.50","discounted cash price":"17,324.38","payer-specific negotiated charge":"8,132.82","de-identified minimum negotiated charge":"4,930.29","de-identified maximum negotiated charge":"8,154.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"BC PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,617.50","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"BC HMO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"337.22","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"328","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W/O CC/MCC","payer":"UHC MCARE","gross charge":"90,333.50","discounted cash price":"22,583.38","payer-specific negotiated charge":"13,339.87","de-identified minimum negotiated charge":"9,796.04","de-identified maximum negotiated charge":"13,548.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"AMBETTER","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"17.39","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97163","code description":"PT EVAL HIGH COMPLEX 45 MIN","payer":"MEDICARE","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"93.5","de-identified minimum negotiated charge":"92.19","de-identified maximum negotiated charge":"93.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"354.54","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.89","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"658","code description":"KIDNEY \u0026 URETER PROCEDURES FOR NEOPLASM W/O CC/MCC","payer":"KAISER MCARE","gross charge":"100,584.50","discounted cash price":"25,146.13","payer-specific negotiated charge":"13,219.79","de-identified minimum negotiated charge":"9,937.13","de-identified maximum negotiated charge":"13,890.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"AETNA MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"322.29","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AETNA HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"9.25","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"AMBETTER","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,883.70","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"43.72","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"199","code description":"PNEUMOTHORAX W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"272,154.50","discounted cash price":"68,038.63","payer-specific negotiated charge":"14,277.88","de-identified minimum negotiated charge":"11,400.30","de-identified maximum negotiated charge":"28,784.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"BC HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"293.49","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"393","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"101,432.00","discounted cash price":"25,358.00","payer-specific negotiated charge":"13,436.00","de-identified minimum negotiated charge":"10,370.95","de-identified maximum negotiated charge":"15,376.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"AMERIGROUP","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"5.49","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"KAISER MCARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"35.89","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"38.22","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.33","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"116.4","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"988","code description":"NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94,414.50","discounted cash price":"23,603.63","payer-specific negotiated charge":"13,608.62","de-identified minimum negotiated charge":"13,608.62","de-identified maximum negotiated charge":"13,717.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"BC HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"134.46","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"MEDICAID","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"37.22","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"13,337.55","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"70.3","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"8,235.80","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"MEDICARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"106","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"BC PPO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"152.25","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"369.38","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"109.1","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"AETNA MCARE MGD CARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"22.84","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"KAISER MCARE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"13,005.86","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"HUMANA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"74.1","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"MEDICAID","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"843.71","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"MEDICARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"59.78","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"KAISER","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"128.03","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"BC PPO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"148.25","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"574.1","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"MEDICARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"22.45","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"318.83","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"39.26","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.58","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"MEDICAID","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"46.71","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"13,041.28","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"KAISER","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"126.65","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"CHAMPUS TRICARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"45.72","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"MEDICAID","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"5,357.22","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CIGNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,416.27","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"WELLCARE MCARE MGD CARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,623.96","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"AETNA MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"335.44","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"MEDICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.1","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"111.96","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"AMBETTER","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"54.73","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"BC PPO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"15.06","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CARESOURCE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"19.28","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"19.56","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"5.01","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"MEDICARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"65.43","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"48.64","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"WELLCARE MCARE MGD CARE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"28.83","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"14,842.63","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"MEDICARE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"79.38","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"AETNA HMO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"389.92","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"BC PPO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"124.11","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"AETNA MCARE MGD CARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"78","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"UHC MCARE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"8,370.23","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"9,702.90","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AMBETTER","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"54.71","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"CARESOURCE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"12.56","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"AMBETTER","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"966.96","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"326","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"257,791.50","discounted cash price":"64,447.88","payer-specific negotiated charge":"36,934.18","de-identified minimum negotiated charge":"32,207.36","de-identified maximum negotiated charge":"36,934.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"MEDICARE","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"68.99","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"378","code description":"G.I. HEMORRHAGE W CC","payer":"UHC MCARE","gross charge":"78,994.50","discounted cash price":"19,748.63","payer-specific negotiated charge":"8,981.92","de-identified minimum negotiated charge":"6,214.98","de-identified maximum negotiated charge":"24,130.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"307","code description":"CARDIAC CONGENITAL \u0026 VALVULAR DISORDERS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"36,608.50","discounted cash price":"9,152.13","payer-specific negotiated charge":"8,267.10","de-identified minimum negotiated charge":"8,267.10","de-identified maximum negotiated charge":"8,267.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"AETNA HMO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"123.48","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.69","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"604.89","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"KAISER MCARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"12,555.12","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"AETNA MCARE MGD CARE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"8,327.83","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"HUMANA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"319.35","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"444","code description":"DISORDERS OF THE BILIARY TRACT W MCC","payer":"UHC MCARE","gross charge":"80,637.50","discounted cash price":"20,159.38","payer-specific negotiated charge":"13,429.95","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"14,563.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"UHC PPO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"16.23","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"CHAMPUS TRICARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"59.1","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"AETNA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"331.47","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"MEDICARE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"2.4","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"BC HMO","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"342.3","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"339.08","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CARESOURCE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"12.71","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.76","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CIGNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"92.24","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"UHC MCARE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"107.07","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"BCBS SMARTVALUE PFFS","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"8.15","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"AMBETTER","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"32.97","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"MEDICARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"30.65","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"8,510.14","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"78.89","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.38","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,332.10","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"75.55","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"MEDICAID","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"16.9","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"11,286.68","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"314","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC","payer":"UHC MCARE","gross charge":"149,738.64","discounted cash price":"37,434.66","payer-specific negotiated charge":"15,970.53","de-identified minimum negotiated charge":"13,123.80","de-identified maximum negotiated charge":"47,913.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"467","code description":"REVISION OF HIP OR KNEE REPLACEMENT W CC","payer":"UHC MCARE","gross charge":"187,551.42","discounted cash price":"46,887.85","payer-specific negotiated charge":"25,752.65","de-identified minimum negotiated charge":"13,527.44","de-identified maximum negotiated charge":"32,127.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"464","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC","payer":"AETNA MCARE MGD CARE","gross charge":"130,184.50","discounted cash price":"32,546.13","payer-specific negotiated charge":"21,822.63","de-identified minimum negotiated charge":"14,217.14","de-identified maximum negotiated charge":"34,872.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"MEDICARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"295.18","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"30.33","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"AETNA HMO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"100.15","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"13,048.64","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"HUMANA HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"362.28","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"77.5","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"AMBETTER","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"668.93","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"MEDICARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"15.76","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"197.3","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"MEDICARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"88.2","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"147.06","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"BC HMO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"793.57","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"20.87","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"AETNA HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"360.05","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"MEDICAID","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"91.89","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"KAISER","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"79.55","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"MEDICARE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"110.84","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.82","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"180","code description":"RESPIRATORY NEOPLASMS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"159,205.50","discounted cash price":"39,801.38","payer-specific negotiated charge":"14,028.27","de-identified minimum negotiated charge":"4,690.74","de-identified maximum negotiated charge":"14,820.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"MEDICARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"47.92","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"BC HMO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"217.02","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"626.97","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"205","code description":"OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC","payer":"MEDICARE","gross charge":"70,569.50","discounted cash price":"17,642.38","payer-specific negotiated charge":"14,007.02","de-identified minimum negotiated charge":"13,335.50","de-identified maximum negotiated charge":"14,007.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"MEDICAID","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"21.35","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"134.84","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CIGNA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"79.5","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"HUMANA HMO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"236.9","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CARESOURCE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"259.58","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"MEDICARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"62.48","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"WELLCARE MCARE MGD CARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"55.16","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"AETNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"779.62","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"AMERIGROUP","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"41.59","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"CIGNA HMO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"314.08","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"AMBETTER","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"182.58","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"AETNA HMO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"91.47","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"AMBETTER","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"43.23","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AETNA HMO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"555.42","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"AETNA HMO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"146.65","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"UHC MCARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"163.21","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.9","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"BC PPO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"121.21","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"UHC MCARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"847.7","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"210.88","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"475.22","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"180","code description":"RESPIRATORY NEOPLASMS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"159,205.50","discounted cash price":"39,801.38","payer-specific negotiated charge":"14,051.87","de-identified minimum negotiated charge":"4,690.74","de-identified maximum negotiated charge":"14,820.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AETNA PPO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"272.22","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"196.29","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"40.06","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"BC PPO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,237.97","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"8.01","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36591","code description":"DRAW BLOOD OFF VENOUS DEVICE","payer":"MEDICARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"27.34","de-identified minimum negotiated charge":"27.34","de-identified maximum negotiated charge":"27.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"644","code description":"ENDOCRINE DISORDERS W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"125,485.50","discounted cash price":"31,371.38","payer-specific negotiated charge":"9,501.03","de-identified minimum negotiated charge":"6,427.89","de-identified maximum negotiated charge":"9,501.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"MEDICARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"51.81","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"264","code description":"OTHER CIRCULATORY SYSTEM O.R. PROCEDURES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"98,480.50","discounted cash price":"24,620.13","payer-specific negotiated charge":"23,619.41","de-identified minimum negotiated charge":"23,619.41","de-identified maximum negotiated charge":"23,619.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,601.42","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BC PPO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"188.91","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"767.49","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"120.43","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"HUMANA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"75.47","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"MEDICAID","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"19.93","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"BC HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"463.07","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"CIGNA HMO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"80.08","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97130","code description":"THER IVNTJ EA ADDL 15 MIN","payer":"BC PPO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"145.53","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"88.46","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"CARESOURCE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"99.39","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"AETNA MCARE MGD CARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"98.11","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"PEACHSTATE-CENTENE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"43.66","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"MEDICARE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"15.78","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"13.07","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.35","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,221.78","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CHAMPUS TRICARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"83.22","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"15,054.68","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"AETNA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"69.25","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"142.54","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"PEACHSTATE-CENTENE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"7.29","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.58","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"483","code description":"MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"136,809.83","discounted cash price":"34,202.46","payer-specific negotiated charge":"18,275.91","de-identified minimum negotiated charge":"14,880.47","de-identified maximum negotiated charge":"18,484.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC","payer":"UHC MCARE","gross charge":"80,152.50","discounted cash price":"20,038.13","payer-specific negotiated charge":"13,320.97","de-identified minimum negotiated charge":"10,364.07","de-identified maximum negotiated charge":"13,767.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"UHC HMO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"372.37","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA MCARE MGD CARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"63.47","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"AMERIGROUP","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"4.12","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"231.09","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"873.22","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CIGNA HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"23.45","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"562","code description":"FX, SPRN, STRN \u0026 DISL EXCEPT FEMUR, HIP, PELVIS \u0026 THIGH W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"51,777.00","discounted cash price":"12,944.25","payer-specific negotiated charge":"11,990.87","de-identified minimum negotiated charge":"11,990.87","de-identified maximum negotiated charge":"11,990.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"UHC MCARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"50.56","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"MEDICARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"229.56","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"AETNA MCARE MGD CARE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"93.59","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"UHC HMO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"247","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BC PPO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"173.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"MEDICARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"14.87","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"MEDICARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"102.93","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"MEDICAID","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"139.78","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"11.55","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"UHC HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"7.25","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"AMBETTER","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"131.83","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"UHC MCARE","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"4.68","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"62.49","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"BC HMO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"107.78","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"MEDICARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"107.85","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"BC PPO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"2,215.89","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"BC PPO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"253.23","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"MEDICARE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"212.72","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"CIGNA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"21","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"AETNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,585.39","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"20.52","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"7.99","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"105.7","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"8,283.70","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"224.93","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"77.12","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"CIGNA HMO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"487.49","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"11,459.40","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CIGNA HMO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,209.39","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CHAMPUS TRICARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"85.12","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"HUMANA HMO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"328.58","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"BC HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"333.65","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"MEDICAID","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"41.9","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"AMBETTER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"501.05","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"MEDICARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"11.3","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"UHC HMO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"176.3","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"110.78","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.57","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"11.84","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"HUMANA HMO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"130.55","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"235.98","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"354","code description":"HERNIA PROCEDURES EXCEPT INGUINAL \u0026 FEMORAL W CC","payer":"UHC MCARE","gross charge":"83,999.00","discounted cash price":"20,999.75","payer-specific negotiated charge":"14,253.25","de-identified minimum negotiated charge":"11,013.83","de-identified maximum negotiated charge":"14,525.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"AMBETTER","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"235.78","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"UHC MCARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"16.42","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"MEDICARE","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"27.47","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AETNA HMO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"979.55","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"304","code description":"HYPERTENSION W MCC","payer":"MEDICAID","gross charge":"145,341.00","discounted cash price":"36,335.25","payer-specific negotiated charge":"5,849.64","de-identified minimum negotiated charge":"5,460.31","de-identified maximum negotiated charge":"9,984.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"BCBS SMARTVALUE PFFS","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,466.91","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"BC PPO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"525.03","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PHCS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"154.95","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"BC HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,370.60","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"40.15","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"UHC HMO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"1,576.09","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"CARESOURCE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"177.8","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"BC PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"316.19","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97129","code description":"THER IVNTJ 1ST 15 MIN","payer":"BC PPO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"145.53","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AETNA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"310.2","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"UHC HMO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"542.96","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"224.48","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"390","code description":"G.I. OBSTRUCTION W/O CC/MCC","payer":"CHAMPUS TRICARE","gross charge":"47,441.00","discounted cash price":"11,860.25","payer-specific negotiated charge":"4,097.81","de-identified minimum negotiated charge":"3,682.00","de-identified maximum negotiated charge":"8,174.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"4.14","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"PHCS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"70.43","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"87.72","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"CARESOURCE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"617.77","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AMBETTER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"27.77","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"381","code description":"COMPLICATED PEPTIC ULCER W CC","payer":"MEDICARE","gross charge":"35,969.50","discounted cash price":"8,992.38","payer-specific negotiated charge":"6,676.26","de-identified minimum negotiated charge":"6,676.26","de-identified maximum negotiated charge":"6,676.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"618.88","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"79.99","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"897","code description":"ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC","payer":"MEDICAID","gross charge":"72,436.50","discounted cash price":"18,109.13","payer-specific negotiated charge":"4,941.41","de-identified minimum negotiated charge":"3,494.16","de-identified maximum negotiated charge":"8,232.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"PEACHSTATE-CENTENE","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"12,162.74","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"394","code description":"OTHER DIGESTIVE SYSTEM DIAGNOSES W CC","payer":"MEDICAID","gross charge":"81,891.50","discounted cash price":"20,472.88","payer-specific negotiated charge":"6,836.98","de-identified minimum negotiated charge":"5,129.45","de-identified maximum negotiated charge":"8,774.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"66","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC","payer":"MEDICAID","gross charge":"46,507.00","discounted cash price":"11,626.75","payer-specific negotiated charge":"5,649.50","de-identified minimum negotiated charge":"4,460.35","de-identified maximum negotiated charge":"7,172.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"39.61","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"WELLCARE MCARE MGD CARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,276.62","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"106.43","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.91","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"CARESOURCE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"146.76","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"673","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W MCC","payer":"UHC MCARE","gross charge":"292,426.50","discounted cash price":"73,106.63","payer-specific negotiated charge":"24,997.75","de-identified minimum negotiated charge":"18,296.46","de-identified maximum negotiated charge":"41,738.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"BCBS SMARTVALUE PFFS","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"62.81","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"BC HMO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"116.82","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"7.55","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"80,152.50","discounted cash price":"20,038.13","payer-specific negotiated charge":"13,554.92","de-identified minimum negotiated charge":"10,364.07","de-identified maximum negotiated charge":"13,767.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"30.32","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CARESOURCE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"63.88","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"MEDICARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"229.32","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CHAMPUS TRICARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"37.48","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"PEACHSTATE-CENTENE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"58.71","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"8.37","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"48.75","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"PHCS","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"217.97","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86480","code description":"TB TEST CELL IMMUN MEASURE","payer":"MEDICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"30.29","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"168.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"AMBETTER","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"67.36","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"BC HMO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"93.64","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"KAISER","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"171.58","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"CHAMPUS TRICARE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"339.82","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CARESOURCE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"32.95","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"UHC MCARE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"45.07","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CIGNA HMO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"17.3","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"KAISER","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"708.81","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"27.83","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CIGNA PPO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"345.65","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"UHC MCARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"82.47","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"MEDICARE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"73.52","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"80.84","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"UHC HMO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"339.81","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"AMERIGROUP","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"21.75","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"49.68","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"480","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"180,854.00","discounted cash price":"45,213.50","payer-specific negotiated charge":"22,355.43","de-identified minimum negotiated charge":"18,897.33","de-identified maximum negotiated charge":"22,355.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73010","code description":"X-RAY EXAM OF SHOULDER BLADE","payer":"MEDICARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"35.45","de-identified minimum negotiated charge":"35.45","de-identified maximum negotiated charge":"379.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"BC PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"17.62","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"CARESOURCE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"502.48","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"AMBETTER","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"268.23","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"18,528.33","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"UHC HMO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"1,432.06","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"UHC MCARE","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"8,309.74","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"11.97","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"MEDICARE","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"61.78","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"MEDICARE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"180.63","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"603","code description":"CELLULITIS W/O MCC","payer":"MEDICAID","gross charge":"55,412.00","discounted cash price":"13,853.00","payer-specific negotiated charge":"6,085.50","de-identified minimum negotiated charge":"5,055.88","de-identified maximum negotiated charge":"9,322.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMBETTER","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"136.78","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"HUMANA HMO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"191.79","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"39.65","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"22.95","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"371.65","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"BC HMO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"118.89","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"AMERIGROUP","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"21.77","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"UHC HMO","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"310.82","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"MEDICAID","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"47.57","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,063.33","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"AMBETTER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"30.16","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CLOVER HEALTH","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"95.67","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"AETNA MCARE MGD CARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"199.75","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"16,449.24","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"UHC MCARE","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"16,286.38","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"MEDICAID","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"80.96","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.85","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"1,057.04","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"CIGNA HMO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"966.5","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"106.58","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"22.95","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"109.08","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"PEACHSTATE-CENTENE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"87.04","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"KAISER","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"27.36","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"35.84","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"36.55","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"108.54","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CIGNA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"103.19","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"UHC HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"141.38","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"AETNA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,278.74","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"MEDICARE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"216.82","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"142.03","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CHAMPUS TRICARE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"1.81","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"7.96","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"175","code description":"PULMONARY EMBOLISM W MCC","payer":"MEDICAID","gross charge":"69,529.50","discounted cash price":"17,382.38","payer-specific negotiated charge":"10,910.51","de-identified minimum negotiated charge":"8,312.06","de-identified maximum negotiated charge":"13,661.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CIGNA PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"16.13","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"954.05","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"347.92","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"WELLCARE MCARE MGD CARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"36.45","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"UHC MCARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"165.02","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"MEDICAID","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.63","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CARESOURCE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"47.41","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"313","code description":"CHEST PAIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"63,455.50","discounted cash price":"15,863.88","payer-specific negotiated charge":"7,322.11","de-identified minimum negotiated charge":"4,521.34","de-identified maximum negotiated charge":"8,272.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CHAMPUS TRICARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"14.87","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"BC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"41.36","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"MEDICAID","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.39","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"BC PPO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"146.78","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"UHC MCARE","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"27.32","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BC PPO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"145.96","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"MEDICARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"32.54","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.86","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"BC PPO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"2,056.51","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.89","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"AETNA MCARE MGD CARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"63.1","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"72.08","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"FIRST HLTH NTWK","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"14.16","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"UHC MCARE","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"277.91","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"BC PPO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"94.44","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"UHC MCARE","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"175.93","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"108.1","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC PPO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"370.25","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"AETNA HMO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"89","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"HUMANA HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"98.06","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"191","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC","payer":"MEDICAID","gross charge":"100,643.50","discounted cash price":"25,160.88","payer-specific negotiated charge":"6,211.43","de-identified minimum negotiated charge":"754.25","de-identified maximum negotiated charge":"9,279.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"FIRST HLTH NTWK","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"124.76","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"BC HMO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"148.67","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"AETNA HMO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"513.09","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"MEDICAID","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"5,392.66","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"MEDICARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"113.85","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"48.78","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"AETNA PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"83.02","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"MULTI-PLAN","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"80.32","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"MULTI-PLAN","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"191.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"MULTI-PLAN","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"80.32","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"MULTI-PLAN","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"25.82","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"PHCS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"70.87","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"14.6","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"381.42","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"FIRST HLTH NTWK","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"56.7","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"323","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"AMERIGROUP","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"FIRST HLTH NTWK","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"56.7","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"HUMANA HMO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"156.41","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"MULTI-PLAN","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"226.95","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"FIRST HLTH NTWK","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"306","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97130","code description":"THER IVNTJ EA ADDL 15 MIN","payer":"CIGNA HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"119.07","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"MULTI-PLAN","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"359.12","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"FIRST HLTH NTWK","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"176.4","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"AETNA HMO","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"463.14","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97164","code description":"PT RE-EVAL EST PLAN CARE","payer":"AMBETTER","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"209.62","de-identified minimum negotiated charge":"209.62","de-identified maximum negotiated charge":"343.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"CIGNA PPO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"282.87","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"AETNA PPO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"278.38","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"KAISER","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"291.85","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"AETNA HMO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"728","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"PEACHSTATE-CENTENE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"113.05","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"HUMANA HMO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,564.77","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97129","code description":"THER IVNTJ 1ST 15 MIN","payer":"CIGNA HMO","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"119.07","de-identified minimum negotiated charge":"16.21","de-identified maximum negotiated charge":"145.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"UHC HMO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"450","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"176.92","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"CIGNA HMO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"450","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"AETNA HMO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"450","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"BC HMO","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"61.96","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"AMBETTER","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"41.83","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"HUMANA HMO","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"450","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"AETNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"69.44","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"BC HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"127.89","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"UHC HMO","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"1,483.00","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"UHC HMO","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"272","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"CIGNA PPO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"56.07","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"AETNA PPO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"37.04","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"AETNA PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"38.57","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70546","code description":"MR ANGIOGRAPH HEAD W/O\u0026W/DYE","payer":"BC HMO","gross charge":"6,897.00","discounted cash price":"1,724.25","payer-specific negotiated charge":"2,378.38","de-identified minimum negotiated charge":"1,522.64","de-identified maximum negotiated charge":"3,111.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"CARESOURCE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"624.5","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"MULTI-PLAN","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"702.95","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70250","code description":"X-RAY EXAM OF SKULL","payer":"BC PPO","gross charge":"668","discounted cash price":"167","payer-specific negotiated charge":"107.46","de-identified minimum negotiated charge":"41.23","de-identified maximum negotiated charge":"123.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"326","code description":"STOMACH, ESOPHAGEAL \u0026 DUODENAL PROC W MCC","payer":"MEDICAID","gross charge":"257,791.50","discounted cash price":"64,447.88","payer-specific negotiated charge":"32,207.36","de-identified minimum negotiated charge":"32,207.36","de-identified maximum negotiated charge":"36,934.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"674","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W CC","payer":"MEDICAID","gross charge":"75,675.00","discounted cash price":"18,918.75","payer-specific negotiated charge":"17,629.01","de-identified minimum negotiated charge":"15,000.71","de-identified maximum negotiated charge":"17,629.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"441","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC","payer":"CARESOURCE","gross charge":"241,062.00","discounted cash price":"60,265.50","payer-specific negotiated charge":"12,520.91","de-identified minimum negotiated charge":"12,280.82","de-identified maximum negotiated charge":"18,320.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"CARESOURCE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"5,429.77","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"375","code description":"DIGESTIVE MALIGNANCY W CC","payer":"AETNA MCARE MGD CARE","gross charge":"62,167.38","discounted cash price":"15,541.84","payer-specific negotiated charge":"10,528.31","de-identified minimum negotiated charge":"6,809.59","de-identified maximum negotiated charge":"10,528.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"CIGNA HMO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"143.64","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"PEACHSTATE-CENTENE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"210.73","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"PHCS","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"210","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96136","code description":"PSYCL/NRPSYC TST PHY/QHP 1ST","payer":"AETNA HMO","gross charge":"229.22","discounted cash price":"57.31","payer-specific negotiated charge":"141.36","de-identified minimum negotiated charge":"38.09","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"BC PPO","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,974.00","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"PHCS","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"1,854.75","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"HUMANA HMO","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"778.61","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"PHCS","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"220.5","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"FIRST HLTH NTWK","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"318.6","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"MULTI-PLAN","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"556.75","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"FIRST HLTH NTWK","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"124.8","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"PHCS","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"440.25","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MULTI-PLAN","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"176.8","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,160.12","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"BC HMO","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"220.99","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MULTI-PLAN","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"568.65","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"FIRST HLTH NTWK","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"67.2","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"280","code description":"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"150,039.75","discounted cash price":"37,509.94","payer-specific negotiated charge":"13,764.58","de-identified minimum negotiated charge":"10,032.97","de-identified maximum negotiated charge":"15,687.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"50.11","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"MULTI-PLAN","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"667.26","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"MULTI-PLAN","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"176.8","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"179.53","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"303.2","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"MEDICARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"26.38","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"KAISER MCARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"311.99","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"AMERIGROUP","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"86.45","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"UHC MCARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"45.35","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MULTI-PLAN","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"20.09","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"AETNA HMO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"94.42","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"117.53","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"UHC MCARE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"4.24","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"AETNA MCARE MGD CARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"57.97","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"BC PPO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"2,342.46","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"BC PPO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"545.02","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70549","code description":"MR ANGIOGRAPH NECK W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"321.19","de-identified minimum negotiated charge":"263.44","de-identified maximum negotiated charge":"3,657.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"378.62","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.85","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"50.92","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"UHC MCARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"105.15","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"MEDICAID","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"48.3","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"BC PPO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"317.27","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"UHC PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"317.22","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"MEDICAID","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"60.78","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"BC HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"139.56","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"KAISER MCARE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"126.68","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"KAISER MCARE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"146.07","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"34.6","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"BC PPO","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"1,963.98","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"BC PPO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,866.27","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"AETNA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"65.22","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"109.49","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"BC PPO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"180.3","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"AETNA HMO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"41.04","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"FIRST HLTH NTWK","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"2,788.23","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"MEDICARE","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"31.47","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"AMBETTER","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"989.78","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"107.56","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"818.37","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA MCARE MGD CARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"27.89","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"UHC MCARE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"205.4","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.01","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"27.39","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"AMBETTER","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"462.25","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"AETNA PPO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"456.56","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"61.9","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CHAMPUS TRICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"17.95","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"CIGNA HMO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"282.87","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"13,110.33","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"306.82","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"MEDICAID","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,854.73","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"48.01","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"MEDICARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"117.68","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"MEDICARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"78.74","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0439","code description":"PPPS, SUBSEQ VISIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"380","discounted cash price":"95","payer-specific negotiated charge":"137.33","de-identified minimum negotiated charge":"96.96","de-identified maximum negotiated charge":"202.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"91.06","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"67.41","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"BC PPO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"555.39","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"BC PPO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"640.47","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"BC PPO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"227.39","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"MEDICAID","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"138.95","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"MEDICAID","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"202.43","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"204.27","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"CIGNA HMO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,132.23","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"MEDICAID","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,553.08","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"AMBETTER","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"898.05","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"BC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"115.1","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"638","code description":"DIABETES W CC","payer":"PEACHSTATE-CENTENE","gross charge":"81,833.50","discounted cash price":"20,458.38","payer-specific negotiated charge":"5,460.55","de-identified minimum negotiated charge":"902.23","de-identified maximum negotiated charge":"8,481.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"MEDICAID","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"83.99","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"AMBETTER","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"131.35","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"753.32","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"BC HMO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,244.60","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"CARESOURCE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"36.13","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"63.05","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"MEDICARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"101.58","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"MEDICARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"82.07","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"80.32","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"HUMANA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,729.92","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"AMBETTER","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,192.01","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"AETNA HMO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"38.31","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"MEDICARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"104.45","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"HUMANA HMO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"245.65","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CIGNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"9.72","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"8.69","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"BC PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"104.65","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC HMO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"397.02","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"110.35","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"AMBETTER","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"408","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"MEDICARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"41.64","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"BC HMO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"101.13","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"6,255.81","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"CARESOURCE","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"6,224.59","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"620","code description":"O.R. PROCEDURES FOR OBESITY W CC","payer":"MEDICAID","gross charge":"129,219.50","discounted cash price":"32,304.88","payer-specific negotiated charge":"12,231.68","de-identified minimum negotiated charge":"12,162.74","de-identified maximum negotiated charge":"14,378.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"PEACHSTATE-CENTENE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"34.87","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"KAISER MCARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"62.83","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"MEDICARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"50.44","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"PHCS","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,157.42","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"WELLCARE MCARE MGD CARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"11,624.71","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"BC PPO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"788.52","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"AETNA HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"111.7","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"AMBETTER","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"211.47","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"MEDICAID","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"181.05","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"UHC MCARE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"9,214.75","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"AMBETTER","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"177.83","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"AETNA MCARE MGD CARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"90.11","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"195.85","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"WELLCARE MCARE MGD CARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"200.95","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"13.39","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"CIGNA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"99.5","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"193","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W MCC","payer":"KAISER MCARE","gross charge":"105,762.00","discounted cash price":"26,440.50","payer-specific negotiated charge":"11,606.13","de-identified minimum negotiated charge":"3,313.13","de-identified maximum negotiated charge":"16,684.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"AMBETTER","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"211.03","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"AETNA HMO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"394.83","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"602","code description":"CELLULITIS W MCC","payer":"MEDICAID","gross charge":"98,352.50","discounted cash price":"24,588.13","payer-specific negotiated charge":"9,470.85","de-identified minimum negotiated charge":"7,944.00","de-identified maximum negotiated charge":"12,244.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"BC HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"1,646.87","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"MULTI-PLAN","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"4.46","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"PHCS","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"503.95","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"9.76","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"UHC HMO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"36.34","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"MEDICARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"64.46","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"AMBETTER","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"387.75","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"PEACHSTATE-CENTENE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"13.73","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"MEDICAID","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"9,895.24","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"564","code description":"OTHER MUSCULOSKELETAL SYS \u0026 CONNECTIVE TISSUE DIAGNOSES W MCC","payer":"MEDICAID","gross charge":"32,448.00","discounted cash price":"8,112.00","payer-specific negotiated charge":"7,900.17","de-identified minimum negotiated charge":"7,900.17","de-identified maximum negotiated charge":"7,900.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"MEDICAID","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"6,479.10","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"690","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W/O MCC","payer":"AMERIGROUP","gross charge":"89,500.50","discounted cash price":"22,375.13","payer-specific negotiated charge":"5,438.38","de-identified minimum negotiated charge":"3,705.11","de-identified maximum negotiated charge":"8,138.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"699","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W CC","payer":"MEDICAID","gross charge":"44,802.50","discounted cash price":"11,200.63","payer-specific negotiated charge":"6,855.27","de-identified minimum negotiated charge":"993.27","de-identified maximum negotiated charge":"9,635.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"CARESOURCE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"8,791.13","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"831","code description":"OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC","payer":"MEDICAID","gross charge":"19,073.00","discounted cash price":"4,768.25","payer-specific negotiated charge":"5,491.32","de-identified minimum negotiated charge":"5,491.32","de-identified maximum negotiated charge":"5,491.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"MEDICAID","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"5,037.14","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.77","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"KAISER","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"74.92","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"BC PPO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"2,025.81","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"BC HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"168.72","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"MEDICARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"107.3","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"84.61","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"AETNA MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"25.42","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"15,679.78","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.06","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CHAMPUS TRICARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"21.52","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"38.58","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"222.3","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"196.14","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"MEDICARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"110.58","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"BC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"82.88","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"AETNA HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"63.85","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AETNA HMO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"102.99","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"MEDICAID","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"59.5","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.75","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"349.04","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"AETNA HMO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"154.37","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"BC PPO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"501.13","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"AETNA PPO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"106.7","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"MEDICARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"52.11","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"UHC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.38","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"PEACHSTATE-CENTENE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"49.69","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"AETNA HMO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"2,566.73","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"169.8","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"AETNA MCARE MGD CARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"59.93","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"UHC HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"110.03","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"HUMANA HMO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"92.87","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"AETNA HMO","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"177.94","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"CARESOURCE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"9,873.06","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"AMERIGROUP","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"78.06","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CIGNA HMO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"29.14","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"FIRST HLTH NTWK","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"62.97","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"MEDICARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"28.08","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"AMERIGROUP","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.11","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"50.96","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"UHC HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"298.35","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"829","code description":"MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"180,611.50","discounted cash price":"45,152.88","payer-specific negotiated charge":"23,770.96","de-identified minimum negotiated charge":"20,001.22","de-identified maximum negotiated charge":"23,933.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"AETNA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"449.75","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"CIGNA HMO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"586.16","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"AMBETTER","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"9.97","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"BC HMO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"122.1","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"UHC MCARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"24.33","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AETNA MCARE MGD CARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"5.05","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.43","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"BC HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,714.88","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"68.95","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"73.45","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"PHCS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"78.48","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"815","code description":"RETICULOENDOTHELIAL \u0026 IMMUNITY DISORDERS W CC","payer":"MEDICARE","gross charge":"47,283.00","discounted cash price":"11,820.75","payer-specific negotiated charge":"9,694.48","de-identified minimum negotiated charge":"9,694.48","de-identified maximum negotiated charge":"9,694.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"37.16","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"MEDICAID","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"18.16","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"UHC MCARE","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"11,839.19","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"MEDICARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"3.77","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"360.82","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"HUMANA HMO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"393.57","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"MEDICARE","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"523.19","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"BC HMO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,786.57","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"143.79","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"23.65","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"163","code description":"MAJOR CHEST PROCEDURES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"338,015.67","discounted cash price":"84,503.92","payer-specific negotiated charge":"35,644.53","de-identified minimum negotiated charge":"35,644.53","de-identified maximum negotiated charge":"82,105.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"319.47","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"179.89","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"371.24","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"39.61","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"CIGNA HMO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"195.77","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"114.31","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"BC HMO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"52.16","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"CIGNA HMO","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"115.66","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"947","code description":"SIGNS \u0026 SYMPTOMS W MCC","payer":"MEDICAID","gross charge":"39,698.00","discounted cash price":"9,924.50","payer-specific negotiated charge":"10,642.00","de-identified minimum negotiated charge":"10,642.00","de-identified maximum negotiated charge":"10,642.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"854","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W CC","payer":"PEACHSTATE-CENTENE","gross charge":"193,666.50","discounted cash price":"48,416.63","payer-specific negotiated charge":"16,135.41","de-identified minimum negotiated charge":"13,240.36","de-identified maximum negotiated charge":"16,978.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"MEDICAID","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"11,829.71","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"AETNA MCARE MGD CARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"21.65","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"PEACHSTATE-CENTENE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"619.13","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"AETNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"17.38","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"AETNA HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"119.77","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"WELLCARE MCARE MGD CARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"UHC MCARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"73.81","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"PEACHSTATE-CENTENE","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"32.68","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"90.42","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"120.29","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"120.32","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"102.75","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,267.34","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"UHC MCARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"98.15","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CHAMPUS TRICARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"71.88","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"AETNA MCARE MGD CARE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"47.73","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"HUMANA HMO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"569.54","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"WELLCARE MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.39","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"BCBS SMARTVALUE PFFS","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"90.44","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"AMERIGROUP","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"140.83","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74330","code description":"X-RAY BILE/PANC ENDOSCOPY","payer":"UHC MCARE","gross charge":"1,240.00","discounted cash price":"310","payer-specific negotiated charge":"163.66","de-identified minimum negotiated charge":"119.19","de-identified maximum negotiated charge":"318.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"AETNA HMO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"1,052.00","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"34.48","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"AETNA MCARE MGD CARE","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"49.45","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"PEACHSTATE-CENTENE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"24.11","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"248.55","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"FIRST HLTH NTWK","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"62.77","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"AETNA MCARE MGD CARE","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"269.63","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"AMBETTER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"79.9","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"95.02","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"BC HMO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"266.77","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"MEDICAID","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"123.73","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"AETNA MCARE MGD CARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"291.66","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"AETNA HMO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"58.53","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"UHC MCARE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"154.27","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"MEDICARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"27.17","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"222.72","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"KAISER","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"298.43","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"AMBETTER","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"234.59","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"UHC MCARE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"319.4","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"332.18","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"111.36","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"CIGNA HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"127.89","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"MULTI-PLAN","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"68.85","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"35.45","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"MULTI-PLAN","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"704.82","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82104","code description":"ALPHA-1-ANTITRYPSIN PHENO","payer":"MEDICARE","gross charge":"354","discounted cash price":"88.5","payer-specific negotiated charge":"14.91","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"14.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"191.66","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"UHC HMO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"1,152.50","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"UHC HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"74.92","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"AMBETTER","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"440.44","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"482","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"80,152.50","discounted cash price":"20,038.13","payer-specific negotiated charge":"13,767.46","de-identified minimum negotiated charge":"10,364.07","de-identified maximum negotiated charge":"13,767.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"KAISER MCARE","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"12,265.01","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"72.06","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"AETNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,287.24","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"337.52","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"AETNA HMO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"472.46","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AMBETTER","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"91.18","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"HUMANA HMO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"87.47","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"MEDICARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"183.89","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"BC PPO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"366.33","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"178.09","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"PEACHSTATE-CENTENE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"34.73","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"28.38","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"41.6","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"BC HMO","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"89.34","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"UHC PPO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"740.81","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"WELLCARE MCARE MGD CARE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"28.13","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"AMERIGROUP","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"337.11","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"MULTI-PLAN","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"89.25","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"CIGNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,294.14","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"AETNA MCARE MGD CARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"107.39","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"343.5","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"BC PPO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"381.45","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"PHCS","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"622.58","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BC PPO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"166.54","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"293.51","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"AETNA MCARE MGD CARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"108.22","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"WELLCARE MCARE MGD CARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"31.18","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"439","code description":"DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC","payer":"AMERIGROUP","gross charge":"53,353.50","discounted cash price":"13,338.38","payer-specific negotiated charge":"6,259.67","de-identified minimum negotiated charge":"5,291.91","de-identified maximum negotiated charge":"8,485.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"418","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC","payer":"PEACHSTATE-CENTENE","gross charge":"80,165.50","discounted cash price":"20,041.38","payer-specific negotiated charge":"10,537.51","de-identified minimum negotiated charge":"10,537.51","de-identified maximum negotiated charge":"15,340.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"305","code description":"HYPERTENSION W/O MCC","payer":"AMERIGROUP","gross charge":"51,229.50","discounted cash price":"12,807.38","payer-specific negotiated charge":"5,037.14","de-identified minimum negotiated charge":"4,636.49","de-identified maximum negotiated charge":"7,874.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"PEACHSTATE-CENTENE","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"10,112.58","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"PEACHSTATE-CENTENE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"9,772.64","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"683","code description":"RENAL FAILURE W CC","payer":"PEACHSTATE-CENTENE","gross charge":"167,689.75","discounted cash price":"41,922.44","payer-specific negotiated charge":"6,509.06","de-identified minimum negotiated charge":"4,121.84","de-identified maximum negotiated charge":"27,205.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"BC HMO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"72.98","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.76","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"BC PPO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"151.81","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"BC PPO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"163.78","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"AETNA MCARE MGD CARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"17.83","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"AETNA MCARE MGD CARE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"52.49","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"138.68","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"UHC MCARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"82.84","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"AETNA MCARE MGD CARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"118.57","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"PEACHSTATE-CENTENE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"38.37","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"357.67","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"102.98","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"254.2","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AMERIGROUP","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"144.33","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AETNA MCARE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"337.52","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AETNA MCARE MGD CARE","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"83.6","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"190","code description":"CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC","payer":"CHAMPUS TRICARE","gross charge":"70,877.70","discounted cash price":"17,719.43","payer-specific negotiated charge":"7,404.50","de-identified minimum negotiated charge":"7,034.10","de-identified maximum negotiated charge":"27,005.