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North Suburban Northeast ER top charges

In compliance with federal law, please view pricing information for certain procedures and services at North Suburban Northeast ER.

NOTICE REGARDING HEALTH CARE PLAN COVERAGE

This freestanding emergency department (Northeast Emergency Department ) accepts patients enrolled in the following programs: Colorado Medicaid (Articles 4, 5 and 6 of Title 25.5); Medicare (Title XVIII of the Federal Social Security Act, as amended); the CHIP program (Article 8 of Title 25.5) and a military health plan (10 U.S.C. Section 1071).

The prices listed on this facility’s chargemaster or fee schedule for any given health care service is the maximum charge that any patient will be billed for the service. The actual price for the health care service may be lower depending on your health insurance benefits and the availability of discounts or financial assistance.

This Facility will charge a facility fee. In addition to facility fees, you will be charged for any testing, supplies, or other services you receive. All physicians providing health care services will bill separately from the Facility for services they provided to you.

The health care provider networks and carriers that this Facility participates with are listed here.

This Facility and/or a physician providing health care services may not be a participating provider in your health insurance provider network.

If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this Facility. If you are not covered by health insurance, you are strongly encouraged to contact (866) 475-2403 to discuss payment options and the availability of financial assistance prior to receiving a health care service from this Facility.

The average fee schedule price for the twenty-five most common health care services provided by this Facility are listed below. The prices listed for each health care service is the average charge that you may be billed for the particular service. The actual price for the health care service may be lower depending on your insurance coverage and the availability of discounts or financial assistance.

Northeast Emergency Department

25 Most Common Health Services Provided at the Freestanding Emergency Room
CPT Code Charge Description Average Charge per Account
99283 LVL 3 FREE STD EMER DEPT $7,697
99284 LVL 4 FREE STD EMER DEPT $12,898
85027 COMPLETE CBC AUTOMATED $748
80053 COMPREHEN METABOLIC PANEL $1,943
96374 THER/PROPH/DIAG INJ IV PUSH $695
81003 URINALYSIS AUTO W/O SCOPE $443
87426 SARSCOV CORONAVIRUS AG IA $68
71045 X-RAY EXAM CHEST 1 VIEW $1,049
87400 INFLUENZA A/B EACH AG IA $36
87400 INFLUENZA A/B EACH AG IA $36
93005 ELECTROCARDIOGRAM TRACING $2,302
96361 HYDRATE IV INFUSION ADD-ON $356
96375 TX/PRO/DX INJ NEW DRUG ADDON $695
99282 LVL 2 FREE STD EMER DEPT $3,389
84484 ASSAY OF TROPONIN QUANT $1,200
87880 STREP A ASSAY W/OPTIC $178
84703 CHORIONIC GONADOTROPIN ASSAY $876
74177 CT ABD & PELV W/CONTRAST $22,971
87081 CULTURE SCREEN ONLY $516
80047 METABOLIC PANEL IONIZED CA $1,184
81025 URINE PREGNANCY TEST $876
85014 HEMATOCRIT $261
99281 LVL 1 FREE STD EMER DEPT $1,394
96372 THER/PROPH/DIAG INJ SC/IM $728
85379 D-DIMER QUANT $1,146
Freestanding Emergency Facility Fees
CPT Code Charge Description Average Charge per Account
99281 LVL 1 FREE STD EMER DEPT $1,244
99282 LVL 2 FREE STD EMER DEPT $3,026
99283 LVL 3 FREE STD EMER DEPT $6,872
99284 LVL 4 FREE STD EMER DEPT $11,516
99285 LVL 5 FREE STD EMER DEPT $13,769

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