расценки на услуги на примере конкретной страховой компании

DP · Post by DP » 30 Jan 2007 05:44

Important: The prices included are typically what Highmark would pay a professional network provider. They do not include any facility prices that may apply. Actual prices may vary. Also, the inclusion of a procedure below does not necessarily indicate coverage. Please refer to your benefit plan.

DP · Post by DP » 30 Jan 2007 05:46

Allergy/Immunology Services Expected Costs

INTRACUTANEOUS (INTRADERMAL) TESTS WITH ALLERGENIC EXTRACTS, IMMEDIATE TYPE REACTION $6.00

PERCUTANEOUS TESTS (SCRATCH, PUNCTURE, PRICK) WITH ALLERGENIC EXTRACTS, IMMEDIATE TYPE REACTION $4.00

PROFESSIONAL SERVICE FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRACTS, SINGLE INJECTION $15.00

PROFESSIONAL SERVICES FOR ALLERGEN IMMUNOTHERAPY NOT INCLUDING PROVISION OF ALLERGENIC EXTRACTS; TWO OR MORE INJECTIONS $19.00

PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION AND PROVISION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY; SINGLE DOSE VIAL(S) $10.00

PROFESSIONAL SERVICES FOR THE SUPERVISION OF PREPARATION OF ANTIGENS FOR ALLERGEN IMMUNOTHERAPY, SINGLE OR MULTIPLE DOSES $9.50

DP · Post by DP » 30 Jan 2007 05:47

Cardiography Services Expected Costs

CARDIOVASCULAR STRESS TEST USING MAXIMAL OR SUBMAXIMAL TREADMILL OR BICYCLE EXERCISE $123.99

DOPPLER ECHOCARDIOGRAPHY COLOR FLOW VELOCITY MAPPING (LIST SEPARATELY IN ADDITION TO CODES FOR ECHOCARDIOGRAPHY) $108.09

DOPPLER ECHOCARDIOGRAPHY, PULSED WAVE AND/OR CONTINUOUS WAVE WITH SPECTRAL DISPLAY; COMPLETE $82.25

ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION (2D) WITH OR WITHOUT M-MODE RECORDING; COMPLETE $187.19

ECHOCARDIOGRAPHY, TRANSTHORACIC, REAL-TIME WITH IMAGE DOCUMENTATION , DURING REST AND CARDIOVASCULAR STRESS TEST $142.62

ELECTROCARDIOGRAM, ROUTINE ECG WITH AT LEAST 12 LEADS; WITH INTERPRETATION AND REPORT $29.95

ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORDING AND STORAGE, WITH VISUAL SUPERIMPOSITION SCANNING $181.35

ELECTROCARDIOGRAPHIC MONITORING FOR 24 HOURS BY CONTINUOUS ORIGINAL ECG WAVEFORM RECORDING AND STOREAGE WITHOUT SUPERIMPOSITION SCANNING $192.64

DP · Post by DP » 30 Jan 2007 05:48

ENT/Audiology Services Expected Costs

ACOUSTIC REFLEX TESTING $18.50

COMPREHENSIVE AUDIOMETRY THRESHOLD EVALUATION AND SPEECH RECOGNITION $49.10

PURE TONE AUDIOMETRY (THRESHOLD); AIR AND BONE $27.26

PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY $18.50

SCREENING TEST, PURE TONE, AIR ONLY $26.00
TREATMENT OF SPEECH, LANGUAGE, VOICE, COMMUNICATION, AND/ OR AUDITORY PROCESSING DISORDER; INDIVIDUAL $70.00

TYMPANOMETRY (IMPEDANCE TESTING) $21.84

DP · Post by DP » 30 Jan 2007 05:49

Immunizations Expected Costs

IMMUNIZATION ADMINISTRATION (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) $10.00