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"BC HMO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,339.90","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"AETNA MCARE MGD CARE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"78.83","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"UHC MCARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"27.62","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"BC HMO","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"126","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"UHC MCARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"51.1","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"MEDICARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"191.89","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"AETNA HMO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"842.93","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"AMBETTER","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"1,980.66","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"PHCS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"78.75","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"HUMANA HMO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"308.01","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"BC PPO","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"1,513.14","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"CIGNA HMO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"416.01","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"AETNA MCARE MGD CARE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"146.94","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"BC HMO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"522.02","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"UHC HMO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"952.73","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"292.69","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"AETNA HMO","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"3,964.31","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"21.05","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,061.98","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"BCBS SMARTVALUE PFFS","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"105.81","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"105.81","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"FIRST HLTH NTWK","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"51.7","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"185.28","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"AETNA HMO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"278.38","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"AETNA HMO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"101.64","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CIGNA PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"279.11","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"HUMANA HMO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"27.55","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"CARESOURCE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"8.62","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"CARESOURCE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"20.51","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"MEDICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.88","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"893.48","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"UHC MCARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"97.09","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"AETNA HMO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"108.91","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"KAISER","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"655.73","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"AETNA MCARE MGD CARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,315.96","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"MEDICARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"287.25","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"AETNA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"68.35","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"HUMANA HMO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"78.37","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"230.34","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"BC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"563.68","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.6","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"BC HMO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"4.8","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CIGNA PPO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"138.91","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"165.18","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CIGNA HMO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"131.37","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"WELLCARE MCARE MGD CARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"19.03","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"BC PPO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"224.48","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CIGNA HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"147.25","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"754.41","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"AETNA MCARE MGD CARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"22.98","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"FIRST HLTH NTWK","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"63","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"FIRST HLTH NTWK","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"499.63","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"UHC MCARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"269.57","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"MULTI-PLAN","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"89.25","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"100.16","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"AETNA MCARE MGD CARE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"137.05","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"WELLCARE MCARE MGD CARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"21.09","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"MEDICARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"114.87","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"9.44","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"346.17","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"MEDICARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"53.05","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"12,302.49","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"272.41","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"MEDICAID","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"91.06","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"BC PPO","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"81.29","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"13.96","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"446.97","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"BC HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"359.89","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"MEDICAID","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"2,758.23","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"HUMANA HMO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"445.03","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CIGNA HMO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"118.12","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"MEDICARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"20.49","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"93","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CLOVER HEALTH","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"6.03","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"UHC HMO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"532.75","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"53.52","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"AETNA MCARE MGD CARE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"172.4","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"MEDICARE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"70.67","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"AMBETTER","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"16,139.30","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CIGNA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"122.22","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"MEDICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.44","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"UHC HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"160.91","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"42.53","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"1,504.15","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"AETNA HMO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"68.93","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"MEDICARE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"175.96","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.92","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"BC HMO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"250.19","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"MULTI-PLAN","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"724.21","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"35.64","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"MEDICARE","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"565.35","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"BCBS SMARTVALUE PFFS","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"54.48","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"MEDICAID","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"75.83","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"MEDICAID","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"75.83","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AMBETTER","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"99.94","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"UHC MCARE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"78.75","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.56","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"BC PPO","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"344.81","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"AMBETTER","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"852.85","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"BC PPO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"33.31","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"PEACHSTATE-CENTENE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"176.32","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"205.44","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMERIGROUP","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"110.43","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"AMBETTER","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"126.82","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"110.48","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"AETNA HMO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"1,179.27","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AETNA MCARE PFFS","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76872","code description":"US TRANSRECTAL","payer":"MEDICARE","gross charge":"1,206.00","discounted cash price":"301.5","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"747.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"AETNA MCARE MGD CARE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"107.29","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"MEDICARE","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"106.23","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"109.42","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CIGNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,067.61","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CIGNA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"137.99","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"AMBETTER","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"534.37","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"28.11","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"108.15","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"355.74","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"MEDICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.31","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AMERIGROUP","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"23.81","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"AMBETTER","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"110.6","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"MEDICAID","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"46.42","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"BC HMO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"126.68","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"MEDICARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"63.18","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"62.9","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"AETNA PPO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"493.06","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"CLOVER HEALTH","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"235.74","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"PEACHSTATE-CENTENE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"3.5","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"231.27","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"AETNA MCARE MGD CARE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"325.19","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"331.63","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"AETNA MCARE MGD CARE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"103.69","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"AETNA MCARE MGD CARE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"157.11","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"160.22","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"UHC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"13.98","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"25.58","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.45","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"AETNA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"55.18","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.3","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"BC HMO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,981.09","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"UHC MCARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"253.32","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"HUMANA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"24.7","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.17","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC MCARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"74.94","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"HUMANA HMO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"949.09","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"HUMANA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.53","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"UHC MCARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"174.31","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"179.54","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"CIGNA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"172.94","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"90.85","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"136.24","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"BC HMO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"350.9","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"20.71","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49452","code description":"REPLACE G-J TUBE PERC","payer":"MEDICAID","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"231.19","de-identified minimum negotiated charge":"231.19","de-identified maximum negotiated charge":"287.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"AETNA MCARE MGD CARE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"67.88","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.62","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"PEACHSTATE-CENTENE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"600.37","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"BC PPO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"684.21","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"KAISER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"42.65","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"51.88","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"AETNA HMO","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"146.91","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CIGNA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"122.22","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CHAMPUS TRICARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"345.86","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"AMBETTER","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"773.21","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"MEDICAID","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"117.86","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"6.05","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"329","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"259,669.00","discounted cash price":"64,917.25","payer-specific negotiated charge":"34,182.76","de-identified minimum negotiated charge":"26,606.22","de-identified maximum negotiated charge":"34,715.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"MULTI-PLAN","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"883.15","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"346.13","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"FIRST HLTH NTWK","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"705.6","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"126.47","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"MEDICARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"215.86","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"PHCS","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"61.95","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"11,164.17","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"UHC HMO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"2,106.00","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"KAISER MCARE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"17,162.36","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"PEACHSTATE-CENTENE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"97.67","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"MEDICAID","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"12.75","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"CIGNA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"156.24","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BC HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"147.25","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"MEDICARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"206.52","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"AMBETTER","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"22.92","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"HUMANA HMO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"45.38","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"AETNA MCARE MGD CARE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"86.64","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"CIGNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"42.84","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"UHC MCARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"51.56","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"11.38","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"AETNA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,021.32","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"AMBETTER","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"150.11","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77075","code description":"X-RAYS BONE SURVEY COMPLETE","payer":"AMBETTER","gross charge":"974","discounted cash price":"243.5","payer-specific negotiated charge":"150.11","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"584.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"AMERIGROUP","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"38","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"371.57","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"CIGNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"392.61","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"AETNA HMO","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"63.52","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.16","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"MEDICARE","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"7.58","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"AMERIGROUP","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"154.89","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"AETNA HMO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"421.84","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80162","code description":"ASSAY OF DIGOXIN TOTAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"426.5","discounted cash price":"106.63","payer-specific negotiated charge":"17.12","de-identified minimum negotiated charge":"16.04","de-identified maximum negotiated charge":"152.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"UHC MCARE","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"332.22","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"CIGNA HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"2,023.19","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"FIRST HLTH NTWK","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"182.54","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"137.56","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"BC PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"458.12","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70330","code description":"X-RAY EXAM OF JAW JOINTS","payer":"AMBETTER","gross charge":"687","discounted cash price":"171.75","payer-specific negotiated charge":"111.52","de-identified minimum negotiated charge":"80.65","de-identified maximum negotiated charge":"111.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"452.42","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"MEDICARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.61","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"KAISER PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"547.28","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"24.73","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"BC HMO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"2,456.51","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"4.26","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"64.95","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"AMBETTER","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"213.68","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"AMBETTER","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"246.28","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"AMBETTER","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"246.28","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"5.28","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"101","code description":"SEIZURES W/O MCC","payer":"AETNA MCARE MGD CARE","gross charge":"64,735.50","discounted cash price":"16,183.88","payer-specific negotiated charge":"8,700.82","de-identified minimum negotiated charge":"5,274.10","de-identified maximum negotiated charge":"8,700.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"28.4","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"28.49","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"CARESOURCE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"131.9","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"166.77","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"345.8","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"37.62","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"HUMANA HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"52.9","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"AMBETTER","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"188.71","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"19.25","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"MEDICARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.6","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"CIGNA HMO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"129.53","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"PEACHSTATE-CENTENE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"13,041.13","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"8.35","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"CARESOURCE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"6.39","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0279","code description":"TOMOSYNTHESIS, MAMMO","payer":"HUMANA HMO","gross charge":"294.35","discounted cash price":"73.59","payer-specific negotiated charge":"201.68","de-identified minimum negotiated charge":"15.35","de-identified maximum negotiated charge":"220.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"MEDICARE","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"13.7","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"107.96","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"MEDICARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"5.93","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"PEACHSTATE-CENTENE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"48.85","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"36.76","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"HUMANA HMO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"150.01","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"PEACHSTATE-CENTENE","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"5.74","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"AMBETTER","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"75.29","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"481","code description":"HIP \u0026 FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC","payer":"UHC MCARE","gross charge":"137,654.50","discounted cash price":"34,413.63","payer-specific negotiated charge":"16,717.57","de-identified minimum negotiated charge":"1,363.09","de-identified maximum negotiated charge":"17,321.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"PEACHSTATE-CENTENE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.92","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"UHC MCARE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"139.59","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"AMBETTER","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"209.44","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"PHCS","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"402.7","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"193.68","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"MEDICARE","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"210.76","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"CIGNA HMO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"289.04","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"BC HMO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"547.47","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"MEDICAID","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"22.49","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"MEDICARE","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"136.11","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"MEDICAID","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"197.15","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,027.57","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"KAISER","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"259.1","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"35.66","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"BC HMO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"318.7","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"AMBETTER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"386.04","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"AMERIGROUP","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"57.3","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"242.14","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"PHCS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"148.27","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"53.16","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"67.56","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"12,693.30","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"MULTI-PLAN","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"291.55","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"219.26","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"CARESOURCE","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"105.36","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"BC HMO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"507.27","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"AETNA MCARE MGD CARE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"78.97","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CLOVER HEALTH","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"113.58","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"AETNA MCARE MGD CARE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"2.81","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"AETNA MCARE MGD CARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"57.57","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"AMERIGROUP","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"109.41","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"PHCS","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"379.5","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"MULTI-PLAN","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"376.55","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"274.96","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"AETNA PPO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"112.6","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"BC PPO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"118.99","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"UHC HMO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"1,780.04","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"356.59","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"AETNA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"156.24","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"UHC MCARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"10.88","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"CIGNA HMO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"2,792.16","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"KAISER","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"163.8","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"295.67","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"PHCS","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"3,594.94","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AETNA MCARE MGD CARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"32.59","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"BC HMO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,392.53","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"72","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"83.99","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"75.09","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"CIGNA PPO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"930.67","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"AMBETTER","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"375.51","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"AETNA MCARE MGD CARE","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"30.49","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"BC PPO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"337.43","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"119.72","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"CIGNA HMO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"209.16","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"22.77","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"KAISER MCARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"65.74","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84144","code description":"ASSAY OF PROGESTERONE","payer":"AETNA HMO","gross charge":"40","discounted cash price":"10","payer-specific negotiated charge":"8.77","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"26.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"MULTI-PLAN","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"334.05","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"AETNA HMO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"433","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"UHC HMO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,327.04","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"HUMANA HMO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"480.89","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"75.26","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"UHC HMO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"2,559.50","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"UHC MCARE","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"20.04","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"74.13","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"MEDICARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"369.81","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"PEACHSTATE-CENTENE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"22.36","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"AETNA PPO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"50.22","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"HUMANA HMO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"495.81","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"UHC MCARE","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"257.73","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"UHC MCARE","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"90.17","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"AETNA MCARE MGD CARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"85.17","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"PEACHSTATE-CENTENE","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"180.01","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CIGNA HMO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,225.43","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"CIGNA HMO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"244.19","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"CIGNA PPO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"13.55","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"CIGNA HMO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"109.18","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"CIGNA HMO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"142.15","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"7.52","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"154.66","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"92.91","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"WELLCARE MCARE MGD CARE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"20.42","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AMBETTER","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"116.56","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"MEDICARE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"76.43","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"177.31","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78315","code description":"BONE IMAGING 3 PHASE","payer":"AETNA MCARE MGD CARE","gross charge":"2,167.00","discounted cash price":"541.75","payer-specific negotiated charge":"291.59","de-identified minimum negotiated charge":"284.12","de-identified maximum negotiated charge":"291.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.82","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"MEDICARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"368.15","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"HUMANA HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"323.11","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"BC HMO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"508.58","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"AETNA MCARE MGD CARE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"819.47","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AETNA MCARE MGD CARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"34.67","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"UHC HMO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"88.09","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"226.34","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"58.52","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"MEDICARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"71.68","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"912.44","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"BC PPO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"2,440.67","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"AMBETTER","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"155.15","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"HUMANA HMO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"607.84","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"42.23","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"MEDICARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"25.87","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"PEACHSTATE-CENTENE","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"6.89","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"AMBETTER","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"127.53","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62323","code description":"NJX INTERLAMINAR LMBR/SAC","payer":"MEDICARE","gross charge":"2,722.00","discounted cash price":"680.5","payer-specific negotiated charge":"170.28","de-identified minimum negotiated charge":"170.28","de-identified maximum negotiated charge":"170.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78630","code description":"CEREBROSPINAL FLUID SCAN","payer":"MEDICARE","gross charge":"1,860.00","discounted cash price":"465","payer-specific negotiated charge":"116.36","de-identified minimum negotiated charge":"116.36","de-identified maximum negotiated charge":"116.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9548","code description":"IN111 PENTETATE","payer":"MEDICARE","gross charge":"6,549.00","discounted cash price":"1,637.25","payer-specific negotiated charge":"409.68","de-identified minimum negotiated charge":"409.68","de-identified maximum negotiated charge":"409.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"PHCS","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"882","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"MEDICARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"58.63","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"234.39","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"AETNA HMO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"1,572.80","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"PEACHSTATE-CENTENE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"20.88","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CIGNA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"141.75","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"556","code description":"SIGNS \u0026 SYMPTOMS OF MUSCULOSKELETAL SYSTEM \u0026 CONN TISSUE W/O MCC","payer":"MEDICARE","gross charge":"79,564.00","discounted cash price":"19,891.00","payer-specific negotiated charge":"8,368.44","de-identified minimum negotiated charge":"7,800.27","de-identified maximum negotiated charge":"10,541.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"17,321.56","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78830","code description":"RP LOCLZJ TUM SPECT W/CT 1","payer":"MEDICARE","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,129.36","de-identified minimum negotiated charge":"1,111.35","de-identified maximum negotiated charge":"2,675.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"AMBETTER","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"195.97","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CIGNA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"141.75","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"AETNA MCARE MGD CARE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"62.88","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84144","code description":"ASSAY OF PROGESTERONE","payer":"HUMANA HMO","gross charge":"40","discounted cash price":"10","payer-specific negotiated charge":"26.07","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"26.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"118.04","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CIGNA HMO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"33.32","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"BCBS SMARTVALUE PFFS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"23.14","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"MEDICARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"39.47","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"8.24","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"MEDICARE","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"227.44","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"PHCS","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"627.94","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"108.39","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"BC HMO","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"165.6","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"AMBETTER","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"1,069.22","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"HUMANA HMO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"42.07","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"UHC HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"855.37","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"BC HMO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"2,431.22","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"34.08","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"PHCS","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"99.45","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"KAISER","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"27.17","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"UHC MCARE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"57.95","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"BC PPO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"67.76","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"BC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"59.57","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"WELLCARE MCARE MGD CARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"40.78","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"PEACHSTATE-CENTENE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"103.81","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"468","code description":"REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC","payer":"UHC MCARE","gross charge":"185,756.75","discounted cash price":"46,439.19","payer-specific negotiated charge":"21,612.33","de-identified minimum negotiated charge":"17,474.14","de-identified maximum negotiated charge":"26,780.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"343.18","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"AETNA HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"141.36","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"BC HMO","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"817.87","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"BC HMO","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"517.73","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CIGNA HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"147.81","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"BC HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"27.25","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"UHC MCARE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"39.53","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"MEDICARE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"118.03","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"314","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC","payer":"MEDICAID","gross charge":"149,738.64","discounted cash price":"37,434.66","payer-specific negotiated charge":"16,244.78","de-identified minimum negotiated charge":"13,123.80","de-identified maximum negotiated charge":"47,913.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"AETNA MCARE MGD CARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,617.11","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"AETNA MCARE MGD CARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"94.37","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AMBETTER","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"102.87","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"MULTI-PLAN","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"45.04","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"9.86","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"116.26","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"24.45","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"BC PPO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"299.99","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"AETNA PPO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"602.64","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"MULTI-PLAN","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"29.75","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"8,082.74","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"147.02","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"5.67","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"AETNA PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"344.57","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"60.42","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CIGNA HMO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"173.67","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"273.58","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"MEDICARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"264.3","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"PHCS","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"882","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"FIRST HLTH NTWK","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"705.6","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"PHCS","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"882","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"CIGNA HMO","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"89.11","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"31.18","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AMERIGROUP","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"185.22","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"120.28","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76872","code description":"US TRANSRECTAL","payer":"AETNA HMO","gross charge":"1,206.00","discounted cash price":"301.5","payer-specific negotiated charge":"747.72","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"747.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"BC PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,204.58","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"893.09","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82670","code description":"ASSAY OF TOTAL ESTRADIOL","payer":"HUMANA HMO","gross charge":"238","discounted cash price":"59.5","payer-specific negotiated charge":"155.72","de-identified minimum negotiated charge":"10.16","de-identified maximum negotiated charge":"155.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"552.82","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,098.48","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"893.48","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"FIRST HLTH NTWK","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"2,514.60","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"893.48","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"FIRST HLTH NTWK","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"3,070.20","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"PHCS","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"3,837.75","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"51.72","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"BCBS SMARTVALUE PFFS","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"675.43","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"MEDICARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"104.66","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AMBETTER","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"736.51","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"BC PPO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"915.58","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"PHCS","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"4,411.73","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"PHCS","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"897","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"MULTI-PLAN","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"1,149.71","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"PHCS","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"1,014.45","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"PHCS","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"717","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"HUMANA HMO","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"210.6","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"FIRST HLTH NTWK","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"858.6","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"154.36","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"FIRST HLTH NTWK","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"530.4","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"MEDICAID","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"37.49","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"CIGNA HMO","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"470.61","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"AETNA HMO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,072.80","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"HUMANA HMO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,253.50","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"UHC HMO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"583.53","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"AMBETTER","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"221.81","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"KAISER","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"98.15","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"CIGNA PPO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"595.98","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"AETNA PPO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"586.52","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"51.1","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"893.98","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"77.26","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"AMBETTER","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"651.97","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.09","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"BC PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"639.12","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"HUMANA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"280.11","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"66.81","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"UHC HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"2,179.67","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"KAISER","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"143","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"MEDICARE","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"51.4","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"KAISER MCARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"31.58","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"KAISER","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,097.15","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"BC PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"188.19","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"198.45","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"AETNA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"297.91","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"59.13","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"120.28","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"33.93","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"MEDICAID","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"61.9","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AMBETTER","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"91.18","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"BC PPO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"200.91","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CIGNA HMO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"221.54","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"UHC MCARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"208.99","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"AETNA HMO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"103.46","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"CARESOURCE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"95.83","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"77.97","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"AMBETTER","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"586","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"21.75","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"67.86","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"59.28","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"CIGNA HMO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"925.97","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"BC PPO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"81.55","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"UHC HMO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"617.5","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"HUMANA HMO","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"95.35","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"AETNA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"299.37","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84402","code description":"ASSAY OF FREE TESTOSTERONE","payer":"HUMANA HMO","gross charge":"361","discounted cash price":"90.25","payer-specific negotiated charge":"235.98","de-identified minimum negotiated charge":"25.29","de-identified maximum negotiated charge":"306.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"HUMANA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"24.1","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"AETNA MCARE MGD CARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"119.73","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"BC PPO","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"514","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AETNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,637.41","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.77","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CHAMPUS TRICARE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"231.9","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"UHC MCARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"5.29","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"PEACHSTATE-CENTENE","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"135.47","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"HUMANA PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"838.44","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"UHC MCARE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"54.37","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AMBETTER","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"105.75","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"AETNA HMO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"1,054.12","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"MEDICAID","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"33.85","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"38.88","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"167.86","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC HMO","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"411.17","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"167","code description":"OTHER RESP SYSTEM O.R. PROCEDURES W CC","payer":"AETNA MCARE MGD CARE","gross charge":"103,599.50","discounted cash price":"25,899.88","payer-specific negotiated charge":"15,502.59","de-identified minimum negotiated charge":"11,451.24","de-identified maximum negotiated charge":"16,146.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PHCS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"436.5","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BC HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"167.41","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"BC PPO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"404.18","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"BC PPO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"404.18","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"PEACHSTATE-CENTENE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"33.69","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"89","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"AETNA MCARE MGD CARE","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"284.59","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"AETNA MCARE MGD CARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"243.36","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"392.77","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"345.71","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"BC HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"168.63","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"BC PPO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,537.04","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"40.64","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AMBETTER","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"162.87","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"FIRST HLTH NTWK","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"73.8","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"221.93","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"MEDICARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"75.64","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"BC PPO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"741.77","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"AETNA MCARE MGD CARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"238.55","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73201","code description":"CT UPPER EXTREMITY W/DYE","payer":"MEDICARE","gross charge":"4,867.00","discounted cash price":"1,216.75","payer-specific negotiated charge":"387","de-identified minimum negotiated charge":"387","de-identified maximum negotiated charge":"1,745.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"MEDICARE","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"44.73","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CARESOURCE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"7.04","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"MEDICARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"170.34","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76881","code description":"US COMPL JOINT R-T W/IMG","payer":"BC HMO","gross charge":"1,153.00","discounted cash price":"288.25","payer-specific negotiated charge":"515","de-identified minimum negotiated charge":"94.19","de-identified maximum negotiated charge":"864.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"HUMANA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"62.2","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"MEDICARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"42.78","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"744.02","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AETNA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"153.76","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"MULTI-PLAN","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"488.41","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"AMBETTER","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"384.89","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,482.44","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"143.32","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BC HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"172.05","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CARESOURCE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"18.81","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"15.15","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"PHCS","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"334.06","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"208.81","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,602.04","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"BC HMO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"90.26","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"170.03","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"16,195.65","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"CIGNA PPO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"284.42","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"HUMANA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,585.50","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CIGNA PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,031.58","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"MEDICAID","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"595.65","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"BC PPO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,664.44","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"WELLCARE MCARE MGD CARE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"3.33","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"MULTI-PLAN","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"143.68","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"981","code description":"EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"155,352.00","discounted cash price":"38,838.00","payer-specific negotiated charge":"33,733.85","de-identified minimum negotiated charge":"24,351.62","de-identified maximum negotiated charge":"35,340.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"BC PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"237.74","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"61.89","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"67.32","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"KAISER","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"126.1","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"HUMANA HMO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"167.38","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"HUMANA HMO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"576.5","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"8.51","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"74.08","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"MEDICAID","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"181.05","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1789","code description":"PROSTHESIS, BREAST, IMP","payer":"UHC HMO","gross charge":"7,518.00","discounted cash price":"1,879.50","payer-specific negotiated charge":"3,083.41","de-identified minimum negotiated charge":"757.22","de-identified maximum negotiated charge":"3,590.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"UHC HMO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"281.09","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"CIGNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"54.42","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"HUMANA HMO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"714.61","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"HUMANA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"123","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"HUMANA HMO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"114.56","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"44.5","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"218.22","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"687.04","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"7.56","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"MULTI-PLAN","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"217.6","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"33.72","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"243.9","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"KAISER","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"161.2","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"AMBETTER","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"156.04","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71552","code description":"MRI CHEST W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,270.76","de-identified minimum negotiated charge":"340.26","de-identified maximum negotiated charge":"2,513.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88381","code description":"MICRODISSECTION MANUAL","payer":"MEDICARE","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"15.07","de-identified minimum negotiated charge":"8.95","de-identified maximum negotiated charge":"37.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"HUMANA HMO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"33.03","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AMBETTER","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.41","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"UHC HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"916.7","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AETNA MCARE MGD CARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"107.79","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"UHC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"48.38","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CIGNA HMO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,005.15","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"339.91","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"MEDICARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"32.69","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AETNA HMO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"319.78","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"MULTI-PLAN","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"589.9","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"MEDICARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"2.37","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"AMBETTER","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"181.26","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"HUMANA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"208.12","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"AETNA MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"352.76","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"HUMANA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"10.98","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"BC PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"95.13","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"CIGNA HMO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"102.06","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"AETNA HMO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"103.54","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0358T","code description":"BIA WHOLE BODY","payer":"AETNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"45.88","de-identified minimum negotiated charge":"13.54","de-identified maximum negotiated charge":"45.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"175.28","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"HUMANA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"103.59","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"102.5","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"431.81","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"73.52","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"KAISER","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"55.26","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"UHC MCARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"107.95","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"AETNA MCARE MGD CARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"19.8","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"BC PPO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"228.15","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"79.62","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"AETNA MCARE MGD CARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"191.83","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"94.93","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"101.62","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"AETNA PPO","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"101.07","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"PEACHSTATE-CENTENE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"248.9","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"WELLCARE MCARE MGD CARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"6.9","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"42.98","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"MEDICARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"27.95","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"BC PPO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"17.08","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"228.99","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"PHCS","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"234.38","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"MEDICARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"237.8","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"CIGNA HMO","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"127.89","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"AETNA HMO","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"1,130.92","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"134.02","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"481.77","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"CHAMPUS TRICARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"111.39","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"39.4","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"AETNA HMO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"37.2","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"27.67","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"25.39","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"PHCS","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"2,503.25","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"AETNA PPO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"46.69","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"505.31","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"AETNA HMO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"770.4","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q3014","code description":"TELEHEALTH FACILITY FEE","payer":"HUMANA HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"61.05","de-identified minimum negotiated charge":"20.52","de-identified maximum negotiated charge":"62.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"MULTI-PLAN","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"464.95","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"368","code description":"MAJOR ESOPHAGEAL DISORDERS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"89,059.00","discounted cash price":"22,264.75","payer-specific negotiated charge":"15,317.81","de-identified minimum negotiated charge":"7,605.67","de-identified maximum negotiated charge":"15,317.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"PHCS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"192","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"BC HMO","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.8","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"HUMANA HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"108.8","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"PHCS","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"132.21","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"BCBS SMARTVALUE PFFS","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"29.36","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"AMBETTER","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"300.19","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"78.15","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"18.63","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"59.17","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"UHC HMO","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"14.06","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"BC PPO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"31.27","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CIGNA HMO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"94.78","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"353.31","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"AETNA MCARE MGD CARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"70.35","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"AETNA HMO","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"84.95","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"55.98","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"HUMANA HMO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"993.54","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"AETNA MCARE MGD CARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"37.42","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC HMO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"350.69","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"AMERIGROUP","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"32.68","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"KAISER","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"105.79","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"106.86","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"AETNA MCARE MGD CARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"18.5","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"FIRST HLTH NTWK","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"15.6","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"PHCS","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"260.44","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"MULTI-PLAN","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,772.82","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"CIGNA HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"143.64","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"MEDICARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"6.6","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9505","code description":"TL201 THALLIUM","payer":"AMBETTER","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"21.22","de-identified minimum negotiated charge":"13.56","de-identified maximum negotiated charge":"21.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.65","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"UHC MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"30.46","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CIGNA PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"123.66","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AETNA HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"120.59","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"MEDICARE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"235.48","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"108.67","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"AETNA PPO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"455.09","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"MULTI-PLAN","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"266.31","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"93.49","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.49","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"UHC MCARE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"476.55","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"WELLCARE MCARE MGD CARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"55.15","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"5,781.39","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BC HMO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"189.23","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CHAMPUS TRICARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"27.58","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AMBETTER","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"82.8","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"HUMANA HMO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"96.38","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"MEDICARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"40.26","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"BC HMO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"2,258.10","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"AMBETTER","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"1,957.52","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"HUMANA HMO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"343.12","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"MULTI-PLAN","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"38.67","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"FIRST HLTH NTWK","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"279.64","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"AETNA PPO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"43.62","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"42.85","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"208.88","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"AMBETTER","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"456.84","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"BC HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"150.9","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"BC HMO","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"234.45","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82627","code description":"DEHYDROEPIANDROSTERONE","payer":"HUMANA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"142.69","de-identified minimum negotiated charge":"13.2","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"UHC MCARE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"139.35","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"AETNA HMO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"781.97","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"AMBETTER","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"209.56","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"119.78","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"FIRST HLTH NTWK","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"107.4","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"33.87","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"PHCS","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"411.34","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"PHCS","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"179.25","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"56.64","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"MEDICARE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"477.83","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"MEDICARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"95.17","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"35.9","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"PHCS","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"794.85","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CIGNA HMO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"51.54","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"78.82","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"UHC MCARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,860.10","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"PEACHSTATE-CENTENE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"53.86","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"PHCS","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"3,859.88","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81002","code description":"URINALYSIS NONAUTO W/O SCOPE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"92","discounted cash price":"23","payer-specific negotiated charge":"10.76","de-identified minimum negotiated charge":"1.64","de-identified maximum negotiated charge":"12.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"AETNA MCARE MGD CARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"11.2","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"AMERIGROUP","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"19.05","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"35.45","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"BC HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"170.26","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"58","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"131.93","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"FIRST HLTH NTWK","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"294.92","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"26.19","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77063","code description":"BREAST TOMOSYNTHESIS BI","payer":"AMBETTER","gross charge":"280.35","discounted cash price":"70.09","payer-specific negotiated charge":"118.8","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"238"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"259.46","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"28.2","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CIGNA HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"78.61","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"58.02","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"MEDICAID","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"32.37","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"MEDICARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"34.05","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CARESOURCE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"245.71","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"UHC MCARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"97.4","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"28","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"MEDICARE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"60.15","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CIGNA HMO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"372.54","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"MULTI-PLAN","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"5,068.31","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"MEDICARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"6.98","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"2,527.46","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"KAISER","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"146.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CIGNA HMO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"368.97","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"BC HMO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"50.92","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"MULTI-PLAN","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"217.88","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CIGNA HMO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"48.11","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"11,370.54","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"AETNA PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"137.8","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"AETNA PPO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"137.8","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CHAMPUS TRICARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"30.06","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"AMBETTER","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"411.18","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"FIRST HLTH NTWK","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"186.4","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"36.7","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"BC HMO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,739.37","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"BC PPO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"257.63","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"25.78","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"24.44","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"AETNA PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"258.51","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"200.58","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AMBETTER","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"556.97","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"AETNA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"39.03","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BC HMO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"149.38","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"FIRST HLTH NTWK","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,954.34","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CIGNA HMO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,546.85","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"MEDICARE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"13,758.15","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"73.96","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"CIGNA HMO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"910.17","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"FIRST HLTH NTWK","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"326.26","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"AETNA PPO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"120.28","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"PEACHSTATE-CENTENE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.82","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"AMBETTER","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"107.16","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"93.08","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1050","code description":"MEDROXYPROGESTERONE ACETATE","payer":"BC PPO","gross charge":"2.22","discounted cash price":"0.56","payer-specific negotiated charge":"1.58","de-identified minimum negotiated charge":"0.3","de-identified maximum negotiated charge":"1.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"AMBETTER","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"206.43","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PHCS","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"499.76","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"HUMANA HMO","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"134.79","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83002","code description":"ASSAY OF GONADOTROPIN (LH)","payer":"BC HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"20.77","de-identified minimum negotiated charge":"20.77","de-identified maximum negotiated charge":"413.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"AETNA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"418.48","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"BC HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"5,151.89","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"MEDICAID","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"5.14","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83001","code description":"ASSAY OF GONADOTROPIN (FSH)","payer":"HUMANA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"23.32","de-identified minimum negotiated charge":"7.89","de-identified maximum negotiated charge":"30.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"CIGNA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"5,063.98","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"PEACHSTATE-CENTENE","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"20.4","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"MEDICARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,286.22","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"KAISER","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"126.1","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMBETTER","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"267.05","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"CIGNA HMO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,169.09","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"AETNA HMO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,591.41","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"AETNA PPO","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"32.68","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"AETNA HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"141.36","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"AETNA MCARE MGD CARE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"20.39","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"AMBETTER","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"177.66","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"PEACHSTATE-CENTENE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.73","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"CIGNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"70.56","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"AETNA MCARE MGD CARE","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"84.75","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"BC PPO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"400.53","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"BC PPO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"36.67","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CARESOURCE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"5.85","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"FIRST HLTH NTWK","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"633.8","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"AMBETTER","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"62.21","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE MGD CARE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"110.8","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"375.09","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"AETNA HMO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"197.9","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"UHC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"48.93","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"FIRST HLTH NTWK","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"3,582.12","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"CIGNA HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"798.84","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"AETNA MCARE MGD CARE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"95.03","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"231.68","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"47.2","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82670","code description":"ASSAY OF TOTAL ESTRADIOL","payer":"BC HMO","gross charge":"238","discounted cash price":"59.5","payer-specific negotiated charge":"10.16","de-identified minimum negotiated charge":"10.16","de-identified maximum negotiated charge":"155.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"MEDICARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"209","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"MEDICARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"124.79","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"PHCS","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"371.09","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"AETNA HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"418.97","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"HUMANA HMO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"102.63","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"PHCS","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"49.5","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86063","code description":"ANTISTREPTOLYSIN O SCREEN","payer":"BC PPO","gross charge":"88","discounted cash price":"22","payer-specific negotiated charge":"67.76","de-identified minimum negotiated charge":"46.25","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"PHCS","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"429.5","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"85.34","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AMBETTER","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"60.4","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"HUMANA HMO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"556.35","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"MEDICAID","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"67.24","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"UHC HMO","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"70.09","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"MEDICARE","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"267.68","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96121","code description":"NUBHVL XM PHY/QHP EA ADDL HR","payer":"CIGNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"137.34","de-identified minimum negotiated charge":"42.12","de-identified maximum negotiated charge":"167.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"MULTI-PLAN","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"364.38","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"BC PPO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"185.19","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37243","code description":"VASC EMBOLIZE/OCCLUDE ORGAN","payer":"UHC HMO","gross charge":"41,488.00","discounted cash price":"10,372.00","payer-specific negotiated charge":"16,325.99","de-identified minimum negotiated charge":"4,812.35","de-identified maximum negotiated charge":"17,389.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"MEDICARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"46.56","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"MEDICAID","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.7","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"KAISER","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"577.79","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"PHCS","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"67.61","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"BC PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"27.91","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"62.65","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"HUMANA HMO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"697.89","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"WELLCARE MCARE MGD CARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"31.6","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"CIGNA PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"95.13","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"BC HMO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"934.59","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"33.87","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"31.44","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"PHCS","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"349.78","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"CIGNA HMO","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"203.49","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"PHCS","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"33.81","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"689","code description":"KIDNEY \u0026 URINARY TRACT INFECTIONS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"148,015.50","discounted cash price":"37,003.88","payer-specific negotiated charge":"10,659.17","de-identified minimum negotiated charge":"5,885.97","de-identified maximum negotiated charge":"23,257.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"FIRST HLTH NTWK","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"77.4","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"MEDICARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"48.15","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"7.51","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"AETNA MCARE MGD CARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"19.43","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86708","code description":"HEPATITIS A ANTIBODY","payer":"AMBETTER","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"4.04","de-identified minimum negotiated charge":"1.29","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"AMBETTER","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"19.92","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83516","code description":"IMMUNOASSAY NONANTIBODY","payer":"AMBETTER","gross charge":"114","discounted cash price":"28.5","payer-specific negotiated charge":"7.87","de-identified minimum negotiated charge":"5.69","de-identified maximum negotiated charge":"24.