Full-CDM-Charges
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Full Chargemaster - John Muir-Walnut Creek
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Provided in Machine-Readable Format
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Charge CodeCharge Description Charge Amount
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12100011HC RMB ROOM RATE GENERAL$8,432.00
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12100012HC RMB ED BOARDER ROOM RATE$8,432.00
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12100017HC RMB CARDPULM ICU TRANSF TO MEDSURG$7,347.75
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12100078HC RMB ROOM RATE OVERFLOW$8,432.00
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12200107HC RMB ROOM RATE POSTPARTUM$8,432.00
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12200116HC RMB ROOM RATE OBSTETRIC ANTEPARTUM LVL I$12,391.25
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12200117HC RMB ROOM RATE ANTEPARTUM LVL I$12,391.25
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12300105HC RMB ROOM RATE PEDIATRICS$8,432.00
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12800120HC RMB ROOM RATE REHABILITATION$8,432.00
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17100104HC RMB ROOM RATE NURSERY$2,420.75
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17200046HC RMB ROOM RATE ICN LVL I$21,994.75
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17300046HC RMB ROOM RATE ICN LVL II-A$21,994.75
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17300047HC RMB ROOM RATE ICN LVL II$21,994.75
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17400048HC RMB ROOM RATE ICN LVL III$21,994.75
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20000001HC HH TELEPHONE ENCOUNTER$19,166.50
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20000007HC RMB CRITICAL CARE TRAUMA LVL I$21,994.75
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20000013HC RMB CRITICAL CARE CPICU LVL I$21,994.75
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20000050HC RMB CRITICAL CARE NSICU LVL I$21,994.75
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20000062HC RMB CRITICAL CARE ICU LVL I/NSD$21,994.75
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20000084HC RMB CRITICAL CARE GENERAL$21,994.75
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20000088HC RMB OVERFLOW CRITICAL CARE$21,994.75
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20600010HC RMB INTERMEDIATE CARE GENERAL$12,391.25
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20600056HC RMB PCU LVL I$12,391.25
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20600065HC RMB PCU LVL I/NSD$12,391.25
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20600085HC RMB OVERFLOW INTERMIDIATE CARE$12,391.25
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20800811HC ROOM RATE ICU TRAUMA$23,797.50
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20800812RMB NSICU TRAUMA$23,797.50
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25000001HC ERX 250 WO HCPCS$2,060.00
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25000002HC ERX 250 W HCPCS$212.00
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25000100HC WATER STERILE IRR 3000 ML 4/CS$184.00
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25000200
HC SOLUTION CRRT IV ANTI-COAGULANT ACDA 1000 ML
$184.00
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25030731HC RT OXYGEN DAILY CHARGE$2,364.25
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25052193HC RT NITRIC OXIDE INHALED HOURLY$1,240.25
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25052194HC RT NITRIC OXIDE INHALED HOURLY PEDIATRIC$1,240.25
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26000002HC IMMUNIZATION ADMINISTRATION$387.25
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26001548HC INFUSION HYDRAT INITIAL HOUR$923.25
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26001554HC INJECTION TX/DX SQ OR IM$467.50
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26001554HC INJECTION TX/DX SQ OR IM$393.00
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26001554HC INJECTION TX/DX SQ OR IM$387.25
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26001554HC INJECTION TX/DX SQ OR IM$368.75
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26001554HC INJECTION TX/DX SQ OR IM$325.50
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26001554HC INJECTION TX/DX SQ OR IM$284.50
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26001557HC INJECT IV PUSH EA ADDL SAME DRUG$449.75
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26024735HC CCL INFUSION TXDX EA ADD HOUR$687.50
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26024735HC CCL INFUSION TXDX EA ADD HOUR$578.50
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26025169HC APPLICATON ON-BODY INJECTOR$467.50
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26031132HC INJECTION IV PUSH INITIAL$825.50
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26031132HC INJECTION IV PUSH INITIAL$825.25