IMMUNIZATION ADMINISTRATION (SINGLE OR COMBINATION VACCINE/ TOXOID) $10.00

INTRAMUSCULAR INJECTION OF ANTIBIOTIC $23.42

DIPHTHERIA AND TETANUS TOXOIDS (DT) ADSORBED FOR USE IN INDIVIDUALS YOUNGER THAN SEVEN YEARS $21.96

DIPHTHERIA, TETANUS TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE (DTAP), FOR INTRAMUSCULAR USE $25.28

DIPHTHERIA, TETANUS TOXOIDS, AND ACELLULAR PERTUSSIS VACCINE AND HEMOPHILUS INFLUENZA B VACCINE (DTAP-HIB) $51.41

DIPHTHERIA, TETANUS TOXOIDS, AND WHOLE CELL PERTUSSIS VACCINE (DTP), FOR INTRAMUSCULAR USE $18.75

DIPHTHERIA, TETANUS TOXOIDS, AND WHOLE CELL PERTUSSIS VACCINE AND HEMOPHILUS INFLUENZA B VACCINE (DTP-HIB) $36.84

HEMOPHILUS INFLUENZA B VACCINE (HIB), HBOC CONJUGATE (4 DOSE SCHEDULE), FOR INTRAMUSCULAR USE $27.03

HEMOPHILUS INFLUENZA B VACCINE (HIB), PRP-D CONJUGATE, FOR BOOSTER USE ONLY, INTRAMUSCULAR USE $21.15

HEMOPHILUS INFLUENZA B VACCINE (HIB), PRP-OMP CONJUGATE (3 DOSE SCHEDULE), FOR INTRAMUSCULAR USE $28.97

HEMOPHILUS INFLUENZA B VACCINE (HIB),PRP-T CONJUGATE (4 DOSE SCHEDULE), FOR INTRAMUSCULAR USE $27.04

HEPATITIS A VACCINE, ADULT DOSAGE, FOR INTRAMUSCULAR USE $68.91

HEPATITIS A VACCINE, PEDIATRIC/ADOLESCENT DOSAGE-2 DOSE SCHEDULE, FOR INTRAMUSCULAR USE $34.34

HEPATITIS B AND HEMOPHILUS INFLUENZA B VACCINE (HEPB-HIB), FOR INTRAMUSCULAR USE $54.07

HEPATITIS B VACCINE, ADOLESCENT (2 DOSE SCHEDULE), FOR INTRAMUSCULAR USE $74.06

HEPATITIS B VACCINE, ADULT DOSAGE, FOR INTRAMUSCULAR USE $60.90

HEPATITIS B VACCINE, PEDIATRIC/ADOLESCENT DOSAGE (3 DOSE SCHEDULE), FOR INTRAMUSCULAR USE $25.64

INFLUENZA VIRUS VACCINE, SPLIT VIRUS, 3 YEARS AND ABOVE DOSAGE, FOR INTRAMUSCULAR OR JET INJECTION USE $14.67

INFLUENZA VIRUS VACCINE, SPLIT VIRUS, 6-35 MONTHS DOSAGE, FOR INTRAMUSCULAR OR JET INJECTION USE $14.67

MEASLES, MUMPS AND RUBELLA VIRUS VACCINE (MMR), LIVE, FOR SUBCUTANEOUS OR JET INJECTION USE $50.97

MENINGOCOCCAL POLYSACCHARIDE VACCINE (ANY GROUP(S)), FOR SUBCUTANEOUS OR JET INJECTION USE $103.32

PNEUMOCOCCAL CONJUGATE VACCINE, POLYVALENT, FOR CHILDREN UNDER FIVE YEARS, FOR INTRAMUSCULAR USE $82.95

PNEUMOCOCCAL POLYSACCHARIDE VACCINE, 23-VALENT, FOR USE IN INDIVIDUALS 2 YEARS OR OLDER $31.93
POLIOVIRUS VACCINE, (ANY TYPE(S)) (OPV), LIVE, FOR ORAL USE $20.45