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"MULTI-PLAN","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"291.55","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"26.68","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"CHAMPUS TRICARE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"13,592.63","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"AETNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,649.98","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"PHCS","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"384.75","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"78.4","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73201","code description":"CT UPPER EXTREMITY W/DYE","payer":"UHC MCARE","gross charge":"4,867.00","discounted cash price":"1,216.75","payer-specific negotiated charge":"431.09","de-identified minimum negotiated charge":"387","de-identified maximum negotiated charge":"1,745.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"209.77","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"25.9","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97166","code description":"OT EVAL MOD COMPLEX 45 MIN","payer":"KAISER","gross charge":"649","discounted cash price":"162.25","payer-specific negotiated charge":"401.7","de-identified minimum negotiated charge":"30.99","de-identified maximum negotiated charge":"401.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"UHC MCARE","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"66.54","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"MULTI-PLAN","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"471.54","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"UHC MCARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.48","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"PHCS","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"398.25","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97164","code description":"PT RE-EVAL EST PLAN CARE","payer":"AETNA HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"276.52","de-identified minimum negotiated charge":"209.62","de-identified maximum negotiated charge":"343.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"CIGNA HMO","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"573","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"PHCS","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"325.87","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"114.72","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"AMBETTER","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"956.67","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"FIRST HLTH NTWK","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"584.4","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"BC HMO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"186.01","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"169.72","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77081","code description":"DXA BONE DENSITY/PERIPHERAL","payer":"HUMANA HMO","gross charge":"728","discounted cash price":"182","payer-specific negotiated charge":"492.55","de-identified minimum negotiated charge":"76.43","de-identified maximum negotiated charge":"492.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86812","code description":"HLA TYPING A B OR C","payer":"BC PPO","gross charge":"377","discounted cash price":"94.25","payer-specific negotiated charge":"276.43","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"276.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"176.88","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"FIRST HLTH NTWK","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"468.6","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"PHCS","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"336.38","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"FIRST HLTH NTWK","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"303.6","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"FIRST HLTH NTWK","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"1,089.36","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70210","code description":"X-RAY EXAM OF SINUSES","payer":"AETNA HMO","gross charge":"561.5","discounted cash price":"140.38","payer-specific negotiated charge":"339.76","de-identified minimum negotiated charge":"34.83","de-identified maximum negotiated charge":"339.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"PHCS","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"1,643.25","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"PHCS","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"821.25","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"640","code description":"MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC","payer":"MEDICAID","gross charge":"83,156.21","discounted cash price":"20,789.05","payer-specific negotiated charge":"6,728.10","de-identified minimum negotiated charge":"5,993.61","de-identified maximum negotiated charge":"12,630.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"46.03","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"CIGNA HMO","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"424.31","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"PHCS","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,063.11","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78226","code description":"HEPATOBILIARY SYSTEM IMAGING","payer":"HUMANA PPO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,544.19","de-identified minimum negotiated charge":"190.14","de-identified maximum negotiated charge":"1,544.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"FIRST HLTH NTWK","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"27.22","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"HUMANA PPO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"591.33","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"HUMANA HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,470.79","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"CARESOURCE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"163.2","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"FIRST HLTH NTWK","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"327.6","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"MULTI-PLAN","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"2,712.35","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"FIRST HLTH NTWK","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"3,339.48","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"CIGNA PPO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"793.17","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"PHCS","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"865.5","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"PHCS","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"692.25","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"UHC PPO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"923","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"AETNA HMO","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"845.06","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"955.3","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"UHC HMO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"503.38","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"MEDICAID","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"310.31","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"FIRST HLTH NTWK","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"268.98","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"CIGNA PPO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,437.03","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"HUMANA HMO","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"186.59","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"405.45","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"CIGNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,120.14","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"AETNA HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"716.21","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"AETNA HMO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"784.3","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"CIGNA HMO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"796.95","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"AETNA PPO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"1,108.00","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"AETNA HMO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"680.14","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"CIGNA HMO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"691.11","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"CIGNA HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"737.1","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"MULTI-PLAN","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"301.75","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"AETNA HMO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"349.68","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"131.31","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78014","code description":"THYROID IMAGING W/BLOOD FLOW","payer":"HUMANA HMO","gross charge":"1,520.00","discounted cash price":"380","payer-specific negotiated charge":"1,017.34","de-identified minimum negotiated charge":"266.95","de-identified maximum negotiated charge":"1,483.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"MEDICARE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"173.83","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"BC PPO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"540.91","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"AMBETTER","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"78.49","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"PHCS","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"1,127.25","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74280","code description":"X-RAY XM COLON 2CNTRST STD","payer":"AETNA HMO","gross charge":"1,665.00","discounted cash price":"416.25","payer-specific negotiated charge":"983.32","de-identified minimum negotiated charge":"55.38","de-identified maximum negotiated charge":"983.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90837","code description":"PSYTX W PT 60 MINUTES","payer":"HUMANA HMO","gross charge":"169.45","discounted cash price":"42.36","payer-specific negotiated charge":"116.25","de-identified minimum negotiated charge":"97.33","de-identified maximum negotiated charge":"128.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"AETNA HMO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"362.08","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"221.93","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"BC HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"16.17","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"AETNA PPO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"645","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AETNA HMO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"49","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"HUMANA HMO","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"142.69","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"PHCS","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"514.5","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"PHCS","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"436.5","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"PHCS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"436.5","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"MULTI-PLAN","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"547.4","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"MULTI-PLAN","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"273.7","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"PHCS","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"39.75","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"AETNA PPO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"205.84","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"MULTI-PLAN","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"386.25","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96133","code description":"NRPSYC TST EVAL PHYS/QHP EA","payer":"HUMANA HMO","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"156.41","de-identified minimum negotiated charge":"41.71","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96138","code description":"PSYCL/NRPSYC TECH 1ST","payer":"KAISER","gross charge":"228","discounted cash price":"57","payer-specific negotiated charge":"148.2","de-identified minimum negotiated charge":"25.82","de-identified maximum negotiated charge":"175.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"78.41","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"MULTI-PLAN","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,895.33","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"265.88","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"PHCS","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"248.25","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"PHCS","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"248.25","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"MULTI-PLAN","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"474.3","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"39.25","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"UHC HMO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"444","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"HUMANA PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"226.38","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"CIGNA HMO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"433","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80197","code description":"ASSAY OF TACROLIMUS","payer":"HUMANA HMO","gross charge":"386.2","discounted cash price":"96.55","payer-specific negotiated charge":"254.51","de-identified minimum negotiated charge":"61.9","de-identified maximum negotiated charge":"254.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"PHCS","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"317.63","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"PHCS","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"386.25","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"UHC PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"532.02","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"68.27","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"MEDICARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"48.21","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CLOVER HEALTH","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"16.93","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"MULTI-PLAN","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"261.79","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"50.14","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CIGNA PPO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"199.83","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"FIRST HLTH NTWK","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"852.3","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"CIGNA HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"318.99","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"KAISER MCARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"18,427.63","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50693","code description":"PLMT URETERAL STENT PRQ","payer":"AETNA MCARE MGD CARE","gross charge":"9,742.00","discounted cash price":"2,435.50","payer-specific negotiated charge":"2,239.80","de-identified minimum negotiated charge":"1,192.28","de-identified maximum negotiated charge":"2,239.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"58.45","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"BC HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"111.7","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"139.5","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"MEDICARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"173.86","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"UHC HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"319.53","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CARESOURCE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.97","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"AMERIGROUP","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"8.41","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"94.71","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"HUMANA HMO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"90.43","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CIGNA PPO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"177.6","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"BC PPO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"460.41","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"CIGNA HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,369.98","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"AMBETTER","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"95.41","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84144","code description":"ASSAY OF PROGESTERONE","payer":"BC HMO","gross charge":"40","discounted cash price":"10","payer-specific negotiated charge":"1.7","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"26.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"AETNA HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"232.53","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CIGNA HMO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"125.41","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"PHCS","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,454.75","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"71.66","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"PHCS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"191.17","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"23.19","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"26.04","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"AETNA HMO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"3,652.79","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"CIGNA HMO","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"88.83","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"43.3","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"FIRST HLTH NTWK","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"424.28","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"PHCS","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"350.88","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"AMERIGROUP","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"233.5","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"202.53","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"PHCS","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"60","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"BC HMO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"102.14","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"AMBETTER","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"178.48","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"MULTI-PLAN","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"119","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"PHCS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"194.22","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"UHC HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"3,186.52","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"AMBETTER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"959.54","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"PHCS","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"298.5","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"UHC HMO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"2,067.00","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"MULTI-PLAN","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"2,895.10","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"AMBETTER","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"234.79","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"CIGNA HMO","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"319.99","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"UHC HMO","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"155.21","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"BC HMO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"12.81","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"UHC MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"28.36","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"AETNA HMO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"521.02","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"AMBETTER","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"196.32","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"321.89","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"MEDICARE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"124.89","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"FIRST HLTH NTWK","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"152.62","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"AETNA HMO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"417.12","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"114.04","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"PHCS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"190.66","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"HUMANA HMO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"53.84","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"36.34","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"AMBETTER","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"109.22","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"AETNA MCARE MGD CARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"30.67","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"43.68","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"BC HMO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"515.49","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"PHCS","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"275.68","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"AMERIGROUP","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"22.63","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"KAISER MCARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"36.44","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"AMBETTER","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"53.73","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"107.13","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"26.73","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,339.22","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"PEACHSTATE-CENTENE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"65.99","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"BC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"103.11","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"32.75","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,617.00","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"AMBETTER","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,217.87","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"MEDICARE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"26.36","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.53","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CIGNA HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"155.8","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"BC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"110.86","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"MULTI-PLAN","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,214.86","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AMBETTER","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"49.63","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"MEDICARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"290.13","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,291.42","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"MEDICAID","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"9.74","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BC HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"39.97","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"HUMANA HMO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"679.85","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"AETNA HMO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"437.38","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"AETNA MCARE MGD CARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"24.29","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"FIRST HLTH NTWK","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"152.4","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"CHAMPUS TRICARE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"62.47","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"CHAMPUS TRICARE","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"133.51","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"MEDICARE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"36.25","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"CHAMPUS TRICARE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"249.34","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81261","code description":"IGH GENE REARRANGE AMP METH","payer":"MEDICARE","gross charge":"637","discounted cash price":"159.25","payer-specific negotiated charge":"51.97","de-identified minimum negotiated charge":"51.97","de-identified maximum negotiated charge":"145.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81264","code description":"IGK REARRANGEABN CLONAL POP","payer":"MEDICARE","gross charge":"383","discounted cash price":"95.75","payer-specific negotiated charge":"31.25","de-identified minimum negotiated charge":"31.25","de-identified maximum negotiated charge":"87.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"AETNA HMO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,048.70","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"MEDICARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"37.76","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"7.86","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA HMO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"26.38","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"PEACHSTATE-CENTENE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"11.36","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"8.65","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"FIRST HLTH NTWK","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"3,126.00","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"PHCS","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"2,855.25","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"PHCS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"70.88","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"FIRST HLTH NTWK","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"482.71","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CHAMPUS TRICARE","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"102.23","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"BC HMO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"419.12","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"AMBETTER","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"583.92","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AMBETTER","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"936.37","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49450","code description":"REPLACE G/C TUBE PERC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,348.00","discounted cash price":"337","payer-specific negotiated charge":"229.61","de-identified minimum negotiated charge":"88.75","de-identified maximum negotiated charge":"1,180.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"BC PPO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"446.2","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"AETNA PPO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"64.1","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"FIRST HLTH NTWK","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"346.57","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"FIRST HLTH NTWK","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,994.40","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"AMBETTER","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"1,119.00","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"AMERIGROUP","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"786.15","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"FIRST HLTH NTWK","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"395.47","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"PEACHSTATE-CENTENE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"10.51","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"PHCS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"497.44","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"708.47","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"CIGNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,344.33","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"54.77","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"AMBETTER","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"651.4","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"HUMANA PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"11.72","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"BC PPO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"180.89","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"BC HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"733.86","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"29.91","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"AETNA MCARE MGD CARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"128.8","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"MEDICARE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"138.91","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"49.11","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"CIGNA HMO","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"725.1","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"AETNA HMO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,029.67","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"UHC MCARE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"219.17","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"UHC HMO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"506.72","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"MULTI-PLAN","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"317.67","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BC PPO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"167.25","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"FIRST HLTH NTWK","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"222.48","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"AMBETTER","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,278.25","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"BC HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"67.8","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"AMBETTER","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"258.72","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"AETNA MCARE MGD CARE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"55.49","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"KAISER","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"215.8","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"AMBETTER","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"200.08","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"CIGNA HMO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"105.93","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"PHCS","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,643.32","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"MEDICARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"54.88","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"AETNA HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,009.52","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"MEDICARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"54.64","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"MEDICAID","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"4.79","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"AETNA HMO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"824.42","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"HUMANA HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"767.66","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.14","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"FIRST HLTH NTWK","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"144.9","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"BC PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"165.51","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"PEACHSTATE-CENTENE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"35.52","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CHAMPUS TRICARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"24.97","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"AETNA PPO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"24.4","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"AETNA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"363.58","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"CHAMPUS TRICARE","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"131.62","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"MEDICAID","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"157.49","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"AETNA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"248.1","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"351.65","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"116.52","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CIGNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"81.22","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"244.57","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"WELLCARE MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.15","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"HUMANA HMO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"746.72","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"613.23","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"353.49","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"BC HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"469.29","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"CHAMPUS TRICARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"200.26","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"PHCS","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"228.75","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CLOVER HEALTH","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"73.29","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"BC HMO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"2,094.25","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"AMBETTER","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"129.86","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"AMBETTER","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"325.01","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"BC HMO","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"784.37","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"27.54","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"54.86","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"131.1","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"CIGNA HMO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"122.28","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2788","code description":"PRESBYOPIA-CORRECT FUNCTION","payer":"AETNA MCARE MGD CARE","gross charge":"6,104.00","discounted cash price":"1,526.00","payer-specific negotiated charge":"644.94","de-identified minimum negotiated charge":"503.98","de-identified maximum negotiated charge":"644.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"CHAMPUS TRICARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"29.16","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95992","code description":"CANALITH REPOSITIONING PROC","payer":"AETNA HMO","gross charge":"162.52","discounted cash price":"40.63","payer-specific negotiated charge":"100.44","de-identified minimum negotiated charge":"14.91","de-identified maximum negotiated charge":"121.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"PEACHSTATE-CENTENE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"66.04","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"UHC MCARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"305.6","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AMBETTER","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"131.21","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"PHCS","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"329.63","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"MULTI-PLAN","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"426.16","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"MEDICARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"109.69","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"69.97","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"AETNA HMO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"582.06","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"KAISER","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"146.25","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"FIRST HLTH NTWK","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"155.16","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"AETNA PPO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"114.13","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"CIGNA HMO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"289.03","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"KAISER","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"390.95","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"AETNA HMO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"97.6","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"15.04","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"PEACHSTATE-CENTENE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"79.85","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CIGNA PPO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"452.48","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"AETNA PPO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"138.61","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"CIGNA HMO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,080.06","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"85.45","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"BC HMO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"229.37","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"AETNA HMO","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"271.89","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"AETNA HMO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"506.82","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"PHCS","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"531","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"AMBETTER","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"289.38","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"AETNA MCARE MGD CARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"63.22","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"90.78","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"MEDICARE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"61.94","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"AETNA HMO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"1,703.71","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"AMBETTER","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"29.49","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"PEACHSTATE-CENTENE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"159.58","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"PHCS","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"237.9","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"AMBETTER","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"2,168.24","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"HUMANA HMO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"137.46","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"BC HMO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"20.05","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"CIGNA HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"96.43","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"BC PPO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"123.08","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"AMBETTER","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"959.78","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"KAISER","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"297.14","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"UHC MCARE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"216.65","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AMERIGROUP","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.43","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CIGNA HMO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,578.64","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"9.5","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"BC PPO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"393.06","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"HUMANA HMO","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"300.7","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"HUMANA HMO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"429.82","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"BC HMO","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"1,969.15","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"BC PPO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"63.63","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"AMBETTER","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"29.78","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"AETNA HMO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"875.41","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"CHAMPUS TRICARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"26.83","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"AETNA PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"746.32","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"BC HMO","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"169.41","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"BC HMO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"645.75","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"BC PPO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,543.19","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"CARESOURCE","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"123.7","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"FIRST HLTH NTWK","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,311.96","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"165.18","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70543","code description":"MRI ORBT/FAC/NCK W/O \u0026W/DYE","payer":"AMBETTER","gross charge":"6,448.50","discounted cash price":"1,612.13","payer-specific negotiated charge":"922.07","de-identified minimum negotiated charge":"338.73","de-identified maximum negotiated charge":"2,524.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"CIGNA HMO","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"93.17","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"CIGNA HMO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"94.28","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"AETNA PPO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,250.61","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"BC HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"833.54","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"56.73","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76942","code description":"ECHO GUIDE FOR BIOPSY","payer":"AETNA PPO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"301.25","de-identified minimum negotiated charge":"93.54","de-identified maximum negotiated charge":"667.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"MEDICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"238.54","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80185","code description":"ASSAY OF PHENYTOIN TOTAL","payer":"MEDICARE","gross charge":"367","discounted cash price":"91.75","payer-specific negotiated charge":"36.68","de-identified minimum negotiated charge":"12.82","de-identified maximum negotiated charge":"165.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"11.65","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"AMBETTER","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"145.43","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CIGNA PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"78.47","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"AMBETTER","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"211.03","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"PHCS","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"26.55","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"MEDICAID","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"44.04","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"BC PPO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"59.39","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"266.07","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"CIGNA HMO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"408.87","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"AMBETTER","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"134.89","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"PHCS","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"233.25","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"81.17","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"CIGNA HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"40.64","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"AETNA MCARE MGD CARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"54.98","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"FIRST HLTH NTWK","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"263.7","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"315.05","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,423.57","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"AETNA PPO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"909.11","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CIGNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"16.92","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"82.43","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"MEDICARE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"50.22","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"165","code description":"MAJOR CHEST PROCEDURES W/O CC/MCC","payer":"MEDICARE","gross charge":"111,758.00","discounted cash price":"27,939.50","payer-specific negotiated charge":"16,728.03","de-identified minimum negotiated charge":"14,820.48","de-identified maximum negotiated charge":"20,121.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"174.49","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"214.06","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"MEDICAID","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"14.61","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"152.25","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"AETNA HMO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"502.55","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"MULTI-PLAN","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"219.72","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"HUMANA HMO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,102.89","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"CIGNA HMO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"14,411.19","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"MULTI-PLAN","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"410.04","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"4.33","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"BC PPO","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"2,335.39","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"AETNA MCARE MGD CARE","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"10.09","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"BC PPO","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"649","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"FIRST HLTH NTWK","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"255","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"AMBETTER","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"607.96","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"KAISER","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"36.25","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"AETNA HMO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,289.64","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"PHCS","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"1,317.10","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"CARESOURCE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"67.33","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"79.53","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90375","code description":"RABIES IG IM/SC","payer":"BC HMO","gross charge":"1,975.39","discounted cash price":"493.85","payer-specific negotiated charge":"1,273.98","de-identified minimum negotiated charge":"5.74","de-identified maximum negotiated charge":"1,513.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"WELLCARE MCARE MGD CARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"31.82","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"KAISER MCARE","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"4.93","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"AMBETTER","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,055.72","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"FIRST HLTH NTWK","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"49.4","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BC HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"146.83","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"FIRST HLTH NTWK","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"102.99","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"AMBETTER","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"196","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"173.14","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"KAISER SELF-FUNDED","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"48.39","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"BC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"217.89","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"FIRST HLTH NTWK","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"92.8","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"CIGNA HMO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"1,321.66","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"CIGNA HMO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"421.43","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"203.31","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"CIGNA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"556.19","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.04","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CIGNA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"15.91","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"FIRST HLTH NTWK","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"283","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"39.29","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"WELLCARE MCARE MGD CARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"9.73","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"MEDICARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"179.91","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77067","code description":"SCR MAMMO BI INCL CAD","payer":"AETNA HMO","gross charge":"862","discounted cash price":"215.5","payer-specific negotiated charge":"265.88","de-identified minimum negotiated charge":"89.12","de-identified maximum negotiated charge":"821"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AETNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"55.89","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"HUMANA HMO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"1,635.16","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"CIGNA HMO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"389.34","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"AETNA HMO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,079.21","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"FIRST HLTH NTWK","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"205.6","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"CIGNA PPO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"381.45","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"CIGNA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"5,562.33","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"BC PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,269.25","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CARESOURCE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.94","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"UHC MCARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"124.94","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"HUMANA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"187.8","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"MEDICARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"69.07","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"18.81","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74740","code description":"X-RAY FEMALE GENITAL TRACT","payer":"AETNA HMO","gross charge":"1,155.14","discounted cash price":"288.79","payer-specific negotiated charge":"1,155.14","de-identified minimum negotiated charge":"187.41","de-identified maximum negotiated charge":"1,155.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"HUMANA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"1,785.89","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"58340","code description":"CATHETER FOR HYSTEROGRAPHY","payer":"AETNA HMO","gross charge":"672.43","discounted cash price":"168.11","payer-specific negotiated charge":"672.43","de-identified minimum negotiated charge":"109.1","de-identified maximum negotiated charge":"672.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AMBETTER","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"298.19","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"BC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,054.92","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"BC PPO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"108.7","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"BC HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"281.07","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"BC PPO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"1,964.03","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"BC PPO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"154.56","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"CIGNA PPO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"1,173.99","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"AETNA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,595.20","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"AETNA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"15.96","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"BC HMO","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"54.86","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"UHC MCARE","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"152.69","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L0172","code description":"CERV COL SR FOAM 2PC PRE OTS","payer":"MEDICARE","gross charge":"291","discounted cash price":"72.75","payer-specific negotiated charge":"18.99","de-identified minimum negotiated charge":"12.69","de-identified maximum negotiated charge":"169.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"CHAMPUS TRICARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,463.82","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"MEDICARE","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"321.98","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.65","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.32","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"BC HMO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"367.83","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"MEDICARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"2.99","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"FIRST HLTH NTWK","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"86.6","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"AETNA MCARE MGD CARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"95.84","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"HUMANA HMO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"472.49","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"134.13","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"CIGNA HMO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"1,109.81","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"FIRST HLTH NTWK","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"107.16","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"HUMANA HMO","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"983","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"HUMANA HMO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"983","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"MEDICARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"7.35","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"110.39","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"KAISER MCARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"59.65","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"AMBETTER","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"228.26","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"UHC MCARE","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"11,711.51","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"UHC MCARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"27.67","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"KAISER","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"394.76","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"UHC MCARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"19.27","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"54.4","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"KAISER SELF-FUNDED","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"923","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AETNA MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"90.88","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"MULTI-PLAN","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"77.35","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"KAISER MCARE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.84","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"KAISER MCARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"71.46","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"MEDICARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"37.23","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"BC PPO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"1,077.11","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"42.05","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"CIGNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,543.92","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"MEDICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"236.62","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"UHC HMO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,141.00","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74270","code description":"X-RAY XM COLON 1CNTRST STD","payer":"MEDICARE","gross charge":"1,140.00","discounted cash price":"285","payer-specific negotiated charge":"173.6","de-identified minimum negotiated charge":"64","de-identified maximum negotiated charge":"805.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"CIGNA HMO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"411.46","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"MEDICARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"30.42","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"FIRST HLTH NTWK","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"238.47","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"UHC HMO","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"350.64","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"AMBETTER","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"137.42","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"AMBETTER","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"137.42","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CIGNA HMO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"493.82","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"MEDICARE","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"251.55","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"BC HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"185.62","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"BC PPO","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"402.02","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"HUMANA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,848.07","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"AETNA MCARE MGD CARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"385.29","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0164","code description":"PROCHLORPERAZINE MALEATE 5MG","payer":"AETNA HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"6.42","de-identified minimum negotiated charge":"1.65","de-identified maximum negotiated charge":"25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"UHC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,823.56","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"WELLCARE MCARE MGD CARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"44.86","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"BC HMO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"259.97","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CIGNA HMO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"427.35","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"BC HMO","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"58.79","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"WELLCARE MCARE MGD CARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"46.78","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"FIRST HLTH NTWK","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"330.41","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"BC HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,805.68","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"HUMANA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"428.44","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"54.26","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88377","code description":"M/PHMTRC ALYS ISHQUANT/SEMIQ","payer":"MEDICARE","gross charge":"267.67","discounted cash price":"66.92","payer-specific negotiated charge":"26.47","de-identified minimum negotiated charge":"26.47","de-identified maximum negotiated charge":"185.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"AETNA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"761.27","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"BC HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"26.11","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"BC PPO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"2,226.35","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"PEACHSTATE-CENTENE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"60.55","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"BC HMO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"297.11","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"49.76","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"197.1","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"CARESOURCE","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"100.59","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"MULTI-PLAN","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"112.2","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"354.09","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"923.07","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"MULTI-PLAN","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"89.25","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"UHC MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"26.78","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"AETNA PPO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"129.03","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"19.02","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"AETNA HMO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"123.08","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"CIGNA HMO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"416.82","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"376.52","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"KAISER","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"54.38","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"BC HMO","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"216.88","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"55.37","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"UHC MCARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"44.19","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"MEDICARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"28","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"MEDICARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"28","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"AETNA MCARE MGD CARE","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"180.15","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3473","code description":"HYALURONIDASE RECOMBINANT","payer":"UHC HMO","gross charge":"2.26","discounted cash price":"0.56","payer-specific negotiated charge":"0.61","de-identified minimum negotiated charge":"0.13","de-identified maximum negotiated charge":"0.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83010","code description":"ASSAY OF HAPTOGLOBIN QUANT","payer":"AETNA MCARE MGD CARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"45.29","de-identified minimum negotiated charge":"22.72","de-identified maximum negotiated charge":"162.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"MEDICARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"6.75","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMBETTER","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"219.36","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"BC HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"348.53","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"270.61","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"56.5","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"CIGNA HMO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"102.7","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"AMERIGROUP","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"307.08","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"CIGNA HMO","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"229.76","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.31","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"BC PPO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,955.85","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.16","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"490.73","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"CIGNA HMO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"460.94","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"MULTI-PLAN","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"152.58","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"1,101.79","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"CIGNA HMO","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"445.28","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"MULTI-PLAN","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"206.55","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"UHC MCARE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"16,337.71","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"UHC MCARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"245.87","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"CHAMPUS TRICARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"85.22","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"MULTI-PLAN","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"612","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"KAISER MCARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"203.59","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"392.91","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78072","code description":"PARATHYRD PLANAR W/SPECT\u0026CT","payer":"AETNA HMO","gross charge":"2,147.00","discounted cash price":"536.75","payer-specific negotiated charge":"897.6","de-identified minimum negotiated charge":"319.4","de-identified maximum negotiated charge":"2,045.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"56.62","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"56.62","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"17.76","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1040","code description":"METHYLPREDNISOLONE 80 MG INJ","payer":"UHC HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"45.46","de-identified minimum negotiated charge":"5.93","de-identified maximum negotiated charge":"103"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"UHC MCARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"34,166.57","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"UHC HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"119.03","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"AMBETTER","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"164.89","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"AMERIGROUP","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"44.36","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"UHC HMO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"209.86","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"BC HMO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"317.58","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"AETNA MCARE MGD CARE","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"14.43","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CIGNA PPO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"49.6","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"PHCS","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"127.78","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"PEACHSTATE-CENTENE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.71","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"PHCS","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"497.44","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"CIGNA HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"612.36","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"428.39","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"AETNA HMO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"63.18","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"MEDICAID","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"550.08","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"MEDICARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"166.09","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"CIGNA HMO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"364.14","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"BC PPO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"422.78","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"AETNA MCARE MGD CARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"41.52","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"CHAMPUS TRICARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"208.11","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"AETNA MCARE MGD CARE","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"239.24","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"965.09","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"AMBETTER","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"94.36","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"AMBETTER","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"152.39","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CARESOURCE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"240.18","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"BC PPO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"344.89","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"AETNA HMO","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"743.69","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"57.64","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"82.69","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"BC PPO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"135.85","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AETNA HMO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"350.31","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"BC HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,695.99","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"HUMANA HMO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,847.90","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"BC PPO","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"53.13","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"MEDICAID","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"46.26","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"BC HMO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"97.3","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"CIGNA HMO","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"375.2","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"BC HMO","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"304.47","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"MEDICARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"182.16","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"AETNA HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"265.6","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"HUMANA HMO","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"150.57","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"BC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"17.93","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"AETNA MCARE MGD CARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"58.19","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"AETNA MCARE MGD CARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"62.56","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"WELLCARE MCARE MGD CARE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"5,907.17","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"AETNA PPO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"15.47","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"247.37","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"66.51","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"MEDICAID","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"17.04","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"AMBETTER","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"414.45","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"UHC MCARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"49.18","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"AETNA HMO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"1,335.20","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"UHC MCARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"148.84","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"AETNA MCARE MGD CARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"8.33","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"86.75","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"PEACHSTATE-CENTENE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"62.03","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA HMO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"164.22","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"20.8","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"CIGNA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"54.78","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"KAISER MCARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"24.28","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"BC PPO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"2,755.98","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"AETNA PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"65.13","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"HUMANA PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"95.34","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,653.47","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"CIGNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,515.85","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"CHAMPUS TRICARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"AETNA MCARE MGD CARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"9.94","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"UHC PPO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"160.8","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"MEDICARE","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"11,103.52","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"CLOVER HEALTH","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"59.08","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"11.89","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"KAISER","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"HUMANA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"81.74","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"WELLCARE MCARE MGD CARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"42.67","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"65.65","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50435","code description":"EXCHANGE NEPHROSTOMY CATH","payer":"MEDICARE","gross charge":"3,388.71","discounted cash price":"847.18","payer-specific negotiated charge":"762.13","de-identified minimum negotiated charge":"707.09","de-identified maximum negotiated charge":"2,640.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"BC HMO","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"1,493.38","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CHAMPUS TRICARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"61.29","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"BC PPO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"2,643.55","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"232.72","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"PHCS","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"113.28","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"UHC HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"94.55","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"UHC MCARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"206.95","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"AMERIGROUP","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"41.79","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"HUMANA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"31.81","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"UHC MCARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"87.14","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"AMBETTER","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"111.27","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"BC PPO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"2,544.95","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"FIRST HLTH NTWK","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"741","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"FIRST HLTH NTWK","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"3,223.79","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"MEDICARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"18.39","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"71.86","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"CARESOURCE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"25.36","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"BC HMO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"467.48","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CIGNA HMO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"96.77","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"CHAMPUS TRICARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"112.98","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"HUMANA HMO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,093.81","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"MEDICARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"24.64","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.3","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"AMBETTER","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"152.07","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"KAISER MCARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"31.19","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AETNA MCARE MGD CARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"52.71","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"BC HMO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"449.07","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"BC HMO","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"1,620.10","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"366.93","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"AMBETTER","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"134.01","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CHAMPUS TRICARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"408.32","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"17.47","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"AMBETTER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"131.29","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"4.5","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75989","code description":"ABSCESS DRAINAGE UNDER X-RAY","payer":"MEDICARE","gross charge":"1,342.00","discounted cash price":"335.5","payer-specific negotiated charge":"244.39","de-identified minimum negotiated charge":"244.39","de-identified maximum negotiated charge":"610.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"CIGNA HMO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"471.92","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"AMBETTER","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"98.25","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"PEACHSTATE-CENTENE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"45.75","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AETNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"40.9","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"AMBETTER","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,425.63","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76815","code description":"OB US LIMITED FETUS(S)","payer":"CARESOURCE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"95.67","de-identified minimum negotiated charge":"95.67","de-identified maximum negotiated charge":"729.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"MEDICARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"17.17","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"95.24","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"PHCS","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"58.35","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"22513","code description":"PERQ VERTEBRAL AUGMENTATION","payer":"MEDICARE","gross charge":"19,210.00","discounted cash price":"4,802.50","payer-specific negotiated charge":"4,461.50","de-identified minimum negotiated charge":"2,135.79","de-identified maximum negotiated charge":"6,996.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"113.18","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90945","code description":"DIALYSIS ONE EVALUATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,081.00","discounted cash price":"520.25","payer-specific negotiated charge":"113.18","de-identified minimum negotiated charge":"111.84","de-identified maximum negotiated charge":"543.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"CIGNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"118.05","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"AETNA HMO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"67.48","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"89.42","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50435","code description":"EXCHANGE NEPHROSTOMY CATH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,388.71","discounted cash price":"847.18","payer-specific negotiated charge":"913.83","de-identified minimum negotiated charge":"707.09","de-identified maximum negotiated charge":"2,640.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"13,181.60","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"AMBETTER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"86.03","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"AMBETTER","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"428.5","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CHAMPUS TRICARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"23.07","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"PHCS","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"105.83","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"BC HMO","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"89.69","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"7,548.21","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"AMBETTER","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"36.29","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"AMBETTER","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"27.41","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"HUMANA HMO","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"656.4","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"AETNA HMO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,310.09","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"BC HMO","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"3,203.84","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"BC PPO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"76.49","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"PHCS","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"755","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"WELLCARE MCARE MGD CARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"20.82","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"CARESOURCE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"9.2","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"BC PPO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"327.44","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"FIRST HLTH NTWK","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"469.4","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"CIGNA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"841.05","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"CIGNA PPO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,300.49","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"AMBETTER","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"362.45","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"BC PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"290.43","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"MEDICARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"235.48","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"68.52","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0439","code description":"PPPS, SUBSEQ VISIT","payer":"WELLCARE MCARE MGD CARE","gross charge":"380","discounted cash price":"95","payer-specific negotiated charge":"136.01","de-identified minimum negotiated charge":"96.96","de-identified maximum negotiated charge":"202.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"53.25","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"BC PPO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"2,109.64","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"AETNA HMO","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"94.95","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"BC HMO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"2,058.41","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"AMERIGROUP","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"20.56","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"UHC MCARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"30.81","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CIGNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"33.54","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"AETNA HMO","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"595.87","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"AETNA HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"49.08","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"BCBS SMARTVALUE PFFS","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"84.27","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"AMBETTER","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"86.9","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"CHAMPUS TRICARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"24.45","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BC HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"164.85","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"AETNA HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"276.04","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"12,992.95","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"KAISER","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"67.56","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"BC PPO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"216.74","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"BC HMO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"224.47","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"MEDICARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"44.89","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"343.95","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"33.02","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"AETNA HMO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,054.24","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"BC PPO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"333.32","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"BCBS SMARTVALUE PFFS","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"104.71","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"BC PPO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"141.49","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"HUMANA HMO","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"188.57","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"11.87","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"PHCS","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"19.5","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"40.52","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"FIRST HLTH NTWK","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"421.2","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"87.49","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"CIGNA HMO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"197.95","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"367.38","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"KAISER MCARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"28.91","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"BC PPO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,671.22","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97803","code description":"MED NUTRITION INDIV SUBSEQ","payer":"CIGNA HMO","gross charge":"77.43","discounted cash price":"19.36","payer-specific negotiated charge":"48.51","de-identified minimum negotiated charge":"12.55","de-identified maximum negotiated charge":"48.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"BC PPO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"27.06","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"UHC MCARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"60.28","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"18.99","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"300","code description":"PERIPHERAL VASCULAR DISORDERS W CC","payer":"MEDICAID","gross charge":"139,090.50","discounted cash price":"34,772.63","payer-specific negotiated charge":"7,748.00","de-identified minimum negotiated charge":"6,697.09","de-identified maximum negotiated charge":"10,056.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"AMBETTER","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"330.35","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"MULTI-PLAN","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"584.8","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CHAMPUS TRICARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"29.9","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"HUMANA HMO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"351.5","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"CIGNA PPO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"570.84","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"KAISER MCARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"40.17","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"AETNA MCARE MGD CARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"36.11","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88280","code description":"CHROMOSOME KARYOTYPE STUDY","payer":"AMBETTER","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"69.82","de-identified minimum negotiated charge":"14.64","de-identified maximum negotiated charge":"122.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88264","code description":"CHROMOSOME ANALYSIS 20-25","payer":"AMBETTER","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"211.07","de-identified minimum negotiated charge":"44.27","de-identified maximum negotiated charge":"371.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88237","code description":"TISSUE CULTURE BONE MARROW","payer":"AMBETTER","gross charge":"866","discounted cash price":"216.5","payer-specific negotiated charge":"188.25","de-identified minimum negotiated charge":"39.48","de-identified maximum negotiated charge":"331.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92526","code description":"ORAL FUNCTION THERAPY","payer":"AETNA MCARE MGD CARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"99.84","de-identified minimum negotiated charge":"37.22","de-identified maximum negotiated charge":"99.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"BC PPO","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"196.96","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"HUMANA HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"399.31","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CIGNA PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,322.74","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"MEDICARE","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"31.03","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"47.39","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA PPO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"288.43","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"AETNA HMO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"1,711.00","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"72.77","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"MEDICARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"4.36","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"KAISER MCARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"19.41","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"1,577.67","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"19.82","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"AMBETTER","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"610.34","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77066","code description":"DX MAMMO INCL CAD BI","payer":"AMBETTER","gross charge":"1,091.00","discounted cash price":"272.75","payer-specific negotiated charge":"328.83","de-identified minimum negotiated charge":"71.42","de-identified maximum negotiated charge":"883.