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26031132HC INJECTION IV PUSH INITIAL$683.50
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26031132HC INJECTION IV PUSH INITIAL$650.25
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26031132HC INJECTION IV PUSH INITIAL$644.50
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26031132HC INJECTION IV PUSH INITIAL$574.75
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26031132HC INJECTION IV PUSH INITIAL$502.25
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26031133HC INJECTION IV PUSH EA NEW DRUG$544.50
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26031133HC INJECTION IV PUSH EA NEW DRUG$544.25
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26031133HC INJECTION IV PUSH EA NEW DRUG$449.75
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26031133HC INJECTION IV PUSH EA NEW DRUG$429.25
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26031133HC INJECTION IV PUSH EA NEW DRUG$378.50
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26031133HC INJECTION IV PUSH EA NEW DRUG$335.50
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26034627HC INFUSION TXDX PER HOUR$1,491.25
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26050000LAB INJECTION IV PUSH INITIAL$683.50
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26050001LAB INJECTION IV PUSH EA NEW DRUG$449.75
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26050002LAB INJ IV PUSH EA ADDL SAME RX$449.75
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27000000HC MOUTHPIECE ACAPELLA DH GREEN 10/CS$930.00
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27000053
HC CATH URINARY MALE EXTERNAL BIODERM LRG 30/BX 12BX/CS
$184.00
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27000301HC MOUTHPIECE ACAPELLA DM BLUE 10/CS$930.00
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27000641HC NEEDLE INTRAOSSEOUS INFUSION 15GA 10/CS$364.00
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27000649
HC MITTENS PROTECTIVE HAND CNTRL RIGID AND FLEXIBLE MED NON STERILE
$364.00
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27000655
HC CUSHION PATIENT SEAT STANDARD WAFFLE 12/CS
$605.00
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27000662
HC CLEANSER DERMAL WOUND SAF-CLENS 12 OZ 6/BX
$184.00
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27000664HC CORSET LUMBAR SACRAL X-LARGE$364.00
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27000670HC TUBE NEOPUFF GAS SUPPLY LINE LONG BX/10$184.00
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27000673HC DEVICE TRAUMA PELVIC ORTHOTIC (T-POD)$1,254.00
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27000674HC BAG HYPERINFLATION W/PRESSURE LINE 20/BX$364.00
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27000684
HC POSITIONER CUSHION SEAT BARIATRIC WAFFLE 6/CS
$930.00
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27000686HC STOCKING TED THIGH XL REG 10PR/BX$364.00
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27000687HC STOCKING TED THIGH XL LONG 10 PR/BX$364.00
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27000688HC STOCKING TED KNEE XXL REG 10 PR/BX$184.00
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27000690HC SUPPORT LUMBAR$364.00
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27000693HC PUMP BREAST KIT SYMPHONY CS/10$605.00
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27000695
HC PAD CERVICAL COLLAR REPLACEMENT MIAMI J STOUT
$364.00
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27000696
HC PAD CERVICAL COLLAR REPLACEMENT MIAMI J TALL
$364.00
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27000697
HC PAD CERVICAL COLLAR REPLACEMENT MIAMI J X-SM
$364.00
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27000698
HC TUBE VENTILATOR CIRCUIT T-PIECE NEO-PUFF ERGONOMIC 10/BX
$184.00
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27000702
HC RESTRAINT ANKLE TWICE AS TOUGH FOR STRETCHERS
$364.00
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27000713HC PACK SURG MAXIMUM BARRIER 24/CS$364.00
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27000727HC PROTECTOR HEEL STANDARD DISP$894.00
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27017757LAB TRANSFER SET$88.00
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27022170LAB PEDI BAG$70.00
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27049228HC BOARD ARM IV DISP 3-1/4 IN X 9 IN 20/CS$184.00
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27055726HC CATH FOLEY SI 26FR 5CC 12/BX$184.00
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27100000HC PAD VEST INNERCOOL S/M$4,934.00
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27100016
HC PAD ELECTRODE PED RADIOTRANSPARENT 5 SETS/CS
$184.00
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27100022HC NEBULIZER MINI-HEART 25/CS$364.00
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27100028
HC CUFF ANKLE SECURITY TWICE-AS-TOUGH NO LOCK 2791
$364.00
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27100029HC NEBULIZER MINIHEART HI-FLO 25/CS$184.00
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