POLIOVIRUS VACCINE, INACTIVATED, (IPV), FOR SUBCUTANEOUS USE $29.41

TETANUS AND DIPHTHERIA TOXOIDS (TD) ADSORBED FOR USE IN INDIVIDUALS SEVEN YEARS OR OLDER $16.20

TETANUS TOXOID ADSORBED, FOR INTRAMUSCULAR OR JET INJECTION USE $22.32

THERAPEUTIC, PROPHYLACTIC OR DIAGNOSTIC INJECTION (SPECIFY MATERIAL INJECTED); INTRAVENOUS $46.56

VARICELLA VIRUS VACCINE, LIVE, FOR SUBCUTANEOUS USE $87.27

DP · Post by DP » 30 Jan 2007 05:51

Laboratory/Pathology Expected Costs = Chemistry

BLOOD, OCCULT BY PEROXIDASE ACTIVITY $4.54

COLORECTAL CANCER SCREENING; FECAL-OCCULT BLOOD TEST $4.54

CREATININE; BLOOD $5.32

ESTRADIOL $29.06

GLUCOSE; QUANTITATIVE $4.09

HEMOGLOBIN; GLYCATED $11.08

DP · Post by DP » 30 Jan 2007 05:53

Laboratory/Pathology Expected Costs = Cytogenetic Studies

CHROMOSOME ANALYSIS; COUNT 15-20 CELLS, 2 KARYOTYPES $129.59

TISSUE CULTURE FOR NEOPLASTIC DISORDERS; BONE MARROW; BLOOD CELLS SOLID TUMOR $175.69

DP · Post by DP » 30 Jan 2007 05:54

Laboratory/Pathology Expected Costs = Cytopathology

SCREENING CYTOPATHOLOGY, CERVICAL OR VAGINAL (ANY REPORTING SYSTEM) $28.31

SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, PHYSICIAN $22.00

SCREENING PAPANICOLAOU SMEAR, CERVICAL OR VAGINAL, TECHICIAN $14.76

DP · Post by DP » 30 Jan 2007 05:55

stay tuned... продолжу.

Gerraele · Post by **Gerraele** » 30 Jan 2007 09:36

DP wrote:stay tuned... продолжу.

И не лень стока писать :wink:

DP · Post by DP » 30 Jan 2007 16:26

Gerraele wrote:
DP wrote:stay tuned... продолжу.

И не лень стока писать

лень, хотя это всего лишь copy & paste...

но поскольку вопрос о том сколько стоят те или иные процедуры в госпитале/у врача/в лаборатории появляется здесь периодически то пора опубликовать примерные данные (по состоянию на сегодня).