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"MEDICARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"57.38","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CLOVER HEALTH","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"248.11","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"FIRST HLTH NTWK","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"32.7","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"BC PPO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"154.72","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73220","code description":"MRI UPPR EXTREMITY W/O\u0026W/DYE","payer":"AMBETTER","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"912.44","de-identified minimum negotiated charge":"337.52","de-identified maximum negotiated charge":"2,038.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"MEDICAID","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"5.59","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"KAISER","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"393.14","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"MEDICARE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"38.18","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"BC HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"455","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,995.46","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"AMBETTER","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"777.19","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"CIGNA HMO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"5.45","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"FIRST HLTH NTWK","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"21.6","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"CIGNA HMO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"14.75","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"291","code description":"HEART FAILURE \u0026 SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"UHC MCARE","gross charge":"80,793.45","discounted cash price":"20,198.36","payer-specific negotiated charge":"12,342.34","de-identified minimum negotiated charge":"473.73","de-identified maximum negotiated charge":"45,742.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC HMO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"184.82","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"114.69","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"BC HMO","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"2,617.50","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"AETNA MCARE MGD CARE","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"20.18","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97032","code description":"ELECTRICAL STIMULATION","payer":"UHC MCARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"31.82","de-identified minimum negotiated charge":"28.49","de-identified maximum negotiated charge":"194.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"MEDICARE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"95.35","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"AETNA HMO","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"1,694.33","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.02","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"BC HMO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"19.16","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"MEDICAID","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"43.1","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"17,574.20","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AETNA HMO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,364.87","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"KAISER","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"58.2","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"CIGNA HMO","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"271.17","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"BC PPO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"6,368.71","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"232.57","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"MEDICARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,073.38","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"BC PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,734.32","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"AMBETTER","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"58.48","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"AETNA MCARE MGD CARE","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"9.63","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"AMBETTER","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"575.51","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84590","code description":"ASSAY OF VITAMIN A","payer":"HUMANA HMO","gross charge":"47","discounted cash price":"11.75","payer-specific negotiated charge":"32.24","de-identified minimum negotiated charge":"1.3","de-identified maximum negotiated charge":"32.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"24.33","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"CIGNA HMO","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"247.64","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MEDICAID","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"18.18","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"AETNA HMO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"57.21","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"AMBETTER","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"160.61","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"WELLCARE MCARE MGD CARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"69.32","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"CIGNA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"88.99","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"BC HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"296.66","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"BCBS SMARTVALUE PFFS","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"15.78","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"KAISER PPO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,171.96","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"108.43","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"180.88","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"AMBETTER","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"12.47","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AMERIGROUP","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.26","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"UHC MCARE","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"14.19","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"11.18","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA HMO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"350.31","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"AMBETTER","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"35.91","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"UHC MCARE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"37.52","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA HMO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"249.99","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"WELLCARE MCARE MGD CARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"94.1","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"MEDICARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"23.96","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"BC PPO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"247.77","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"3.55","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"WELLCARE MCARE MGD CARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"60.1","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"AMBETTER","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"350.88","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"AMBETTER","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"404.64","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"MULTI-PLAN","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"58.65","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"UHC PPO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,084.87","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"UHC MCARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"116.56","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"60.1","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"UHC MCARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"40.86","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"AETNA HMO","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"34.37","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"UHC MCARE","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"235.45","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"BC HMO","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"52.09","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"HUMANA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"788.13","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AETNA HMO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"128.74","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"AMERIGROUP","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"366.55","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"CARESOURCE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.11","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"28.9","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"AETNA PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,048.18","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"AMBETTER","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"925.73","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"AETNA PPO","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"16.57","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"66.33","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"UHC MCARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"192.26","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"UHC PPO","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"449.89","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"AETNA PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,761.00","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"BC PPO","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"1,722.92","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"MEDICARE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"77.1","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"BC PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"27.72","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"BC HMO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,595.10","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AETNA MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"127.69","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"CHAMPUS TRICARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"380.09","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"AMBETTER","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"1,271.18","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.56","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"37.78","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA HMO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"164.93","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"AETNA HMO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"1,761.00","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"AETNA MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.19","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"193.15","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"AETNA HMO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,267.25","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"AETNA HMO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"575.04","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CIGNA HMO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"552.33","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"392","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W/O MCC","payer":"MEDICAID","gross charge":"64,354.50","discounted cash price":"16,088.63","payer-specific negotiated charge":"5,158.53","de-identified minimum negotiated charge":"4,601.96","de-identified maximum negotiated charge":"9,878.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"UHC HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"785","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"348.65","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"BC PPO","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"2,033.86","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AETNA MCARE MGD CARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"48.28","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"MEDICARE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"243.37","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"6.2","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"AETNA MCARE MGD CARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"47.47","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"PEACH STATE MEDICARE ADVANTAGE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"39.53","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"3.66","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AETNA PPO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"139.5","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"KAISER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"7.79","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"UHC MCARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"31.38","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.52","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"PEACHSTATE-CENTENE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"25.09","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"708","code description":"MAJOR MALE PELVIC PROCEDURES W/O CC/MCC","payer":"MEDICARE","gross charge":"73,755.75","discounted cash price":"18,438.94","payer-specific negotiated charge":"14,202.26","de-identified minimum negotiated charge":"9,471.13","de-identified maximum negotiated charge":"18,933.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"BC PPO","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"13.24","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"KAISER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"643.64","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"WELLCARE MCARE MGD CARE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"80.38","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"AETNA HMO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"24.36","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"MEDICARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"335.38","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"46.85","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CLOVER HEALTH","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"45.99","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.09","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"UHC MCARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"11.16","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"AMBETTER","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"25.2","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"KAISER MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"28.55","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"KAISER","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"39.18","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"AMBETTER","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"615.17","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"UHC MCARE","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"78.72","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"AMERIGROUP","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"36.34","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"867.99","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"917","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W MCC","payer":"MEDICAID","gross charge":"88,650.75","discounted cash price":"22,162.69","payer-specific negotiated charge":"8,469.11","de-identified minimum negotiated charge":"3,699.52","de-identified maximum negotiated charge":"30,433.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"BC PPO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"501","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"UHC MCARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"133.47","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"MEDICARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"255.47","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"AETNA MCARE MGD CARE","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"161.1","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CHAMPUS TRICARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"223.34","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"56","code description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC","payer":"MEDICARE","gross charge":"264,233.00","discounted cash price":"66,058.25","payer-specific negotiated charge":"20,060.46","de-identified minimum negotiated charge":"14,453.04","de-identified maximum negotiated charge":"27,537.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"PHCS","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"2,809.12","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"FIRST HLTH NTWK","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"177.01","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"974","code description":"HIV W MAJOR RELATED CONDITION W MCC","payer":"MEDICAID","gross charge":"93,380.00","discounted cash price":"23,345.00","payer-specific negotiated charge":"21,513.22","de-identified minimum negotiated charge":"17,427.13","de-identified maximum negotiated charge":"37,469.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"FIRST HLTH NTWK","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"216.01","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"CIGNA HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"280.35","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MEDICARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"32.42","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.45","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"366.92","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CIGNA PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"107.79","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"44.98","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"PEACHSTATE-CENTENE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"44.98","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"FIRST HLTH NTWK","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"279","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"36.94","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"PHCS","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"551.25","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"85.45","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.5","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"673","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W MCC","payer":"MEDICAID","gross charge":"292,426.50","discounted cash price":"73,106.63","payer-specific negotiated charge":"18,296.46","de-identified minimum negotiated charge":"18,296.46","de-identified maximum negotiated charge":"41,738.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"PHCS","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"1,178.25","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"PHCS","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"409.5","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"598.41","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"UHC MCARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"31.82","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"PHCS","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"2,200.50","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"CIGNA HMO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"119.04","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"PHCS","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"596.25","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"CIGNA HMO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,508.85","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"FIRST HLTH NTWK","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,447.00","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"AMERIGROUP","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"230.3","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"PHCS","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,400.25","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"60.6","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CARESOURCE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.33","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"464","code description":"WND DEBRID \u0026 SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC","payer":"MEDICARE","gross charge":"130,184.50","discounted cash price":"32,546.13","payer-specific negotiated charge":"24,544.84","de-identified minimum negotiated charge":"14,217.14","de-identified maximum negotiated charge":"34,872.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"BC HMO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"1,091.82","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"UHC MCARE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"752","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"96.62","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"119.81","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"AETNA MCARE MGD CARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"216.67","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"BC HMO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"34.18","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"BC PPO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"313.42","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"AETNA PPO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"155.72","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"HUMANA HMO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"890.9","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"BC HMO","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"219.37","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"BC PPO","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"3,210.61","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88325","code description":"COMPREHENSIVE REVIEW OF DATA","payer":"AMBETTER","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"80.68","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"827"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82390","code description":"ASSAY OF CERULOPLASMIN","payer":"UHC HMO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"28.16","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"97.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32550","code description":"INSERT PLEURAL CATH","payer":"MEDICARE","gross charge":"11,492.00","discounted cash price":"2,873.00","payer-specific negotiated charge":"2,092.99","de-identified minimum negotiated charge":"2,092.99","de-identified maximum negotiated charge":"5,225.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84630","code description":"ASSAY OF ZINC","payer":"HUMANA HMO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"116.62","de-identified minimum negotiated charge":"1.94","de-identified maximum negotiated charge":"116.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"AETNA MCARE MGD CARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"54.72","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81003","code description":"URINALYSIS AUTO W/O SCOPE","payer":"KAISER MCARE","gross charge":"171","discounted cash price":"42.75","payer-specific negotiated charge":"18.73","de-identified minimum negotiated charge":"10.33","de-identified maximum negotiated charge":"171"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CIGNA HMO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"200.82","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AETNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"395.15","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"AMERIGROUP","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"21.5","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"MEDICARE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"38.95","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"MULTI-PLAN","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"387.6","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"PHCS","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"352.5","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"UHC HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,099.61","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"BC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"24.71","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"BC HMO","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"455","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"MEDICARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"15.73","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"87.65","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CIGNA PPO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"211.39","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"BCBS SMARTVALUE PFFS","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"20.43","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"1,676.77","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"CIGNA HMO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"272.23","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"11","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"CHAMPUS TRICARE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"56.23","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"BC HMO","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"219.64","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"31.96","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"HUMANA HMO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"1,694.32","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"UHC MCARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"42.36","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"BC PPO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"63.92","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"UHC MCARE","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"38.7","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"MEDICARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"227.01","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"CIGNA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"83.77","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.02","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"UHC MCARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"79.82","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"MEDICAID","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.36","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71552","code description":"MRI CHEST W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,513.59","de-identified minimum negotiated charge":"340.26","de-identified maximum negotiated charge":"2,513.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"BC HMO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"2,581.38","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"36.7","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"KAISER MCARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"41.24","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77072","code description":"X-RAYS FOR BONE AGE","payer":"UHC HMO","gross charge":"424","discounted cash price":"106","payer-specific negotiated charge":"285.63","de-identified minimum negotiated charge":"61.96","de-identified maximum negotiated charge":"285.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"UHC MCARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"27.07","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"BC HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"23.24","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AMBETTER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"35.44","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"MEDICARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"55.27","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MEDICAID","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"8.72","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"UHC HMO","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"716.19","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"AETNA HMO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"19.08","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"55.37","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"BC PPO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"144.34","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"BC PPO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"166.72","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"BC PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"524.9","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.38","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"198.98","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.32","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"AMBETTER","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"475.73","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"UHC PPO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"898.6","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"KAISER","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"485.03","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"AMERIGROUP","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"16.71","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"WELLCARE MCARE MGD CARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"20.04","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"AETNA PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"109.17","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"UHC HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"276.44","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"BC PPO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,759.19","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"AMBETTER","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"111.38","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"22.35","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.8","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"AETNA PPO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"887.22","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"HUMANA HMO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"556.58","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA HMO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"262.92","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AETNA PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"127.01","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"AMBETTER","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"25.71","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.67","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"BC HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"43.16","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"CHAMPUS TRICARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"29.11","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"23.35","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"AETNA MCARE MGD CARE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"47.7","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"BC HMO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"255.64","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"MEDICARE","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"283.84","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"MEDICARE","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"179.68","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"AETNA MCARE MGD CARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"71.24","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"43.54","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.39","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"WELLCARE MCARE MGD CARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"18.71","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,663.87","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"AETNA MCARE MGD CARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"796.23","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"KAISER","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"631.8","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"BC HMO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,727.06","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"CARESOURCE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"4.27","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CHAMPUS TRICARE","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"109.02","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"FIRST HLTH NTWK","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"376.92","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"CHAMPUS TRICARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"111.96","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"UHC PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"66.84","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.75","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"6.32","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"AMERIGROUP","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"94.68","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"BC PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"193.03","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"HUMANA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"136.51","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"UHC HMO","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"927.91","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"UHC MCARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"71.81","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84155","code description":"ASSAY OF PROTEIN SERUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"4.08","de-identified minimum negotiated charge":"3.68","de-identified maximum negotiated charge":"36.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"KAISER MCARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"65.34","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"704.63","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"UHC MCARE","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"79.72","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"MEDICARE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"51.47","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"AMBETTER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"94.18","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AETNA MCARE MGD CARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"40.1","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"KAISER","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"917.07","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9516","code description":"IODINE I-123 SOD IODIDE MIC","payer":"AMBETTER","gross charge":"281.33","discounted cash price":"70.33","payer-specific negotiated charge":"114.33","de-identified minimum negotiated charge":"48.96","de-identified maximum negotiated charge":"272"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"AMERIGROUP","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"366.05","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"BC PPO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"214.96","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"UHC MCARE","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"148.6","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73","code description":"CRANIAL \u0026 PERIPHERAL NERVE DISORDERS W MCC","payer":"MEDICAID","gross charge":"120,969.50","discounted cash price":"30,242.38","payer-specific negotiated charge":"10,291.97","de-identified minimum negotiated charge":"10,291.97","de-identified maximum negotiated charge":"17,564.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"CIGNA HMO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"97.19","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"BC PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"2,015.87","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"46.28","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"BC HMO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,596.88","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"CIGNA HMO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"97.21","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"BC HMO","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"2,519.60","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"UHC MCARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"49.72","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"KAISER MCARE","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"89.64","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"KAISER PPO","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"28.16","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"UHC MCARE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"68.11","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"KAISER","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"408","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"6.59","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"MEDICARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"41.49","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"AETNA MCARE MGD CARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"171.69","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,656.89","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"69.75","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88332","code description":"PATH CONSULT INTRAOP ADDL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"307","discounted cash price":"76.75","payer-specific negotiated charge":"42.57","de-identified minimum negotiated charge":"15.66","de-identified maximum negotiated charge":"161.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.76","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"109.42","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"UHC MCARE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"39.13","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"CIGNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"985.45","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"CIGNA PPO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"377.46","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CHAMPUS TRICARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"5.25","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"177","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"99,306.89","discounted cash price":"24,826.72","payer-specific negotiated charge":"24,540.81","de-identified minimum negotiated charge":"1,525.46","de-identified maximum negotiated charge":"65,952.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"MEDICARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"218.18","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9579","code description":"GAD-BASE MR CONTRAST NOS,1ML","payer":"AMBETTER","gross charge":"36","discounted cash price":"9","payer-specific negotiated charge":"23.57","de-identified minimum negotiated charge":"4.26","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"BC PPO","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"75.09","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"UHC MCARE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"95.35","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CHAMPUS TRICARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"6.64","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"HUMANA HMO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"22.33","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"AETNA MCARE MGD CARE","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"57.36","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"2,461.04","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"BC PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"135.76","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"MEDICAID","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"108.84","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"AMBETTER","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"202.55","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"AETNA MCARE MGD CARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"449.88","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"BC PPO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"256.28","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PHCS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"132.78","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"BC HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"78.32","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"CIGNA HMO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"12.35","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"CIGNA PPO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"125.35","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"HUMANA HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"107.83","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"PEACHSTATE-CENTENE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"218.76","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"51.71","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"UHC MCARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"30.78","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"MEDICARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.82","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"WELLCARE MCARE MGD CARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"35.58","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"BC HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"56.33","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"AMBETTER","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"28.47","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.66","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"AETNA HMO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,007.95","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"AMERIGROUP","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"40.16","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"BC PPO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"2,300.46","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"CHAMPUS TRICARE","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"87.96","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95816","code description":"EEG AWAKE AND DROWSY","payer":"MEDICARE","gross charge":"1,175.00","discounted cash price":"293.75","payer-specific negotiated charge":"86.43","de-identified minimum negotiated charge":"58.76","de-identified maximum negotiated charge":"370.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"BC HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"294.91","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"77.1","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"UHC MCARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"49.26","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"WELLCARE MCARE MGD CARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"77.04","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"BC HMO","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"1,286.03","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"KAISER PPO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,636.68","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"CIGNA PPO","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"154.64","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"UHC MCARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"131.91","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"WELLCARE MCARE MGD CARE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"13.12","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97750","code description":"PHYSICAL PERFORMANCE TEST","payer":"AETNA HMO","gross charge":"203","discounted cash price":"50.75","payer-specific negotiated charge":"125.86","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"172.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"9.5","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"BCBS SMARTVALUE PFFS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"89.51","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"WELLCARE MCARE MGD CARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"42.86","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"UHC MCARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"27.61","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AMBETTER","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"15.7","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"AMERIGROUP","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.11","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.12","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"MEDICARE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"243.89","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"CIGNA HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"2,036.39","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"44.87","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"AMBETTER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"20.42","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"AMERIGROUP","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"73.84","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CIGNA HMO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"164.24","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"AMBETTER","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"396.09","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"32.81","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"AMBETTER","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"752.17","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"UHC MCARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"9.52","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"BC PPO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"69.77","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"HUMANA HMO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,287.86","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"MEDICARE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"120.37","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"2,574.47","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"278.55","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"MEDICARE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"65.31","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"UHC MCARE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"119.42","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"100","code description":"SEIZURES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"62,001.00","discounted cash price":"15,500.25","payer-specific negotiated charge":"16,934.46","de-identified minimum negotiated charge":"8,940.64","de-identified maximum negotiated charge":"16,934.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"UHC MCARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"27.67","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"UHC MCARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"36.07","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"CARESOURCE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.49","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62304","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"MEDICARE","gross charge":"2,515.00","discounted cash price":"628.75","payer-specific negotiated charge":"250.7","de-identified minimum negotiated charge":"33.46","de-identified maximum negotiated charge":"2,515.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"WELLCARE MCARE MGD CARE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"100.33","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"6.93","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CARESOURCE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"200.73","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77065","code description":"DX MAMMO INCL CAD UNI","payer":"AETNA MCARE PFFS","gross charge":"847.5","discounted cash price":"211.88","payer-specific negotiated charge":"90.45","de-identified minimum negotiated charge":"79.99","de-identified maximum negotiated charge":"702.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AMBETTER","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"13.16","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"MEDICARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"40.92","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"AETNA HMO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"89.19","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"PHCS","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"192.87","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"CARESOURCE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"4.65","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"AETNA HMO","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"42.4","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"UHC MCARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"20.55","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"AMBETTER","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"761.5","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"CIGNA HMO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,191.15","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77080","code description":"DXA BONE DENSITY AXIAL","payer":"CIGNA PPO","gross charge":"1,023.00","discounted cash price":"255.75","payer-specific negotiated charge":"552.39","de-identified minimum negotiated charge":"104.45","de-identified maximum negotiated charge":"755"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"17.49","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"FIRST HLTH NTWK","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"693.9","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"151.48","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"CIGNA HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"689.24","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"MEDICAID","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"72.71","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"UHC HMO","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"BC HMO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"405.2","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"MEDICARE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"15.67","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"HUMANA HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"448.72","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"PEACHSTATE-CENTENE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"63.82","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"CIGNA PPO","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"355.8","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"AMERIGROUP","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"7.72","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"MEDICAID","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"16.31","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"MEDICARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"5.49","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CARESOURCE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"378.29","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"AETNA PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"177.25","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"21.18","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"KAISER MCARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"28.99","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"AETNA HMO","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"193.36","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"CIGNA PPO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"1,560.15","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78708","code description":"K FLOW/FUNCT IMAGE W/DRUG","payer":"AMBETTER","gross charge":"1,883.00","discounted cash price":"470.75","payer-specific negotiated charge":"726.01","de-identified minimum negotiated charge":"277.91","de-identified maximum negotiated charge":"848.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"39.29","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"UHC MCARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"19.18","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"AMBETTER","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"267.93","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BC PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"121.84","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"BC PPO","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"67.76","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"CLOVER HEALTH","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"33.24","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,682.63","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AMBETTER","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"101.97","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"KAISER","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"164.63","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"BC HMO","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"11.24","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"UHC HMO","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"167","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"AMBETTER","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"837.7","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"BC PPO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"549.17","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"AETNA MCARE MGD CARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"44.67","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"124.32","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"MEDICARE","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"86.14","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"AMBETTER","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"618.33","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"AETNA MCARE MGD CARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"18.22","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"32.86","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"UHC MCARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"31.81","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"BC HMO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"1,225.42","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"UHC MCARE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"23.49","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"BC PPO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"26.43","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"CHAMPUS TRICARE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"83.39","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"MEDICARE","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"155.54","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.35","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"AMBETTER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"85.09","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"BC HMO","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"736.72","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"AMBETTER","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,200.09","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"AMBETTER","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"48.86","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"WELLCARE MCARE MGD CARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.35","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"CIGNA HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"296.44","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"HUMANA HMO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"531.51","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8911","code description":"MRA W/O FOL W/CONT, CHEST","payer":"BC PPO","gross charge":"6,729.00","discounted cash price":"1,682.25","payer-specific negotiated charge":"2,782.07","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"3,964.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"HUMANA HMO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"314.28","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"391","code description":"ESOPHAGITIS, GASTROENT \u0026 MISC DIGEST DISORDERS W MCC","payer":"MEDICAID","gross charge":"99,116.00","discounted cash price":"24,779.00","payer-specific negotiated charge":"7,214.60","de-identified minimum negotiated charge":"4,557.37","de-identified maximum negotiated charge":"16,007.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"BC PPO","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"175.62","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"MEDICAID","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"182.79","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"379.27","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"AETNA PPO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"55.1","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7060","code description":"5% DEXTROSE/WATER","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.27","de-identified minimum negotiated charge":"11.98","de-identified maximum negotiated charge":"66.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"CARESOURCE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"124.53","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"AETNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"37.21","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"BC PPO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,237.84","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"243.93","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"BC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"102.41","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"CIGNA HMO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"12.78","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"BC HMO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"143.94","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"265.78","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"MEDICARE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"100.77","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"MEDICARE","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"182.49","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"UHC MCARE","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"49.64","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CIGNA HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"562.24","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"MEDICARE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"678.33","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"BC HMO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"233.72","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"HUMANA HMO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"834.32","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"PHCS","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"794.25","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CARESOURCE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"38.02","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"MEDICARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"259.14","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"CIGNA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"259.4","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97112","code description":"NEUROMUSCULAR REEDUCATION","payer":"UHC PPO","gross charge":"194.04","discounted cash price":"48.51","payer-specific negotiated charge":"134.73","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"164.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.15","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"MEDICARE","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"18.98","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"78.16","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"CIGNA PPO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"5,416.80","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"BC HMO","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"514.49","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93923","code description":"UPR/LXTR ART STDY 3+ LVLS","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,431.00","discounted cash price":"357.75","payer-specific negotiated charge":"156.51","de-identified minimum negotiated charge":"136.24","de-identified maximum negotiated charge":"901.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"113.86","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"AMBETTER","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"123.37","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"873.58","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"375.73","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88346","code description":"IMMUNOFLUOR ANTB 1ST STAIN","payer":"AETNA HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"108.17","de-identified minimum negotiated charge":"35.91","de-identified maximum negotiated charge":"178.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"CHAMPUS TRICARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"191.75","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"217.98","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"AETNA HMO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"178.28","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9500","code description":"TC99M SESTAMIBI","payer":"AETNA HMO","gross charge":"1,037.00","discounted cash price":"259.25","payer-specific negotiated charge":"458.43","de-identified minimum negotiated charge":"138.35","de-identified maximum negotiated charge":"988"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"AETNA HMO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"14.13","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"68.44","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"CARESOURCE","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"1.85","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"BC HMO","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"2,100.89","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"AMERIGROUP","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"38.09","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CIGNA HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"62.97","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"MEDICAID","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"13.67","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"113.31","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"HUMANA HMO","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"160.74","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"MEDICARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"19.63","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"AMBETTER","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"81.22","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88350","code description":"IMMUNOFLUOR ANTB ADDL STAIN","payer":"AETNA HMO","gross charge":"161","discounted cash price":"40.25","payer-specific negotiated charge":"37.61","de-identified minimum negotiated charge":"12.47","de-identified maximum negotiated charge":"62.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"UHC MCARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"31.95","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CIGNA HMO","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"105.45","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"127.45","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"AETNA HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"19.35","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"BC HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,300.25","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"15.65","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"AMBETTER","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"7.48","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"375.2","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"CIGNA HMO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"94.55","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"423.45","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,580.35","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49452","code description":"REPLACE G-J TUBE PERC","payer":"MEDICARE","gross charge":"1,555.00","discounted cash price":"388.75","payer-specific negotiated charge":"243.75","de-identified minimum negotiated charge":"231.19","de-identified maximum negotiated charge":"287.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"UHC HMO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"442.13","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"BC HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"99.72","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"AMBETTER","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"53.28","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"UHC MCARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"64.84","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"AMBETTER","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"318.48","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"1.06","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"232.39","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73501","code description":"X-RAY EXAM HIP UNI 1 VIEW","payer":"UHC MCARE","gross charge":"536","discounted cash price":"134","payer-specific negotiated charge":"68.1","de-identified minimum negotiated charge":"29.17","de-identified maximum negotiated charge":"321.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"MEDICAID","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.33","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"AETNA MCARE MGD CARE","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"117.08","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"KAISER","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"124.37","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"AETNA MCARE MGD CARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"416.54","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"CIGNA HMO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"359.68","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"AMBETTER","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"51.12","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"MEDICARE","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"49.28","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82040","code description":"ASSAY OF SERUM ALBUMIN","payer":"MEDICARE","gross charge":"18.4","discounted cash price":"4.6","payer-specific negotiated charge":"2.38","de-identified minimum negotiated charge":"1.08","de-identified maximum negotiated charge":"2.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"AMBETTER","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"49.73","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"58.3","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"AETNA MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"25.04","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"KAISER","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"70.02","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"MEDICAID","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"8.13","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"MEDICARE","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"6.48","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"CIGNA HMO","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"433.21","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"AETNA HMO","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"68.04","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,524.07","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"MEDICARE","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"352.55","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"HUMANA HMO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"895.14","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CLOVER HEALTH","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"1.95","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"WELLCARE MCARE MGD CARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"42.56","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"CIGNA HMO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"133.5","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"AETNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"784.6","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"AMERIGROUP","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"95.13","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"UHC PPO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"193.14","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"PEACHSTATE-CENTENE","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"1.48","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"BC HMO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"406.98","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"WELLCARE MCARE MGD CARE","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"55.61","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"73.17","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"BC HMO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"50.51","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"BC HMO","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"389.01","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"UHC MCARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"45.54","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"BC HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"859.59","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"92.06","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"MEDICARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"298.54","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36247","code description":"INS CATH ABD/L-EXT ART 3RD","payer":"AETNA HMO","gross charge":"4,681.00","discounted cash price":"1,170.25","payer-specific negotiated charge":"1,610.12","de-identified minimum negotiated charge":"542.96","de-identified maximum negotiated charge":"1,962.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"812","code description":"RED BLOOD CELL DISORDERS W/O MCC","payer":"CHAMPUS TRICARE","gross charge":"59,526.31","discounted cash price":"14,881.58","payer-specific negotiated charge":"6,492.38","de-identified minimum negotiated charge":"5,245.87","de-identified maximum negotiated charge":"10,903.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"37243","code description":"VASC EMBOLIZE/OCCLUDE ORGAN","payer":"AETNA HMO","gross charge":"41,488.00","discounted cash price":"10,372.00","payer-specific negotiated charge":"14,270.88","de-identified minimum negotiated charge":"4,812.35","de-identified maximum negotiated charge":"17,389.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"KAISER","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"267.6","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"AETNA HMO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"330.51","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"KAISER SELF-FUNDED","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"115.72","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"32.4","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"CIGNA PPO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"111.47","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"WELLCARE MCARE MGD CARE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"66.47","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80184","code description":"ASSAY OF PHENOBARBITAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"189","discounted cash price":"47.25","payer-specific negotiated charge":"11.01","de-identified minimum negotiated charge":"9.74","de-identified maximum negotiated charge":"22.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"MEDICARE","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"319.07","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"WELLCARE MCARE MGD CARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"57.49","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"BC HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"247.8","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"UHC PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"358.1","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"KAISER","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"103.13","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"BC HMO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,554.19","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"78.89","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"308","code description":"CARDIAC ARRHYTHMIA \u0026 CONDUCTION DISORDERS W MCC","payer":"MEDICAID","gross charge":"127,049.00","discounted cash price":"31,762.25","payer-specific negotiated charge":"9,383.24","de-identified minimum negotiated charge":"7,505.89","de-identified maximum negotiated charge":"10,719.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"CIGNA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"792.09","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"CIGNA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"25.02","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"BC HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"25.34","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"BC HMO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"519.02","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"BC HMO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"2,290.86","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"HUMANA HMO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"91.82","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"UHC MCARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"55.56","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"165","code description":"MAJOR CHEST PROCEDURES W/O CC/MCC","payer":"AETNA MCARE MGD CARE","gross charge":"111,758.00","discounted cash price":"27,939.50","payer-specific negotiated charge":"17,613.29","de-identified minimum negotiated charge":"14,820.48","de-identified maximum negotiated charge":"20,121.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"MEDICARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"24.12","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"MEDICAID","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"44.68","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"MEDICAID","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"44.68","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"75.59","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88304","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"MEDICARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"85.85","de-identified minimum negotiated charge":"49.95","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"AMBETTER","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"102.94","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"UHC MCARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"21.99","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"CARESOURCE","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"14.09","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AMERIGROUP","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"28.76","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CIGNA HMO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"69.98","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"AETNA PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,649.98","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"MEDICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"5.06","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"CIGNA HMO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,177.66","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"UHC MCARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"40.87","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"252.21","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"BC HMO","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"1,318.80","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"1,004.58","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"KAISER SELF-FUNDED","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"698.89","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"UHC MCARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.64","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"UHC HMO","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"220.16","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1160","code description":"DIGOXIN INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.31","de-identified minimum negotiated charge":"6.88","de-identified maximum negotiated charge":"33.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"AETNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"12.09","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"BC HMO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"162.31","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97803","code description":"MED NUTRITION INDIV SUBSEQ","payer":"AETNA HMO","gross charge":"77.43","discounted cash price":"19.36","payer-specific negotiated charge":"47.74","de-identified minimum negotiated charge":"12.55","de-identified maximum negotiated charge":"48.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,539.12","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"MEDICARE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"33.87","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AETNA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"332.07","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"BC HMO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"6,288.04","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"862","code description":"POSTOPERATIVE \u0026 POST-TRAUMATIC INFECTIONS W MCC","payer":"MEDICARE","gross charge":"133,572.33","discounted cash price":"33,393.08","payer-specific negotiated charge":"20,533.55","de-identified minimum negotiated charge":"6,574.26","de-identified maximum negotiated charge":"66,628.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.07","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"AETNA PPO","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"158.01","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"78.01","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"AETNA PPO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"823.27","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CIGNA HMO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"21.54","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"WELLCARE MCARE MGD CARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"35.1","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92960","code description":"CARDIOVERSION ELECTRIC EXT","payer":"CIGNA HMO","gross charge":"2,168.00","discounted cash price":"542","payer-specific negotiated charge":"859.53","de-identified minimum negotiated charge":"203.37","de-identified maximum negotiated charge":"1,315.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"AETNA HMO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"359.37","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"MEDICARE","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"232.23","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"AMERIGROUP","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"36.17","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72195","code description":"MRI PELVIS W/O DYE","payer":"BC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,690.67","de-identified minimum negotiated charge":"227.02","de-identified maximum negotiated charge":"2,690.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"HUMANA HMO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"131.07","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"BC PPO","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"20.75","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"19.73","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"108.23","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"HUMANA HMO","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"1,063.43","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"AETNA HMO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"11.18","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"BCBS SMARTVALUE PFFS","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.6","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3260","code description":"TOBRAMYCIN SULFATE INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.31","de-identified minimum negotiated charge":"1.73","de-identified maximum negotiated charge":"11.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"AMERIGROUP","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"352.79","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"AMBETTER","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"143.15","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"UHC MCARE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"254.53","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"AETNA HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"939.33","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AETNA PPO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"3.48","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"UHC MCARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"35.34","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"AETNA MCARE MGD CARE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"9,640.69","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"UHC MCARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"11.96","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"17.95","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"9.96","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"145.16","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"WELLCARE MCARE MGD CARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"26.8","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"18.76","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"AMERIGROUP","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"12.98","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"MEDICARE","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"4.93","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AMBETTER","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"4.64","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"KAISER SELF-FUNDED","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"685.24","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"UHC MCARE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"85.26","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"BC HMO","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"1,530.33","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"WELLCARE MCARE MGD CARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"39.58","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"AETNA PPO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"17.63","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"UHC MCARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"425.67","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"18.02","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"AETNA HMO","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"10.42","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9562","code description":"TC99M MERTIATIDE","payer":"AMBETTER","gross charge":"1,192.00","discounted cash price":"298","payer-specific negotiated charge":"459.58","de-identified minimum negotiated charge":"175.93","de-identified maximum negotiated charge":"778.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"BC HMO","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"56.21","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AMBETTER","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"249.72","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"CIGNA HMO","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"1,252.10","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"UHC MCARE","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"175.59","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4648","code description":"IMPLANTABLE TISSUE MARKER","payer":"AMBETTER","gross charge":"1,003.00","discounted cash price":"250.75","payer-specific negotiated charge":"277.71","de-identified minimum negotiated charge":"50.22","de-identified maximum negotiated charge":"434.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"UHC MCARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"443.56","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"BC HMO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"1,423.59","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CIGNA PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"147.4","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CARESOURCE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"50.17","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"AMERIGROUP","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"13.97","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"MEDICARE","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"12","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"4.95","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"UHC MCARE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"8.29","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"UHC MCARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"227.54","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"AMBETTER","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"63.31","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"KAISER","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"41.02","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"BCBS SMARTVALUE PFFS","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"386.06","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"AETNA PPO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,931.44","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"AETNA MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"13.54","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72202","code description":"X-RAY EXAM SI JOINTS 3/\u003e VWS","payer":"BC PPO","gross charge":"592","discounted cash price":"148","payer-specific negotiated charge":"126.72","de-identified minimum negotiated charge":"38.25","de-identified maximum negotiated charge":"406.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"AMBETTER","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"2,021.24","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"MEDICAID","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"347.09","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"CIGNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,480.04","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"AETNA MCARE MGD CARE","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"65.6","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"PEACHSTATE-CENTENE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"814.08","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"UHC MCARE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"8.02","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"59.23","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"CIGNA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"493.38","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"176.01","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"CIGNA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"176.01","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74240","code description":"X-RAY XM UPR GI TRC 1CNTRST","payer":"BC HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"400.9","de-identified minimum negotiated charge":"103.11","de-identified maximum negotiated charge":"953.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"BC HMO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"154.28","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"HUMANA HMO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"295.9","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CIGNA HMO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"28.48","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"AETNA PPO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"639.53","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"226.5","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"AETNA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"234.67","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"MEDICARE","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"738.44","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"WELLCARE MCARE MGD CARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"54.36","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CIGNA PPO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"175.65","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"KAISER SELF-FUNDED","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"251.83","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"UHC MCARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"10.71","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"AETNA MCARE MGD CARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"9.64","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"BC HMO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"329.25","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"BC HMO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"367.17","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"CHAMPUS TRICARE","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"113.25","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"252","code description":"OTHER VASCULAR PROCEDURES W MCC","payer":"MEDICARE","gross charge":"119,023.00","discounted cash price":"29,755.75","payer-specific negotiated charge":"29,229.88","de-identified minimum negotiated charge":"20,926.99","de-identified maximum negotiated charge":"37,532.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CHAMPUS TRICARE","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"10.18","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"254.97","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"UHC MCARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"33.08","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"UHC HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,741.51","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"253.25","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99284","code description":"EMERGENCY DEPT VISIT MOD MDM","payer":"CIGNA PPO","gross charge":"2,273.00","discounted cash price":"568.25","payer-specific negotiated charge":"992.82","de-identified minimum negotiated charge":"146.12","de-identified maximum negotiated charge":"2,165.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"CHAMPUS TRICARE","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"10.73","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"813","code description":"COAGULATION DISORDERS","payer":"UHC MCARE","gross charge":"63,650.00","discounted cash price":"15,912.50","payer-specific negotiated charge":"14,940.10","de-identified minimum negotiated charge":"9,730.89","de-identified maximum negotiated charge":"14,940.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88348","code description":"ELECTRON MICROSCOPY","payer":"AMBETTER","gross charge":"2,625.67","discounted cash price":"656.42","payer-specific negotiated charge":"206.93","de-identified minimum negotiated charge":"206.93","de-identified maximum negotiated charge":"1,030.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"BC PPO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"81.83","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"AMBETTER","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"3,948.10","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"BC HMO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"72.36","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"335.72","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"AMBETTER","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"284.48","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"AETNA PPO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,152.22","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"29.28","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"MEDICARE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"10.65","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"29.07","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"AETNA MCARE MGD CARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"965.01","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AETNA MCARE MGD CARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"20.48","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"412.79","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.68","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76642","code description":"ULTRASOUND BREAST LIMITED","payer":"KAISER","gross charge":"1,209.67","discounted cash price":"302.42","payer-specific negotiated charge":"371.78","de-identified minimum negotiated charge":"81.87","de-identified maximum negotiated charge":"963.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CIGNA HMO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,788.51","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"BC PPO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"437.46","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"HUMANA HMO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"75.2","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"HUMANA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"32.25","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"AETNA MCARE MGD CARE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"140.11","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"MEDICAID","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"79.21","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76801","code description":"OB US \u003c 14 WKS SINGLE FETUS","payer":"KAISER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"301.29","de-identified minimum negotiated charge":"80.52","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"55.54","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"CIGNA PPO","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"496.07","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"BC HMO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"386.12","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"209.68","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"CHAMPUS TRICARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"63.53","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"MEDICARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"61.81","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"MEDICARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"61.81","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"AMERIGROUP","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"2.15","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"AETNA HMO","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"801.25","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"27.71","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"AETNA HMO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"207.19","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"BC HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"2,242.00","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"CIGNA HMO","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"194.07","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CIGNA PPO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,287.69","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"BC PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"46.17","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CIGNA HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"99.22","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"UHC MCARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.56","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"CIGNA HMO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"525.81","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"WELLCARE MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"26.27","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA MCARE MGD CARE","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"88.42","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"AETNA HMO","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"300.63","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"CIGNA HMO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"1,335.36","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"17.27","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"MEDICARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"68.26","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"215.08","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"BC HMO","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"22.87","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76937","code description":"US GUIDE VASCULAR ACCESS","payer":"HUMANA HMO","gross charge":"1,452.00","discounted cash price":"363","payer-specific negotiated charge":"457.61","de-identified minimum negotiated charge":"86.75","de-identified maximum negotiated charge":"739.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"UHC PPO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"118.25","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"6.31","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"BC HMO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"118.84","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83690","code description":"ASSAY OF LIPASE","payer":"CLOVER HEALTH","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"26.84","de-identified minimum negotiated charge":"14.6","de-identified maximum negotiated charge":"256"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"MEDICAID","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"AETNA MCARE MGD CARE","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"27.64","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"UHC MCARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"23.56","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"MEDICARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"2.85","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"BC HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"193.86","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"AMERIGROUP","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"114.58","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"KAISER","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"320.16","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"BC HMO","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"452.01","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"AETNA MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"24.26","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"AETNA MCARE MGD CARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"50.84","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2625","code description":"STENT, NON-COR, TEM W/DEL SY","payer":"AETNA HMO","gross charge":"4,354.00","discounted cash price":"1,088.50","payer-specific negotiated charge":"2,141.30","de-identified minimum negotiated charge":"222.4","de-identified maximum negotiated charge":"2,661.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1874","code description":"STENT, COATED/COV W/DEL SYS","payer":"MEDICARE","gross charge":"12,863.00","discounted cash price":"3,215.75","payer-specific negotiated charge":"1,774.26","de-identified minimum negotiated charge":"969.6","de-identified maximum negotiated charge":"4,273.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"UHC MCARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"600.29","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"AETNA HMO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"13.36","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"42.04","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"BC HMO","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"180.71","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"381.26","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"HUMANA HMO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,133.04","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,564.21","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"BC HMO","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"227.68","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"21.65","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"WELLCARE MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"29.76","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2997","code description":"ALTEPLASE RECOMBINANT","payer":"MEDICARE","gross charge":"491.07","discounted cash price":"122.77","payer-specific negotiated charge":"61.3","de-identified minimum negotiated charge":"11.29","de-identified maximum negotiated charge":"229.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"MEDICARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.96","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78315","code description":"BONE IMAGING 3 PHASE","payer":"MEDICARE","gross charge":"2,167.00","discounted cash price":"541.75","payer-specific negotiated charge":"284.12","de-identified minimum negotiated charge":"284.12","de-identified maximum negotiated charge":"291.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"AETNA MCARE MGD CARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"43.93","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"AETNA PPO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"444.83","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"30.05","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"AETNA MCARE MGD CARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,006.33","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"BC PPO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"375.14","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"AETNA MCARE MGD CARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"27.26","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"CARESOURCE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"35","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"PEACHSTATE-CENTENE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"29.51","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"7.25","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"BC HMO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"112.21","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"UHC MCARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"293.2","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"69.64","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,507.84","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"UHC MCARE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"10.76","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"CIGNA HMO","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"37.8","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"AETNA PPO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"183.69","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"324.29","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.86","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"181.71","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0131","code description":"INJ, ACETAMINOPHEN (NOS)","payer":"KAISER","gross charge":"2.88","discounted cash price":"0.72","payer-specific negotiated charge":"0.53","de-identified minimum negotiated charge":"0.26","de-identified maximum negotiated charge":"2.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74330","code description":"X-RAY BILE/PANC ENDOSCOPY","payer":"AMBETTER","gross charge":"1,240.00","discounted cash price":"310","payer-specific negotiated charge":"318.32","de-identified minimum negotiated charge":"119.19","de-identified maximum negotiated charge":"318.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"AMERIGROUP","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.01","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"BC HMO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"82.13","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78264","code description":"GASTRIC EMPTYING IMAG STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,251.00","discounted cash price":"562.75","payer-specific negotiated charge":"273.16","de-identified minimum negotiated charge":"264.3","de-identified maximum negotiated charge":"2,179.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"HUMANA HMO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"358.16","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"PEACHSTATE-CENTENE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"48.77","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"MEDICAID","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"36.43","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"98.36","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95911","code description":"NRV CNDJ TEST 9-10 STUDIES","payer":"UHC MCARE","gross charge":"1,960.00","discounted cash price":"490","payer-specific negotiated charge":"232.26","de-identified minimum negotiated charge":"230.83","de-identified maximum negotiated charge":"1,509.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"BC HMO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"27.17","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"UHC MCARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"510.8","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50433","code description":"PLMT NEPHROURETERAL CATHETER","payer":"AETNA MCARE MGD CARE","gross charge":"6,479.60","discounted cash price":"1,619.90","payer-specific negotiated charge":"1,412.97","de-identified minimum negotiated charge":"808.26","de-identified maximum negotiated charge":"2,601.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AETNA PPO","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"1,543.57","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"BC HMO","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"390.88","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"BC HMO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"1,712.49","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.07","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"MEDICARE","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"235.64","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"28.96","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"AMBETTER","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"198.23","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"MEDICAID","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.19","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"CARESOURCE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"126.14","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"BC PPO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"82.43","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"KAISER MCARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"62.62","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CIGNA PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.37","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"UHC MCARE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"695.41","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"PRUITT HEALTH MEDICARE ADVANTAGE","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"74.44","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"UHC MCARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"4.51","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"CIGNA HMO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"929.76","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"MEDICARE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"77.61","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"BC HMO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"3,507.61","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"58.35","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CIGNA HMO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,403.97","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"25.51","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"139.09","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"BC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,715.45","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71111","code description":"X-RAY EXAM RIBS/CHEST4/\u003e VWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"789","discounted cash price":"197.25","payer-specific negotiated charge":"66.84","de-identified minimum negotiated charge":"66.84","de-identified maximum negotiated charge":"473.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.69","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.36","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"14.5","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"HUMANA HMO","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,200.34","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.87","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"406.01","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"MEDICARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"84.33","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90714","code description":"TD VACC NO PRESV 7 YRS+ IM","payer":"AETNA HMO","gross charge":"165","discounted cash price":"41.25","payer-specific negotiated charge":"113.93","de-identified minimum negotiated charge":"8.39","de-identified maximum negotiated charge":"165"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"AMBETTER","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"1,278.34","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"UHC MCARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"41.42","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"MEDICARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"923.78","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BC HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"79.46","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"BC PPO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"149.75","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.68","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"AETNA HMO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,376.90","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"AMBETTER","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"138.78","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"26.93","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"CIGNA HMO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"3,835.05","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"AETNA PPO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"567.94","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"MEDICARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"45.93","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"BC PPO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"2,410.19","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CLOVER HEALTH","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"14","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"AETNA MCARE MGD CARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"76.81","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"CIGNA HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"15.37","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"WELLCARE MCARE MGD CARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"96.06","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"HUMANA HMO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"165.69","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"AMBETTER","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"97.99","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"AETNA MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"41.92","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"CIGNA PPO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,277.47","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"CIGNA HMO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"215.72","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"308.75","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"AETNA HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"2,757.43","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"36.27","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93926","code description":"LOWER EXTREMITY STUDY","payer":"AETNA MCARE MGD CARE","gross charge":"1,508.00","discounted cash price":"377","payer-specific negotiated charge":"108.16","de-identified minimum negotiated charge":"86.14","de-identified maximum negotiated charge":"1,066.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"AMBETTER","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"183.99","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"UHC HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"8.88","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"BC HMO","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"235.34","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.06","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"HUMANA HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"6.1","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA HMO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"448.14","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"AETNA MCARE MGD CARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"9.15","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.31","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.94","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"UHC MCARE","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"184.8","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"BC PPO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"151.04","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"75.9","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"CIGNA PPO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"140.29","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"110.59","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"BC HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"426.92","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"CHAMPUS TRICARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"858.27","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"AETNA HMO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"429.81","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"HUMANA HMO","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"3,134.53","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"HUMANA HMO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"407.81","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"BC PPO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"190.63","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMERIGROUP","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"13.99","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"CARESOURCE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"567.23","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"BC HMO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"297.51","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"AETNA HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"602.64","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85025","code description":"COMPLETE CBC W/AUTO DIFF WBC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"30.32","de-identified minimum negotiated charge":"16.33","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74183","code description":"MRI ABDOMEN W/O \u0026 W/DYE","payer":"UHC HMO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,031.92","de-identified minimum negotiated charge":"327.13","de-identified maximum negotiated charge":"2,708.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"AETNA HMO","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"438.83","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70250","code description":"X-RAY EXAM OF SKULL","payer":"MEDICARE","gross charge":"668","discounted cash price":"167","payer-specific negotiated charge":"56.3","de-identified minimum negotiated charge":"41.23","de-identified maximum negotiated charge":"123.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"124.34","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"AETNA MCARE MGD CARE","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"190.46","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"KAISER SELF-FUNDED","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"56.08","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"BC HMO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"157.17","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.5","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"3.4","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"MEDICARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"24.7","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"5.09","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"BC HMO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"163.18","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.29","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"417","code description":"LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC","payer":"MEDICARE","gross charge":"205,868.50","discounted cash price":"51,467.13","payer-specific negotiated charge":"22,731.58","de-identified minimum negotiated charge":"1,484.59","de-identified maximum negotiated charge":"91,325.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"AETNA MCARE MGD CARE","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"14.88","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"AMBETTER","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"509.93","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"MEDICARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"11.38","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"AMERIGROUP","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"64.12","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CHAMPUS TRICARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"52.75","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"MEDICARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"17.01","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"AETNA MCARE MGD CARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"66.8","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"UHC HMO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"1,765.61","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"UHC HMO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"487.82","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"CIGNA HMO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"73.46","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"AETNA HMO","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"727.88","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"BC PPO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"904.36","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"UHC MCARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"293.2","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"AETNA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"139.5","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"UHC MCARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"382.04","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"13.5","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"AMERIGROUP","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"87.28","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"MEDICAID","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.91","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"11.15","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88325","code description":"COMPREHENSIVE REVIEW OF DATA","payer":"BC PPO","gross charge":"827","discounted cash price":"206.75","payer-specific negotiated charge":"827","de-identified minimum negotiated charge":"80.68","de-identified maximum negotiated charge":"827"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"AETNA PPO","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"103.76","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"AMBETTER","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"287.71","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73222","code description":"MRI JOINT UPR EXTREM W/DYE","payer":"AETNA PPO","gross charge":"6,146.00","discounted cash price":"1,536.50","payer-specific negotiated charge":"2,829.01","de-identified minimum negotiated charge":"714.56","de-identified maximum negotiated charge":"3,948.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"CIGNA HMO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"199.02","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"AETNA HMO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"205.67","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"23.48","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"AETNA PPO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"65.02","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"AETNA HMO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"866.51","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"CIGNA HMO","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"160.28","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"AETNA MCARE MGD CARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"195.99","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"AMBETTER","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"148.58","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"BC PPO","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"304.26","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"HUMANA HMO","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"997.25","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"BC HMO","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"647.48","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"CIGNA HMO","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"131.04","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"PHCS","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"374.32","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"MEDICAID","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"24.69","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"BC PPO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"576.84","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"AETNA MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"25.2","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"KAISER MCARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"48.53","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"BC HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"30.12","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"796.78","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"UHC MCARE","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"470.76","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"UHC MCARE","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"249.57","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82785","code description":"ASSAY OF IGE","payer":"BC PPO","gross charge":"61","discounted cash price":"15.25","payer-specific negotiated charge":"29.56","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"39.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"CARESOURCE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"77.11","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"56.03","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"MEDICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"11.52","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83014","code description":"H PYLORI DRUG ADMIN","payer":"PEACHSTATE-CENTENE","gross charge":"211.33","discounted cash price":"52.83","payer-specific negotiated charge":"10.73","de-identified minimum negotiated charge":"7.14","de-identified maximum negotiated charge":"142.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"KAISER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.55","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73722","code description":"MRI JOINT OF LWR EXTR W/DYE","payer":"MEDICARE","gross charge":"5,798.00","discounted cash price":"1,449.50","payer-specific negotiated charge":"756.03","de-identified minimum negotiated charge":"737.49","de-identified maximum negotiated charge":"3,765.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"AETNA MCARE MGD CARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.35","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CARESOURCE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"130.97","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.75","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"33.37","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"618.19","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97010","code description":"HOT OR COLD PACKS THERAPY","payer":"BC PPO","gross charge":"164","discounted cash price":"41","payer-specific negotiated charge":"113.16","de-identified minimum negotiated charge":"101.68","de-identified maximum negotiated charge":"113.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"UHC MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"27.73","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88360","code description":"TUMOR IMMUNOHISTOCHEM/MANUAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"509","discounted cash price":"127.25","payer-specific negotiated charge":"89.54","de-identified minimum negotiated charge":"29.2","de-identified maximum negotiated charge":"347.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"CIGNA HMO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"183.05","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"CARESOURCE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"130.8","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"BC PPO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"119.91","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"BC PPO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"517.94","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"AETNA HMO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"72.77","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86200","code description":"CCP ANTIBODY","payer":"WELLCARE MCARE MGD CARE","gross charge":"142.5","discounted cash price":"35.63","payer-specific negotiated charge":"10.98","de-identified minimum negotiated charge":"9.72","de-identified maximum negotiated charge":"107.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"PEACHSTATE-CENTENE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"7.87","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"BC HMO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,182.78","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"CIGNA HMO","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"127.83","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"252","code description":"OTHER VASCULAR PROCEDURES W MCC","payer":"AETNA MCARE MGD CARE","gross charge":"119,023.00","discounted cash price":"29,755.75","payer-specific negotiated charge":"29,317.60","de-identified minimum negotiated charge":"20,926.99","de-identified maximum negotiated charge":"37,532.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"UHC MCARE","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"54.6","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"107.91","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"HUMANA HMO","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"421.52","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73221","code description":"MRI JOINT UPR EXTREM W/O DYE","payer":"UHC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,065.00","de-identified minimum negotiated charge":"219.58","de-identified maximum negotiated charge":"4,029.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"UHC MCARE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"69.66","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78580","code description":"LUNG PERFUSION IMAGING","payer":"UHC MCARE","gross charge":"1,024.00","discounted cash price":"256","payer-specific negotiated charge":"111.97","de-identified minimum negotiated charge":"44.02","de-identified maximum negotiated charge":"342.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"AMBETTER","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"50.38","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"BC PPO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"110.56","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"WELLCARE MCARE MGD CARE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"66.5","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC","payer":"MEDICARE","gross charge":"128,289.50","discounted cash price":"32,072.38","payer-specific negotiated charge":"18,298.20","de-identified minimum negotiated charge":"8,252.22","de-identified maximum negotiated charge":"64,144.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"AETNA HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"137.46","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"HUMANA HMO","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"529.59","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"BC PPO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"34.54","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"MEDICAID","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.1","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"AETNA PPO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"556.97","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"CIGNA HMO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"194.4","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.99","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"AETNA MCARE MGD CARE","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"582.57","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"BCBS SMARTVALUE PFFS","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"32.13","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"UHC HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"544.32","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"AETNA PPO","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"469.34","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88334","code description":"INTRAOP CYTO PATH CONSULT 2","payer":"AETNA HMO","gross charge":"169","discounted cash price":"42.25","payer-specific negotiated charge":"57.21","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"70.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"AETNA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"16.33","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"AMBETTER","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"37.78","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"33.63","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"UHC MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.31","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"BCBS SMARTVALUE PFFS","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"397.48","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.08","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"KAISER","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"185.42","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MEDICARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"21.62","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"AETNA PPO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"265.86","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93924","code description":"LWR XTR VASC STDY BILAT","payer":"MEDICARE","gross charge":"1,465.00","discounted cash price":"366.25","payer-specific negotiated charge":"256.16","de-identified minimum negotiated charge":"256.16","de-identified maximum negotiated charge":"256.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"HUMANA HMO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,131.08","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"58.65","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81340","code description":"TRB@ GENE REARRANGE AMPLIFY","payer":"MEDICARE","gross charge":"318","discounted cash price":"79.5","payer-specific negotiated charge":"23.49","de-identified minimum negotiated charge":"23.49","de-identified maximum negotiated charge":"72.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81342","code description":"TRG GENE REARRANGEMENT ANAL","payer":"MEDICARE","gross charge":"318","discounted cash price":"79.5","payer-specific negotiated charge":"23.49","de-identified minimum negotiated charge":"23.49","de-identified maximum negotiated charge":"72.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"21.23","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"AETNA PPO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"172.47","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"AETNA PPO","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"726.63","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"AETNA HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"20.39","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"AMBETTER","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"49.08","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"CIGNA PPO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"109.27","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"AETNA HMO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,154.52","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"14.51","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"MEDICARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"55.64","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"CIGNA HMO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"1,431.58","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"KAISER MCARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"370.51","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"BC PPO","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"119.52","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"KAISER MCARE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"7.86","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"HUMANA HMO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"666.79","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"MEDICARE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"389.65","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"27.2","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"712.02","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"AETNA MCARE MGD CARE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"78.4","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"HUMANA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"223.14","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8604","code description":"DEXTRANOMER/HYALURONIC ACID","payer":"UHC HMO","gross charge":"1,379.50","discounted cash price":"344.88","payer-specific negotiated charge":"461.15","de-identified minimum negotiated charge":"401.67","de-identified maximum negotiated charge":"461.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"UHC MCARE","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"455.76","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"AMBETTER","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"270.93","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"CIGNA HMO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"296.79","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"CIGNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"14.72","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MULTI-PLAN","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"176.81","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73200","code description":"CT UPPER EXTREMITY W/O DYE","payer":"BC HMO","gross charge":"3,324.00","discounted cash price":"831","payer-specific negotiated charge":"2,522.86","de-identified minimum negotiated charge":"93.58","de-identified maximum negotiated charge":"2,522.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"45.7","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"AMBETTER","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"445.11","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"PHCS","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"250.37","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"MEDICARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"0.9","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"PEACHSTATE-CENTENE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"889.78","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"44.79","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"PEACHSTATE-CENTENE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"65.85","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CARESOURCE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"11.4","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"WELLCARE MCARE MGD CARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"38.85","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"HUMANA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,436.88","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"CIGNA HMO","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"715.95","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"29.9","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"MEDICAID","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"91.66","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"93.65","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"AETNA MCARE MGD CARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"58.7","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"BC HMO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"272.18","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"BC HMO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"64.37","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"UHC MCARE","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"94.97","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19083","code description":"BX BREAST 1ST LESION US IMAG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"878.03","de-identified minimum negotiated charge":"639.38","de-identified maximum negotiated charge":"5,416.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"MEDICARE","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"990.16","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MULTI-PLAN","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"214.83","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"KAISER","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"206.58","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"CIGNA PPO","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"270.46","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"MULTI-PLAN","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"78.23","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"HUMANA HMO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"382.62","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"WELLCARE MCARE MGD CARE","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"2.68","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"MEDICARE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"72.9","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90675","code description":"RABIES VACCINE IM","payer":"UHC HMO","gross charge":"2,115.50","discounted cash price":"528.88","payer-specific negotiated charge":"1,314.94","de-identified minimum negotiated charge":"6.89","de-identified maximum negotiated charge":"1,722.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82800","code description":"BLOOD PH","payer":"BC PPO","gross charge":"269.33","discounted cash price":"67.33","payer-specific negotiated charge":"82.96","de-identified minimum negotiated charge":"7.8","de-identified maximum negotiated charge":"100"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82800","code description":"BLOOD PH","payer":"MEDICAID","gross charge":"269.33","discounted cash price":"67.33","payer-specific negotiated charge":"38.76","de-identified minimum negotiated charge":"7.8","de-identified maximum negotiated charge":"100"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"219.07","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CHAMPUS TRICARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"500.41","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.48","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"WELLCARE MCARE MGD CARE","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"872.62","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"46.73","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"CIGNA PPO","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"1,029.23","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"PHCS","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"609.76","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"255.2","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"441","code description":"DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC","payer":"UHC MCARE","gross charge":"241,062.00","discounted cash price":"60,265.50","payer-specific negotiated charge":"18,320.62","de-identified minimum negotiated charge":"12,280.82","de-identified maximum negotiated charge":"18,320.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"MEDICARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"49.39","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.47","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"KAISER MCARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"256.17","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"UHC MCARE","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"299.78","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"AETNA HMO","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"205.84","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"AETNA HMO","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"82.48","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"AMBETTER","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"124.9","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"49.61","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"CHAMPUS TRICARE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"44,385.21","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"27093","code description":"INJECTION FOR HIP X-RAY","payer":"MEDICARE","gross charge":"1,152.00","discounted cash price":"288","payer-specific negotiated charge":"150.21","de-identified minimum negotiated charge":"150.21","de-identified maximum negotiated charge":"748.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"AETNA PPO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"76.97","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"AMBETTER","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"613.98","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"PHCS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"65.41","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"PEACHSTATE-CENTENE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"16","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"17.54","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AETNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"21.1","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"KAISER","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"52.56","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"AETNA MCARE MGD CARE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"13.17","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.58","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"AETNA PPO","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"1,014.27","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"CARESOURCE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"10.37","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"918","code description":"POISONING \u0026 TOXIC EFFECTS OF DRUGS W/O MCC","payer":"MEDICAID","gross charge":"41,857.50","discounted cash price":"10,464.38","payer-specific negotiated charge":"4,532.27","de-identified minimum negotiated charge":"3,741.45","de-identified maximum negotiated charge":"7,613.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"BC HMO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"458.41","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"BC PPO","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"373.91","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"BC PPO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,587.40","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"BC HMO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"168.53","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.53","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"AETNA MCARE MGD CARE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"57.03","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"CHAMPUS TRICARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"20.1","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"AMBETTER","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"11.66","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"UHC MCARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"3.9","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"AMBETTER","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"240.91","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"MEDICARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"5.48","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"BC HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"350.22","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"KAISER","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"159.61","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"KAISER","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"159.61","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"MEDICARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"1.19","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"WELLCARE MCARE MGD CARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"34.58","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"AETNA HMO","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"1,837.47","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"AETNA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"15.57","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"AMBETTER","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"215.82","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AMERIGROUP","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.55","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"BC HMO","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"2,860.29","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"AETNA HMO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"360.45","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"AMERIGROUP","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"64.49","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.08","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"BC PPO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,570.67","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"MEDICARE","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"60.37","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"HUMANA HMO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"295.37","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.93","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"UHC MCARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"388.67","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AMBETTER","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"159.17","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"AETNA PPO","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"103.58","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"BCBS SMARTVALUE PFFS","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"175.5","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"MEDICARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"587.43","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"AETNA MCARE MGD CARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"8.02","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.49","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"AMBETTER","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"13.16","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92950","code description":"HEART/LUNG RESUSCITATION CPR","payer":"AMERIGROUP","gross charge":"1,445.00","discounted cash price":"361.25","payer-specific negotiated charge":"106.54","de-identified minimum negotiated charge":"106.05","de-identified maximum negotiated charge":"214.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"CHAMPUS TRICARE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"32.59","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"CIGNA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,222.20","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.33","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"CIGNA PPO","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"67.33","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"UHC MCARE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"96.43","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"60.4","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"BC PPO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"2,828.30","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"89.58","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"CIGNA HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"341.62","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"HUMANA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,460.01","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"MEDICARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"20.61","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"AMBETTER","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"1,407.63","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"WELLCARE MCARE MGD CARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"20.67","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72148","code description":"MRI LUMBAR SPINE W/O DYE","payer":"UHC MCARE","gross charge":"5,270.60","discounted cash price":"1,317.65","payer-specific negotiated charge":"271.29","de-identified minimum negotiated charge":"228.99","de-identified maximum negotiated charge":"3,837.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"UHC MCARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"81.95","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AETNA MCARE MGD CARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"31.7","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.33","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"188.79","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"CIGNA HMO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"351.55","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"MEDICARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"75.36","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70480","code description":"CT ORBIT/EAR/FOSSA W/O DYE","payer":"MEDICARE","gross charge":"3,426.00","discounted cash price":"856.5","payer-specific negotiated charge":"157.81","de-identified minimum negotiated charge":"25.15","de-identified maximum negotiated charge":"1,659.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"AMBETTER","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,574.18","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.94","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"PEACHSTATE-CENTENE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"13.29","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"UHC MCARE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"88.36","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72081","code description":"X-RAY EXAM ENTIRE SPI 1 VW","payer":"BC HMO","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"134.17","de-identified minimum negotiated charge":"51.71","de-identified maximum negotiated charge":"299.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"AETNA PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"328.24","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"PEACHSTATE-CENTENE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"83.16","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"2,520.85","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"WELLCARE MCARE MGD CARE","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"71.1","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"BC HMO","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,974.00","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"AMBETTER","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"294.4","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"AETNA MCARE MGD CARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"255.65","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"WELLCARE MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.4","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"411.76","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"AETNA HMO","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"53.45","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"UHC MCARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"472.18","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"63.46","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"UHC MCARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.19","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.89","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"103.44","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"AETNA HMO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"145.67","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"CHAMPUS TRICARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"358.03","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"108.16","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"AETNA MCARE MGD CARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"85.15","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"78.93","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2631","code description":"REP DEV, URINARY, W/O SLING","payer":"BC PPO","gross charge":"6,329.00","discounted cash price":"1,582.25","payer-specific negotiated charge":"2,472.39","de-identified minimum negotiated charge":"445.01","de-identified maximum negotiated charge":"2,608.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"AETNA HMO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"51.56","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"42.4","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AMERIGROUP","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"21.4","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"BCBS SMARTVALUE PFFS","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"30.8","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"208.03","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"AMBETTER","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"678.59","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,107.68","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"74.6","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"16.56","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"UHC MCARE","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"553.88","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"32.65","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"CIGNA HMO","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"48.51","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"CIGNA HMO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"131.04","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"CIGNA HMO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"286.06","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"AMBETTER","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"139.49","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"HUMANA HMO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"742.45","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"BC PPO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"495.13","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"CIGNA HMO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"409.91","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"UHC MCARE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"165.18","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"HUMANA HMO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"965.03","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"CIGNA PPO","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"1,378.87","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"CIGNA HMO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"556.25","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"53.86","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"MEDICARE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"3.77","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"BC PPO","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"227.28","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"UHC MCARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"UHC HMO","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"163.55","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"BCBS SMARTVALUE PFFS","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"5.69","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"328.73","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"HUMANA HMO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"210.41","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"AETNA HMO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,105.25","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"UHC MCARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"178.37","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"PHCS","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"498","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"UHC MCARE","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"79.57","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"AETNA HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"237.26","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"KAISER MCARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"72.65","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"MEDICAID","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AMERIGROUP","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.46","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"AMBETTER","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"20.77","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"PEACHSTATE-CENTENE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"8.68","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.22","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"BC HMO","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"263.74","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"65","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS","payer":"MEDICAID","gross charge":"77,997.33","discounted cash price":"19,499.33","payer-specific negotiated charge":"12,527.72","de-identified minimum negotiated charge":"6,602.05","de-identified maximum negotiated charge":"18,499.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"CIGNA HMO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"85.45","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"378.37","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"BC PPO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"771.95","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"AMBETTER","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"183.29","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"BC PPO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"392.2","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"AETNA PPO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"26.77","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.8","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"AETNA PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"63.17","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"AETNA MCARE MGD CARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"31.96","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"CHAMPUS TRICARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"76.62","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"15.3","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88361","code description":"TUMOR IMMUNOHISTOCHEM/COMPUT","payer":"CHAMPUS TRICARE","gross charge":"1,162.00","discounted cash price":"290.5","payer-specific negotiated charge":"134.8","de-identified minimum negotiated charge":"102.02","de-identified maximum negotiated charge":"1,029.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"UHC MCARE","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"79.82","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"BC PPO","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"357.11","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"AETNA HMO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"24.41","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"MEDICAID","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"73.46","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.75","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"UHC PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,183.74","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"CIGNA PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"9.3","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"CARESOURCE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"28.23","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"UHC MCARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"30.81","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"68","code description":"NONSPECIFIC CVA \u0026 PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC","payer":"MEDICARE","gross charge":"33,989.00","discounted cash price":"8,497.25","payer-specific negotiated charge":"7,081.94","de-identified minimum negotiated charge":"7,081.94","de-identified maximum negotiated charge":"7,081.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"AMERIGROUP","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"47.76","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"UHC MCARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"36.18","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"AMERIGROUP","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"16.44","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"CARESOURCE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"21.88","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"61.62","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.24","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76872","code description":"US TRANSRECTAL","payer":"UHC HMO","gross charge":"1,206.00","discounted cash price":"301.5","payer-specific negotiated charge":"654.42","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"747.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"BC HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"138.08","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75635","code description":"CT ANGIO ABDOMINAL ARTERIES","payer":"AMBETTER","gross charge":"4,191.00","discounted cash price":"1,047.75","payer-specific negotiated charge":"799.67","de-identified minimum negotiated charge":"143.95","de-identified maximum negotiated charge":"1,540.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"BC PPO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"103.54","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"CLOVER HEALTH","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"612.11","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"14.15","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"KAISER","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"AETNA HMO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"113.07","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"HUMANA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"194.72","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"AMERIGROUP","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"8,667.49","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"BC HMO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"112.96","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BC PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"82.28","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"BC PPO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"315.06","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"870","code description":"SEPTICEMIA OR SEVERE SEPSIS W MV \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"KAISER MCARE","gross charge":"288,753.50","discounted cash price":"72,188.38","payer-specific negotiated charge":"62,709.25","de-identified minimum negotiated charge":"5,067.49","de-identified maximum negotiated charge":"62,709.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"WELLCARE MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"29.27","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"AETNA PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"6.93","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"PEACHSTATE-CENTENE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"32.89","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"AETNA MCARE MGD CARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"4.27","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82085","code description":"ASSAY OF ALDOLASE","payer":"BC PPO","gross charge":"148","discounted cash price":"37","payer-specific negotiated charge":"108.57","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"108.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"BC PPO","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"248.71","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86606","code description":"ASPERGILLUS ANTIBODY","payer":"BC PPO","gross charge":"162","discounted cash price":"40.5","payer-specific negotiated charge":"118.58","de-identified minimum negotiated charge":"15.54","de-identified maximum negotiated charge":"118.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AETNA PPO","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"53.95","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"BC HMO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"557.68","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"20.65","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0164","code description":"PROCHLORPERAZINE MALEATE 5MG","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"25","de-identified minimum negotiated charge":"1.65","de-identified maximum negotiated charge":"25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9073","code description":"PLATELETS PHERESIS PATH REDU","payer":"CIGNA HMO","gross charge":"3,788.00","discounted cash price":"947","payer-specific negotiated charge":"1,018.39","de-identified minimum negotiated charge":"355.11","de-identified maximum negotiated charge":"1,018.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"CARESOURCE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"75.59","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AETNA HMO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,034.68","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"BC HMO","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"561.5","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"44.98","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"AMBETTER","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"88.77","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"BC HMO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"198.52","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"AETNA HMO","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"176.01","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"CIGNA PPO","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"612.36","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"30.05","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"30.05","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"98.66","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.51","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72146","code description":"MRI CHEST SPINE W/O DYE","payer":"UHC MCARE","gross charge":"5,219.40","discounted cash price":"1,304.85","payer-specific negotiated charge":"277.95","de-identified minimum negotiated charge":"208.03","de-identified maximum negotiated charge":"2,519.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"KAISER MCARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"43.16","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"BC HMO","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"16.27","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"16.86","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"AMBETTER","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"312","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BCBS SMARTVALUE PFFS","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"98.7","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"AETNA PPO","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"1,382.05","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"AETNA MCARE MGD CARE","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"77.51","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"AETNA HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"418.67","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"AETNA HMO","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"179.77","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"CHAMPUS TRICARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,351.75","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.25","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CHAMPUS TRICARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"24.71","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"CIGNA PPO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"78.12","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"121.11","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86923","code description":"COMPATIBILITY TEST ELECTRIC","payer":"UHC MCARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"77.39","de-identified minimum negotiated charge":"33.51","de-identified maximum negotiated charge":"384.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"AETNA HMO","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"1,223.67","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"60.45","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"KAISER SELF-FUNDED","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"208.36","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"KAISER SELF-FUNDED","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"208.36","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"CHAMPUS TRICARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"8.04","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"872","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W/O MCC","payer":"MEDICAID","gross charge":"99,750.00","discounted cash price":"24,937.50","payer-specific negotiated charge":"9,361.04","de-identified minimum negotiated charge":"140.72","de-identified maximum negotiated charge":"24,532.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"32.46","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"AETNA HMO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"1,659.85","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"31500","code description":"INSERT EMERGENCY AIRWAY","payer":"MEDICAID","gross charge":"1,145.00","discounted cash price":"286.25","payer-specific negotiated charge":"192.63","de-identified minimum negotiated charge":"67.05","de-identified maximum negotiated charge":"485.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73610","code description":"X-RAY EXAM OF ANKLE","payer":"AETNA PPO","gross charge":"705.38","discounted cash price":"176.34","payer-specific negotiated charge":"399.28","de-identified minimum negotiated charge":"35.92","de-identified maximum negotiated charge":"547.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"AETNA HMO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"383.16","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73700","code description":"CT LOWER EXTREMITY W/O DYE","payer":"CHAMPUS TRICARE","gross charge":"3,908.75","discounted cash price":"977.19","payer-specific negotiated charge":"134.78","de-identified minimum negotiated charge":"21.11","de-identified maximum negotiated charge":"1,739.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"HUMANA HMO","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"194.72","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"PHCS","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"399.75","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"UHC MCARE","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"226.53","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"UHC HMO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"739.52","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"37.48","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"172.5","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"AMBETTER","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"24.57","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.97","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"MEDICARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"373.43","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"29.23","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.9","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"BC PPO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"2,641.21","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"213.2","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"AETNA HMO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"919.71","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"840","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W MCC","payer":"MEDICARE","gross charge":"144,338.00","discounted cash price":"36,084.50","payer-specific negotiated charge":"20,117.58","de-identified minimum negotiated charge":"20,117.58","de-identified maximum negotiated charge":"23,473.40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BC PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"799.4","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"50.45","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93226","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"BC HMO","gross charge":"1,064.00","discounted cash price":"266","payer-specific negotiated charge":"727.13","de-identified minimum negotiated charge":"79.38","de-identified maximum negotiated charge":"727.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"AMBETTER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,018.31","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"KAISER","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.97","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"WELLCARE MCARE MGD CARE","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"16.66","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86580","code description":"TB INTRADERMAL TEST","payer":"AMBETTER","gross charge":"21","discounted cash price":"5.25","payer-specific negotiated charge":"5.71","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"5.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"AMBETTER","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"282.67","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"BC HMO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"907.7","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"KAISER SELF-FUNDED","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"1.85","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"112.15","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.93","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93880","code description":"EXTRACRANIAL BILAT STUDY","payer":"AETNA HMO","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"1,414.22","de-identified minimum negotiated charge":"163.86","de-identified maximum negotiated charge":"1,602.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95938","code description":"SOMATOSENSORY TESTING","payer":"BC HMO","gross charge":"3,593.00","discounted cash price":"898.25","payer-specific negotiated charge":"1,493.94","de-identified minimum negotiated charge":"409.74","de-identified maximum negotiated charge":"1,493.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93225","code description":"ECG MONIT/REPRT UP TO 48 HRS","payer":"BC HMO","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"280.88","de-identified minimum negotiated charge":"30.65","de-identified maximum negotiated charge":"280.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"PEACHSTATE-CENTENE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"36.06","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"KAISER MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"425.44","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76856","code description":"US EXAM PELVIC COMPLETE","payer":"UHC MCARE","gross charge":"1,205.50","discounted cash price":"301.38","payer-specific negotiated charge":"148.86","de-identified minimum negotiated charge":"89.03","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"AETNA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"186.38","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"34.01","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"45.39","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"PEACHSTATE-CENTENE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"36.03","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"MEDICARE","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"330.79","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"373","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W/O CC/MCC","payer":"MEDICAID","gross charge":"37,240.50","discounted cash price":"9,310.13","payer-specific negotiated charge":"7,011.31","de-identified minimum negotiated charge":"7,011.31","de-identified maximum negotiated charge":"7,011.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"MEDICARE","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"26.92","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"AETNA MCARE MGD CARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"35.31","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"MEDICARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"66.44","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"AETNA MCARE MGD CARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"41.12","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"AMERIGROUP","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"134.65","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"AMERIGROUP","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"24.79","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"PEACHSTATE-CENTENE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"24.06","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"49.82","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.74","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"HUMANA HMO","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"520.95","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"UHC HMO","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"5.29","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"BCBS SMARTVALUE PFFS","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"52.59","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.08","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"AMBETTER","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"17.68","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"BC PPO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"352.96","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.61","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"MEDICAID","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"2.92","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82962","code description":"GLUCOSE BLOOD TEST","payer":"CIGNA PPO","gross charge":"84.6","discounted cash price":"21.15","payer-specific negotiated charge":"30.82","de-identified minimum negotiated charge":"6.16","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"AETNA MCARE MGD CARE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.45","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"HUMANA HMO","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"18.01","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"MEDICARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"35.96","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"CIGNA HMO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"44.06","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"400.18","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"AMERIGROUP","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"84.09","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"AETNA MCARE MGD CARE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"199.99","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"AETNA HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,453.70","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51600","code description":"INJECTION FOR BLADDER X-RAY","payer":"BC HMO","gross charge":"764","discounted cash price":"191","payer-specific negotiated charge":"364.04","de-identified minimum negotiated charge":"307.18","de-identified maximum negotiated charge":"728"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"CIGNA HMO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"1,024.86","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"HUMANA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"83.94","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"AETNA PPO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"90.58","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"AMBETTER","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"477.6","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70150","code description":"X-RAY EXAM OF FACIAL BONES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"759","discounted cash price":"189.75","payer-specific negotiated charge":"53.22","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"470.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"AETNA HMO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"81.1","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"AMERIGROUP","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"543.76","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"CHAMPUS TRICARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"129.28","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"BC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,071.14","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"HUMANA HMO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"196.02","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"CHAMPUS TRICARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"67.43","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"KAISER MCARE","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"21.22","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"CHAMPUS TRICARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"606.87","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BC PPO","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"134.08","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.2","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"BC HMO","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"45.59","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"MEDICAID","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"75.08","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"41.5","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"AMERIGROUP","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"259.57","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"118","code description":"REHABILITATION UB04 REVENUE CODE","payer":"UHC HMO","gross charge":"2,349.32","discounted cash price":"587.33","payer-specific negotiated charge":"1,031.18","de-identified minimum negotiated charge":"544.36","de-identified maximum negotiated charge":"1,710.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"MEDICARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"29.61","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"HUMANA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"146.73","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"MEDICARE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"31.78","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"AETNA HMO","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"255.7","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"AETNA HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"175.26","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA MCARE MGD CARE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"91.77","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"BC HMO","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"91.65","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"CHAMPUS TRICARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"72.09","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"CHAMPUS TRICARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"303.7","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"UHC MCARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"83.66","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.85","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"AETNA HMO","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"77.27","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CIGNA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.83","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"AETNA HMO","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"42.38","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"CIGNA HMO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"36.49","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96375","code description":"TX/PRO/DX INJ NEW DRUG ADDON","payer":"BCBS SMARTVALUE PFFS","gross charge":"487","discounted cash price":"121.75","payer-specific negotiated charge":"52.67","de-identified minimum negotiated charge":"26.99","de-identified maximum negotiated charge":"464"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"WELLCARE MCARE MGD CARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"44.41","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"3.61","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76882","code description":"US LMTD JT/FCL EVL NVASC XTR","payer":"AMBETTER","gross charge":"784","discounted cash price":"196","payer-specific negotiated charge":"404","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"530"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"51.37","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83916","code description":"OLIGOCLONAL BANDS","payer":"AETNA HMO","gross charge":"225","discounted cash price":"56.25","payer-specific negotiated charge":"214","de-identified minimum negotiated charge":"26.78","de-identified maximum negotiated charge":"225"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AMERIGROUP","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.8","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"12.64","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"CIGNA HMO","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"277.31","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50435","code description":"EXCHANGE NEPHROSTOMY CATH","payer":"AMBETTER","gross charge":"3,388.71","discounted cash price":"847.18","payer-specific negotiated charge":"2,640.62","de-identified minimum negotiated charge":"707.09","de-identified maximum negotiated charge":"2,640.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"CARESOURCE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"CARESOURCE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"40.32","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"BC HMO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"513.38","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"WELLCARE MCARE MGD CARE","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"35.4","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"AETNA MCARE MGD CARE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"137.14","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2405","code description":"ONDANSETRON HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"3.24","de-identified minimum negotiated charge":"1.95","de-identified maximum negotiated charge":"23.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"81.8","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73201","code description":"CT UPPER EXTREMITY W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"4,867.00","discounted cash price":"1,216.75","payer-specific negotiated charge":"426.08","de-identified minimum negotiated charge":"387","de-identified maximum negotiated charge":"1,745.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"HUMANA HMO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"72.07","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85576","code description":"BLOOD PLATELET AGGREGATION","payer":"AETNA HMO","gross charge":"249.4","discounted cash price":"62.35","payer-specific negotiated charge":"98.84","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"148.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"AMBETTER","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"729.87","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"AETNA MCARE MGD CARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"590.7","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"UHC MCARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"391.17","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CARESOURCE","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"7.57","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"WELLCARE MCARE MGD CARE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"6.64","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73218","code description":"MRI UPPER EXTREMITY W/O DYE","payer":"AMBETTER","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,225.42","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"2,617.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"CIGNA PPO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"140.61","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"UHC HMO","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"247.92","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"HUMANA PPO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"194.52","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"KAISER","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"11.99","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"HUMANA HMO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"65.12","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"UHC MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"15.95","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"AMBETTER","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"708.55","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"KAISER MCARE","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"67.09","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"64.94","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"UHC MCARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"100.05","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"MEDICAID","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"4.39","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"BCBS SMARTVALUE PFFS","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"30.57","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84481","code description":"FREE ASSAY (FT-3)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"322","discounted cash price":"80.5","payer-specific negotiated charge":"17.94","de-identified minimum negotiated charge":"17.94","de-identified maximum negotiated charge":"236.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"AETNA PPO","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"68.57","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"8.66","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"UHC MCARE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"85.24","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"UHC MCARE","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"68.74","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"UHC MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"8.96","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"CIGNA HMO","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"1,876.94","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CIGNA HMO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,150.50","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"162.51","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"WELLCARE MCARE MGD CARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"143.8","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73560","code description":"X-RAY EXAM OF KNEE 1 OR 2","payer":"MEDICAID","gross charge":"561.69","discounted cash price":"140.42","payer-specific negotiated charge":"58.38","de-identified minimum negotiated charge":"58.38","de-identified maximum negotiated charge":"399.