DP · Post by DP » 30 Jan 2007 16:30

Laboratory/Pathology Expected Costs = Drug Testing

DRUG, CONFIRMATION, EACH PROCEDURE $18.41

DRUG, SCREEN; MULTIPLE DRUG CLASSES $15.12

DRUG, SCREEN; SINGLE DRUG CLASS $14.30

DP · Post by DP » 30 Jan 2007 16:32

Laboratory/Pathology Expected Costs = Hematology and Coagulation

BLOOD COUNT; HEMOGLOBIN $2.45

BLOOD COUNT; HEMOGRAM AND PLATELET COUNT, AUTOMATED $6.73

BLOOD COUNT; HEMOGRAM AND PLATELET COUNT, AUTOMATED AND AUTOMATED COMPLETE DIFFERENTIAL CBC $8.08

PROTHROMBIN TIME $4.10

SEDIMENTATION RATE, ERYTHROCYTE; NON-AUTOMATED $3.69

DP · Post by DP » 30 Jan 2007 16:32

Laboratory/Pathology Expected Costs = Immunology

SKIN TEST; TUBERCULOSIS, PATCH OR INTRADERMAL $7.63

DP · Post by DP » 30 Jan 2007 16:33

Laboratory/Pathology Expected Costs = Microbiology

CULTURE, BACTERIAL, SCREENING ONLY, FOR SINGLE ORGANISM $6.48

CULTURE, BACTERIAL, URINE; QUANTITATIVE, COLONY COUNT, URINE $8.28

INFECTIOUS AGENT DETECTION BY IMMUNOASSAY; STREPTOCOCCUS GROUP A $11.73

SMEAR, PRIMARY SOURCE, WITH INTERPRETATION; WET MOUNT FOR INFECTIOUS AGENTS $5.93

DP · Post by DP » 30 Jan 2007 16:34

Laboratory/Pathology Expected Costs = Molecular Diagnostics

PROSTATE SPECIFIC ANTIGEN (PSA); TOTAL $19.13

THYROID STIMULATING HORMONE (TSH) $17.47

THYROXINE; FREE $9.38

THYROXINE; TOTAL $7.15

TRANSFERASE; ALANINE AMINO (ALT) (SGPT) $5.44

TRANSFERASE; ASPARTATE AMINO (AST) (SGOT) $5.38

UREA NITROGEN; QUANTITATIVE $4.10

DP · Post by DP » 30 Jan 2007 16:35

Laboratory/Pathology Expected Costs = Organ or Disease Oriented Panel

BASIC METABOLIC PANEL $8.28

COMPREHEN METABOLIC PANEL $10.84

ELECTROLYTE PANEL. $9.69

HEPATIC FUNCTION PANEL $7.97

LIPID PROFILE $21.62

DP · Post by DP » 30 Jan 2007 16:35

Laboratory/Pathology Expected Costs = Surgical Pathology

LEVEL III - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION $50.00

LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION $99.00

LEVEL V - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION $170.00[/quote]

DP · Post by DP » 30 Jan 2007 16:36

Laboratory/Pathology Expected Costs = Therapeutic Drug Assays

DIGOXIN $13.81

PHENYTOIN; TOTAL $13.79

DP · Post by DP » 30 Jan 2007 16:37

Laboratory/Pathology Expected Costs = Transfusion Medicine

ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE $30.10

BLOOD TYPING; ABO $3.10

BLOOD TYPING; RH (D) $11.02

DP · Post by DP » 30 Jan 2007 16:38

Laboratory/Pathology Expected Costs = Urinalysis

URINALYSIS, AUTOMATED W/O MICROSCOPY BY DIPSTICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN ETC. $3.13

URINALYSIS, NON AUTOMATED W/O MICROSCOPY BY DIPSTICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN ETC. $3.56

URINALYSIS, NON AUTOMATED WITH MICROSCOPY BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN ETC. $3.28

URINE PREGNANCY TEST $9.25

DP · Post by DP » 30 Jan 2007 16:39

stay tuned... продолжу.

DP · Post by DP » 31 Jan 2007 02:56

Manipulation Services Expected Costs

CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); EXTRASPINAL ONE OR MORE REGIONS $26.00

CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, FIVE REGIONS $49.50

CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, ONE TO TWO REGIONS $29.50

CHIROPRACTIC MANIPULATIVE TREATMENT (CMT); SPINAL, THREE TO FOUR REGIONS $39.00

OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); ONE TO TWO BODY REGIONS INVOLVED $29.50

OSTEOPATHIC MANIPULATIVE TREATMENT (OMT); THREE TO FOUR BODY REGIONS INVOLVED $39.00

DP · Post by DP » 31 Jan 2007 02:57

Office Procedures/Surgeries Expected Costs = Auditory System

EXTERNAL EAR REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITHOUT GENERAL ANESTHESIA $80.00

EXTERNAL EAR REMOVAL IMPACTED CERUMEN (SEPARATE PROCEDURE), ONE OR BOTH EARS $29.29

MIDDLE EAR MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION $163.00

MIDDLE EAR TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), LOCAL OR TOPICAL ANESTHESIA $151.00

MIDDLE EAR TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA $170.07

DP · Post by DP » 31 Jan 2007 02:57

Office Procedures/Surgeries Expected Costs = Cardiovascular System

VASCULAR INJECTION PROCEDURES INJECTION OF SCLEROSING SOLUTION; MULTIPLE VEINS, SAME LEG $53.00