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"BC PPO","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"8.64","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"CIGNA HMO","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"44","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78306","code description":"BONE IMAGING WHOLE BODY","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,597.00","discounted cash price":"649.25","payer-specific negotiated charge":"225.81","de-identified minimum negotiated charge":"144.24","de-identified maximum negotiated charge":"1,854.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"96.43","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19282","code description":"PERQ DEVICE BREAST EA IMAG","payer":"AMBETTER","gross charge":"699","discounted cash price":"174.75","payer-specific negotiated charge":"255.98","de-identified minimum negotiated charge":"75.32","de-identified maximum negotiated charge":"699"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"UHC MCARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"7.26","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74170","code description":"CT ABDOMEN W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"753.27","de-identified minimum negotiated charge":"160.62","de-identified maximum negotiated charge":"1,601.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"KAISER MCARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"10.13","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.22","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"AMERIGROUP","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"951.63","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"246.31","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"AETNA MCARE MGD CARE","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"35.46","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"BC HMO","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"6.68","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"PEACHSTATE-CENTENE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"9.58","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"BC HMO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"675.87","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"HUMANA HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"4,168.39","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"161.99","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"MEDICARE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"100.64","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.47","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"120.86","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"330","code description":"MAJOR SMALL \u0026 LARGE BOWEL PROCEDURES W CC","payer":"MEDICARE","gross charge":"129,503.00","discounted cash price":"32,375.75","payer-specific negotiated charge":"15,947.56","de-identified minimum negotiated charge":"14,115.89","de-identified maximum negotiated charge":"19,274.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.83","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"CIGNA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"122.71","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"BC HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"229.83","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"PEACHSTATE-CENTENE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"41.01","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"AMERIGROUP","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"42.32","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CIGNA PPO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"516","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"PEACHSTATE-CENTENE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"9.01","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"53.99","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"MEDICAID","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"15.74","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CIGNA HMO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"71.32","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"HUMANA HMO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"459.7","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"BC HMO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"307.81","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.65","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"6.42","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"BCBS SMARTVALUE PFFS","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"52.17","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"AETNA MCARE MGD CARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"18.83","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"WELLCARE MCARE MGD CARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"329.97","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"MEDICARE","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"216.08","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"MEDICARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"15.54","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"AETNA MCARE MGD CARE","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"3.02","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"BCBS SMARTVALUE PFFS","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"28.24","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"MEDICARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"56.32","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84153","code description":"ASSAY OF PSA TOTAL","payer":"AETNA MCARE MGD CARE","gross charge":"411","discounted cash price":"102.75","payer-specific negotiated charge":"46.42","de-identified minimum negotiated charge":"5.65","de-identified maximum negotiated charge":"281.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"BC PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,133.81","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"CIGNA HMO","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"264.01","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"KAISER","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"4.7","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"KAISER MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.63","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"BC HMO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"164.45","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9290","code description":"INJ, BUPIVACAINE LIPOSOME","payer":"CARESOURCE","gross charge":"7.8","discounted cash price":"1.95","payer-specific negotiated charge":"1.3","de-identified minimum negotiated charge":"0.46","de-identified maximum negotiated charge":"4.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"UHC HMO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"458.58","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78452","code description":"HT MUSCLE IMAGE SPECT MULT","payer":"BC HMO","gross charge":"9,659.00","discounted cash price":"2,414.75","payer-specific negotiated charge":"1,838.32","de-identified minimum negotiated charge":"176.35","de-identified maximum negotiated charge":"6,130.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"KAISER","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"57.93","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"38.5","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"AETNA PPO","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"146.66","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"UHC HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"20.51","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"BC HMO","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"2,088.47","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"CIGNA HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"61.28","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"AMBETTER","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"182.55","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.15","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"AMBETTER","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"227.17","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"AETNA HMO","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"14.29","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20206","code description":"NEEDLE BIOPSY MUSCLE","payer":"MEDICARE","gross charge":"1,777.00","discounted cash price":"444.25","payer-specific negotiated charge":"165.55","de-identified minimum negotiated charge":"165.55","de-identified maximum negotiated charge":"1,570.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"PHCS","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"162.79","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.34","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32408","code description":"CORE NDL BX LNG/MED PERQ","payer":"AETNA HMO","gross charge":"4,654.00","discounted cash price":"1,163.50","payer-specific negotiated charge":"1,526.53","de-identified minimum negotiated charge":"553.88","de-identified maximum negotiated charge":"3,994.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.6","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2274","code description":"INJ MORPHINE PF EPID ITHC","payer":"MEDICARE","gross charge":"343.67","discounted cash price":"85.92","payer-specific negotiated charge":"28.6","de-identified minimum negotiated charge":"19.73","de-identified maximum negotiated charge":"156.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"MEDICAID","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.32","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"UHC MCARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"34.17","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"AETNA MCARE MGD CARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"101.84","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"KAISER","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"368.98","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"61","code description":"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC","payer":"MEDICARE","gross charge":"169,167.00","discounted cash price":"42,291.75","payer-specific negotiated charge":"22,314.04","de-identified minimum negotiated charge":"18,026.86","de-identified maximum negotiated charge":"26,601.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"28.69","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"CIGNA HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"437.45","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"BC PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"29.78","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"AETNA MCARE MGD CARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"9.85","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"CHAMPUS TRICARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"48.46","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"PEACHSTATE-CENTENE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"88.02","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"AETNA MCARE MGD CARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"85.58","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"CARESOURCE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"154.6","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"AETNA PPO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"49.09","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"22.64","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"BC HMO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"99.11","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"273.19","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"CHAMPUS TRICARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"64.41","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19084","code description":"BX BREAST ADD LESION US IMAG","payer":"CHAMPUS TRICARE","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"307.19","de-identified minimum negotiated charge":"168.53","de-identified maximum negotiated charge":"2,023.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"AMBETTER","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"285.85","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"CIGNA HMO","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"145.82","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"220.77","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"MEDICARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"228.32","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76830","code description":"TRANSVAGINAL US NON-OB","payer":"UHC MCARE","gross charge":"906","discounted cash price":"226.5","payer-specific negotiated charge":"117.23","de-identified minimum negotiated charge":"68.45","de-identified maximum negotiated charge":"663"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"BC PPO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"27.98","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"CARESOURCE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"98.24","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"AETNA HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,970.39","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"MEDICAID","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"109.14","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"CARESOURCE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"104.72","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"CIGNA HMO","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"566.03","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70546","code description":"MR ANGIOGRAPH HEAD W/O\u0026W/DYE","payer":"BC PPO","gross charge":"6,897.00","discounted cash price":"1,724.25","payer-specific negotiated charge":"3,111.69","de-identified minimum negotiated charge":"1,522.64","de-identified maximum negotiated charge":"3,111.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"KAISER MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.28","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"673","code description":"OTHER KIDNEY \u0026 URINARY TRACT PROCEDURES W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"292,426.50","discounted cash price":"73,106.63","payer-specific negotiated charge":"33,947.90","de-identified minimum negotiated charge":"18,296.46","de-identified maximum negotiated charge":"41,738.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"KAISER SELF-FUNDED","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"40.64","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"CHAMPUS TRICARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"73.07","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"AETNA MCARE MGD CARE","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"27.69","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.97","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"UHC HMO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"76.64","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PEACHSTATE-CENTENE","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"106.48","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"17.3","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"AETNA MCARE MGD CARE","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"47.9","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90746","code description":"HEPB VACCINE 3 DOSE ADULT IM","payer":"MEDICARE","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"136.91","de-identified minimum negotiated charge":"16.41","de-identified maximum negotiated charge":"136.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87086","code description":"URINE CULTURE/COLONY COUNT","payer":"UHC MCARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"53.19","de-identified minimum negotiated charge":"30.32","de-identified maximum negotiated charge":"434"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.3","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.78","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"AETNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"30.7","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"WELLCARE MCARE MGD CARE","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"8.84","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"AETNA PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"56.61","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"CARESOURCE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"5.82","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77001","code description":"FLUOROGUIDE FOR VEIN DEVICE","payer":"CHAMPUS TRICARE","gross charge":"1,359.00","discounted cash price":"339.75","payer-specific negotiated charge":"187.12","de-identified minimum negotiated charge":"129.03","de-identified maximum negotiated charge":"1,099.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"18.25","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"UHC HMO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.11","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"130.05","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"AMERIGROUP","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.26","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"AETNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.95","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"UHC HMO","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"84.16","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"24.38","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"BC HMO","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"685.87","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4125","code description":"ARTHROFLEX","payer":"UHC HMO","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"233.58","de-identified minimum negotiated charge":"30.52","de-identified maximum negotiated charge":"233.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AETNA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.74","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"BC PPO","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"225.26","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"AETNA MCARE MGD CARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"165.83","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"AMERIGROUP","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"9.22","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70481","code description":"CT ORBIT/EAR/FOSSA W/DYE","payer":"BC PPO","gross charge":"3,649.00","discounted cash price":"912.25","payer-specific negotiated charge":"2,368.47","de-identified minimum negotiated charge":"132.07","de-identified maximum negotiated charge":"2,368.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"MEDICAID","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"230.3","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"BC PPO","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"304.73","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84134","code description":"ASSAY OF PREALBUMIN","payer":"MEDICARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"19.04","de-identified minimum negotiated charge":"4.07","de-identified maximum negotiated charge":"47.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70260","code description":"X-RAY EXAM OF SKULL","payer":"AMBETTER","gross charge":"910","discounted cash price":"227.5","payer-specific negotiated charge":"195.18","de-identified minimum negotiated charge":"62.41","de-identified maximum negotiated charge":"195.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CIGNA PPO","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"118.36","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"AETNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"122.41","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"BC PPO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"568.03","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"UHC PPO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"4.52","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"BCBS SMARTVALUE PFFS","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"23.39","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"54.84","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"BC PPO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"232.31","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"UHC MCARE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"221.43","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"MEDICARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"23.7","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"CARESOURCE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"4.91","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CIGNA PPO","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"96.22","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87804","code description":"INFLUENZA ASSAY W/OPTIC","payer":"MEDICARE","gross charge":"44","discounted cash price":"11","payer-specific negotiated charge":"32.97","de-identified minimum negotiated charge":"5.44","de-identified maximum negotiated charge":"32.97"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"AETNA MCARE PFFS","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"AETNA HMO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"11.83","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"109.6","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1750","code description":"CATH, HEMODIALYSIS,LONG-TERM","payer":"MEDICARE","gross charge":"977.8","discounted cash price":"244.45","payer-specific negotiated charge":"198.79","de-identified minimum negotiated charge":"105.86","de-identified maximum negotiated charge":"464.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"CARESOURCE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"6.34","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"WELLCARE MCARE MGD CARE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"80.04","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.02","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"AETNA HMO","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"45.05","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"CIGNA HMO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"155.23","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"UHC MCARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"35.57","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"BC HMO","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"443.69","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"MEDICARE","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"64.02","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"AETNA PPO","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"24.15","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"CARESOURCE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"7.72","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"WELLCARE MCARE MGD CARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"19.96","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0500","code description":"MOD SEDAT ENDO SERVICE \u003e5YRS","payer":"BCBS SMARTVALUE PFFS","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"114.56","de-identified minimum negotiated charge":"51.35","de-identified maximum negotiated charge":"799.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"AETNA PPO","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"45.12","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"BC HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"14.68","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20220","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"BC PPO","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"2,660.06","de-identified minimum negotiated charge":"317.38","de-identified maximum negotiated charge":"2,660.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"KAISER MCARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"45.86","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"AETNA HMO","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"1,380.18","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"MEDICAID","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"31.02","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"71.49","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7507","code description":"TACROLIMUS IMME REL ORAL 1MG","payer":"UHC MCARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"7.56","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"7.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"KAISER SELF-FUNDED","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"369.63","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0257","code description":"UNSCHED DIALYSIS ESRD PT HOS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"242.06","de-identified minimum negotiated charge":"175.35","de-identified maximum negotiated charge":"623.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"HUMANA HMO","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"128.92","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"WELLCARE MCARE MGD CARE","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"11.3","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"AETNA HMO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"93.46","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85652","code description":"RBC SED RATE AUTOMATED","payer":"AMBETTER","gross charge":"118","discounted cash price":"29.5","payer-specific negotiated charge":"26.49","de-identified minimum negotiated charge":"6.6","de-identified maximum negotiated charge":"74.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9966","code description":"LOCM 200-299MG/ML IODINE,1ML","payer":"UHC MCARE","gross charge":"36.1","discounted cash price":"9.03","payer-specific negotiated charge":"3.85","de-identified minimum negotiated charge":"2.42","de-identified maximum negotiated charge":"29.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"CHAMPUS TRICARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"37.67","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87045","code description":"FECES CULTURE AEROBIC BACT","payer":"AMBETTER","gross charge":"489","discounted cash price":"122.25","payer-specific negotiated charge":"182.83","de-identified minimum negotiated charge":"11.49","de-identified maximum negotiated charge":"194.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"7.44","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88300","code description":"SURGICAL PATH GROSS","payer":"BC HMO","gross charge":"425","discounted cash price":"106.25","payer-specific negotiated charge":"405","de-identified minimum negotiated charge":"32.97","de-identified maximum negotiated charge":"405"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"2.56","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1760","code description":"CLOSURE DEV, VASC","payer":"UHC HMO","gross charge":"1,338.00","discounted cash price":"334.5","payer-specific negotiated charge":"552.85","de-identified minimum negotiated charge":"162.96","de-identified maximum negotiated charge":"552.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.28","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"AMBETTER","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"298","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"CIGNA HMO","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"183.75","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"PEACHSTATE-CENTENE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"23.88","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"BC PPO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"2.32","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"KAISER","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"12.33","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"AMBETTER","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"68.62","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"811","code description":"RED BLOOD CELL DISORDERS W MCC","payer":"MEDICAID","gross charge":"84,183.83","discounted cash price":"21,045.96","payer-specific negotiated charge":"14,237.18","de-identified minimum negotiated charge":"895.87","de-identified maximum negotiated charge":"50,647.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"MEDICARE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"146.62","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"KAISER","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"299.39","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"CIGNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"128.56","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36416","code description":"CAPILLARY BLOOD DRAW","payer":"WELLCARE MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"23.57","de-identified minimum negotiated charge":"0.79","de-identified maximum negotiated charge":"23.57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.35","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"UHC MCARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"278.71","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"AETNA MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.1","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"AETNA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,129.95","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9541","code description":"TC99M SULFUR COLLOID","payer":"PEACHSTATE-CENTENE","gross charge":"811","discounted cash price":"202.75","payer-specific negotiated charge":"130.63","de-identified minimum negotiated charge":"95.17","de-identified maximum negotiated charge":"785"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"BC PPO","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"161.37","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"KAISER MCARE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"47.26","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"42400","code description":"BIOPSY OF SALIVARY GLAND","payer":"MEDICARE","gross charge":"1,200.00","discounted cash price":"300","payer-specific negotiated charge":"138.61","de-identified minimum negotiated charge":"115.27","de-identified maximum negotiated charge":"1,143.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"UHC MCARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"52.17","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73564","code description":"X-RAY EXAM KNEE 4 OR MORE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"1,279.00","discounted cash price":"319.75","payer-specific negotiated charge":"178.92","de-identified minimum negotiated charge":"47.43","de-identified maximum negotiated charge":"600.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"46.31","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"BCBS SMARTVALUE PFFS","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"54.42","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AETNA HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"54.08","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"60100","code description":"BIOPSY OF THYROID","payer":"AETNA HMO","gross charge":"2,071.00","discounted cash price":"517.75","payer-specific negotiated charge":"1,515.64","de-identified minimum negotiated charge":"122.07","de-identified maximum negotiated charge":"2,021.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"32.87","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"CIGNA PPO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"15.19","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"AMBETTER","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"189.95","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"CHAMPUS TRICARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"4.87","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"KAISER MCARE","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"520.78","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"HUMANA HMO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"41.99","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"BC HMO","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"347.98","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"WELLCARE MCARE MGD CARE","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"469.88","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72072","code description":"X-RAY EXAM THORAC SPINE 3VWS","payer":"WELLCARE MCARE MGD CARE","gross charge":"752","discounted cash price":"188","payer-specific negotiated charge":"84.33","de-identified minimum negotiated charge":"38.02","de-identified maximum negotiated charge":"564"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"CIGNA HMO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"165.34","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"32.23","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"HUMANA HMO","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"1,372.43","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"MEDICAID","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"12.27","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AETNA HMO","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.88","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"KAISER MCARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"48.57","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73718","code description":"MRI LOWER EXTREMITY W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,970.33","discounted cash price":"1,492.58","payer-specific negotiated charge":"239.47","de-identified minimum negotiated charge":"222.72","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96374","code description":"THER/PROPH/DIAG INJ IV PUSH","payer":"BCBS SMARTVALUE PFFS","gross charge":"516","discounted cash price":"129","payer-specific negotiated charge":"55.81","de-identified minimum negotiated charge":"28.72","de-identified maximum negotiated charge":"491"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"UHC MCARE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"24.62","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"AETNA PPO","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"70.77","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"44.34","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"CHAMPUS TRICARE","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"7.02","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87502","code description":"INFLUENZA DNA AMP PROBE","payer":"CARESOURCE","gross charge":"666","discounted cash price":"166.5","payer-specific negotiated charge":"105.06","de-identified minimum negotiated charge":"46.53","de-identified maximum negotiated charge":"405.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"CARESOURCE","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"37.9","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87641","code description":"MR-STAPH DNA AMP PROBE","payer":"PEACHSTATE-CENTENE","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"73.93","de-identified minimum negotiated charge":"37.67","de-identified maximum negotiated charge":"609.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"UHC MCARE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"362.72","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"AETNA HMO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"418.89","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.48","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"CHAMPUS TRICARE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"42.49","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"UHC MCARE","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"94.2","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"PEACHSTATE-CENTENE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"207.38","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"10.09","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"HUMANA HMO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"313.29","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AMERIGROUP","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.95","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"WELLCARE MCARE MGD CARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"53.43","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"CIGNA PPO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"14.31","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90670","code description":"PCV13 VACCINE IM","payer":"UHC MCARE","gross charge":"1,087.00","discounted cash price":"271.75","payer-specific negotiated charge":"239.36","de-identified minimum negotiated charge":"239.36","de-identified maximum negotiated charge":"280.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99291","code description":"CRITICAL CARE FIRST HOUR","payer":"AETNA MCARE MGD CARE","gross charge":"5,200.00","discounted cash price":"1,300.00","payer-specific negotiated charge":"563","de-identified minimum negotiated charge":"325.39","de-identified maximum negotiated charge":"4,420.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"11.14","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"UHC HMO","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"186.05","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"MEDICARE","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"21,462.74","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"UHC HMO","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"421.24","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"76","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74178","code description":"CT ABD \u0026 PELV 1/\u003e REGNS","payer":"HUMANA HMO","gross charge":"6,976.00","discounted cash price":"1,744.00","payer-specific negotiated charge":"1,485.43","de-identified minimum negotiated charge":"339.82","de-identified maximum negotiated charge":"4,983.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"AETNA PPO","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"62.86","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96132","code description":"NRPSYC TST EVAL PHYS/QHP 1ST","payer":"CHAMPUS TRICARE","gross charge":"449.88","discounted cash price":"112.47","payer-specific negotiated charge":"169.23","de-identified minimum negotiated charge":"51.32","de-identified maximum negotiated charge":"337.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"14.28","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"UHC MCARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"8.09","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"UHC HMO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"327.26","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73721","code description":"MRI JNT OF LWR EXTRE W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5,287.67","discounted cash price":"1,321.92","payer-specific negotiated charge":"268.88","de-identified minimum negotiated charge":"219.17","de-identified maximum negotiated charge":"3,070.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.85","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"18.6","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"PEACHSTATE-CENTENE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"350.86","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"WELLCARE MCARE MGD CARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"13.59","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"KAISER","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"15.17","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"KAISER MCARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"47.26","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72141","code description":"MRI NECK SPINE W/O DYE","payer":"AETNA PPO","gross charge":"5,245.00","discounted cash price":"1,311.25","payer-specific negotiated charge":"1,661.00","de-identified minimum negotiated charge":"231.68","de-identified maximum negotiated charge":"4,349.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AMBETTER","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"49.84","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"WELLCARE MCARE MGD CARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"279.27","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73020","code description":"X-RAY EXAM OF SHOULDER","payer":"AMBETTER","gross charge":"494","discounted cash price":"123.5","payer-specific negotiated charge":"157.88","de-identified minimum negotiated charge":"37.19","de-identified maximum negotiated charge":"315.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"AETNA HMO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"401.16","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0282","code description":"AMIODARONE HCL","payer":"WELLCARE MCARE MGD CARE","gross charge":"32.45","discounted cash price":"8.11","payer-specific negotiated charge":"2.39","de-identified minimum negotiated charge":"1.81","de-identified maximum negotiated charge":"8.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72131","code description":"CT LUMBAR SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,776.50","discounted cash price":"944.13","payer-specific negotiated charge":"225.13","de-identified minimum negotiated charge":"113.9","de-identified maximum negotiated charge":"2,431.22"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1887","code description":"CATHETER, GUIDING","payer":"MEDICAID","gross charge":"2,806.00","discounted cash price":"701.5","payer-specific negotiated charge":"182.23","de-identified minimum negotiated charge":"74.44","de-identified maximum negotiated charge":"400.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"BC HMO","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"231.29","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"HUMANA HMO","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"198.15","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"196","code description":"INTERSTITIAL LUNG DISEASE W MCC","payer":"CHAMPUS TRICARE","gross charge":"117,929.50","discounted cash price":"29,482.38","payer-specific negotiated charge":"17,144.75","de-identified minimum negotiated charge":"6,890.41","de-identified maximum negotiated charge":"17,144.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"32.15","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96365","code description":"THER/PROPH/DIAG IV INF INIT","payer":"CIGNA PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"231.33","de-identified minimum negotiated charge":"43.44","de-identified maximum negotiated charge":"655"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"13.06","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"CIGNA HMO","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"490.46","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"CHAMPUS TRICARE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"26.45","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"AMBETTER","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"77.84","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"AETNA PPO","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"350.43","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"CLOVER HEALTH","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"105.57","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"AMBETTER","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"93.47","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78227","code description":"HEPATOBIL SYST IMAGE W/DRUG","payer":"UHC MCARE","gross charge":"2,309.00","discounted cash price":"577.25","payer-specific negotiated charge":"455.41","de-identified minimum negotiated charge":"138.25","de-identified maximum negotiated charge":"1,664.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AETNA PPO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"299.14","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9537","code description":"TC99M MEBROFENIN","payer":"UHC MCARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"65.05","de-identified minimum negotiated charge":"19.76","de-identified maximum negotiated charge":"237.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0010","code description":"ADMIN HEPATITIS B VACCINE","payer":"MEDICARE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"18.26","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"18.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"UHC MCARE","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"585.03","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"AMBETTER","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"140.35","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0164","code description":"PROCHLORPERAZINE MALEATE 5MG","payer":"BC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"20.16","de-identified minimum negotiated charge":"1.65","de-identified maximum negotiated charge":"25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"AETNA PPO","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"135.9","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"BC HMO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"199.44","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50390","code description":"DRAINAGE OF KIDNEY LESION","payer":"MEDICARE","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"413.56","de-identified minimum negotiated charge":"248.43","de-identified maximum negotiated charge":"539.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"BC HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"313.47","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.66","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"BC PPO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"23.69","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"BC PPO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"1.11","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"AETNA PPO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"70.71","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"UHC MCARE","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"104.96","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"BCBS SMARTVALUE PFFS","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"115.01","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"HUMANA HMO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"21.51","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"AETNA MCARE MGD CARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"83.26","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86803","code description":"HEPATITIS C AB TEST","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"5.28","de-identified minimum negotiated charge":"1.33","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92526","code description":"ORAL FUNCTION THERAPY","payer":"MEDICARE","gross charge":"512","discounted cash price":"128","payer-specific negotiated charge":"93.07","de-identified minimum negotiated charge":"37.22","de-identified maximum negotiated charge":"99.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"HUMANA HMO","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"306.59","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95940","code description":"IONM IN OPERATNG ROOM 15 MIN","payer":"BC HMO","gross charge":"286","discounted cash price":"71.5","payer-specific negotiated charge":"130.98","de-identified minimum negotiated charge":"32.57","de-identified maximum negotiated charge":"130.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38505","code description":"NEEDLE BIOPSY LYMPH NODES","payer":"AETNA HMO","gross charge":"1,699.00","discounted cash price":"424.75","payer-specific negotiated charge":"826.34","de-identified minimum negotiated charge":"205.18","de-identified maximum negotiated charge":"1,699.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"KAISER MCARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"45.36","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"MEDICAID","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"25.66","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"55.84","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87340","code description":"HEPATITIS B SURFACE AG IA","payer":"MEDICARE","gross charge":"321","discounted cash price":"80.25","payer-specific negotiated charge":"24.99","de-identified minimum negotiated charge":"5.09","de-identified maximum negotiated charge":"153.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"BC HMO","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"338","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71260","code description":"CT THORAX DX C+","payer":"AETNA PPO","gross charge":"4,401.00","discounted cash price":"1,100.25","payer-specific negotiated charge":"1,094.88","de-identified minimum negotiated charge":"183.89","de-identified maximum negotiated charge":"3,584.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"MEDICARE","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"24.44","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"AETNA HMO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"324.28","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"MEDICARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"6.38","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1100","code description":"DEXAMETHASONE SODIUM PHOS","payer":"PEACHSTATE-CENTENE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"1.3","de-identified minimum negotiated charge":"0.98","de-identified maximum negotiated charge":"8.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9040","code description":"RBC LEUKOREDUCED IRRADIATED","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,370.00","discounted cash price":"342.5","payer-specific negotiated charge":"240.37","de-identified minimum negotiated charge":"240.37","de-identified maximum negotiated charge":"240.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"CHAMPUS TRICARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"32.2","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"KAISER MCARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"13.64","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82365","code description":"CALCULUS SPECTROSCOPY","payer":"MEDICARE","gross charge":"336","discounted cash price":"84","payer-specific negotiated charge":"45.8","de-identified minimum negotiated charge":"2.99","de-identified maximum negotiated charge":"220.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"189","code description":"PULMONARY EDEMA \u0026 RESPIRATORY FAILURE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"124,241.39","discounted cash price":"31,060.35","payer-specific negotiated charge":"15,352.63","de-identified minimum negotiated charge":"7,662.76","de-identified maximum negotiated charge":"53,942.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"AETNA HMO","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"59.44","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"16.25","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AMERIGROUP","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"16.51","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76872","code description":"US TRANSRECTAL","payer":"BC HMO","gross charge":"1,206.00","discounted cash price":"301.5","payer-specific negotiated charge":"515","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"747.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"AETNA HMO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.2","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"57","code description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC","payer":"MEDICARE","gross charge":"29,534.00","discounted cash price":"7,383.50","payer-specific negotiated charge":"14,455.49","de-identified minimum negotiated charge":"7,920.43","de-identified maximum negotiated charge":"20,990.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"306.75","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"UHC MCARE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"3.16","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"CARESOURCE","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"119.93","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"CIGNA HMO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"112.68","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"81.69","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"29.5","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99282","code description":"EMERGENCY DEPT VISIT SF MDM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"969","discounted cash price":"242.25","payer-specific negotiated charge":"122.78","de-identified minimum negotiated charge":"89.86","de-identified maximum negotiated charge":"936.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"MEDICAID","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"36.42","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80162","code description":"ASSAY OF DIGOXIN TOTAL","payer":"MEDICARE","gross charge":"426.5","discounted cash price":"106.63","payer-specific negotiated charge":"32.78","de-identified minimum negotiated charge":"16.04","de-identified maximum negotiated charge":"152.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"22.8","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"59.11","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"UHC MCARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"82.13","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"MEDICAID","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"13,622.92","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"WELLCARE MCARE MGD CARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"14.01","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"BC HMO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"435.8","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0463","code description":"HOSPITAL OUTPT CLINIC VISIT","payer":"UHC MCARE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"96.91","de-identified minimum negotiated charge":"29.49","de-identified maximum negotiated charge":"160.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93","code description":"OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC","payer":"MEDICARE","gross charge":"67,761.00","discounted cash price":"16,940.25","payer-specific negotiated charge":"11,540.50","de-identified minimum negotiated charge":"5,846.59","de-identified maximum negotiated charge":"11,540.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90662","code description":"IIV NO PRSV INCREASED AG IM","payer":"AETNA MCARE MGD CARE","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"131.77","de-identified minimum negotiated charge":"130.46","de-identified maximum negotiated charge":"131.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"550.52","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"40.64","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74160","code description":"CT ABDOMEN W/DYE","payer":"HUMANA HMO","gross charge":"4,766.00","discounted cash price":"1,191.50","payer-specific negotiated charge":"1,450.32","de-identified minimum negotiated charge":"157.86","de-identified maximum negotiated charge":"1,643.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"AETNA MCARE MGD CARE","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"303.21","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"29.34","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7120","code description":"RINGERS LACTATE INFUSION","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"27.43","de-identified minimum negotiated charge":"19.32","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73030","code description":"X-RAY EXAM OF SHOULDER","payer":"BCBS SMARTVALUE PFFS","gross charge":"746.67","discounted cash price":"186.67","payer-specific negotiated charge":"83.35","de-identified minimum negotiated charge":"50.21","de-identified maximum negotiated charge":"612"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"AETNA MCARE MGD CARE","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"378.55","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"HUMANA HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"62.9","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"MEDICARE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"181.01","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"AMERIGROUP","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"5.28","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0696","code description":"CEFTRIAXONE SODIUM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.84","de-identified minimum negotiated charge":"3.41","de-identified maximum negotiated charge":"57.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"CIGNA HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"99.19","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"CIGNA HMO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"825.17","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"AETNA PPO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"193.6","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.16","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82803","code description":"BLOOD GASES ANY COMBINATION","payer":"BC PPO","gross charge":"375","discounted cash price":"93.75","payer-specific negotiated charge":"129.17","de-identified minimum negotiated charge":"19.52","de-identified maximum negotiated charge":"303.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"260.42","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"MEDICARE","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"12.65","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"682","code description":"RENAL FAILURE W MCC","payer":"MEDICAID","gross charge":"130,323.50","discounted cash price":"32,580.88","payer-specific negotiated charge":"12,949.27","de-identified minimum negotiated charge":"1,468.91","de-identified maximum negotiated charge":"44,612.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71271","code description":"CT THORAX LUNG CANCER SCR C-","payer":"MEDICARE","gross charge":"450.58","discounted cash price":"112.64","payer-specific negotiated charge":"100.97","de-identified minimum negotiated charge":"74.47","de-identified maximum negotiated charge":"450"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"AETNA PPO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"202.41","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"MEDICAID","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.77","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"3.95","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72132","code description":"CT LUMBAR SPINE W/DYE","payer":"MEDICARE","gross charge":"3,831.00","discounted cash price":"957.75","payer-specific negotiated charge":"387.05","de-identified minimum negotiated charge":"387.05","de-identified maximum negotiated charge":"387.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36590","code description":"REMOVAL TUNNELED CV CATH","payer":"CHAMPUS TRICARE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"804.13","de-identified minimum negotiated charge":"467.86","de-identified maximum negotiated charge":"3,186.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"CHAMPUS TRICARE","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"134.22","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"WELLCARE MCARE MGD CARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"246.31","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"AMBETTER","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"801.19","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"KAISER","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"24.55","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"PEACHSTATE-CENTENE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"122.45","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96116","code description":"NUBHVL XM PHYS/QHP 1ST HR","payer":"AETNA MCARE MGD CARE","gross charge":"972","discounted cash price":"243","payer-specific negotiated charge":"369.36","de-identified minimum negotiated charge":"47.98","de-identified maximum negotiated charge":"741.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"MEDICAID","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"189.76","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72192","code description":"CT PELVIS W/O DYE","payer":"AMBETTER","gross charge":"3,926.00","discounted cash price":"981.5","payer-specific negotiated charge":"883.83","de-identified minimum negotiated charge":"107.09","de-identified maximum negotiated charge":"1,963.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"AMBETTER","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"310.13","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"CARESOURCE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"6.24","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"CHAMPUS TRICARE","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"147.38","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71046","code description":"X-RAY EXAM CHEST 2 VIEWS","payer":"KAISER MCARE","gross charge":"729","discounted cash price":"182.25","payer-specific negotiated charge":"93.87","de-identified minimum negotiated charge":"55.73","de-identified maximum negotiated charge":"694"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"35.53","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"BC PPO","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"124.8","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"CIGNA HMO","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"404.82","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36561","code description":"INSERT TUNNELED CV CATH","payer":"UHC MCARE","gross charge":"9,946.00","discounted cash price":"2,486.50","payer-specific negotiated charge":"1,410.64","de-identified minimum negotiated charge":"811.51","de-identified maximum negotiated charge":"8,454.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74177","code description":"CT ABD \u0026 PELV W/CONTRAST","payer":"CLOVER HEALTH","gross charge":"6,048.33","discounted cash price":"1,512.08","payer-specific negotiated charge":"514.56","de-identified minimum negotiated charge":"307.08","de-identified maximum negotiated charge":"5,068.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"8.79","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"AMBETTER","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"284.15","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"AETNA MCARE MGD CARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"39.43","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"1,043.27","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"AETNA MCARE MGD CARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"27.52","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"BC PPO","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"354","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78831","code description":"RP LOCLZJ TUM SPECT 2 AREAS","payer":"MEDICARE","gross charge":"4,459.00","discounted cash price":"1,114.75","payer-specific negotiated charge":"1,120.32","de-identified minimum negotiated charge":"776.87","de-identified maximum negotiated charge":"2,158.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"PEACHSTATE-CENTENE","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"5.25","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"BC HMO","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"170.09","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"HUMANA HMO","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"23.87","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BC HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"128.45","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"AMBETTER","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"56.56","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"KAISER SELF-FUNDED","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"29.22","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"AETNA HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"700.67","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"BC PPO","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"64.68","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"UHC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.58","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.53","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73525","code description":"CONTRAST X-RAY OF HIP","payer":"MEDICARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"76.43","de-identified minimum negotiated charge":"65.37","de-identified maximum negotiated charge":"495"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"CARESOURCE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.74","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"MEDICAID","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"5.59","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"157.69","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"AETNA HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"164.7","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"CHAMPUS TRICARE","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"639.22","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"AETNA PPO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"2,648.13","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87491","code description":"CHLMYD TRACH DNA AMP PROBE","payer":"CHAMPUS TRICARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"33.77","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87591","code description":"N.GONORRHOEAE DNA AMP PROB","payer":"CHAMPUS TRICARE","gross charge":"348","discounted cash price":"87","payer-specific negotiated charge":"33.77","de-identified minimum negotiated charge":"23.28","de-identified maximum negotiated charge":"248.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"CIGNA HMO","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"155.13","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"9.37","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"BC HMO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"131.32","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"AETNA MCARE MGD CARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"85.24","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"AETNA MCARE MGD CARE","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"85.24","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"AETNA MCARE MGD CARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"21.88","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"AETNA MCARE MGD CARE","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"324.14","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"AMBETTER","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"86.19","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"CIGNA PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"67.55","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"MEDICARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"15.29","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71275","code description":"CT ANGIOGRAPHY CHEST","payer":"KAISER","gross charge":"4,911.75","discounted cash price":"1,227.94","payer-specific negotiated charge":"637.43","de-identified minimum negotiated charge":"174.97","de-identified maximum negotiated charge":"4,140.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"AMERIGROUP","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"21.55","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"WELLCARE MCARE MGD CARE","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"29.9","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19082","code description":"BX BREAST ADD LESION STRTCTC","payer":"AMBETTER","gross charge":"2,438.00","discounted cash price":"609.5","payer-specific negotiated charge":"2,322.00","de-identified minimum negotiated charge":"288.61","de-identified maximum negotiated charge":"2,438.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"WELLCARE MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.86","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"KAISER","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"127.15","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"CIGNA HMO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"203.93","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"7.92","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"MEDICAID","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"107.61","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"CIGNA HMO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"35.13","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80164","code description":"ASSAY DIPROPYLACETIC ACD TOT","payer":"MEDICARE","gross charge":"456","discounted cash price":"114","payer-specific negotiated charge":"43.84","de-identified minimum negotiated charge":"14.39","de-identified maximum negotiated charge":"231.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"CARESOURCE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"349.2","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CHAMPUS TRICARE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"AMBETTER","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"890.8","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2210","code description":"METHYLERGONOVIN MALEATE INJ","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"63.33","de-identified minimum negotiated charge":"63.33","de-identified maximum negotiated charge":"63.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"PEACHSTATE-CENTENE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"111.06","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73660","code description":"X-RAY EXAM OF TOE(S)","payer":"AETNA MCARE MGD CARE","gross charge":"355","discounted cash price":"88.75","payer-specific negotiated charge":"79.08","de-identified minimum negotiated charge":"9","de-identified maximum negotiated charge":"338"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"BC HMO","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"294.19","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.68","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"UHC MCARE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"171.12","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72197","code description":"MRI PELVIS W/O \u0026 W/DYE","payer":"AETNA MCARE MGD CARE","gross charge":"6,501.00","discounted cash price":"1,625.25","payer-specific negotiated charge":"537.12","de-identified minimum negotiated charge":"347.92","de-identified maximum negotiated charge":"4,718.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93971","code description":"EXTREMITY STUDY","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,154.00","discounted cash price":"288.5","payer-specific negotiated charge":"128.46","de-identified minimum negotiated charge":"78.55","de-identified maximum negotiated charge":"865.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CIGNA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"64.23","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"CIGNA HMO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"8.03","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"UHC HMO","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"387","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"UHC MCARE","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"48.78","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"CIGNA PPO","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"105.95","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"14.63","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.47","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"AMBETTER","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"77.47","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1771","code description":"REP DEV, URINARY, W/SLING","payer":"WELLCARE MCARE MGD CARE","gross charge":"7,207.00","discounted cash price":"1,801.75","payer-specific negotiated charge":"858.28","de-identified minimum negotiated charge":"481.19","de-identified maximum negotiated charge":"3,210.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"FIRST HLTH NTWK","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"83.8","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70551","code description":"MRI BRAIN STEM W/O DYE","payer":"AETNA PPO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"1,722.20","de-identified minimum negotiated charge":"226.9","de-identified maximum negotiated charge":"4,349.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.49","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"CHAMPUS TRICARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.42","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"551","code description":"MEDICAL BACK PROBLEMS W MCC","payer":"MEDICAID","gross charge":"171,842.00","discounted cash price":"42,960.50","payer-specific negotiated charge":"11,325.98","de-identified minimum negotiated charge":"4,774.84","de-identified maximum negotiated charge":"13,815.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"MEDICAID","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"14.92","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"AMBETTER","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"299.66","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"BC HMO","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"2,837.00","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"BC HMO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.7","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1725","code description":"CATH, TRANSLUMIN NON-LASER","payer":"MEDICARE","gross charge":"1,614.50","discounted cash price":"403.63","payer-specific negotiated charge":"218.86","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"523.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74420","code description":"UROGRAPHY RTRGR +-KUB","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"837","discounted cash price":"209.25","payer-specific negotiated charge":"161.73","de-identified minimum negotiated charge":"61.32","de-identified maximum negotiated charge":"437.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"CHAMPUS TRICARE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"329.8","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73720","code description":"MRI LWR EXTREMITY W/O\u0026W/DYE","payer":"AMERIGROUP","gross charge":"13,215.00","discounted cash price":"3,303.75","payer-specific negotiated charge":"1,919.11","de-identified minimum negotiated charge":"325.6","de-identified maximum negotiated charge":"1,919.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73080","code description":"X-RAY EXAM OF ELBOW","payer":"AETNA HMO","gross charge":"760","discounted cash price":"190","payer-specific negotiated charge":"367.57","de-identified minimum negotiated charge":"42.48","de-identified maximum negotiated charge":"449.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76815","code description":"OB US LIMITED FETUS(S)","payer":"AMBETTER","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"729.49","de-identified minimum negotiated charge":"95.67","de-identified maximum negotiated charge":"729.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1788","code description":"PORT, INDWELLING, IMP","payer":"UHC MCARE","gross charge":"4,498.00","discounted cash price":"1,124.50","payer-specific negotiated charge":"638.72","de-identified minimum negotiated charge":"429.17","de-identified maximum negotiated charge":"3,658.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72220","code description":"X-RAY EXAM SACRUM TAILBONE","payer":"WELLCARE MCARE MGD CARE","gross charge":"613","discounted cash price":"153.25","payer-specific negotiated charge":"35.39","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"490.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"PEACHSTATE-CENTENE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.72","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84311","code description":"SPECTROPHOTOMETRY","payer":"AMBETTER","gross charge":"286.86","discounted cash price":"71.71","payer-specific negotiated charge":"128.86","de-identified minimum negotiated charge":"8.47","de-identified maximum negotiated charge":"226.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99283","code description":"EMERGENCY DEPT VISIT LOW MDM","payer":"HUMANA PPO","gross charge":"1,473.00","discounted cash price":"368.25","payer-specific negotiated charge":"1,403.00","de-identified minimum negotiated charge":"86.99","de-identified maximum negotiated charge":"1,403.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87106","code description":"FUNGI IDENTIFICATION YEAST","payer":"MEDICARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"5.64","de-identified minimum negotiated charge":"4.66","de-identified maximum negotiated charge":"19.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"UHC MCARE","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"107.09","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"41.26","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73110","code description":"X-RAY EXAM OF WRIST","payer":"UHC MCARE","gross charge":"657","discounted cash price":"164.25","payer-specific negotiated charge":"75.98","de-identified minimum negotiated charge":"27.32","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"KAISER MCARE","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"50.08","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BC HMO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"88.94","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"871","code description":"SEPTICEMIA OR SEVERE SEPSIS W/O MV \u003e96 HOURS W MCC","payer":"KAISER MCARE","gross charge":"135,868.06","discounted cash price":"33,967.01","payer-specific negotiated charge":"22,759.93","de-identified minimum negotiated charge":"7,584.68","de-identified maximum negotiated charge":"83,184.70"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA PPO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"80.14","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"CIGNA HMO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"1,270.07","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"11.33","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.17","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"AETNA MCARE MGD CARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"18.81","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62303","code description":"MYELOGRAPHY LUMBAR INJECTION","payer":"MEDICARE","gross charge":"2,395.00","discounted cash price":"598.75","payer-specific negotiated charge":"252.65","de-identified minimum negotiated charge":"252.65","de-identified maximum negotiated charge":"252.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99152","code description":"MOD SED SAME PHYS/QHP 5/\u003eYRS","payer":"AETNA PPO","gross charge":"895","discounted cash price":"223.75","payer-specific negotiated charge":"361.73","de-identified minimum negotiated charge":"89.51","de-identified maximum negotiated charge":"724.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"AMBETTER","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"126.85","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"MEDICARE","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"7.02","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9577","code description":"INJ MULTIHANCE","payer":"PEACHSTATE-CENTENE","gross charge":"35.25","discounted cash price":"8.81","payer-specific negotiated charge":"5.49","de-identified minimum negotiated charge":"1.36","de-identified maximum negotiated charge":"26.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CIGNA PPO","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"33.66","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80177","code description":"DRUG SCRN QUAN LEVETIRACETAM","payer":"MEDICARE","gross charge":"153","discounted cash price":"38.25","payer-specific negotiated charge":"7.68","de-identified minimum negotiated charge":"5.43","de-identified maximum negotiated charge":"117.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.12","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96361","code description":"HYDRATE IV INFUSION ADD-ON","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"28.98","de-identified minimum negotiated charge":"14.75","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"52.38","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"HUMANA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,219.71","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"KAISER","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"117.71","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"AMBETTER","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"677.86","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"AETNA PPO","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"172.96","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.49","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"BC HMO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"2,093.63","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"CHAMPUS TRICARE","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"75.48","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76700","code description":"US EXAM ABDOM COMPLETE","payer":"CIGNA PPO","gross charge":"1,503.00","discounted cash price":"375.75","payer-specific negotiated charge":"924.21","de-identified minimum negotiated charge":"101.83","de-identified maximum negotiated charge":"1,277.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"KAISER SELF-FUNDED","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"29.93","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"AMERIGROUP","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"1.9","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.19","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"203.74","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47000","code description":"NEEDLE BIOPSY OF LIVER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"307.06","de-identified minimum negotiated charge":"280.95","de-identified maximum negotiated charge":"1,964.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"AMBETTER","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"996.84","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"KAISER","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"126.01","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"PEACHSTATE-CENTENE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"80.71","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"AETNA MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.74","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"AMERIGROUP","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"137.31","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"KAISER SELF-FUNDED","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"46.87","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"AETNA HMO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"2,193.19","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"BC HMO","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"430.45","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"MEDICARE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"75.99","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.47","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"PEACHSTATE-CENTENE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.26","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"CHAMPUS TRICARE","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"23.23","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73521","code description":"X-RAY EXAM HIPS BI 2 VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"59.39","de-identified minimum negotiated charge":"31.63","de-identified maximum negotiated charge":"475.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80047","code description":"METABOLIC PANEL IONIZED CA","payer":"KAISER SELF-FUNDED","gross charge":"360","discounted cash price":"90","payer-specific negotiated charge":"51.68","de-identified minimum negotiated charge":"20.56","de-identified maximum negotiated charge":"343"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"BC PPO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"433.92","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76536","code description":"US EXAM OF HEAD AND NECK","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"993","discounted cash price":"248.25","payer-specific negotiated charge":"105.38","de-identified minimum negotiated charge":"94.37","de-identified maximum negotiated charge":"656.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9016","code description":"RBC LEUKOCYTES REDUCED","payer":"PEACHSTATE-CENTENE","gross charge":"1,150.00","discounted cash price":"287.5","payer-specific negotiated charge":"176.04","de-identified minimum negotiated charge":"71.9","de-identified maximum negotiated charge":"821.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88313","code description":"SPECIAL STAINS GROUP 2","payer":"AMBETTER","gross charge":"398","discounted cash price":"99.5","payer-specific negotiated charge":"122.58","de-identified minimum negotiated charge":"18.14","de-identified maximum negotiated charge":"226.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"BCBS SMARTVALUE PFFS","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"64.19","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"CIGNA HMO","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"127.38","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"AETNA MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"26.87","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"CLOVER HEALTH","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"63.5","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"WELLCARE MCARE MGD CARE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"16.78","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"AETNA MCARE MGD CARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"44.17","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"AETNA PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,736.78","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"CARESOURCE","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"173.73","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0005","code description":"INFEC AGEN DETEC AMPLI PROBE","payer":"HUMANA HMO","gross charge":"26","discounted cash price":"6.5","payer-specific negotiated charge":"12.93","de-identified minimum negotiated charge":"2.83","de-identified maximum negotiated charge":"19.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"MEDICARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"29.71","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"BC PPO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"465.49","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"UHC MCARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"364.2","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87081","code description":"CULTURE SCREEN ONLY","payer":"BC HMO","gross charge":"191","discounted cash price":"47.75","payer-specific negotiated charge":"139.97","de-identified minimum negotiated charge":"14.24","de-identified maximum negotiated charge":"141.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"AMBETTER","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"53.98","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"KAISER MCARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"64.36","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"UHC MCARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"42.37","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82247","code description":"BILIRUBIN TOTAL","payer":"AMBETTER","gross charge":"152","discounted cash price":"38","payer-specific negotiated charge":"20.74","de-identified minimum negotiated charge":"3.02","de-identified maximum negotiated charge":"93.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"33.31","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"34.59","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"BCBS SMARTVALUE PFFS","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"138.67","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80307","code description":"DRUG TEST PRSMV CHEM ANLYZR","payer":"AETNA MCARE MGD CARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"33.24","de-identified minimum negotiated charge":"21.75","de-identified maximum negotiated charge":"273.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97803","code description":"MED NUTRITION INDIV SUBSEQ","payer":"AMERIGROUP","gross charge":"77.43","discounted cash price":"19.36","payer-specific negotiated charge":"20.13","de-identified minimum negotiated charge":"12.55","de-identified maximum negotiated charge":"48.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.35","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.12","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"AETNA MCARE MGD CARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"39.8","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"BC HMO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"81.27","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"FIRST HLTH NTWK","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"69","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"256.06","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"113.06","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"CARESOURCE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"23.01","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"AETNA HMO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"166.11","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"UHC MCARE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"17.6","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50200","code description":"RENAL BIOPSY PERQ","payer":"CIGNA HMO","gross charge":"2,354.00","discounted cash price":"588.5","payer-specific negotiated charge":"727.84","de-identified minimum negotiated charge":"182.58","de-identified maximum negotiated charge":"2,242.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.24","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"BCBS SMARTVALUE PFFS","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"10.81","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"U0003","code description":"COV-19 AMP PRB HGH THRUPUT","payer":"HUMANA HMO","gross charge":"546","discounted cash price":"136.5","payer-specific negotiated charge":"271.52","de-identified minimum negotiated charge":"59.54","de-identified maximum negotiated charge":"409.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"WELLCARE MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"26.82","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"AMBETTER","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"31.6","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"MEDICAID","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"94.55","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87651","code description":"STREP A DNA AMP PROBE","payer":"KAISER","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"62.6","de-identified minimum negotiated charge":"11.42","de-identified maximum negotiated charge":"112.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"AETNA PPO","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"94.91","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"BC PPO","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"50.42","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97116","code description":"GAIT TRAINING THERAPY","payer":"WELLCARE MCARE MGD CARE","gross charge":"241","discounted cash price":"60.25","payer-specific negotiated charge":"35.79","de-identified minimum negotiated charge":"15.27","de-identified maximum negotiated charge":"162.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"AMERIGROUP","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.15","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"AMBETTER","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"922.22","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"PEACHSTATE-CENTENE","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"12.38","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84478","code description":"ASSAY OF TRIGLYCERIDES","payer":"AETNA HMO","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"14.9","de-identified minimum negotiated charge":"2.37","de-identified maximum negotiated charge":"29.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74176","code description":"CT ABD \u0026 PELVIS W/O CONTRAST","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"5,337.00","discounted cash price":"1,334.25","payer-specific negotiated charge":"351.31","de-identified minimum negotiated charge":"287.25","de-identified maximum negotiated charge":"5,083.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.38","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"CARESOURCE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"109.53","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"FIRST HLTH NTWK","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"86.87","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96360","code description":"HYDRATION IV INFUSION INIT","payer":"UHC PPO","gross charge":"688","discounted cash price":"172","payer-specific negotiated charge":"282.2","de-identified minimum negotiated charge":"40.49","de-identified maximum negotiated charge":"556.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"AMBETTER","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"437","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"MEDICARE","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"18.43","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2765","code description":"METOCLOPRAMIDE HCL INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"7.3","de-identified minimum negotiated charge":"6.31","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"HUMANA HMO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"237.38","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"UHC HMO","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"201.18","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC PPO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"249.94","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"26.97","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"AMBETTER","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"160.38","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"CIGNA PPO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"1,424.50","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"CIGNA PPO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"762.72","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"CIGNA PPO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"356.89","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76000","code description":"FLUOROSCOPY \u003c1 HR PHYS/QHP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"886","discounted cash price":"221.5","payer-specific negotiated charge":"233.51","de-identified minimum negotiated charge":"133.68","de-identified maximum negotiated charge":"549.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"62.44","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"AMBETTER","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"176.12","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76000","code description":"FLUOROSCOPY \u003c1 HR PHYS/QHP","payer":"AETNA MCARE MGD CARE","gross charge":"886","discounted cash price":"221.5","payer-specific negotiated charge":"133.68","de-identified minimum negotiated charge":"133.68","de-identified maximum negotiated charge":"549.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0780","code description":"PROCHLORPERAZINE INJECTION","payer":"AETNA HMO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"38.89","de-identified minimum negotiated charge":"2.47","de-identified maximum negotiated charge":"49.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80178","code description":"ASSAY OF LITHIUM","payer":"BC PPO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"145.72","de-identified minimum negotiated charge":"8.97","de-identified maximum negotiated charge":"161.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"AETNA PPO","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"500.47","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83735","code description":"ASSAY OF MAGNESIUM","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"184","discounted cash price":"46","payer-specific negotiated charge":"15.14","de-identified minimum negotiated charge":"12.71","de-identified maximum negotiated charge":"175"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0670","code description":"INJ MEPIVACAINE HCL/10 ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"31.5","discounted cash price":"7.88","payer-specific negotiated charge":"4.28","de-identified minimum negotiated charge":"1.98","de-identified maximum negotiated charge":"14.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"AMBETTER","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"142.82","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"UHC MCARE","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"101.1","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"CIGNA PPO","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"1,609.27","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.32","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"CIGNA HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"148.34","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"AETNA MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"27.01","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"BC HMO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"266.1","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49083","code description":"ABD PARACENTESIS W/IMAGING","payer":"CIGNA HMO","gross charge":"2,622.00","discounted cash price":"655.5","payer-specific negotiated charge":"2,510.89","de-identified minimum negotiated charge":"368.19","de-identified maximum negotiated charge":"2,559.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.03","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"BCBS SMARTVALUE PFFS","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"7.72","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70","code description":"NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC","payer":"KAISER MCARE","gross charge":"128,289.50","discounted cash price":"32,072.38","payer-specific negotiated charge":"15,877.33","de-identified minimum negotiated charge":"8,252.22","de-identified maximum negotiated charge":"64,144.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"AMBETTER","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"1,890.85","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"MEDICARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"76.5","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"KAISER","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"111.82","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"MEDICARE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"46.82","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87329","code description":"GIARDIA AG IA","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"49","discounted cash price":"12.25","payer-specific negotiated charge":"3.46","de-identified minimum negotiated charge":"2.7","de-identified maximum negotiated charge":"30.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"AETNA MCARE MGD CARE","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"371.13","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"AETNA PPO","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"21.63","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83880","code description":"ASSAY OF NATRIURETIC PEPTIDE","payer":"UHC MCARE","gross charge":"531","discounted cash price":"132.75","payer-specific negotiated charge":"69.06","de-identified minimum negotiated charge":"26.08","de-identified maximum negotiated charge":"379.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"WELLCARE MCARE MGD CARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"38.76","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"41.82","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AETNA PPO","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"35.41","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82746","code description":"ASSAY OF FOLIC ACID SERUM","payer":"CARESOURCE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"31.73","de-identified minimum negotiated charge":"16.97","de-identified maximum negotiated charge":"223.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"CHAMPUS TRICARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"43.36","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"81025","code description":"URINE PREGNANCY TEST","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"281","discounted cash price":"70.25","payer-specific negotiated charge":"34.13","de-identified minimum negotiated charge":"21.49","de-identified maximum negotiated charge":"238.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"AMERIGROUP","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"4.83","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8924","code description":"2D TTE W OR W/O FOL W/CON,FU","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,922.00","discounted cash price":"480.5","payer-specific negotiated charge":"161.82","de-identified minimum negotiated charge":"84.78","de-identified maximum negotiated charge":"965.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"HUMANA HMO","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"178.47","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC MCARE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"75.56","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"CARESOURCE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"24.3","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87186","code description":"MICROBE SUSCEPTIBLE MIC","payer":"UHC MCARE","gross charge":"254","discounted cash price":"63.5","payer-specific negotiated charge":"30.32","de-identified minimum negotiated charge":"16.73","de-identified maximum negotiated charge":"190.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"3.92","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"MEDICARE","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"189.9","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"CARESOURCE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"64.23","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.37","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70450","code description":"CT HEAD/BRAIN W/O DYE","payer":"KAISER MCARE","gross charge":"3,447.00","discounted cash price":"861.75","payer-specific negotiated charge":"391.93","de-identified minimum negotiated charge":"106.23","de-identified maximum negotiated charge":"2,895.10"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76817","code description":"TRANSVAGINAL US OBSTETRIC","payer":"FIRST HLTH NTWK","gross charge":"1,256.00","discounted cash price":"314","payer-specific negotiated charge":"753.6","de-identified minimum negotiated charge":"78.06","de-identified maximum negotiated charge":"897"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"141.44","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"UHC HMO","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"1,628.98","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1758","code description":"CATHETER, URETERAL","payer":"UHC MCARE","gross charge":"446","discounted cash price":"111.5","payer-specific negotiated charge":"110.22","de-identified minimum negotiated charge":"3.97","de-identified maximum negotiated charge":"227.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"KAISER","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"400.08","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"150","code description":"EPISTAXIS W MCC","payer":"MEDICARE","gross charge":"253,352.50","discounted cash price":"63,338.13","payer-specific negotiated charge":"18,646.00","de-identified minimum negotiated charge":"18,646.00","de-identified maximum negotiated charge":"18,646.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2628","code description":"CATHETER, OCCLUSION","payer":"AETNA PPO","gross charge":"919.71","discounted cash price":"229.93","payer-specific negotiated charge":"882","de-identified minimum negotiated charge":"149.2","de-identified maximum negotiated charge":"919.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"UHC MCARE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"38.88","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80076","code description":"HEPATIC FUNCTION PANEL","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"413","discounted cash price":"103.25","payer-specific negotiated charge":"34.23","de-identified minimum negotiated charge":"22.17","de-identified maximum negotiated charge":"393"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"CIGNA HMO","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"35.33","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"CIGNA HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"45.7","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"AMBETTER","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"718.97","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.27","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"AETNA MCARE MGD CARE","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"23.47","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89190","code description":"NASAL SMEAR FOR EOSINOPHILS","payer":"UHC HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"24.73","de-identified minimum negotiated charge":"9.8","de-identified maximum negotiated charge":"103.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"MEDICARE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"21.49","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1751","code description":"CATH, INF, PER/CENT/MIDLINE","payer":"BC HMO","gross charge":"971","discounted cash price":"242.75","payer-specific negotiated charge":"867.03","de-identified minimum negotiated charge":"143.73","de-identified maximum negotiated charge":"867.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"MEDICARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"102.01","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90670","code description":"PCV13 VACCINE IM","payer":"AETNA MCARE MGD CARE","gross charge":"1,087.00","discounted cash price":"271.75","payer-specific negotiated charge":"280.65","de-identified minimum negotiated charge":"239.36","de-identified maximum negotiated charge":"280.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"MEDICARE","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"720.84","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"HUMANA HMO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"150.18","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96367","code description":"TX/PROPH/DG ADDL SEQ IV INF","payer":"AETNA PPO","gross charge":"259.8","discounted cash price":"64.95","payer-specific negotiated charge":"61.54","de-identified minimum negotiated charge":"9.2","de-identified maximum negotiated charge":"155.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"BC HMO","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"12.89","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88302","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"BC HMO","gross charge":"517","discounted cash price":"129.25","payer-specific negotiated charge":"306.89","de-identified minimum negotiated charge":"45.88","de-identified maximum negotiated charge":"480.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.14","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"UHC MCARE","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"33.6","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"CIGNA HMO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"139.47","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"61.87","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83516","code description":"IMMUNOASSAY NONANTIBODY","payer":"MEDICARE","gross charge":"114","discounted cash price":"28.5","payer-specific negotiated charge":"5.69","de-identified minimum negotiated charge":"5.69","de-identified maximum negotiated charge":"24.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"MEDICARE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"67.74","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"77012","code description":"CT SCAN FOR NEEDLE BIOPSY","payer":"AETNA HMO","gross charge":"2,909.00","discounted cash price":"727.25","payer-specific negotiated charge":"1,256.53","de-identified minimum negotiated charge":"273.61","de-identified maximum negotiated charge":"2,054.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"BC PPO","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"232.17","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"CIGNA HMO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"115.59","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"77.13","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"BC PPO","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"2,806.71","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"CLOVER HEALTH","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"17.41","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"8.89","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"UHC MCARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"88.21","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"AMBETTER","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"971.63","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87210","code description":"SMEAR WET MOUNT SALINE/INK","payer":"HUMANA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"25.1","de-identified minimum negotiated charge":"3.52","de-identified maximum negotiated charge":"37.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4116","code description":"ALLODERM","payer":"UHC HMO","gross charge":"156","discounted cash price":"39","payer-specific negotiated charge":"66.84","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"81.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7040","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CARESOURCE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"17.83","de-identified minimum negotiated charge":"11.74","de-identified maximum negotiated charge":"176.81"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"5.28","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"56","code description":"DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC","payer":"UHC MCARE","gross charge":"264,233.00","discounted cash price":"66,058.25","payer-specific negotiated charge":"16,759.45","de-identified minimum negotiated charge":"14,453.04","de-identified maximum negotiated charge":"27,537.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72100","code description":"X-RAY EXAM L-S SPINE 2/3 VWS","payer":"CIGNA HMO","gross charge":"621","discounted cash price":"155.25","payer-specific negotiated charge":"448.68","de-identified minimum negotiated charge":"36.3","de-identified maximum negotiated charge":"517.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"AMBETTER","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"10.15","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74250","code description":"X-RAY XM SM INT 1CNTRST STD","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,229.00","discounted cash price":"307.25","payer-specific negotiated charge":"177.31","de-identified minimum negotiated charge":"32.46","de-identified maximum negotiated charge":"877.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9540","code description":"TC99M MAA","payer":"HUMANA HMO","gross charge":"1,571.00","discounted cash price":"392.75","payer-specific negotiated charge":"1,026.25","de-identified minimum negotiated charge":"41.64","de-identified maximum negotiated charge":"1,178.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"HUMANA HMO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"1,916.68","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"HUMANA HMO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"480.2","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"PEACHSTATE-CENTENE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"2.92","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"621","code description":"O.R. PROCEDURES FOR OBESITY W/O CC/MCC","payer":"AMERIGROUP","gross charge":"70,088.50","discounted cash price":"17,522.13","payer-specific negotiated charge":"15,788.03","de-identified minimum negotiated charge":"8,778.14","de-identified maximum negotiated charge":"19,790.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BCBS SMARTVALUE PFFS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"21.84","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"AMBETTER","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"126.14","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72050","code description":"X-RAY EXAM NECK SPINE 4/5VWS","payer":"MEDICARE","gross charge":"960","discounted cash price":"240","payer-specific negotiated charge":"90.18","de-identified minimum negotiated charge":"80.92","de-identified maximum negotiated charge":"683.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"WELLCARE MCARE MGD CARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"25.91","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"AMBETTER","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"479.42","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84702","code description":"CHORIONIC GONADOTROPIN TEST","payer":"CLOVER HEALTH","gross charge":"440","discounted cash price":"110","payer-specific negotiated charge":"48.64","de-identified minimum negotiated charge":"25.8","de-identified maximum negotiated charge":"419"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"81.51","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"AMERIGROUP","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"58.1","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"853","code description":"INFECTIOUS \u0026 PARASITIC DISEASES W O.R. PROCEDURE W MCC","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"988,566.50","discounted cash price":"247,141.63","payer-specific negotiated charge":"60,818.09","de-identified minimum negotiated charge":"16,298.96","de-identified maximum negotiated charge":"207,105.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"61.98","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"AETNA MCARE MGD CARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"11.5","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82274","code description":"ASSAY TEST FOR BLOOD FECAL","payer":"AMBETTER","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"37.25","de-identified minimum negotiated charge":"4.91","de-identified maximum negotiated charge":"60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"AETNA MCARE MGD CARE","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"32.47","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CHAMPUS TRICARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"38.92","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"PEACHSTATE-CENTENE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"41.16","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"1.79","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73130","code description":"X-RAY EXAM OF HAND","payer":"HUMANA HMO","gross charge":"700","discounted cash price":"175","payer-specific negotiated charge":"437.28","de-identified minimum negotiated charge":"36.79","de-identified maximum negotiated charge":"593"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"AMBETTER","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"148.75","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"AMERIGROUP","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"15.16","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.98","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"AETNA MCARE MGD CARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"58.21","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72156","code description":"MRI NECK SPINE W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"376.87","de-identified minimum negotiated charge":"338.32","de-identified maximum negotiated charge":"3,019.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"AETNA MCARE MGD CARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"16.32","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"KAISER","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"15.17","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"UHC MCARE","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"36.28","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"UHC MCARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"115.82","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"KAISER MCARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93976","code description":"VASCULAR STUDY","payer":"MEDICARE","gross charge":"1,233.00","discounted cash price":"308.25","payer-specific negotiated charge":"161.64","de-identified minimum negotiated charge":"56.87","de-identified maximum negotiated charge":"736.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"314","code description":"OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC","payer":"MEDICARE","gross charge":"149,738.64","discounted cash price":"37,434.66","payer-specific negotiated charge":"21,643.27","de-identified minimum negotiated charge":"13,123.80","de-identified maximum negotiated charge":"47,913.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"CIGNA HMO","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"23.07","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"HUMANA HMO","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"292.94","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"1,098.32","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"386.24","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"AMBETTER","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"76.35","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76805","code description":"OB US \u003e/= 14 WKS SNGL FETUS","payer":"BC HMO","gross charge":"1,479.00","discounted cash price":"369.75","payer-specific negotiated charge":"769.51","de-identified minimum negotiated charge":"77.8","de-identified maximum negotiated charge":"1,109.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"CARESOURCE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"24.72","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"47.7","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.15","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"BC HMO","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"88.62","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"UHC HMO","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"118.35","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"CIGNA HMO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"105.47","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73630","code description":"X-RAY EXAM OF FOOT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"107.38","de-identified minimum negotiated charge":"46.12","de-identified maximum negotiated charge":"498"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"AETNA PPO","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"108.59","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"KAISER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"15.15","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87107","code description":"FUNGI IDENTIFICATION MOLD","payer":"AMBETTER","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"179.64","de-identified minimum negotiated charge":"21.19","de-identified maximum negotiated charge":"247.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"36.89","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"KAISER","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"14.24","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"HUMANA HMO","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,918.37","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"UHC MCARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"78.74","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82784","code description":"ASSAY IGA/IGD/IGG/IGM EACH","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"290","discounted cash price":"72.5","payer-specific negotiated charge":"18.14","de-identified minimum negotiated charge":"6.12","de-identified maximum negotiated charge":"212.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"AETNA MCARE MGD CARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"30.88","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"AETNA PPO","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"280.28","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"259.3","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"86.32","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93320","code description":"DOPPLER ECHO EXAM HEART","payer":"BC HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"434.34","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93325","code description":"DOPPLER COLOR FLOW ADD-ON","payer":"BC HMO","gross charge":"717.5","discounted cash price":"179.38","payer-specific negotiated charge":"434.34","de-identified minimum negotiated charge":"52.72","de-identified maximum negotiated charge":"434.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93312","code description":"ECHO TRANSESOPHAGEAL","payer":"BC HMO","gross charge":"2,728.50","discounted cash price":"682.13","payer-specific negotiated charge":"1,651.72","de-identified minimum negotiated charge":"200.48","de-identified maximum negotiated charge":"1,651.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"AMERIGROUP","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"38.44","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62328","code description":"DX LMBR SPI PNXR W/FLUOR/CT","payer":"AMBETTER","gross charge":"2,067.00","discounted cash price":"516.75","payer-specific negotiated charge":"1,438.08","de-identified minimum negotiated charge":"306.38","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"V2632","code description":"POST CHMBR INTRAOCULAR LENS","payer":"BC HMO","gross charge":"562","discounted cash price":"140.5","payer-specific negotiated charge":"316.1","de-identified minimum negotiated charge":"31.33","de-identified maximum negotiated charge":"316.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"AMBETTER","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"2.17","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"KAISER","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.59","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"PEACHSTATE-CENTENE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"41.09","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"UHC PPO","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"55.08","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"UHC MCARE","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"41.31","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"UHC MCARE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"65.44","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"UHC MCARE","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"271.25","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"CIGNA PPO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"531","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"UHC MCARE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"14.49","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"BC PPO","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"89.99","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72125","code description":"CT NECK SPINE W/O DYE","payer":"KAISER MCARE","gross charge":"3,853.50","discounted cash price":"963.38","payer-specific negotiated charge":"354.62","de-identified minimum negotiated charge":"134.65","de-identified maximum negotiated charge":"2,855.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"CIGNA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.85","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"HUMANA HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"4.06","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"UHC PPO","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"946.43","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97140","code description":"MANUAL THERAPY 1/\u003e REGIONS","payer":"HUMANA HMO","gross charge":"287","discounted cash price":"71.75","payer-specific negotiated charge":"17","de-identified minimum negotiated charge":"17","de-identified maximum negotiated charge":"220.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73100","code description":"X-RAY EXAM OF WRIST","payer":"UHC MCARE","gross charge":"486","discounted cash price":"121.5","payer-specific negotiated charge":"108.32","de-identified minimum negotiated charge":"17.2","de-identified maximum negotiated charge":"310.82"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"CARESOURCE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"14,645.84","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8902","code description":"MRA W/O FOL W/CONT, ABD","payer":"MEDICARE","gross charge":"7,065.00","discounted cash price":"1,766.25","payer-specific negotiated charge":"332.22","de-identified minimum negotiated charge":"332.22","de-identified maximum negotiated charge":"1,529.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"AETNA HMO","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"22.62","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"2.15","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.18","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"AETNA HMO","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"61.55","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"CIGNA HMO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"227.89","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"AETNA HMO","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"66.31","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"AETNA MCARE MGD CARE","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"21.67","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82550","code description":"ASSAY OF CK (CPK)","payer":"KAISER MCARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"11.73","de-identified minimum negotiated charge":"4.01","de-identified maximum negotiated charge":"58.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95885","code description":"MUSC TST DONE W/NERV TST LIM","payer":"AMBETTER","gross charge":"594","discounted cash price":"148.5","payer-specific negotiated charge":"279.18","de-identified minimum negotiated charge":"243.54","de-identified maximum negotiated charge":"279.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"HUMANA HMO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"717.56","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"CIGNA HMO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"658.98","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85610","code description":"PROTHROMBIN TIME","payer":"AETNA PPO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"14.87","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"29.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"AETNA HMO","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"61.23","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"BCBS SMARTVALUE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.98","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"HUMANA HMO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"134.99","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"UHC MCARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"19.86","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76815","code description":"OB US LIMITED FETUS(S)","payer":"AMERIGROUP","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"112.3","de-identified minimum negotiated charge":"95.67","de-identified maximum negotiated charge":"729.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76870","code description":"US EXAM SCROTUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"901","discounted cash price":"225.25","payer-specific negotiated charge":"83.03","de-identified minimum negotiated charge":"66.92","de-identified maximum negotiated charge":"570.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0500","code description":"DICYCLOMINE INJECTION","payer":"MEDICAID","gross charge":"422.5","discounted cash price":"105.63","payer-specific negotiated charge":"66.43","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"359.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"PEACHSTATE-CENTENE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"92.25","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"PEACHSTATE-CENTENE","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"139.3","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2550","code description":"PROMETHAZINE HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.37","de-identified minimum negotiated charge":"4.47","de-identified maximum negotiated charge":"48.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.83","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"CARESOURCE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.25","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"UHC HMO","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"254.01","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"27.23","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84156","code description":"ASSAY OF PROTEIN URINE","payer":"MEDICAID","gross charge":"207.15","discounted cash price":"51.79","payer-specific negotiated charge":"33.87","de-identified minimum negotiated charge":"4.11","de-identified maximum negotiated charge":"128.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84484","code description":"ASSAY OF TROPONIN QUANT","payer":"CLOVER HEALTH","gross charge":"326","discounted cash price":"81.5","payer-specific negotiated charge":"52.73","de-identified minimum negotiated charge":"19.28","de-identified maximum negotiated charge":"310"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"MEDICARE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"76.5","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83519","code description":"RIA NONANTIBODY","payer":"UHC MCARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"18.11","de-identified minimum negotiated charge":"18.11","de-identified maximum negotiated charge":"37.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.11","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"KAISER","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"198.98","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70498","code description":"CT ANGIOGRAPHY NECK","payer":"AETNA PPO","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"1,736.78","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"CARESOURCE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"5.62","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"UHC MCARE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"68.88","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88307","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"CIGNA PPO","gross charge":"849","discounted cash price":"212.25","payer-specific negotiated charge":"319.5","de-identified minimum negotiated charge":"82.3","de-identified maximum negotiated charge":"595.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86920","code description":"COMPATIBILITY TEST SPIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"65.82","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86922","code description":"COMPATIBILITY TEST ANTIGLOB","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"539","discounted cash price":"134.75","payer-specific negotiated charge":"65.82","de-identified minimum negotiated charge":"17.11","de-identified maximum negotiated charge":"219.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0330","code description":"SUCCINYCHOLINE CHLORIDE INJ","payer":"BC PPO","gross charge":"19.78","discounted cash price":"4.95","payer-specific negotiated charge":"12.67","de-identified minimum negotiated charge":"0.42","de-identified maximum negotiated charge":"12.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86921","code description":"COMPATIBILITY TEST INCUBATE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"330","discounted cash price":"82.5","payer-specific negotiated charge":"40.29","de-identified minimum negotiated charge":"10.47","de-identified maximum negotiated charge":"134.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88311","code description":"DECALCIFY TISSUE","payer":"BCBS SMARTVALUE PFFS","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"25.42","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"111.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CARESOURCE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"19.72","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"KAISER","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"274.98","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"BC PPO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,025.23","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"BC HMO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"749.63","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"AETNA MCARE MGD CARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"53.76","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"PEACHSTATE-CENTENE","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.37","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"8.14","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"BC PPO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"46.17","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"BC PPO","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"15.16","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7510","code description":"PREDNISOLONE ORAL PER 5 MG","payer":"CIGNA HMO","gross charge":"8.33","discounted cash price":"2.08","payer-specific negotiated charge":"5.91","de-identified minimum negotiated charge":"0.93","de-identified maximum negotiated charge":"6.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"CIGNA HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"568","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1726","code description":"CATH, BAL DIL, NON-VASCULAR","payer":"BC HMO","gross charge":"7,697.00","discounted cash price":"1,924.25","payer-specific negotiated charge":"3,605.41","de-identified minimum negotiated charge":"153.03","de-identified maximum negotiated charge":"3,605.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"AETNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"61.78","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"AETNA HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"61.78","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"MEDICAID","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"14.97","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86800","code description":"THYROGLOBULIN ANTIBODY","payer":"AETNA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"32.19","de-identified minimum negotiated charge":"9.64","de-identified maximum negotiated charge":"50.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"BCBS SMARTVALUE PFFS","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"80.82","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"UHC HMO","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"349.96","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"BC HMO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"183.24","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73206","code description":"CT ANGIO UPR EXTRM W/O\u0026W/DYE","payer":"MEDICARE","gross charge":"4,045.00","discounted cash price":"1,011.25","payer-specific negotiated charge":"280.02","de-identified minimum negotiated charge":"280.02","de-identified maximum negotiated charge":"1,014.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"AETNA PPO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"139.62","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"542","code description":"PATHOLOGICAL FRACTURES \u0026 MUSCULOSKELET \u0026 CONN TISS MALIG W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"248,507.50","discounted cash price":"62,126.88","payer-specific negotiated charge":"25,586.33","de-identified minimum negotiated charge":"14,761.31","de-identified maximum negotiated charge":"25,586.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74175","code description":"CT ANGIO ABDOM W/O \u0026 W/DYE","payer":"BC HMO","gross charge":"4,247.00","discounted cash price":"1,061.75","payer-specific negotiated charge":"1,517.02","de-identified minimum negotiated charge":"78.15","de-identified maximum negotiated charge":"1,712.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97110","code description":"THERAPEUTIC EXERCISES","payer":"KAISER MCARE","gross charge":"236","discounted cash price":"59","payer-specific negotiated charge":"53.65","de-identified minimum negotiated charge":"7.77","de-identified maximum negotiated charge":"191.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"BC HMO","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"84.01","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"CHAMPUS TRICARE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"24.34","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"164","code description":"MAJOR CHEST PROCEDURES W CC","payer":"UHC MCARE","gross charge":"115,329.50","discounted cash price":"28,832.38","payer-specific negotiated charge":"34,647.93","de-identified minimum negotiated charge":"16,866.63","de-identified maximum negotiated charge":"34,647.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71045","code description":"X-RAY EXAM CHEST 1 VIEW","payer":"CLOVER HEALTH","gross charge":"573","discounted cash price":"143.25","payer-specific negotiated charge":"81.8","de-identified minimum negotiated charge":"40.11","de-identified maximum negotiated charge":"546"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"AETNA PPO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"273.42","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3475","code description":"INJ MAGNESIUM SULFATE","payer":"CARESOURCE","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"3.72","de-identified minimum negotiated charge":"3.72","de-identified maximum negotiated charge":"43.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"UHC MCARE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"8.96","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70496","code description":"CT ANGIOGRAPHY HEAD","payer":"CHAMPUS TRICARE","gross charge":"4,129.00","discounted cash price":"1,032.25","payer-specific negotiated charge":"223.34","de-identified minimum negotiated charge":"109.53","de-identified maximum negotiated charge":"1,736.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CHAMPUS TRICARE","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"51.49","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"111","code description":"MEDICAL/SURGICAL/GYN UB04 REVENUE CODE","payer":"PHCS","gross charge":"1,738.14","discounted cash price":"434.54","payer-specific negotiated charge":"970.96","de-identified minimum negotiated charge":"140.77","de-identified maximum negotiated charge":"1,173.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"UHC HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"335.26","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"HUMANA HMO","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"447.9","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0480","code description":"DRUG TEST DEF 1-7 CLASSES","payer":"KAISER MCARE","gross charge":"465","discounted cash price":"116.25","payer-specific negotiated charge":"86.56","de-identified minimum negotiated charge":"29.61","de-identified maximum negotiated charge":"376.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90832","code description":"PSYTX W PT 30 MINUTES","payer":"AMERIGROUP","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"39.73","de-identified minimum negotiated charge":"18.23","de-identified maximum negotiated charge":"82.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"21.51","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"HUMANA HMO","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"80.68","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"CARESOURCE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"8.14","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.62","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"BC PPO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"145.77","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0008","code description":"ADMIN INFLUENZA VIRUS VAC","payer":"AETNA HMO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"23.18","de-identified minimum negotiated charge":"4.46","de-identified maximum negotiated charge":"23.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90471","code description":"IMMUNIZATION ADMIN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"129","discounted cash price":"32.25","payer-specific negotiated charge":"19.49","de-identified minimum negotiated charge":"6.25","de-identified maximum negotiated charge":"119.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"BC HMO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"174.23","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"BC HMO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"695.46","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76000","code description":"FLUOROSCOPY \u003c1 HR PHYS/QHP","payer":"MEDICARE","gross charge":"886","discounted cash price":"221.5","payer-specific negotiated charge":"224.53","de-identified minimum negotiated charge":"133.68","de-identified maximum negotiated charge":"549.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"CHAMPUS TRICARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"101.84","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"AETNA MCARE MGD CARE","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"60.6","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"UHC MCARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"11.77","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"AMBETTER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"38.28","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90662","code description":"IIV NO PRSV INCREASED AG IM","payer":"UHC MCARE","gross charge":"347","discounted cash price":"86.75","payer-specific negotiated charge":"130.46","de-identified minimum negotiated charge":"130.46","de-identified maximum negotiated charge":"131.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"UHC MCARE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"20.83","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"AETNA HMO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"117.12","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70544","code description":"MR ANGIOGRAPHY HEAD W/O DYE","payer":"AETNA PPO","gross charge":"3,707.00","discounted cash price":"926.75","payer-specific negotiated charge":"1,245.75","de-identified minimum negotiated charge":"128.74","de-identified maximum negotiated charge":"3,000.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"CIGNA HMO","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"174.65","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"UHC MCARE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"390.49","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"75571","code description":"CT HRT W/O DYE W/CA TEST","payer":"AETNA MCARE MGD CARE","gross charge":"1,413.33","discounted cash price":"353.33","payer-specific negotiated charge":"139.01","de-identified minimum negotiated charge":"68.99","de-identified maximum negotiated charge":"1,318.80"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"412.85","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"MULTI-PLAN","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"4.05","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"698","code description":"OTHER KIDNEY \u0026 URINARY TRACT DIAGNOSES W MCC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"166,090.25","discounted cash price":"41,522.56","payer-specific negotiated charge":"24,119.22","de-identified minimum negotiated charge":"6,430.00","de-identified maximum negotiated charge":"36,574.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"UHC MCARE","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"69.08","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"919","code description":"COMPLICATIONS OF TREATMENT W MCC","payer":"WELLCARE MCARE MGD CARE","gross charge":"124,659.50","discounted cash price":"31,164.88","payer-specific negotiated charge":"15,063.59","de-identified minimum negotiated charge":"7,353.12","de-identified maximum negotiated charge":"17,017.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"47538","code description":"PERQ PLMT BILE DUCT STENT","payer":"MEDICARE","gross charge":"17,031.00","discounted cash price":"4,257.75","payer-specific negotiated charge":"2,349.18","de-identified minimum negotiated charge":"2,349.18","de-identified maximum negotiated charge":"5,658.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"PHCS","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"3.54","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96376","code description":"TX/PRO/DX INJ SAME DRUG ADON","payer":"KAISER SELF-FUNDED","gross charge":"471.67","discounted cash price":"117.92","payer-specific negotiated charge":"57.34","de-identified minimum negotiated charge":"21.55","de-identified maximum negotiated charge":"349.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"AETNA PPO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"2,265.48","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"CARESOURCE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"40.28","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19081","code description":"BX BREAST 1ST LESION STRTCTC","payer":"UHC HMO","gross charge":"5,745.00","discounted cash price":"1,436.25","payer-specific negotiated charge":"3,903.07","de-identified minimum negotiated charge":"826.92","de-identified maximum negotiated charge":"5,562.33"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"AMERIGROUP","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"27.31","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"987","code description":"NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC","payer":"MEDICARE","gross charge":"166,700.64","discounted cash price":"41,675.16","payer-specific negotiated charge":"35,942.93","de-identified minimum negotiated charge":"30,845.14","de-identified maximum negotiated charge":"48,255.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"MEDICAID","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.71","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"CHAMPUS TRICARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"17.01","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"KAISER","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"102.3","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"BC PPO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"213.28","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"AMBETTER","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"82.24","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"KAISER","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"9.89","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BC PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.02","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"PEACHSTATE-CENTENE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"10.9","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"UHC MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"31.9","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"HUMANA HMO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"16.61","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20610","code description":"DRAIN/INJ JOINT/BURSA W/O US","payer":"MEDICARE","gross charge":"602","discounted cash price":"150.5","payer-specific negotiated charge":"60.4","de-identified minimum negotiated charge":"50.86","de-identified maximum negotiated charge":"573"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"637","code description":"DIABETES W MCC","payer":"MEDICAID","gross charge":"126,505.50","discounted cash price":"31,626.38","payer-specific negotiated charge":"16,818.33","de-identified minimum negotiated charge":"1,166.95","de-identified maximum negotiated charge":"39,670.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"BCBS SMARTVALUE PFFS","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"12.36","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"AETNA PPO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"69.94","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"AMERIGROUP","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.01","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2310","code description":"INJ NALOXONE HYDROCHLORIDE","payer":"MEDICARE","gross charge":"140.29","discounted cash price":"35.07","payer-specific negotiated charge":"16.9","de-identified minimum negotiated charge":"6.43","de-identified maximum negotiated charge":"75.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"CARESOURCE","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"270","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87040","code description":"BLOOD CULTURE FOR BACTERIA","payer":"UHC MCARE","gross charge":"470","discounted cash price":"117.5","payer-specific negotiated charge":"67.89","de-identified minimum negotiated charge":"28.23","de-identified maximum negotiated charge":"352.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"371","code description":"MAJOR GASTROINTESTINAL DISORDERS \u0026 PERITONEAL INFECTIONS W MCC","payer":"UHC MCARE","gross charge":"249,996.50","discounted cash price":"62,499.13","payer-specific negotiated charge":"25,295.91","de-identified minimum negotiated charge":"10,607.31","de-identified maximum negotiated charge":"25,295.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"22.08","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"23.53","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.35","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"BC HMO","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"95.7","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2704","code description":"INJ, PROPOFOL, 10 MG","payer":"PEACHSTATE-CENTENE","gross charge":"5.25","discounted cash price":"1.31","payer-specific negotiated charge":"0.67","de-identified minimum negotiated charge":"0.47","de-identified maximum negotiated charge":"4.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90935","code description":"HEMODIALYSIS ONE EVALUATION","payer":"BC HMO","gross charge":"2,123.00","discounted cash price":"530.75","payer-specific negotiated charge":"452.3","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,324.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76705","code description":"ECHO EXAM OF ABDOMEN","payer":"KAISER MCARE","gross charge":"1,235.00","discounted cash price":"308.75","payer-specific negotiated charge":"181.13","de-identified minimum negotiated charge":"77.84","de-identified maximum negotiated charge":"882"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"27.31","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49418","code description":"INSERT TUN IP CATH PERC","payer":"BC HMO","gross charge":"8,706.00","discounted cash price":"2,176.50","payer-specific negotiated charge":"8,290.99","de-identified minimum negotiated charge":"1,895.43","de-identified maximum negotiated charge":"8,290.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90791","code description":"PSYCH DIAGNOSTIC EVALUATION","payer":"AMERIGROUP","gross charge":"168.14","discounted cash price":"42.04","payer-specific negotiated charge":"93.06","de-identified minimum negotiated charge":"6.18","de-identified maximum negotiated charge":"167"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"WELLCARE MCARE MGD CARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"4.26","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9520","code description":"TC99 TILMANOCEPT DIAG 0.5MCI","payer":"AETNA HMO","gross charge":"1,051.00","discounted cash price":"262.75","payer-specific negotiated charge":"714.72","de-identified minimum negotiated charge":"95.05","de-identified maximum negotiated charge":"714.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CLOVER HEALTH","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"17.29","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83605","code description":"ASSAY OF LACTIC ACID","payer":"WELLCARE MCARE MGD CARE","gross charge":"373","discounted cash price":"93.25","payer-specific negotiated charge":"34.93","de-identified minimum negotiated charge":"12.56","de-identified maximum negotiated charge":"301.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"AMBETTER","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"422.93","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"22.09","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"FIRST HLTH NTWK","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"2.93","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"286","code description":"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","payer":"MEDICARE","gross charge":"172,174.00","discounted cash price":"43,043.50","payer-specific negotiated charge":"32,184.77","de-identified minimum negotiated charge":"10,774.00","de-identified maximum negotiated charge":"32,184.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.15","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"MEDICARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.31","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"BC HMO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,404.11","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0378","code description":"HOSPITAL OBSERVATION PER HR","payer":"CLOVER HEALTH","gross charge":"2,762.34","discounted cash price":"690.58","payer-specific negotiated charge":"324.04","de-identified minimum negotiated charge":"79.24","de-identified maximum negotiated charge":"1,650.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1894","code description":"INTRO/SHEATH, NON-LASER","payer":"CIGNA HMO","gross charge":"854","discounted cash price":"213.5","payer-specific negotiated charge":"242.28","de-identified minimum negotiated charge":"30.78","de-identified maximum negotiated charge":"387.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"AETNA HMO","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"282.8","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"BC PPO","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"237.28","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2930","code description":"METHYLPREDNISOLONE INJECTION","payer":"CARESOURCE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"9.65","de-identified minimum negotiated charge":"6.62","de-identified maximum negotiated charge":"75.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83935","code description":"ASSAY OF URINE OSMOLALITY","payer":"HUMANA HMO","gross charge":"229","discounted cash price":"57.25","payer-specific negotiated charge":"47.85","de-identified minimum negotiated charge":"8.11","de-identified maximum negotiated charge":"163.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76376","code description":"3D RENDER W/INTRP POSTPROCES","payer":"KAISER MCARE","gross charge":"1,004.00","discounted cash price":"251","payer-specific negotiated charge":"113.54","de-identified minimum negotiated charge":"29.01","de-identified maximum negotiated charge":"717"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"CHAMPUS TRICARE","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"95.78","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82947","code description":"ASSAY GLUCOSE BLOOD QUANT","payer":"HUMANA HMO","gross charge":"84","discounted cash price":"21","payer-specific negotiated charge":"33.18","de-identified minimum negotiated charge":"4.31","de-identified maximum negotiated charge":"69.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"HUMANA HMO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"45.65","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"54.2","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"KAISER PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.26","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"HUMANA HMO","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"43.9","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"AMBETTER","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"107.39","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.84","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"UHC HMO","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"5.44","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"PEACHSTATE-CENTENE","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"15.29","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"UHC MCARE","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"46.54","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0744","code description":"CIPROFLOXACIN IV","payer":"AETNA MCARE MGD CARE","gross charge":"129.88","discounted cash price":"32.47","payer-specific negotiated charge":"20.75","de-identified minimum negotiated charge":"4.2","de-identified maximum negotiated charge":"69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.75","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"62.88","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96366","code description":"THER/PROPH/DIAG IV INF ADDON","payer":"CIGNA PPO","gross charge":"257.12","discounted cash price":"64.28","payer-specific negotiated charge":"87.26","de-identified minimum negotiated charge":"11.4","de-identified maximum negotiated charge":"252"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83970","code description":"ASSAY OF PARATHORMONE","payer":"AETNA HMO","gross charge":"835","discounted cash price":"208.75","payer-specific negotiated charge":"193.08","de-identified minimum negotiated charge":"23.2","de-identified maximum negotiated charge":"556.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"AETNA HMO","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"422.68","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"AMBETTER","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"385.83","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"UHC MCARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"11.06","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"MEDICAID","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"244.91","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"PEACHSTATE-CENTENE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"29.55","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"KAISER PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"22.75","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"CHAMPUS TRICARE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"364.97","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"BCBS SMARTVALUE PFFS","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"49.27","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73502","code description":"X-RAY EXAM HIP UNI 2-3 VIEWS","payer":"AETNA PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"360.84","de-identified minimum negotiated charge":"48.09","de-identified maximum negotiated charge":"436.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36573","code description":"INSJ PICC RS\u0026I 5 YR+","payer":"BC HMO","gross charge":"4,150.00","discounted cash price":"1,037.50","payer-specific negotiated charge":"3,974.00","de-identified minimum negotiated charge":"596.78","de-identified maximum negotiated charge":"3,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89060","code description":"EXAM SYNOVIAL FLUID CRYSTALS","payer":"MEDICARE","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"12.41","de-identified minimum negotiated charge":"10.12","de-identified maximum negotiated charge":"99.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"PEACHSTATE-CENTENE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"10.94","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3411","code description":"THIAMINE HCL 100 MG","payer":"AETNA HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"11.99","de-identified minimum negotiated charge":"1.06","de-identified maximum negotiated charge":"32.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"AETNA MCARE MGD CARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"27.08","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"375","code description":"DIGESTIVE MALIGNANCY W CC","payer":"MEDICARE","gross charge":"62,167.38","discounted cash price":"15,541.84","payer-specific negotiated charge":"7,947.31","de-identified minimum negotiated charge":"6,809.59","de-identified maximum negotiated charge":"10,528.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97162","code description":"PT EVAL MOD COMPLEX 30 MIN","payer":"HUMANA HMO","gross charge":"621.88","discounted cash price":"155.47","payer-specific negotiated charge":"109.32","de-identified minimum negotiated charge":"87.94","de-identified maximum negotiated charge":"463.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"CARESOURCE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"92.51","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"29.15","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"UHC MCARE","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"57.08","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"BC HMO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"37.96","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"UHC MCARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"49.73","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"MEDICAID","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"548.78","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"AMBETTER","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"36.33","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87338","code description":"HPYLORI STOOL AG IA","payer":"AETNA HMO","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"7.76","de-identified minimum negotiated charge":"2.28","de-identified maximum negotiated charge":"18.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"AETNA MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"12.89","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"BC HMO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"19.01","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"AMERIGROUP","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"24.47","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"CLOVER HEALTH","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"33.82","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"CIGNA HMO","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"35.11","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"28.61","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88309","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"PEACHSTATE-CENTENE","gross charge":"894","discounted cash price":"223.5","payer-specific negotiated charge":"121.59","de-identified minimum negotiated charge":"48.22","de-identified maximum negotiated charge":"411.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1769","code description":"GUIDE WIRE","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,027.33","discounted cash price":"256.83","payer-specific negotiated charge":"77.54","de-identified minimum negotiated charge":"23.15","de-identified maximum negotiated charge":"430.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"UHC HMO","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"54.44","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"AMBETTER","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"258.38","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74300","code description":"X-RAY BILE DUCTS/PANCREAS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,050.00","discounted cash price":"512.5","payer-specific negotiated charge":"379.62","de-identified minimum negotiated charge":"124.18","de-identified maximum negotiated charge":"793.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"KAISER","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"36.59","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80202","code description":"ASSAY OF VANCOMYCIN","payer":"BC HMO","gross charge":"412","discounted cash price":"103","payer-specific negotiated charge":"91.94","de-identified minimum negotiated charge":"12.44","de-identified maximum negotiated charge":"129.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72074","code description":"X-RAY EXAM THORAC SPINE4/\u003eVW","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"855","discounted cash price":"213.75","payer-specific negotiated charge":"53.88","de-identified minimum negotiated charge":"30.55","de-identified maximum negotiated charge":"599"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AMERIGROUP","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"7.33","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"104.07","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"AETNA MCARE MGD CARE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"109.39","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"BC HMO","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"11.65","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"BC PPO","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"55.19","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"20225","code description":"BONE BIOPSY TROCAR/NEEDLE","payer":"MEDICAID","gross charge":"2,828.00","discounted cash price":"707","payer-specific negotiated charge":"460.44","de-identified minimum negotiated charge":"241.97","de-identified maximum negotiated charge":"2,410.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"PEACHSTATE-CENTENE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"439","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2270","code description":"MORPHINE SULFATE INJECTION","payer":"KAISER SELF-FUNDED","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"13.23","de-identified minimum negotiated charge":"5.85","de-identified maximum negotiated charge":"105"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0202U","code description":"NFCT DS 22 TRGT SARS-COV-2","payer":"CIGNA PPO","gross charge":"1,379.00","discounted cash price":"344.75","payer-specific negotiated charge":"667.1","de-identified minimum negotiated charge":"105.44","de-identified maximum negotiated charge":"1,149.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"CARESOURCE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"194.52","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"UHC MCARE","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"166.35","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"208","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003c=96 HOURS","payer":"AETNA MCARE MGD CARE","gross charge":"195,016.50","discounted cash price":"48,754.13","payer-specific negotiated charge":"36,908.13","de-identified minimum negotiated charge":"14,645.84","de-identified maximum negotiated charge":"36,908.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"CIGNA HMO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"47.94","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"UHC MCARE","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"11.01","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CIGNA PPO","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"2.19","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"HUMANA HMO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"1,762.32","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3486","code description":"ZIPRASIDONE MESYLATE","payer":"AMERIGROUP","gross charge":"99.5","discounted cash price":"24.88","payer-specific negotiated charge":"13.26","de-identified minimum negotiated charge":"4.97","de-identified maximum negotiated charge":"32.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74019","code description":"X-RAY EXAM ABDOMEN 2 VIEWS","payer":"CARESOURCE","gross charge":"654","discounted cash price":"163.5","payer-specific negotiated charge":"179.57","de-identified minimum negotiated charge":"35.41","de-identified maximum negotiated charge":"506.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"AETNA MCARE MGD CARE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"43.1","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82040","code description":"ASSAY OF SERUM ALBUMIN","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"18.4","discounted cash price":"4.6","payer-specific negotiated charge":"1.8","de-identified minimum negotiated charge":"1.08","de-identified maximum negotiated charge":"2.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80074","code description":"ACUTE HEPATITIS PANEL","payer":"AETNA HMO","gross charge":"843.5","discounted cash price":"210.88","payer-specific negotiated charge":"193.12","de-identified minimum negotiated charge":"43.18","de-identified maximum negotiated charge":"498.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"AMERIGROUP","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"18.16","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"48.34","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"MEDICARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"22.39","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"91.87","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84133","code description":"ASSAY OF URINE POTASSIUM","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"91.87","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CIGNA HMO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.36","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"MEDICAID","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"87.08","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97535","code description":"SELF CARE MNGMENT TRAINING","payer":"HUMANA HMO","gross charge":"233.8","discounted cash price":"58.45","payer-specific negotiated charge":"41.24","de-identified minimum negotiated charge":"9.43","de-identified maximum negotiated charge":"167.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"120.9","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"CLOVER HEALTH","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"22.71","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"AETNA MCARE MGD CARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"74.69","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92507","code description":"SPEECH/HEARING THERAPY","payer":"WELLCARE MCARE MGD CARE","gross charge":"332.03","discounted cash price":"83.01","payer-specific negotiated charge":"94.01","de-identified minimum negotiated charge":"17.09","de-identified maximum negotiated charge":"255.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"CIGNA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"139.23","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73590","code description":"X-RAY EXAM OF LOWER LEG","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"627.38","discounted cash price":"156.84","payer-specific negotiated charge":"57.85","de-identified minimum negotiated charge":"28.47","de-identified maximum negotiated charge":"346.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"AETNA MCARE MGD CARE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"8.61","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"AMBETTER","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"26.45","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82043","code description":"UR ALBUMIN QUANTITATIVE","payer":"AMBETTER","gross charge":"438.33","discounted cash price":"109.58","payer-specific negotiated charge":"36.91","de-identified minimum negotiated charge":"13.12","de-identified maximum negotiated charge":"300.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"824","code description":"LYMPHOMA \u0026 NON-ACUTE LEUKEMIA W OTHER PROC W CC","payer":"AETNA MCARE MGD CARE","gross charge":"296,449.50","discounted cash price":"74,112.38","payer-specific negotiated charge":"35,455.65","de-identified minimum negotiated charge":"35,455.65","de-identified maximum negotiated charge":"35,455.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72110","code description":"X-RAY EXAM L-2 SPINE 4/\u003eVWS","payer":"KAISER MCARE","gross charge":"795","discounted cash price":"198.75","payer-specific negotiated charge":"119.41","de-identified minimum negotiated charge":"55.99","de-identified maximum negotiated charge":"596.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"AMBETTER","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"24.86","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72193","code description":"CT PELVIS W/DYE","payer":"AMBETTER","gross charge":"4,405.00","discounted cash price":"1,101.25","payer-specific negotiated charge":"1,025.03","de-identified minimum negotiated charge":"157.08","de-identified maximum negotiated charge":"1,467.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2060","code description":"LORAZEPAM INJECTION","payer":"AMERIGROUP","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.01","de-identified minimum negotiated charge":"6.24","de-identified maximum negotiated charge":"78.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99153","code description":"MOD SED SAME PHYS/QHP EA","payer":"AETNA PPO","gross charge":"147","discounted cash price":"36.75","payer-specific negotiated charge":"76.01","de-identified minimum negotiated charge":"11.72","de-identified maximum negotiated charge":"119"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"AETNA MCARE MGD CARE","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"10.74","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94002","code description":"VENT MGMT INPAT INIT DAY","payer":"MEDICARE","gross charge":"2,612.50","discounted cash price":"653.13","payer-specific negotiated charge":"197.14","de-identified minimum negotiated charge":"148.48","de-identified maximum negotiated charge":"744.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72128","code description":"CT CHEST SPINE W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,822.00","discounted cash price":"955.5","payer-specific negotiated charge":"209.26","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"2,088.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"29.51","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"AETNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"58","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87522","code description":"HEPATITIS C REVRS TRNSCRPJ","payer":"AMBETTER","gross charge":"1,272.00","discounted cash price":"318","payer-specific negotiated charge":"39.56","de-identified minimum negotiated charge":"6.94","de-identified maximum negotiated charge":"190.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"KAISER","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"76.36","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74174","code description":"CT ANGIO ABD\u0026PELV W/O\u0026W/DYE","payer":"UHC MCARE","gross charge":"6,348.00","discounted cash price":"1,587.00","payer-specific negotiated charge":"824.54","de-identified minimum negotiated charge":"318.45","de-identified maximum negotiated charge":"1,613.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"PEACHSTATE-CENTENE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"192.65","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7050","code description":"NORMAL SALINE SOLUTION INFUS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"35.76","de-identified minimum negotiated charge":"9.17","de-identified maximum negotiated charge":"176.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.53","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"AETNA PPO","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"160.69","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"206","code description":"INTENSIVE CARE - INTERMEDIATE ICU","payer":"PHCS","gross charge":"5,206.00","discounted cash price":"1,301.50","payer-specific negotiated charge":"3,425.52","de-identified minimum negotiated charge":"720.77","de-identified maximum negotiated charge":"3,425.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99281","code description":"EMR DPT VST MAYX REQ PHY/QHP","payer":"WELLCARE MCARE MGD CARE","gross charge":"455","discounted cash price":"113.75","payer-specific negotiated charge":"72.32","de-identified minimum negotiated charge":"66.19","de-identified maximum negotiated charge":"567.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"BC PPO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"177.57","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"MEDICAID","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"5.79","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"MEDICARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"56.2","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9558","code description":"XE133 XENON 10MCI","payer":"CIGNA HMO","gross charge":"735","discounted cash price":"183.75","payer-specific negotiated charge":"386.11","de-identified minimum negotiated charge":"19.48","de-identified maximum negotiated charge":"551.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"78582","code description":"LUNG VENTILAT\u0026PERFUS IMAGING","payer":"CIGNA HMO","gross charge":"2,934.00","discounted cash price":"733.5","payer-specific negotiated charge":"1,541.12","de-identified minimum negotiated charge":"77.76","de-identified maximum negotiated charge":"2,200.50"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"WELLCARE MCARE MGD CARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"25.75","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"AETNA PPO","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"120.83","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"AETNA MCARE PFFS","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"70.61","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"WELLCARE MCARE MGD CARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"87.9","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74150","code description":"CT ABDOMEN W/O DYE","payer":"AETNA MCARE MGD CARE","gross charge":"3,953.00","discounted cash price":"988.25","payer-specific negotiated charge":"209.48","de-identified minimum negotiated charge":"106.02","de-identified maximum negotiated charge":"1,742.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"UHC MCARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"49180","code description":"BIOPSY ABDOMINAL MASS","payer":"UHC MCARE","gross charge":"2,751.00","discounted cash price":"687.75","payer-specific negotiated charge":"612.6","de-identified minimum negotiated charge":"319.07","de-identified maximum negotiated charge":"2,133.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"CLOVER HEALTH","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"60.33","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51798","code description":"US URINE CAPACITY MEASURE","payer":"AETNA MCARE MGD CARE","gross charge":"818","discounted cash price":"204.5","payer-specific negotiated charge":"71.68","de-identified minimum negotiated charge":"71.68","de-identified maximum negotiated charge":"411.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76000","code description":"FLUOROSCOPY \u003c1 HR PHYS/QHP","payer":"AETNA HMO","gross charge":"886","discounted cash price":"221.5","payer-specific negotiated charge":"549.32","de-identified minimum negotiated charge":"133.68","de-identified maximum negotiated charge":"549.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"KAISER","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"291.19","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"95.95","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"BC PPO","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"1.69","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1630","code description":"HALOPERIDOL INJECTION","payer":"MEDICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"15.17","de-identified minimum negotiated charge":"3.08","de-identified maximum negotiated charge":"39.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"WELLCARE MCARE MGD CARE","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"81.06","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0162","code description":"ONDANSETRON ORAL","payer":"KAISER","gross charge":"30.38","discounted cash price":"7.59","payer-specific negotiated charge":"11.39","de-identified minimum negotiated charge":"1.96","de-identified maximum negotiated charge":"30.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"CLOVER HEALTH","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.01","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70160","code description":"X-RAY EXAM OF NASAL BONES","payer":"AMBETTER","gross charge":"583","discounted cash price":"145.75","payer-specific negotiated charge":"218.93","de-identified minimum negotiated charge":"34.42","de-identified maximum negotiated charge":"559.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88305","code description":"TISSUE EXAM BY PATHOLOGIST","payer":"UHC PPO","gross charge":"702","discounted cash price":"175.5","payer-specific negotiated charge":"467.33","de-identified minimum negotiated charge":"63.95","de-identified maximum negotiated charge":"568.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70486","code description":"CT MAXILLOFACIAL W/O DYE","payer":"KAISER","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"316.17","de-identified minimum negotiated charge":"105.38","de-identified maximum negotiated charge":"2,054.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"UHC MCARE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"19.66","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"57.47","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84207","code description":"ASSAY OF VITAMIN B-6","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"193","discounted cash price":"48.25","payer-specific negotiated charge":"8.98","de-identified minimum negotiated charge":"4.03","de-identified maximum negotiated charge":"120.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2185","code description":"MEROPENEM","payer":"MEDICARE","gross charge":"23","discounted cash price":"5.75","payer-specific negotiated charge":"2.3","de-identified minimum negotiated charge":"0.76","de-identified maximum negotiated charge":"9.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80069","code description":"RENAL FUNCTION PANEL","payer":"AMBETTER","gross charge":"495","discounted cash price":"123.75","payer-specific negotiated charge":"324.65","de-identified minimum negotiated charge":"37.23","de-identified maximum negotiated charge":"324.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"BCBS SMARTVALUE PFFS","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"30","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"BCBS SMARTVALUE PFFS","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"95.23","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"AETNA MCARE MGD CARE","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"35.01","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"29.24","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71120","code description":"X-RAY EXAM BREASTBONE 2/\u003eVWS","payer":"UHC MCARE","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"59.72","de-identified minimum negotiated charge":"29.71","de-identified maximum negotiated charge":"298.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"CIGNA PPO","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"50.8","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73040","code description":"CONTRAST X-RAY OF SHOULDER","payer":"BC HMO","gross charge":"638.67","discounted cash price":"159.67","payer-specific negotiated charge":"272.06","de-identified minimum negotiated charge":"65.47","de-identified maximum negotiated charge":"387.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.3","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2212","code description":"METHYLNALTREXONE INJECTION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"6.32","discounted cash price":"1.58","payer-specific negotiated charge":"0.5","de-identified minimum negotiated charge":"0.5","de-identified maximum negotiated charge":"1.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"UHC HMO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"111","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"KAISER MCARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"76.56","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"224.8","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71101","code description":"X-RAY EXAM UNILAT RIBS/CHEST","payer":"KAISER","gross charge":"677","discounted cash price":"169.25","payer-specific negotiated charge":"163.78","de-identified minimum negotiated charge":"26.43","de-identified maximum negotiated charge":"548.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"BC HMO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"8.48","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"PEACHSTATE-CENTENE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"25.2","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87207","code description":"SMEAR SPECIAL STAIN","payer":"BC HMO","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"43.86","de-identified minimum negotiated charge":"43.86","de-identified maximum negotiated charge":"43.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"WELLCARE MCARE MGD CARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"69.32","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"MEDICAID","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"10.28","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"MEDICARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"58.33","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96372","code description":"THER/PROPH/DIAG INJ SC/IM","payer":"UHC PPO","gross charge":"249","discounted cash price":"62.25","payer-specific negotiated charge":"207.36","de-identified minimum negotiated charge":"16","de-identified maximum negotiated charge":"207.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"CHAMPUS TRICARE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"2.54","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85660","code description":"RBC SICKLE CELL TEST","payer":"MEDICAID","gross charge":"183","discounted cash price":"45.75","payer-specific negotiated charge":"23.79","de-identified minimum negotiated charge":"23.79","de-identified maximum negotiated charge":"90.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"CARESOURCE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"191.34","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87389","code description":"HIV-1 AG W/HIV-1\u0026-2 AB AG IA","payer":"MEDICARE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"24.84","de-identified minimum negotiated charge":"7.15","de-identified maximum negotiated charge":"156.24"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"PEACHSTATE-CENTENE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"9.05","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"UHC HMO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,145.47","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"AMBETTER","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"241.74","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1940","code description":"FUROSEMIDE INJECTION","payer":"KAISER","gross charge":"75.6","discounted cash price":"18.9","payer-specific negotiated charge":"10.76","de-identified minimum negotiated charge":"2.67","de-identified maximum negotiated charge":"26.67"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73090","code description":"X-RAY EXAM OF FOREARM","payer":"WELLCARE MCARE MGD CARE","gross charge":"542","discounted cash price":"135.5","payer-specific negotiated charge":"40.48","de-identified minimum negotiated charge":"29.51","de-identified maximum negotiated charge":"382.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"WELLCARE MCARE MGD CARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"17","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"UHC HMO","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"168.48","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"59.66","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70360","code description":"X-RAY EXAM OF NECK","payer":"MEDICARE","gross charge":"372","discounted cash price":"93","payer-specific negotiated charge":"43.38","de-identified minimum negotiated charge":"21.65","de-identified maximum negotiated charge":"354"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"KAISER","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"244.11","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"4","code description":"TRACH W MV \u003e96 HRS OR PDX EXC FACE, MOUTH \u0026 NECK W/O MAJ O.R.","payer":"MEDICARE","gross charge":"1,585,331.00","discounted cash price":"396,332.75","payer-specific negotiated charge":"244,756.55","de-identified minimum negotiated charge":"82,914.10","de-identified maximum negotiated charge":"244,756.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86235","code description":"NUCLEAR ANTIGEN ANTIBODY","payer":"WELLCARE MCARE MGD CARE","gross charge":"89.61","discounted cash price":"22.4","payer-specific negotiated charge":"11.07","de-identified minimum negotiated charge":"9.51","de-identified maximum negotiated charge":"67.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93975","code description":"VASCULAR STUDY","payer":"HUMANA HMO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,280.76","de-identified minimum negotiated charge":"203.74","de-identified maximum negotiated charge":"1,280.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3030","code description":"SUMATRIPTAN SUCCINATE / 6 MG","payer":"PEACHSTATE-CENTENE","gross charge":"309.5","discounted cash price":"77.38","payer-specific negotiated charge":"43.46","de-identified minimum negotiated charge":"14.8","de-identified maximum negotiated charge":"170.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"AETNA HMO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"142.29","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"43.04","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73522","code description":"X-RAY EXAM HIPS BI 3-4 VIEWS","payer":"BC PPO","gross charge":"712","discounted cash price":"178","payer-specific negotiated charge":"303.96","de-identified minimum negotiated charge":"8.5","de-identified maximum negotiated charge":"503.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"CARESOURCE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"20.38","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"AETNA HMO","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"68.73","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84443","code description":"ASSAY THYROID STIM HORMONE","payer":"CLOVER HEALTH","gross charge":"91.67","discounted cash price":"22.92","payer-specific negotiated charge":"12.85","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"AMBETTER","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"129.47","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"UHC MCARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"28.27","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"50435","code description":"EXCHANGE NEPHROSTOMY CATH","payer":"CHAMPUS TRICARE","gross charge":"3,388.71","discounted cash price":"847.18","payer-specific negotiated charge":"707.09","de-identified minimum negotiated charge":"707.09","de-identified maximum negotiated charge":"2,640.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"CARESOURCE","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"0.65","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85244","code description":"CLOT FACTOR VIII RELTD ANTGN","payer":"PEACHSTATE-CENTENE","gross charge":"200","discounted cash price":"50","payer-specific negotiated charge":"33.38","de-identified minimum negotiated charge":"32","de-identified maximum negotiated charge":"52.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80053","code description":"COMPREHEN METABOLIC PANEL","payer":"CLOVER HEALTH","gross charge":"597","discounted cash price":"149.25","payer-specific negotiated charge":"60.87","de-identified minimum negotiated charge":"36.83","de-identified maximum negotiated charge":"488.41"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74230","code description":"X-RAY XM SWLNG FUNCJ C+","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,296.00","discounted cash price":"324","payer-specific negotiated charge":"147.49","de-identified minimum negotiated charge":"92.6","de-identified maximum negotiated charge":"802.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92611","code description":"MOTION FLUOROSCOPY/SWALLOW","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"1,124.00","discounted cash price":"281","payer-specific negotiated charge":"127.91","de-identified minimum negotiated charge":"80.3","de-identified maximum negotiated charge":"695.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"UHC MCARE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"129.89","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86021","code description":"WBC ANTIBODY IDENTIFICATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"86","discounted cash price":"21.5","payer-specific negotiated charge":"9.29","de-identified minimum negotiated charge":"6.76","de-identified maximum negotiated charge":"64.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"0358T","code description":"BIA WHOLE BODY","payer":"AETNA MCARE MGD CARE","gross charge":"74","discounted cash price":"18.5","payer-specific negotiated charge":"27.3","de-identified minimum negotiated charge":"13.54","de-identified maximum negotiated charge":"45.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7030","code description":"NORMAL SALINE SOLUTION INFUS","payer":"KAISER SELF-FUNDED","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"29.35","de-identified minimum negotiated charge":"13.99","de-identified maximum negotiated charge":"208"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0144","code description":"AZITHROMYCIN DIHYDRATE, ORAL","payer":"PEACHSTATE-CENTENE","gross charge":"147.5","discounted cash price":"36.88","payer-specific negotiated charge":"17.86","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"77.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85049","code description":"AUTOMATED PLATELET COUNT","payer":"AETNA MCARE MGD CARE","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"18.46","de-identified minimum negotiated charge":"0.33","de-identified maximum negotiated charge":"64.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"HUMANA HMO","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"465.79","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0171","code description":"ADRENALIN EPINEPHRINE INJECT","payer":"WELLCARE MCARE MGD CARE","gross charge":"308.2","discounted cash price":"77.05","payer-specific negotiated charge":"3.91","de-identified minimum negotiated charge":"0.55","de-identified maximum negotiated charge":"67.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0561","code description":"PENICILLIN G BENZATHINE INJ","payer":"CARESOURCE","gross charge":"103.56","discounted cash price":"25.89","payer-specific negotiated charge":"12.55","de-identified minimum negotiated charge":"3.25","de-identified maximum negotiated charge":"84.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85379","code description":"FIBRIN DEGRADATION QUANT","payer":"BCBS SMARTVALUE PFFS","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"54.74","de-identified minimum negotiated charge":"16.44","de-identified maximum negotiated charge":"274.36"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97802","code description":"MEDICAL NUTRITION INDIV IN","payer":"AMERIGROUP","gross charge":"77","discounted cash price":"19.25","payer-specific negotiated charge":"29.72","de-identified minimum negotiated charge":"13.33","de-identified maximum negotiated charge":"56.21"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73620","code description":"X-RAY EXAM OF FOOT","payer":"AMERIGROUP","gross charge":"565.5","discounted cash price":"141.38","payer-specific negotiated charge":"88.9","de-identified minimum negotiated charge":"35.28","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"4.08","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"60.15","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86703","code description":"HIV-1/HIV-2 1 RESULT ANTBDY","payer":"PEACHSTATE-CENTENE","gross charge":"342.67","discounted cash price":"85.67","payer-specific negotiated charge":"31.43","de-identified minimum negotiated charge":"24.44","de-identified maximum negotiated charge":"252.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"CIGNA HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"571.11","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"BC PPO","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"41.52","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"WELLCARE MCARE MGD CARE","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"89.32","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1815","code description":"INSULIN INJECTION","payer":"AMERIGROUP","gross charge":"15.4","discounted cash price":"3.85","payer-specific negotiated charge":"1.39","de-identified minimum negotiated charge":"0.23","de-identified maximum negotiated charge":"6.64"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"UHC MCARE","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"39.74","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.9","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"AETNA MCARE MGD CARE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"114.66","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88323","code description":"MICROSLIDE CONSULTATION","payer":"MEDICARE","gross charge":"255","discounted cash price":"63.75","payer-specific negotiated charge":"60.14","de-identified minimum negotiated charge":"26.63","de-identified maximum negotiated charge":"111.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82150","code description":"ASSAY OF AMYLASE","payer":"CIGNA HMO","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"125.83","de-identified minimum negotiated charge":"3.79","de-identified maximum negotiated charge":"125.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"AETNA MCARE MGD CARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"436.71","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C9113","code description":"INJ PANTOPRAZOLE SODIUM, VIA","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"11.58","de-identified minimum negotiated charge":"1.85","de-identified maximum negotiated charge":"26.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"BC HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.71","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"23350","code description":"INJECTION FOR SHOULDER X-RAY","payer":"BC HMO","gross charge":"1,210.00","discounted cash price":"302.5","payer-specific negotiated charge":"552.39","de-identified minimum negotiated charge":"122.04","de-identified maximum negotiated charge":"777.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"AMBETTER","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"239.42","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3010","code description":"FENTANYL CITRATE INJECTION","payer":"AETNA MCARE PFFS","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"15.18","de-identified minimum negotiated charge":"7.09","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"WELLCARE MCARE MGD CARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"27.11","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"BC PPO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"223.85","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36415","code description":"ROUTINE VENIPUNCTURE","payer":"AETNA MCARE PFFS","gross charge":"46.5","discounted cash price":"11.63","payer-specific negotiated charge":"6.8","de-identified minimum negotiated charge":"2.95","de-identified maximum negotiated charge":"45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"BC HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"70.04","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7517","code description":"MYCOPHENOLATE MOFETIL ORAL","payer":"AMBETTER","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"9.5","de-identified minimum negotiated charge":"1.25","de-identified maximum negotiated charge":"9.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82977","code description":"ASSAY OF GGT","payer":"AETNA MCARE MGD CARE","gross charge":"120","discounted cash price":"30","payer-specific negotiated charge":"10.96","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"49.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93356","code description":"MYOCRD STRAIN IMG SPCKL TRCK","payer":"UHC PPO","gross charge":"85","discounted cash price":"21.25","payer-specific negotiated charge":"35.58","de-identified minimum negotiated charge":"5.26","de-identified maximum negotiated charge":"68.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"AMERIGROUP","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"11.6","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"AETNA PPO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"130.12","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76775","code description":"US EXAM ABDO BACK WALL LIM","payer":"BC PPO","gross charge":"611","discounted cash price":"152.75","payer-specific negotiated charge":"262.16","de-identified minimum negotiated charge":"53.78","de-identified maximum negotiated charge":"477.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"78.96","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83036","code description":"HEMOGLOBIN GLYCOSYLATED A1C","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"295","discounted cash price":"73.75","payer-specific negotiated charge":"28.87","de-identified minimum negotiated charge":"18.18","de-identified maximum negotiated charge":"210.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"UHC HMO","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"2,008.05","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"AMERIGROUP","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"15.46","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"73.29","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"21.52","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"BC PPO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"93.37","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2250","code description":"INJ MIDAZOLAM HYDROCHLORIDE","payer":"AETNA MCARE PFFS","gross charge":"52.5","discounted cash price":"13.13","payer-specific negotiated charge":"6.14","de-identified minimum negotiated charge":"5.21","de-identified maximum negotiated charge":"42.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"89051","code description":"BODY FLUID CELL COUNT","payer":"UHC HMO","gross charge":"216","discounted cash price":"54","payer-specific negotiated charge":"78.97","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"142.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"38222","code description":"DX BONE MARROW BX \u0026 ASPIR","payer":"UHC HMO","gross charge":"5,055.57","discounted cash price":"1,263.89","payer-specific negotiated charge":"1,867.28","de-identified minimum negotiated charge":"235.23","de-identified maximum negotiated charge":"2,934.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0360","code description":"HYDRALAZINE HCL INJECTION","payer":"CIGNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"41.58","de-identified minimum negotiated charge":"5.01","de-identified maximum negotiated charge":"42.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7512","code description":"PREDNISONE IR OR DR ORAL 1MG","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"2.45","discounted cash price":"0.61","payer-specific negotiated charge":"0.47","de-identified minimum negotiated charge":"0.08","de-identified maximum negotiated charge":"2.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"PEACHSTATE-CENTENE","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"7.84","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"AETNA HMO","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"21.18","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97530","code description":"THERAPEUTIC ACTIVITIES","payer":"BCBS SMARTVALUE PFFS","gross charge":"260","discounted cash price":"65","payer-specific negotiated charge":"33.01","de-identified minimum negotiated charge":"9.79","de-identified maximum negotiated charge":"189.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"7.01","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71250","code description":"CT THORAX DX C-","payer":"KAISER MCARE","gross charge":"3,528.00","discounted cash price":"882","payer-specific negotiated charge":"316","de-identified minimum negotiated charge":"104.33","de-identified maximum negotiated charge":"1,727.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C2617","code description":"STENT, NON-COR, TEM W/O DEL","payer":"UHC MCARE","gross charge":"908","discounted cash price":"227","payer-specific negotiated charge":"211.78","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"357.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86850","code description":"RBC ANTIBODY SCREEN","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"348.33","discounted cash price":"87.08","payer-specific negotiated charge":"62.38","de-identified minimum negotiated charge":"27.08","de-identified maximum negotiated charge":"250.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72052","code description":"X-RAY EXAM NECK SPINE 6/\u003eVWS","payer":"KAISER","gross charge":"710","discounted cash price":"177.5","payer-specific negotiated charge":"462.99","de-identified minimum negotiated charge":"60.5","de-identified maximum negotiated charge":"603.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80156","code description":"ASSAY CARBAMAZEPINE TOTAL","payer":"MEDICARE","gross charge":"435","discounted cash price":"108.75","payer-specific negotiated charge":"41.91","de-identified minimum negotiated charge":"11.39","de-identified maximum negotiated charge":"271.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"KAISER","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"5.32","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84300","code description":"ASSAY OF URINE SODIUM","payer":"UHC MCARE","gross charge":"217","discounted cash price":"54.25","payer-specific negotiated charge":"40.68","de-identified minimum negotiated charge":"12.37","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86870","code description":"RBC ANTIBODY IDENTIFICATION","payer":"MEDICARE","gross charge":"647","discounted cash price":"161.75","payer-specific negotiated charge":"91.86","de-identified minimum negotiated charge":"20.55","de-identified maximum negotiated charge":"263.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82533","code description":"TOTAL CORTISOL","payer":"AETNA MCARE MGD CARE","gross charge":"379","discounted cash price":"94.75","payer-specific negotiated charge":"88.3","de-identified minimum negotiated charge":"15.72","de-identified maximum negotiated charge":"174.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85027","code description":"COMPLETE CBC AUTOMATED","payer":"AETNA MCARE PFFS","gross charge":"177","discounted cash price":"44.25","payer-specific negotiated charge":"25.56","de-identified minimum negotiated charge":"11.41","de-identified maximum negotiated charge":"169"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"CIGNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"61.12","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"CHAMPUS TRICARE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"171.13","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86301","code description":"IMMUNOASSAY TUMOR CA 19-9","payer":"AMBETTER","gross charge":"101","discounted cash price":"25.25","payer-specific negotiated charge":"40.26","de-identified minimum negotiated charge":"1.77","de-identified maximum negotiated charge":"40.26"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93306","code description":"TTE W/DOPPLER COMPLETE","payer":"UHC PPO","gross charge":"3,837.00","discounted cash price":"959.25","payer-specific negotiated charge":"1,590.73","de-identified minimum negotiated charge":"237.47","de-identified maximum negotiated charge":"2,963.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82728","code description":"ASSAY OF FERRITIN","payer":"CHAMPUS TRICARE","gross charge":"333","discounted cash price":"83.25","payer-specific negotiated charge":"78.42","de-identified minimum negotiated charge":"15.83","de-identified maximum negotiated charge":"177.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"UHC MCARE","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"5.57","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"BC PPO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"342.25","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"BCBS SMARTVALUE PFFS","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"68.66","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"MEDICARE","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"30.51","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"AETNA HMO","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"464.81","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"AMBETTER","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"927.55","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"AETNA HMO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"855.01","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1776","code description":"JOINT DEVICE (IMPLANTABLE)","payer":"AETNA PPO","gross charge":"83,640.50","discounted cash price":"20,910.13","payer-specific negotiated charge":"34,988.08","de-identified minimum negotiated charge":"2,731.43","de-identified maximum negotiated charge":"34,988.08"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87075","code description":"CULTR BACTERIA EXCEPT BLOOD","payer":"CHAMPUS TRICARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"210.02","de-identified minimum negotiated charge":"52.4","de-identified maximum negotiated charge":"352.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"MEDICAID","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"26.77","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73201","code description":"CT UPPER EXTREMITY W/DYE","payer":"BC HMO","gross charge":"4,867.00","discounted cash price":"1,216.75","payer-specific negotiated charge":"1,745.43","de-identified minimum negotiated charge":"387","de-identified maximum negotiated charge":"1,745.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99285","code description":"EMERGENCY DEPT VISIT HI MDM","payer":"CLOVER HEALTH","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"555.05","de-identified minimum negotiated charge":"210.06","de-identified maximum negotiated charge":"3,231.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"9.23","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CIGNA HMO","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"6","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"AMBETTER","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"175.77","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"39.75","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82042","code description":"OTHER SOURCE ALBUMIN QUAN EA","payer":"UHC MCARE","gross charge":"128.5","discounted cash price":"32.13","payer-specific negotiated charge":"10.74","de-identified minimum negotiated charge":"3.8","de-identified maximum negotiated charge":"38.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73120","code description":"X-RAY EXAM OF HAND","payer":"BC HMO","gross charge":"701","discounted cash price":"175.25","payer-specific negotiated charge":"376.87","de-identified minimum negotiated charge":"17.06","de-identified maximum negotiated charge":"480.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62328","code description":"DX LMBR SPI PNXR W/FLUOR/CT","payer":"AETNA HMO","gross charge":"2,067.00","discounted cash price":"516.75","payer-specific negotiated charge":"2,067.00","de-identified minimum negotiated charge":"306.38","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86431","code description":"RHEUMATOID FACTOR QUANT","payer":"UHC MCARE","gross charge":"37","discounted cash price":"9.25","payer-specific negotiated charge":"3.05","de-identified minimum negotiated charge":"1.68","de-identified maximum negotiated charge":"27.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"19.86","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86900","code description":"BLOOD TYPING SEROLOGIC ABO","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"157.33","discounted cash price":"39.33","payer-specific negotiated charge":"28.14","de-identified minimum negotiated charge":"11.33","de-identified maximum negotiated charge":"113.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"AETNA HMO","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"648.52","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A4217","code description":"STERILE WATER/SALINE, 500 ML","payer":"PHCS","gross charge":"96.5","discounted cash price":"24.13","payer-specific negotiated charge":"72.38","de-identified minimum negotiated charge":"4.55","de-identified maximum negotiated charge":"72.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86901","code description":"BLOOD TYPING SEROLOGIC RH(D)","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"146.67","discounted cash price":"36.67","payer-specific negotiated charge":"26.28","de-identified minimum negotiated charge":"10.58","de-identified maximum negotiated charge":"105.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94644","code description":"CBT 1ST HOUR","payer":"CIGNA PPO","gross charge":"534","discounted cash price":"133.5","payer-specific negotiated charge":"376.61","de-identified minimum negotiated charge":"40.14","de-identified maximum negotiated charge":"376.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"HUMANA HMO","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"348.15","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"AMBETTER","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"41.5","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70210","code description":"X-RAY EXAM OF SINUSES","payer":"AMBETTER","gross charge":"561.5","discounted cash price":"140.38","payer-specific negotiated charge":"104.97","de-identified minimum negotiated charge":"34.83","de-identified maximum negotiated charge":"339.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9502","code description":"TC99M TETROFOSMIN","payer":"CIGNA PPO","gross charge":"864","discounted cash price":"216","payer-specific negotiated charge":"284.72","de-identified minimum negotiated charge":"15.78","de-identified maximum negotiated charge":"548.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1335","code description":"ERTAPENEM INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"326.25","discounted cash price":"81.56","payer-specific negotiated charge":"28.1","de-identified minimum negotiated charge":"25.36","de-identified maximum negotiated charge":"126.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"10030","code description":"GUIDE CATHET FLUID DRAINAGE","payer":"MEDICARE","gross charge":"744","discounted cash price":"186","payer-specific negotiated charge":"230.05","de-identified minimum negotiated charge":"91.3","de-identified maximum negotiated charge":"360.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"WELLCARE MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.66","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1897","code description":"LEAD, NEUROSTIM TEST KIT","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"2,778.00","discounted cash price":"694.5","payer-specific negotiated charge":"731.45","de-identified minimum negotiated charge":"731.45","de-identified maximum negotiated charge":"731.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"AMBETTER","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"133.59","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73060","code description":"X-RAY EXAM OF HUMERUS","payer":"WELLCARE MCARE MGD CARE","gross charge":"572","discounted cash price":"143","payer-specific negotiated charge":"63.72","de-identified minimum negotiated charge":"25.2","de-identified maximum negotiated charge":"408.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"HUMANA HMO","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.38","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"AMBETTER","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"46.93","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70220","code description":"X-RAY EXAM OF SINUSES","payer":"AETNA MCARE MGD CARE","gross charge":"679","discounted cash price":"169.75","payer-specific negotiated charge":"80.37","de-identified minimum negotiated charge":"30.92","de-identified maximum negotiated charge":"424.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"MEDICAID","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"3.78","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87635","code description":"SARS-COV-2 COVID-19 AMP PRB","payer":"CLOVER HEALTH","gross charge":"559.5","discounted cash price":"139.88","payer-specific negotiated charge":"98.53","de-identified minimum negotiated charge":"36.85","de-identified maximum negotiated charge":"464.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2175","code description":"MEPERIDINE HYDROCHL /100 MG","payer":"CARESOURCE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"18.73","de-identified minimum negotiated charge":"8.49","de-identified maximum negotiated charge":"55.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85045","code description":"AUTOMATED RETICULOCYTE COUNT","payer":"WELLCARE MCARE MGD CARE","gross charge":"192","discounted cash price":"48","payer-specific negotiated charge":"15.58","de-identified minimum negotiated charge":"9.16","de-identified maximum negotiated charge":"115.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"CIGNA PPO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"422.53","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"KAISER PPO","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"229.23","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"BC HMO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"342.55","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1670","code description":"TETANUS IMMUNE GLOBULIN INJ","payer":"UHC MCARE","gross charge":"3,105.00","discounted cash price":"776.25","payer-specific negotiated charge":"346.92","de-identified minimum negotiated charge":"88.4","de-identified maximum negotiated charge":"1,400.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19285","code description":"PERQ DEV BREAST 1ST US IMAG","payer":"AETNA HMO","gross charge":"1,163.00","discounted cash price":"290.75","payer-specific negotiated charge":"412.11","de-identified minimum negotiated charge":"142.55","de-identified maximum negotiated charge":"833.54"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"WELLCARE MCARE MGD CARE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"459.07","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73650","code description":"X-RAY EXAM OF HEEL","payer":"CIGNA HMO","gross charge":"782","discounted cash price":"195.5","payer-specific negotiated charge":"243.81","de-identified minimum negotiated charge":"11.06","de-identified maximum negotiated charge":"422.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84100","code description":"ASSAY OF PHOSPHORUS","payer":"CARESOURCE","gross charge":"72","discounted cash price":"18","payer-specific negotiated charge":"5.19","de-identified minimum negotiated charge":"3.57","de-identified maximum negotiated charge":"52.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93308","code description":"TTE F-UP OR LMTD","payer":"UHC MCARE","gross charge":"2,015.00","discounted cash price":"503.75","payer-specific negotiated charge":"433.57","de-identified minimum negotiated charge":"95.85","de-identified maximum negotiated charge":"1,356.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"CIGNA HMO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,389.93","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"KAISER","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"34.26","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"MEDICARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"97.25","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70491","code description":"CT SOFT TISSUE NECK W/DYE","payer":"UHC MCARE","gross charge":"3,614.00","discounted cash price":"903.5","payer-specific negotiated charge":"465.95","de-identified minimum negotiated charge":"146.23","de-identified maximum negotiated charge":"2,065.20"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"UHC MCARE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"52.09","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80048","code description":"METABOLIC PANEL TOTAL CA","payer":"AETNA MCARE PFFS","gross charge":"376.29","discounted cash price":"94.07","payer-specific negotiated charge":"57.95","de-identified minimum negotiated charge":"23.82","de-identified maximum negotiated charge":"366"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"96368","code description":"THER/DIAG CONCURRENT INF","payer":"AMERIGROUP","gross charge":"265","discounted cash price":"66.25","payer-specific negotiated charge":"38.47","de-identified minimum negotiated charge":"8.36","de-identified maximum negotiated charge":"89.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"UHC MCARE","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"8.05","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"21.94","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"AETNA HMO","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"218.26","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1729","code description":"CATH, DRAINAGE","payer":"WELLCARE MCARE MGD CARE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"88.52","de-identified minimum negotiated charge":"59.36","de-identified maximum negotiated charge":"571.11"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"AETNA HMO","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"179.29","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"CHAMPUS TRICARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"46.66","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"CARESOURCE","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"199.17","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"AETNA MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"11.96","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3360","code description":"DIAZEPAM INJECTION","payer":"HUMANA HMO","gross charge":"74.75","discounted cash price":"18.69","payer-specific negotiated charge":"29.95","de-identified minimum negotiated charge":"4.04","de-identified maximum negotiated charge":"44.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"32555","code description":"ASPIRATE PLEURA W/ IMAGING","payer":"AETNA HMO","gross charge":"2,454.00","discounted cash price":"613.5","payer-specific negotiated charge":"2,135.93","de-identified minimum negotiated charge":"244.23","de-identified maximum negotiated charge":"2,195.61"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"AETNA MCARE MGD CARE","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"11.24","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1030","code description":"METHYLPREDNISOLONE 40 MG INJ","payer":"AETNA PPO","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"65.27","de-identified minimum negotiated charge":"6.1","de-identified maximum negotiated charge":"77.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74018","code description":"X-RAY EXAM ABDOMEN 1 VIEW","payer":"AETNA PPO","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"236.33","de-identified minimum negotiated charge":"40.42","de-identified maximum negotiated charge":"531"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"UHC MCARE","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"192.36","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0558","code description":"PENG BENZATHINE/PROCAINE INJ","payer":"MEDICAID","gross charge":"70.21","discounted cash price":"17.55","payer-specific negotiated charge":"12.26","de-identified minimum negotiated charge":"2.39","de-identified maximum negotiated charge":"51.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86706","code description":"HEP B SURFACE ANTIBODY","payer":"MEDICAID","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"38.83","de-identified minimum negotiated charge":"18.71","de-identified maximum negotiated charge":"112.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2916","code description":"NA FERRIC GLUCONATE COMPLEX","payer":"AETNA MCARE MGD CARE","gross charge":"38.6","discounted cash price":"9.65","payer-specific negotiated charge":"9.79","de-identified minimum negotiated charge":"1.7","de-identified maximum negotiated charge":"31.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"MEDICARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"24.55","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"40","code description":"PERIPH/CRANIAL NERVE \u0026 OTHER NERV SYST PROC W MCC","payer":"MEDICARE","gross charge":"520,141.22","discounted cash price":"130,035.30","payer-specific negotiated charge":"77,849.10","de-identified minimum negotiated charge":"28,064.06","de-identified maximum negotiated charge":"127,150.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88341","code description":"IMMUNOHISTO ANTB ADDL SLIDE","payer":"KAISER","gross charge":"154","discounted cash price":"38.5","payer-specific negotiated charge":"63.98","de-identified minimum negotiated charge":"15.34","de-identified maximum negotiated charge":"154"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88342","code description":"IMMUNOHISTO ANTB 1ST STAIN","payer":"KAISER","gross charge":"541","discounted cash price":"135.25","payer-specific negotiated charge":"224.16","de-identified minimum negotiated charge":"51.81","de-identified maximum negotiated charge":"541"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87529","code description":"HSV DNA AMP PROBE","payer":"CIGNA HMO","gross charge":"234","discounted cash price":"58.5","payer-specific negotiated charge":"140.49","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"140.49"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74221","code description":"X-RAY XM ESOPHAGUS 2CNTRST","payer":"CARESOURCE","gross charge":"1,335.00","discounted cash price":"333.75","payer-specific negotiated charge":"224.37","de-identified minimum negotiated charge":"144.4","de-identified maximum negotiated charge":"898.6"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"AMERIGROUP","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.83","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CARESOURCE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.3","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"UHC HMO","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"18.55","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87425","code description":"ROTAVIRUS AG IA","payer":"AMBETTER","gross charge":"122","discounted cash price":"30.5","payer-specific negotiated charge":"68.39","de-identified minimum negotiated charge":"5.64","de-identified maximum negotiated charge":"68.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"HUMANA HMO","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"273.59","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"13.02","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73565","code description":"X-RAY EXAM OF KNEES","payer":"AETNA MCARE MGD CARE","gross charge":"277","discounted cash price":"69.25","payer-specific negotiated charge":"79.72","de-identified minimum negotiated charge":"33.07","de-identified maximum negotiated charge":"171.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83615","code description":"LACTATE (LD) (LDH) ENZYME","payer":"AMBETTER","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"43.7","de-identified minimum negotiated charge":"2.61","de-identified maximum negotiated charge":"52.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84152","code description":"ASSAY OF PSA COMPLEXED","payer":"AETNA HMO","gross charge":"256","discounted cash price":"64","payer-specific negotiated charge":"139.33","de-identified minimum negotiated charge":"5.5","de-identified maximum negotiated charge":"167.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86304","code description":"IMMUNOASSAY TUMOR CA 125","payer":"UHC MCARE","gross charge":"103","discounted cash price":"25.75","payer-specific negotiated charge":"44.7","de-identified minimum negotiated charge":"7.43","de-identified maximum negotiated charge":"44.7"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80185","code description":"ASSAY OF PHENYTOIN TOTAL","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"367","discounted cash price":"91.75","payer-specific negotiated charge":"29.11","de-identified minimum negotiated charge":"12.82","de-identified maximum negotiated charge":"165.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"WELLCARE MCARE MGD CARE","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"77.51","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87250","code description":"VIRUS INOCULATE EGGS/ANIMAL","payer":"AMBETTER","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"36.98","de-identified minimum negotiated charge":"7.07","de-identified maximum negotiated charge":"87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"BC PPO","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"478.91","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"AETNA MCARE MGD CARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"64.72","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73140","code description":"X-RAY EXAM OF FINGER(S)","payer":"WELLCARE MCARE MGD CARE","gross charge":"445","discounted cash price":"111.25","payer-specific negotiated charge":"32.72","de-identified minimum negotiated charge":"22.24","de-identified maximum negotiated charge":"377.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73562","code description":"X-RAY EXAM OF KNEE 3","payer":"WELLCARE MCARE MGD CARE","gross charge":"1,110.00","discounted cash price":"277.5","payer-specific negotiated charge":"82.78","de-identified minimum negotiated charge":"19.45","de-identified maximum negotiated charge":"666"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76770","code description":"US EXAM ABDO BACK WALL COMP","payer":"AETNA PPO","gross charge":"1,550.00","discounted cash price":"387.5","payer-specific negotiated charge":"938.06","de-identified minimum negotiated charge":"81.52","de-identified maximum negotiated charge":"1,550.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93922","code description":"UPR/L XTREMITY ART 2 LEVELS","payer":"AETNA MCARE MGD CARE","gross charge":"558","discounted cash price":"139.5","payer-specific negotiated charge":"79.15","de-identified minimum negotiated charge":"58.33","de-identified maximum negotiated charge":"345.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1650","code description":"INJ ENOXAPARIN SODIUM","payer":"CARESOURCE","gross charge":"25.44","discounted cash price":"6.36","payer-specific negotiated charge":"0.99","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"18.03"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88312","code description":"SPECIAL STAINS GROUP 1","payer":"CHAMPUS TRICARE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"61.63","de-identified minimum negotiated charge":"20.69","de-identified maximum negotiated charge":"254.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82570","code description":"ASSAY OF URINE CREATININE","payer":"AMBETTER","gross charge":"67","discounted cash price":"16.75","payer-specific negotiated charge":"29.41","de-identified minimum negotiated charge":"2.36","de-identified maximum negotiated charge":"45.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"AMBETTER","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"32.79","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.32","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"UHC HMO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"143.17","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"178","code description":"RESPIRATORY INFECTIONS \u0026 INFLAMMATIONS W CC","payer":"MEDICAID","gross charge":"157,522.50","discounted cash price":"39,380.63","payer-specific negotiated charge":"28,340.88","de-identified minimum negotiated charge":"7,058.47","de-identified maximum negotiated charge":"28,340.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73000","code description":"X-RAY EXAM OF COLLAR BONE","payer":"HUMANA HMO","gross charge":"443","discounted cash price":"110.75","payer-specific negotiated charge":"303.9","de-identified minimum negotiated charge":"24.82","de-identified maximum negotiated charge":"303.9"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"MEDICAID","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"262.16","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87185","code description":"MICROBE SUSCEPTIBLE ENZYME","payer":"WELLCARE MCARE MGD CARE","gross charge":"50","discounted cash price":"12.5","payer-specific negotiated charge":"3.79","de-identified minimum negotiated charge":"3.3","de-identified maximum negotiated charge":"21.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2710","code description":"NEOSTIGMINE METHYLSLFTE INJ","payer":"CARESOURCE","gross charge":"12.38","discounted cash price":"3.1","payer-specific negotiated charge":"1.84","de-identified minimum negotiated charge":"1.01","de-identified maximum negotiated charge":"5.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"HUMANA HMO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"115.47","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92523","code description":"SPEECH SOUND LANG COMPREHEN","payer":"HUMANA HMO","gross charge":"463","discounted cash price":"115.75","payer-specific negotiated charge":"61.59","de-identified minimum negotiated charge":"7.78","de-identified maximum negotiated charge":"273.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"207","code description":"RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT \u003e96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"595,330.50","discounted cash price":"148,832.63","payer-specific negotiated charge":"113,084.60","de-identified minimum negotiated charge":"40,864.21","de-identified maximum negotiated charge":"113,084.60"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"AETNA MCARE MGD CARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"34.11","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85014","code description":"HEMATOCRIT","payer":"HUMANA HMO","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"21.87","de-identified minimum negotiated charge":"3.66","de-identified maximum negotiated charge":"29.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85018","code description":"HEMOGLOBIN","payer":"HUMANA HMO","gross charge":"65","discounted cash price":"16.25","payer-specific negotiated charge":"20.56","de-identified minimum negotiated charge":"3.44","de-identified maximum negotiated charge":"27.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"AETNA HMO","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"168.75","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"BC HMO","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"292.69","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88333","code description":"INTRAOP CYTO PATH CONSULT 1","payer":"UHC MCARE","gross charge":"285","discounted cash price":"71.25","payer-specific negotiated charge":"101.88","de-identified minimum negotiated charge":"32.69","de-identified maximum negotiated charge":"216.74"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82330","code description":"ASSAY OF CALCIUM","payer":"PEACHSTATE-CENTENE","gross charge":"181","discounted cash price":"45.25","payer-specific negotiated charge":"28.99","de-identified minimum negotiated charge":"4.33","de-identified maximum negotiated charge":"84.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"AMBETTER","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"1,354.75","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"A9503","code description":"TC99M MEDRONATE","payer":"BCBS SMARTVALUE PFFS","gross charge":"616","discounted cash price":"154","payer-specific negotiated charge":"97.59","de-identified minimum negotiated charge":"34.24","de-identified maximum negotiated charge":"440.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82945","code description":"GLUCOSE OTHER FLUID","payer":"UHC MCARE","gross charge":"214.67","discounted cash price":"53.67","payer-specific negotiated charge":"73.24","de-identified minimum negotiated charge":"8.28","de-identified maximum negotiated charge":"168.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"UHC MCARE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"2.48","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"CHAMPUS TRICARE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"11.72","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"KAISER MCARE","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"65.2","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70553","code description":"MRI BRAIN STEM W/O \u0026 W/DYE","payer":"CARESOURCE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"858.37","de-identified minimum negotiated charge":"328.61","de-identified maximum negotiated charge":"3,337.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86329","code description":"IMMUNODIFFUSION NES","payer":"UHC MCARE","gross charge":"185","discounted cash price":"46.25","payer-specific negotiated charge":"15.77","de-identified minimum negotiated charge":"8.77","de-identified maximum negotiated charge":"132"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74360","code description":"X-RAY GUIDE GI DILATION","payer":"UHC MCARE","gross charge":"1,407.50","discounted cash price":"351.88","payer-specific negotiated charge":"240.43","de-identified minimum negotiated charge":"66.91","de-identified maximum negotiated charge":"697.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84155","code description":"ASSAY OF PROTEIN SERUM","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"5.98","de-identified minimum negotiated charge":"3.68","de-identified maximum negotiated charge":"36.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93970","code description":"EXTREMITY STUDY","payer":"AETNA PPO","gross charge":"1,867.00","discounted cash price":"466.75","payer-specific negotiated charge":"1,157.54","de-identified minimum negotiated charge":"134.24","de-identified maximum negotiated charge":"1,511.30"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"28.66","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70110","code description":"X-RAY EXAM OF JAW 4/\u003e VIEWS","payer":"CIGNA HMO","gross charge":"670","discounted cash price":"167.5","payer-specific negotiated charge":"529.2","de-identified minimum negotiated charge":"102.26","de-identified maximum negotiated charge":"529.2"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"CARESOURCE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"116.28","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2997","code description":"ALTEPLASE RECOMBINANT","payer":"MEDICAID","gross charge":"491.07","discounted cash price":"122.77","payer-specific negotiated charge":"61.08","de-identified minimum negotiated charge":"11.29","de-identified maximum negotiated charge":"229.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"WELLCARE MCARE MGD CARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"84.56","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"CIGNA PPO","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"77.83","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"HUMANA HMO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,653.67","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7042","code description":"5% DEXTROSE/NORMAL SALINE","payer":"AMBETTER","gross charge":"104","discounted cash price":"26","payer-specific negotiated charge":"68.44","de-identified minimum negotiated charge":"3.74","de-identified maximum negotiated charge":"116.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"UHC MCARE","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"110.04","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"HUMANA HMO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"214.72","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87071","code description":"CULTURE AEROBIC QUANT OTHER","payer":"AMBETTER","gross charge":"144","discounted cash price":"36","payer-specific negotiated charge":"66.67","de-identified minimum negotiated charge":"8.26","de-identified maximum negotiated charge":"89.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"50.62","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"14.94","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73070","code description":"X-RAY EXAM OF ELBOW","payer":"BC PPO","gross charge":"577.5","discounted cash price":"144.38","payer-specific negotiated charge":"273.67","de-identified minimum negotiated charge":"12.88","de-identified maximum negotiated charge":"452.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"AETNA MCARE MGD CARE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"21.15","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"AETNA HMO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"113.79","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"80061","code description":"LIPID PANEL","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"323","discounted cash price":"80.75","payer-specific negotiated charge":"43.27","de-identified minimum negotiated charge":"9.91","de-identified maximum negotiated charge":"261.79"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"PEACHSTATE-CENTENE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.81","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3490","code description":"DRUGS UNCLASSIFIED INJECTION","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"335.15","discounted cash price":"83.79","payer-specific negotiated charge":"35.96","de-identified minimum negotiated charge":"8.76","de-identified maximum negotiated charge":"214.83"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82436","code description":"ASSAY OF URINE CHLORIDE","payer":"UHC HMO","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"57.52","de-identified minimum negotiated charge":"13.21","de-identified maximum negotiated charge":"156"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"64","code description":"INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC","payer":"MEDICAID","gross charge":"334,756.77","discounted cash price":"83,689.19","payer-specific negotiated charge":"56,818.16","de-identified minimum negotiated charge":"12,081.27","de-identified maximum negotiated charge":"133,245.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"PHCS","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"468.75","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87147","code description":"CULTURE TYPE IMMUNOLOGIC","payer":"MEDICARE","gross charge":"42","discounted cash price":"10.5","payer-specific negotiated charge":"7.49","de-identified minimum negotiated charge":"1.99","de-identified maximum negotiated charge":"40"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"BC PPO","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"89.98","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86003","code description":"ALLG SPEC IGE CRUDE XTRC EA","payer":"UHC MCARE","gross charge":"63","discounted cash price":"15.75","payer-specific negotiated charge":"11.22","de-identified minimum negotiated charge":"2.29","de-identified maximum negotiated charge":"41.16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70490","code description":"CT SOFT TISSUE NECK W/O DYE","payer":"AETNA HMO","gross charge":"3,393.00","discounted cash price":"848.25","payer-specific negotiated charge":"1,108.79","de-identified minimum negotiated charge":"116.12","de-identified maximum negotiated charge":"2,035.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94640","code description":"AIRWAY INHALATION TREATMENT","payer":"MULTI-PLAN","gross charge":"635","discounted cash price":"158.75","payer-specific negotiated charge":"539.75","de-identified minimum negotiated charge":"39.75","de-identified maximum negotiated charge":"539.75"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"CIGNA PPO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"1,529.58","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85384","code description":"FIBRINOGEN ACTIVITY","payer":"AMBETTER","gross charge":"87","discounted cash price":"21.75","payer-specific negotiated charge":"34.34","de-identified minimum negotiated charge":"8.3","de-identified maximum negotiated charge":"40.06"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"UHC MCARE","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"51.49","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82248","code description":"BILIRUBIN DIRECT","payer":"AETNA MCARE MGD CARE","gross charge":"159","discounted cash price":"39.75","payer-specific negotiated charge":"18.15","de-identified minimum negotiated charge":"6.27","de-identified maximum negotiated charge":"103.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90686","code description":"IIV4 VACC NO PRSV 0.5 ML IM","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"122.5","discounted cash price":"30.63","payer-specific negotiated charge":"18.56","de-identified minimum negotiated charge":"4.73","de-identified maximum negotiated charge":"42.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95819","code description":"EEG AWAKE AND ASLEEP","payer":"BC HMO","gross charge":"1,840.00","discounted cash price":"460","payer-specific negotiated charge":"455.1","de-identified minimum negotiated charge":"103.06","de-identified maximum negotiated charge":"455.1"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87015","code description":"SPECIMEN INFECT AGNT CONCNTJ","payer":"AMBETTER","gross charge":"102","discounted cash price":"25.5","payer-specific negotiated charge":"61.28","de-identified minimum negotiated charge":"3.09","de-identified maximum negotiated charge":"67.8"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"BCBS SMARTVALUE PFFS","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"493.13","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"PEACHSTATE-CENTENE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"37.81","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8600","code description":"IMPLANT BREAST SILICONE/EQ","payer":"AETNA MCARE MGD CARE","gross charge":"2,990.00","discounted cash price":"747.5","payer-specific negotiated charge":"1,870.32","de-identified minimum negotiated charge":"290.47","de-identified maximum negotiated charge":"2,300.46"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"118.69","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87102","code description":"FUNGUS ISOLATION CULTURE","payer":"AMBETTER","gross charge":"390","discounted cash price":"97.5","payer-specific negotiated charge":"180.54","de-identified minimum negotiated charge":"22.38","de-identified maximum negotiated charge":"241.07"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87206","code description":"SMEAR FLUORESCENT/ACID STAI","payer":"AMBETTER","gross charge":"79","discounted cash price":"19.75","payer-specific negotiated charge":"47.42","de-identified minimum negotiated charge":"3.89","de-identified maximum negotiated charge":"52.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"AMBETTER","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"92.5","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72070","code description":"X-RAY EXAM THORAC SPINE 2VWS","payer":"AMBETTER","gross charge":"625","discounted cash price":"156.25","payer-specific negotiated charge":"356.62","de-identified minimum negotiated charge":"32.52","de-identified maximum negotiated charge":"571.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"49.26","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"31.69","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84132","code description":"ASSAY OF SERUM POTASSIUM","payer":"AETNA MCARE MGD CARE","gross charge":"83","discounted cash price":"20.75","payer-specific negotiated charge":"12.06","de-identified minimum negotiated charge":"5.12","de-identified maximum negotiated charge":"67.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84540","code description":"ASSAY OF URINE/UREA-N","payer":"AMBETTER","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"114.91","de-identified minimum negotiated charge":"8.25","de-identified maximum negotiated charge":"114.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0694","code description":"CEFOXITIN SODIUM INJECTION","payer":"CHAMPUS TRICARE","gross charge":"169.94","discounted cash price":"42.48","payer-specific negotiated charge":"25.53","de-identified minimum negotiated charge":"6.28","de-identified maximum negotiated charge":"57.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"UHC MCARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"27.66","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70470","code description":"CT HEAD/BRAIN W/O \u0026 W/DYE","payer":"AMBETTER","gross charge":"4,647.00","discounted cash price":"1,161.75","payer-specific negotiated charge":"1,903.00","de-identified minimum negotiated charge":"161.08","de-identified maximum negotiated charge":"1,903.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"FIRST HLTH NTWK","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"654.01","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"KAISER","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"1,704.09","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2280","code description":"INJ, MOXIFLOXACIN 100 MG","payer":"PEACHSTATE-CENTENE","gross charge":"69.75","discounted cash price":"17.44","payer-specific negotiated charge":"9","de-identified minimum negotiated charge":"5.89","de-identified maximum negotiated charge":"35.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97165","code description":"OT EVAL LOW COMPLEX 30 MIN","payer":"AETNA PPO","gross charge":"605.57","discounted cash price":"151.39","payer-specific negotiated charge":"365.18","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"365.18"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85613","code description":"RUSSELL VIPER VENOM DILUTED","payer":"UHC MCARE","gross charge":"66","discounted cash price":"16.5","payer-specific negotiated charge":"8.76","de-identified minimum negotiated charge":"5.07","de-identified maximum negotiated charge":"41.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"AMERIGROUP","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"140.21","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9047","code description":"ALBUMIN (HUMAN), 25%, 50ML","payer":"WELLCARE MCARE MGD CARE","gross charge":"419","discounted cash price":"104.75","payer-specific negotiated charge":"90.44","de-identified minimum negotiated charge":"43.48","de-identified maximum negotiated charge":"418.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"HUMANA MEDICARE ADVANTAGE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"32.83","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87205","code description":"SMEAR GRAM STAIN","payer":"KAISER","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"60.88","de-identified minimum negotiated charge":"12.46","de-identified maximum negotiated charge":"95.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"MEDICARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"36.73","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84466","code description":"ASSAY OF TRANSFERRIN","payer":"CARESOURCE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"41.17","de-identified minimum negotiated charge":"20.98","de-identified maximum negotiated charge":"268.4"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"AETNA HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"1.25","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"97161","code description":"PT EVAL LOW COMPLEX 20 MIN","payer":"FIRST HLTH NTWK","gross charge":"603.5","discounted cash price":"150.88","payer-specific negotiated charge":"362.08","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"374.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7500","code description":"AZATHIOPRINE ORAL 50MG","payer":"AETNA MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"7.84","de-identified minimum negotiated charge":"2.19","de-identified maximum negotiated charge":"7.84"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85670","code description":"THROMBIN TIME PLASMA","payer":"UHC MCARE","gross charge":"75","discounted cash price":"18.75","payer-specific negotiated charge":"10.28","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"47.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"KAISER","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"86.31","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74246","code description":"X-RAY XM UPR GI TRC 2CNTRST","payer":"BCBS SMARTVALUE PFFS","gross charge":"1,322.00","discounted cash price":"330.5","payer-specific negotiated charge":"172.9","de-identified minimum negotiated charge":"28.22","de-identified maximum negotiated charge":"855.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"CARESOURCE","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"33.1","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0456","code description":"AZITHROMYCIN","payer":"AETNA MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"19.97","de-identified minimum negotiated charge":"7.35","de-identified maximum negotiated charge":"50.45"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72170","code description":"X-RAY EXAM OF PELVIS","payer":"HUMANA HMO","gross charge":"529","discounted cash price":"132.25","payer-specific negotiated charge":"339.57","de-identified minimum negotiated charge":"28.76","de-identified maximum negotiated charge":"449.65"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82565","code description":"ASSAY OF CREATININE","payer":"BC HMO","gross charge":"66.5","discounted cash price":"16.63","payer-specific negotiated charge":"10.17","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"26.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84550","code description":"ASSAY OF BLOOD/URIC ACID","payer":"UHC HMO","gross charge":"45","discounted cash price":"11.25","payer-specific negotiated charge":"13.78","de-identified minimum negotiated charge":"2.4","de-identified maximum negotiated charge":"27.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"BC HMO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"181.04","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84436","code description":"ASSAY OF TOTAL THYROXINE","payer":"BCBS SMARTVALUE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"15.09","de-identified minimum negotiated charge":"13.82","de-identified maximum negotiated charge":"131.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86140","code description":"C-REACTIVE PROTEIN","payer":"BCBS SMARTVALUE PFFS","gross charge":"269","discounted cash price":"67.25","payer-specific negotiated charge":"20.31","de-identified minimum negotiated charge":"12.36","de-identified maximum negotiated charge":"192"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"PEACHSTATE-CENTENE","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"191.34","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83540","code description":"ASSAY OF IRON","payer":"PEACHSTATE-CENTENE","gross charge":"218","discounted cash price":"54.5","payer-specific negotiated charge":"25.62","de-identified minimum negotiated charge":"10.39","de-identified maximum negotiated charge":"132.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82378","code description":"CARCINOEMBRYONIC ANTIGEN","payer":"AETNA MCARE MGD CARE","gross charge":"441","discounted cash price":"110.25","payer-specific negotiated charge":"50.17","de-identified minimum negotiated charge":"7.73","de-identified maximum negotiated charge":"175.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"PEACHSTATE-CENTENE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"70.19","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"CIGNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"15.61","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"AMERIGROUP","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"4.49","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"95886","code description":"MUSC TEST DONE W/N TEST COMP","payer":"AMERIGROUP","gross charge":"1,046.00","discounted cash price":"261.5","payer-specific negotiated charge":"191.34","de-identified minimum negotiated charge":"82.07","de-identified maximum negotiated charge":"771.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0885","code description":"EPOETIN ALFA, NON-ESRD","payer":"WELLCARE MCARE MGD CARE","gross charge":"149.25","discounted cash price":"37.31","payer-specific negotiated charge":"8.44","de-identified minimum negotiated charge":"8.44","de-identified maximum negotiated charge":"171.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72040","code description":"X-RAY EXAM NECK SPINE 2-3 VW","payer":"WELLCARE MCARE MGD CARE","gross charge":"681","discounted cash price":"170.25","payer-specific negotiated charge":"80.65","de-identified minimum negotiated charge":"35.53","de-identified maximum negotiated charge":"649"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84480","code description":"ASSAY TRIIODOTHYRONINE (T3)","payer":"UHC MCARE","gross charge":"320","discounted cash price":"80","payer-specific negotiated charge":"82.86","de-identified minimum negotiated charge":"11.92","de-identified maximum negotiated charge":"271.78"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82607","code description":"VITAMIN B-12","payer":"CLOVER HEALTH","gross charge":"353","discounted cash price":"88.25","payer-specific negotiated charge":"98.45","de-identified minimum negotiated charge":"16.66","de-identified maximum negotiated charge":"196.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73503","code description":"X-RAY EXAM HIP UNI 4/\u003e VIEWS","payer":"AETNA MCARE MGD CARE","gross charge":"673","discounted cash price":"168.25","payer-specific negotiated charge":"106.43","de-identified minimum negotiated charge":"12.76","de-identified maximum negotiated charge":"358.14"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85732","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"UHC MCARE","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"8.28","de-identified minimum negotiated charge":"4.27","de-identified maximum negotiated charge":"35.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88108","code description":"CYTOPATH CONCENTRATE TECH","payer":"AETNA PPO","gross charge":"235.8","discounted cash price":"58.95","payer-specific negotiated charge":"139.05","de-identified minimum negotiated charge":"20.19","de-identified maximum negotiated charge":"165.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"AMERIGROUP","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"5.92","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"76098","code description":"X-RAY EXAM SURGICAL SPECIMEN","payer":"AETNA HMO","gross charge":"1,504.00","discounted cash price":"376","payer-specific negotiated charge":"796.51","de-identified minimum negotiated charge":"136.02","de-identified maximum negotiated charge":"796.51"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"HUMANA HMO","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"1.43","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"MEDICAID","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"15.66","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"BC HMO","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"27.69","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1713","code description":"ANCHOR/SCREW BN/BN,TIS/BN","payer":"UHC PPO","gross charge":"10,613.00","discounted cash price":"2,653.25","payer-specific negotiated charge":"5,567.44","de-identified minimum negotiated charge":"93.2","de-identified maximum negotiated charge":"5,567.44"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93005","code description":"ELECTROCARDIOGRAM TRACING","payer":"KAISER PPO","gross charge":"468","discounted cash price":"117","payer-specific negotiated charge":"446","de-identified minimum negotiated charge":"32.48","de-identified maximum negotiated charge":"446"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7507","code description":"TACROLIMUS IMME REL ORAL 1MG","payer":"AETNA MCARE MGD CARE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"3.77","de-identified minimum negotiated charge":"1.43","de-identified maximum negotiated charge":"7.56"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"CLOVER HEALTH","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"133.04","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9967","code description":"LOCM 300-399MG/ML IODINE,1ML","payer":"CHAMPUS TRICARE","gross charge":"5.47","discounted cash price":"1.37","payer-specific negotiated charge":"0.45","de-identified minimum negotiated charge":"0.28","de-identified maximum negotiated charge":"4.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87070","code description":"CULTURE OTHR SPECIMN AEROBIC","payer":"UHC MCARE","gross charge":"691","discounted cash price":"172.75","payer-specific negotiated charge":"125.68","de-identified minimum negotiated charge":"36.45","de-identified maximum negotiated charge":"351.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0295","code description":"AMPICILLIN SULBACTAM 1.5 GM","payer":"PEACHSTATE-CENTENE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"13.65","de-identified minimum negotiated charge":"3.98","de-identified maximum negotiated charge":"93.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0713","code description":"INJ CEFTAZIDIME PER 500 MG","payer":"MEDICAID","gross charge":"120.94","discounted cash price":"30.24","payer-specific negotiated charge":"10.06","de-identified minimum negotiated charge":"3.62","de-identified maximum negotiated charge":"29.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"AMBETTER","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"51.28","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"194","code description":"SIMPLE PNEUMONIA \u0026 PLEURISY W CC","payer":"MEDICARE","gross charge":"71,423.50","discounted cash price":"17,855.88","payer-specific negotiated charge":"5,242.85","de-identified minimum negotiated charge":"745.12","de-identified maximum negotiated charge":"11,056.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70547","code description":"MR ANGIOGRAPHY NECK W/O DYE","payer":"AMERIGROUP","gross charge":"5,747.00","discounted cash price":"1,436.75","payer-specific negotiated charge":"347.47","de-identified minimum negotiated charge":"120.22","de-identified maximum negotiated charge":"4,652.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"MEDICARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"44.62","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36430","code description":"BLOOD TRANSFUSION SERVICE","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"2,301.00","discounted cash price":"575.25","payer-specific negotiated charge":"771.73","de-identified minimum negotiated charge":"143.87","de-identified maximum negotiated charge":"1,643.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84155","code description":"ASSAY OF PROTEIN SERUM","payer":"UHC MCARE","gross charge":"70","discounted cash price":"17.5","payer-specific negotiated charge":"36.55","de-identified minimum negotiated charge":"3.68","de-identified maximum negotiated charge":"36.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73600","code description":"X-RAY EXAM OF ANKLE","payer":"CIGNA HMO","gross charge":"807","discounted cash price":"201.75","payer-specific negotiated charge":"484.47","de-identified minimum negotiated charge":"35.25","de-identified maximum negotiated charge":"484.47"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"PEACHSTATE-CENTENE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"6.79","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"93017","code description":"CARDIOVASCULAR STRESS TEST","payer":"AETNA PPO","gross charge":"1,259.00","discounted cash price":"314.75","payer-specific negotiated charge":"743.38","de-identified minimum negotiated charge":"22.99","de-identified maximum negotiated charge":"799.09"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85303","code description":"CLOT INHIBIT PROT C ACTIVITY","payer":"BC PPO","gross charge":"1,148.00","discounted cash price":"287","payer-specific negotiated charge":"227.02","de-identified minimum negotiated charge":"43.71","de-identified maximum negotiated charge":"227.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"CIGNA HMO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"1,302.21","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88275","code description":"CYTOGENETICS 100-300","payer":"UHC MCARE","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"151.13","de-identified minimum negotiated charge":"19.53","de-identified maximum negotiated charge":"151.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88271","code description":"CYTOGENETICS DNA PROBE","payer":"UHC MCARE","gross charge":"442","discounted cash price":"110.5","payer-specific negotiated charge":"155.95","de-identified minimum negotiated charge":"20.15","de-identified maximum negotiated charge":"155.95"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3370","code description":"VANCOMYCIN HCL INJECTION","payer":"CIGNA HMO","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"57.01","de-identified minimum negotiated charge":"1.93","de-identified maximum negotiated charge":"70.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"12.7","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74022","code description":"X-RAY EXAM COMPLETE ABDOMEN","payer":"CARESOURCE","gross charge":"641","discounted cash price":"160.25","payer-specific negotiated charge":"52.76","de-identified minimum negotiated charge":"46.79","de-identified maximum negotiated charge":"493.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82140","code description":"ASSAY OF AMMONIA","payer":"WELLCARE MCARE MGD CARE","gross charge":"59","discounted cash price":"14.75","payer-specific negotiated charge":"18.78","de-identified minimum negotiated charge":"1.82","de-identified maximum negotiated charge":"23.52"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1763","code description":"CONN TISS, NON-HUMAN","payer":"BC PPO","gross charge":"10,172.00","discounted cash price":"2,543.00","payer-specific negotiated charge":"3,082.98","de-identified minimum negotiated charge":"708.62","de-identified maximum negotiated charge":"6,196.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"CARESOURCE","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"5.26","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84145","code description":"PROCALCITONIN (PCT)","payer":"AMBETTER","gross charge":"313","discounted cash price":"78.25","payer-specific negotiated charge":"147.14","de-identified minimum negotiated charge":"13.81","de-identified maximum negotiated charge":"265.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"99292","code description":"CRITICAL CARE ADDL 30 MIN","payer":"BC HMO","gross charge":"2,527.00","discounted cash price":"631.75","payer-specific negotiated charge":"872.02","de-identified minimum negotiated charge":"96.84","de-identified maximum negotiated charge":"1,062.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"PEACHSTATE-CENTENE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.24","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"CHAMPUS TRICARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"40.93","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82164","code description":"ANGIOTENSIN I ENZYME TEST","payer":"PEACHSTATE-CENTENE","gross charge":"334.43","discounted cash price":"83.61","payer-specific negotiated charge":"26.28","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"248.71"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AMBETTER","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"39.89","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"PEACHSTATE-CENTENE","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"10.28","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"92610","code description":"EVALUATE SWALLOWING FUNCTION","payer":"AETNA HMO","gross charge":"868","discounted cash price":"217","payer-specific negotiated charge":"109.28","de-identified minimum negotiated charge":"14.59","de-identified maximum negotiated charge":"537.55"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0163","code description":"DIPHENHYDRAMINE HCL 50MG","payer":"KAISER","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"13.66","de-identified minimum negotiated charge":"1.47","de-identified maximum negotiated charge":"23.69"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"AMERIGROUP","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"31.64","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85730","code description":"THROMBOPLASTIN TIME PARTIAL","payer":"KAISER SELF-FUNDED","gross charge":"56","discounted cash price":"14","payer-specific negotiated charge":"10.9","de-identified minimum negotiated charge":"3.45","de-identified maximum negotiated charge":"45.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q9968","code description":"VISUALIZATION ADJUNCT","payer":"CIGNA HMO","gross charge":"118.4","discounted cash price":"29.6","payer-specific negotiated charge":"20.65","de-identified minimum negotiated charge":"2.63","de-identified maximum negotiated charge":"71.48"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86256","code description":"FLUORESCENT ANTIBODY TITER","payer":"PEACHSTATE-CENTENE","gross charge":"209.67","discounted cash price":"52.42","payer-specific negotiated charge":"17.46","de-identified minimum negotiated charge":"8.52","de-identified maximum negotiated charge":"139.19"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83015","code description":"HEAVY METAL QUAL ANY ANAL","payer":"PEACHSTATE-CENTENE","gross charge":"329","discounted cash price":"82.25","payer-specific negotiated charge":"26.96","de-identified minimum negotiated charge":"16.28","de-identified maximum negotiated charge":"241.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84439","code description":"ASSAY OF FREE THYROXINE","payer":"BCBS SMARTVALUE PFFS","gross charge":"310","discounted cash price":"77.5","payer-specific negotiated charge":"24.84","de-identified minimum negotiated charge":"10.21","de-identified maximum negotiated charge":"263.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94667","code description":"CHEST WALL MANIPULATION","payer":"UHC MCARE","gross charge":"246","discounted cash price":"61.5","payer-specific negotiated charge":"101.02","de-identified minimum negotiated charge":"17.86","de-identified maximum negotiated charge":"101.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82131","code description":"AMINO ACIDS SINGLE QUANT","payer":"PEACHSTATE-CENTENE","gross charge":"91","discounted cash price":"22.75","payer-specific negotiated charge":"7.9","de-identified minimum negotiated charge":"5.19","de-identified maximum negotiated charge":"68.53"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"BLUE CROSS MCARE MGD CARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"33.97","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"79.27","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"70150","code description":"X-RAY EXAM OF FACIAL BONES","payer":"UHC MCARE","gross charge":"759","discounted cash price":"189.75","payer-specific negotiated charge":"105.95","de-identified minimum negotiated charge":"53.22","de-identified maximum negotiated charge":"470.58"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"HUMANA HMO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"118.38","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90715","code description":"TDAP VACCINE 7 YRS/\u003e IM","payer":"AMERIGROUP","gross charge":"304","discounted cash price":"76","payer-specific negotiated charge":"42.36","de-identified minimum negotiated charge":"5.25","de-identified maximum negotiated charge":"478.91"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"94660","code description":"POS AIRWAY PRESSURE CPAP","payer":"UHC MCARE","gross charge":"1,187.00","discounted cash price":"296.75","payer-specific negotiated charge":"251.51","de-identified minimum negotiated charge":"81.6","de-identified maximum negotiated charge":"474.96"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86592","code description":"SYPHILIS TEST NON-TREP QUAL","payer":"BC PPO","gross charge":"131","discounted cash price":"32.75","payer-specific negotiated charge":"69.13","de-identified minimum negotiated charge":"6.5","de-identified maximum negotiated charge":"69.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84425","code description":"ASSAY OF VITAMIN B-1","payer":"PEACHSTATE-CENTENE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"6.39","de-identified minimum negotiated charge":"1.97","de-identified maximum negotiated charge":"32.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2805","code description":"SINCALIDE INJECTION","payer":"AMERIGROUP","gross charge":"528.5","discounted cash price":"132.13","payer-specific negotiated charge":"87.98","de-identified minimum negotiated charge":"54.94","de-identified maximum negotiated charge":"376.13"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"CARESOURCE","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"657.6","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"73552","code description":"X-RAY EXAM OF FEMUR 2/\u003e","payer":"PEACHSTATE-CENTENE","gross charge":"1,070.00","discounted cash price":"267.5","payer-specific negotiated charge":"61.57","de-identified minimum negotiated charge":"36.36","de-identified maximum negotiated charge":"606.05"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"UHC MCARE","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"47.6","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86403","code description":"PARTICLE AGGLUT ANTBDY SCRN","payer":"MEDICAID","gross charge":"280","discounted cash price":"70","payer-specific negotiated charge":"19.52","de-identified minimum negotiated charge":"12.86","de-identified maximum negotiated charge":"161.37"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"19000","code description":"DRAINAGE OF BREAST LESION","payer":"AETNA MCARE MGD CARE","gross charge":"964","discounted cash price":"241","payer-specific negotiated charge":"473.09","de-identified minimum negotiated charge":"124.69","de-identified maximum negotiated charge":"918"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"377","code description":"G.I. HEMORRHAGE W MCC","payer":"MEDICAID","gross charge":"299,185.50","discounted cash price":"74,796.38","payer-specific negotiated charge":"66,681.77","de-identified minimum negotiated charge":"4,261.98","de-identified maximum negotiated charge":"66,681.77"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C8929","code description":"TTE W OR WO FOL WCON,DOPPLER","payer":"HUMANA HMO","gross charge":"3,351.00","discounted cash price":"837.75","payer-specific negotiated charge":"1,379.52","de-identified minimum negotiated charge":"125.28","de-identified maximum negotiated charge":"2,712.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"74181","code description":"MRI ABDOMEN W/O DYE","payer":"CARESOURCE","gross charge":"5,373.00","discounted cash price":"1,343.25","payer-specific negotiated charge":"936.02","de-identified minimum negotiated charge":"238.54","de-identified maximum negotiated charge":"2,837.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1885","code description":"KETOROLAC TROMETHAMINE INJ","payer":"HUMANA GOLD MEDICARE PFFS","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"10.32","de-identified minimum negotiated charge":"8.16","de-identified maximum negotiated charge":"94.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3301","code description":"TRIAMCINOLONE ACET INJ NOS","payer":"CHAMPUS TRICARE","gross charge":"23.63","discounted cash price":"5.91","payer-specific negotiated charge":"10.21","de-identified minimum negotiated charge":"0.99","de-identified maximum negotiated charge":"16"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84295","code description":"ASSAY OF SERUM SODIUM","payer":"AETNA MCARE MGD CARE","gross charge":"69","discounted cash price":"17.25","payer-specific negotiated charge":"30.36","de-identified minimum negotiated charge":"2.45","de-identified maximum negotiated charge":"45.28"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"C1781","code description":"MESH (IMPLANTABLE)","payer":"CIGNA PPO","gross charge":"5,777.00","discounted cash price":"1,444.25","payer-specific negotiated charge":"1,961.96","de-identified minimum negotiated charge":"103.79","de-identified maximum negotiated charge":"2,426.35"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"AETNA HMO","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"90.63","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87899","code description":"AGENT NOS ASSAY W/OPTIC","payer":"AETNA MCARE MGD CARE","gross charge":"57","discounted cash price":"14.25","payer-specific negotiated charge":"17.17","de-identified minimum negotiated charge":"3.12","de-identified maximum negotiated charge":"49.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L3670","code description":"SO ACRO/CLAV CAN WEB PRE OTS","payer":"PEACHSTATE-CENTENE","gross charge":"252","discounted cash price":"63","payer-specific negotiated charge":"23.99","de-identified minimum negotiated charge":"14.21","de-identified maximum negotiated charge":"240"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"36589","code description":"REMOVAL TUNNELED CV CATH","payer":"AETNA MCARE MGD CARE","gross charge":"1,974.00","discounted cash price":"493.5","payer-specific negotiated charge":"528.42","de-identified minimum negotiated charge":"171.25","de-identified maximum negotiated charge":"1,974.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"UHC MCARE","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"29.96","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"CIGNA MEDICARE ADVANTAGE","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"77","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1170","code description":"HYDROMORPHONE INJECTION","payer":"CARESOURCE","gross charge":"105","discounted cash price":"26.25","payer-specific negotiated charge":"10.04","de-identified minimum negotiated charge":"7.79","de-identified maximum negotiated charge":"89.25"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84165","code description":"PROTEIN E-PHORESIS SERUM","payer":"MEDICAID","gross charge":"447.29","discounted cash price":"111.82","payer-specific negotiated charge":"28.21","de-identified minimum negotiated charge":"4.3","de-identified maximum negotiated charge":"90.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"MEDICAID","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"12.5","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"BC HMO","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"63.43","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"BC HMO","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"217.87","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"86618","code description":"LYME DISEASE ANTIBODY","payer":"PEACHSTATE-CENTENE","gross charge":"328","discounted cash price":"82","payer-specific negotiated charge":"42.78","de-identified minimum negotiated charge":"14.28","de-identified maximum negotiated charge":"99.63"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L1830","code description":"KO IMMOB CANVAS LONG PRE OTS","payer":"AETNA PPO","gross charge":"240","discounted cash price":"60","payer-specific negotiated charge":"166.22","de-identified minimum negotiated charge":"9.05","de-identified maximum negotiated charge":"181.04"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J8540","code description":"ORAL DEXAMETHASONE","payer":"CARESOURCE","gross charge":"4.74","discounted cash price":"1.18","payer-specific negotiated charge":"0.69","de-identified minimum negotiated charge":"0.09","de-identified maximum negotiated charge":"1.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"71100","code description":"X-RAY EXAM RIBS UNI 2 VIEWS","payer":"PEACHSTATE-CENTENE","gross charge":"596","discounted cash price":"149","payer-specific negotiated charge":"96.18","de-identified minimum negotiated charge":"26.29","de-identified maximum negotiated charge":"568"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0690","code description":"CEFAZOLIN SODIUM INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"115","discounted cash price":"28.75","payer-specific negotiated charge":"6.4","de-identified minimum negotiated charge":"2.13","de-identified maximum negotiated charge":"115"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1200","code description":"DIPHENHYDRAMINE HCL INJECTIO","payer":"KAISER SELF-FUNDED","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"35.39","de-identified minimum negotiated charge":"5.71","de-identified maximum negotiated charge":"80.32"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2785","code description":"REGADENOSON INJECTION","payer":"AMERIGROUP","gross charge":"326.63","discounted cash price":"81.66","payer-specific negotiated charge":"47.98","de-identified minimum negotiated charge":"22.84","de-identified maximum negotiated charge":"207.3"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"G0009","code description":"ADMIN PNEUMOCOCCAL VACCINE","payer":"BC PPO","gross charge":"53","discounted cash price":"13.25","payer-specific negotiated charge":"238.02","de-identified minimum negotiated charge":"3.51","de-identified maximum negotiated charge":"238.02"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"90732","code description":"PPSV23 VACC 2 YRS+ SUBQ/IM","payer":"BC PPO","gross charge":"611.5","discounted cash price":"152.88","payer-specific negotiated charge":"2,910.98","de-identified minimum negotiated charge":"37.78","de-identified maximum negotiated charge":"2,910.98"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1644","code description":"INJ HEPARIN SODIUM PER 1000U","payer":"CARESOURCE","gross charge":"78.35","discounted cash price":"19.59","payer-specific negotiated charge":"1.62","de-identified minimum negotiated charge":"0.9","de-identified maximum negotiated charge":"19.31"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1720","code description":"HYDROCORTISONE SODIUM SUCC I","payer":"AETNA MCARE MGD CARE","gross charge":"117","discounted cash price":"29.25","payer-specific negotiated charge":"57","de-identified minimum negotiated charge":"7.1","de-identified maximum negotiated charge":"57"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0610","code description":"CALCIUM GLUCON (FRESENIUS)","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"16.32","de-identified minimum negotiated charge":"0.94","de-identified maximum negotiated charge":"38.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"85520","code description":"HEPARIN ASSAY","payer":"CARESOURCE","gross charge":"459","discounted cash price":"114.75","payer-specific negotiated charge":"64.49","de-identified minimum negotiated charge":"24.71","de-identified maximum negotiated charge":"112.68"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0280","code description":"AMINOPHYLLIN 250 MG INJ","payer":"PEACHSTATE-CENTENE","gross charge":"47.25","discounted cash price":"11.81","payer-specific negotiated charge":"7.04","de-identified minimum negotiated charge":"3.39","de-identified maximum negotiated charge":"19.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72158","code description":"MRI LUMBAR SPINE W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,669.00","discounted cash price":"1,667.25","payer-specific negotiated charge":"987.13","de-identified minimum negotiated charge":"281.34","de-identified maximum negotiated charge":"2,520.85"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"72157","code description":"MRI CHEST SPINE W/O \u0026 W/DYE","payer":"PEACHSTATE-CENTENE","gross charge":"6,606.00","discounted cash price":"1,651.50","payer-specific negotiated charge":"977.8","de-identified minimum negotiated charge":"278.68","de-identified maximum negotiated charge":"2,521.89"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"AMERIGROUP","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"83.9","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2800","code description":"METHOCARBAMOL INJECTION","payer":"CARESOURCE","gross charge":"170","discounted cash price":"42.5","payer-specific negotiated charge":"23.58","de-identified minimum negotiated charge":"14.94","de-identified maximum negotiated charge":"82.43"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J7121","code description":"5% DEXTROSE IN LAC RINGERS","payer":"PEACHSTATE-CENTENE","gross charge":"208","discounted cash price":"52","payer-specific negotiated charge":"26.82","de-identified minimum negotiated charge":"14.96","de-identified maximum negotiated charge":"100.88"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83090","code description":"ASSAY OF HOMOCYSTEINE","payer":"PEACHSTATE-CENTENE","gross charge":"133","discounted cash price":"33.25","payer-specific negotiated charge":"22.2","de-identified minimum negotiated charge":"3.78","de-identified maximum negotiated charge":"23.38"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1953","code description":"LEVETIRACETAM INJECTION","payer":"AMERIGROUP","gross charge":"3.45","discounted cash price":"0.86","payer-specific negotiated charge":"0.29","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"1.39"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87177","code description":"OVA AND PARASITES SMEARS","payer":"AMBETTER","gross charge":"95","discounted cash price":"23.75","payer-specific negotiated charge":"41.8","de-identified minimum negotiated charge":"2.22","de-identified maximum negotiated charge":"47.94"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"82652","code description":"VIT D 1 25-DIHYDROXY","payer":"CHAMPUS TRICARE","gross charge":"477","discounted cash price":"119.25","payer-specific negotiated charge":"82.76","de-identified minimum negotiated charge":"9.13","de-identified maximum negotiated charge":"273.59"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"MEDICAID","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"19.55","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88185","code description":"FLOWCYTOMETRY/TC ADD-ON","payer":"UHC MCARE","gross charge":"224","discounted cash price":"56","payer-specific negotiated charge":"49.61","de-identified minimum negotiated charge":"12.3","de-identified maximum negotiated charge":"153.66"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2370","code description":"PHENYLEPHRINE HCL INJECTION","payer":"KAISER","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"18.37","de-identified minimum negotiated charge":"0.91","de-identified maximum negotiated charge":"61.62"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"87077","code description":"CULTURE AEROBIC IDENTIFY","payer":"AETNA HMO","gross charge":"428","discounted cash price":"107","payer-specific negotiated charge":"203.72","de-identified minimum negotiated charge":"6.38","de-identified maximum negotiated charge":"203.72"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"51798","code description":"US URINE CAPACITY MEASURE","payer":"MEDICARE","gross charge":"818","discounted cash price":"204.5","payer-specific negotiated charge":"411.99","de-identified minimum negotiated charge":"71.68","de-identified maximum negotiated charge":"411.99"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"83930","code description":"ASSAY OF BLOOD OSMOLALITY","payer":"AETNA MCARE MGD CARE","gross charge":"210","discounted cash price":"52.5","payer-specific negotiated charge":"92.01","de-identified minimum negotiated charge":"11.65","de-identified maximum negotiated charge":"92.01"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"BCBS SMARTVALUE PFFS","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"31.88","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88184","code description":"FLOWCYTOMETRY/ TC 1 MARKER","payer":"UHC MCARE","gross charge":"763","discounted cash price":"190.75","payer-specific negotiated charge":"196.04","de-identified minimum negotiated charge":"42","de-identified maximum negotiated charge":"523.42"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2360","code description":"ORPHENADRINE INJECTION","payer":"CARESOURCE","gross charge":"118.5","discounted cash price":"29.63","payer-specific negotiated charge":"7.93","de-identified minimum negotiated charge":"4.49","de-identified maximum negotiated charge":"61.15"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"84157","code description":"ASSAY OF PROTEIN OTHER","payer":"UHC MCARE","gross charge":"232","discounted cash price":"58","payer-specific negotiated charge":"56.1","de-identified minimum negotiated charge":"8.8","de-identified maximum negotiated charge":"179.29"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0461","code description":"ATROPINE SULFATE INJECTION","payer":"MEDICAID","gross charge":"7.88","discounted cash price":"1.97","payer-specific negotiated charge":"0.34","de-identified minimum negotiated charge":"0.14","de-identified maximum negotiated charge":"4.23"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"62329","code description":"THER SPI PNXR CSF FLUOR/CT","payer":"AETNA HMO","gross charge":"2,170.00","discounted cash price":"542.5","payer-specific negotiated charge":"2,067.00","de-identified minimum negotiated charge":"79.97","de-identified maximum negotiated charge":"2,067.00"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"AMERIGROUP","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"9.01","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1610","code description":"GLUCAGON HYDROCHLORIDE/1 MG","payer":"MEDICAID","gross charge":"951.5","discounted cash price":"237.88","payer-specific negotiated charge":"124.5","de-identified minimum negotiated charge":"24.76","de-identified maximum negotiated charge":"685.87"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2543","code description":"PIPERACILLIN/TAZOBACTAM","payer":"AMERIGROUP","gross charge":"57.5","discounted cash price":"14.38","payer-specific negotiated charge":"6.24","de-identified minimum negotiated charge":"2.14","de-identified maximum negotiated charge":"43.12"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"AMERIGROUP","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"1.44","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"CARESOURCE","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"2.89","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"L8699","code description":"PROSTHETIC IMPLANT NOS","payer":"CHAMPUS TRICARE","gross charge":"3,417.75","discounted cash price":"854.44","payer-specific negotiated charge":"437.87","de-identified minimum negotiated charge":"12.34","de-identified maximum negotiated charge":"3,179.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q0177","code description":"HYDROXYZINE PAMOATE 25MG","payer":"MEDICAID","gross charge":"25","discounted cash price":"6.25","payer-specific negotiated charge":"3.11","de-identified minimum negotiated charge":"0.22","de-identified maximum negotiated charge":"18.76"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"88331","code description":"PATH CONSULT INTRAOP 1 BLOC","payer":"WELLCARE MCARE MGD CARE","gross charge":"559","discounted cash price":"139.75","payer-specific negotiated charge":"73.94","de-identified minimum negotiated charge":"35.93","de-identified maximum negotiated charge":"209.86"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"Q4180","code description":"REVITA, PER SQ CM","payer":"WELLCARE MCARE MGD CARE","gross charge":"342","discounted cash price":"85.5","payer-specific negotiated charge":"52.19","de-identified minimum negotiated charge":"23.1","de-identified maximum negotiated charge":"157.5"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"P9045","code description":"ALBUMIN (HUMAN), 5%, 250 ML","payer":"AETNA MCARE MGD CARE","gross charge":"305","discounted cash price":"76.25","payer-specific negotiated charge":"40.69","de-identified minimum negotiated charge":"32.01","de-identified maximum negotiated charge":"232.17"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J1580","code description":"GARAMYCIN GENTAMICIN INJ","payer":"AMERIGROUP","gross charge":"142.89","discounted cash price":"35.72","payer-specific negotiated charge":"10.34","de-identified minimum negotiated charge":"9.89","de-identified maximum negotiated charge":"63.92"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J2920","code description":"METHYLPREDNISOLONE INJECTION","payer":"PEACHSTATE-CENTENE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"13.94","de-identified minimum negotiated charge":"2.33","de-identified maximum negotiated charge":"105.73"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3480","code description":"INJ POTASSIUM CHLORIDE","payer":"CARESOURCE","gross charge":"230","discounted cash price":"57.5","payer-specific negotiated charge":"2.44","de-identified minimum negotiated charge":"0.64","de-identified maximum negotiated charge":"44.34"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J3420","code description":"VITAMIN B12 INJECTION","payer":"WELLCARE MCARE MGD CARE","gross charge":"94.5","discounted cash price":"23.63","payer-specific negotiated charge":"6.03","de-identified minimum negotiated charge":"5.57","de-identified maximum negotiated charge":"40.93"},{"name":"Northside Hospital Duluth","prices posted and effective":"2023-07-05","code":"J0558","code description":"PENG BENZATHINE/PROCAINE INJ","payer":"PEACHSTATE-CENTENE","gross charge":"70.21","discounted cash price":"17.55","payer-specific negotiated charge":"2.75","de-identified minimum negotiated charge":"2.39","de-identified maximum negotiated charge":"51.4"}]