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Cost Estimator
St. Vincent Hospital
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Cash Pricing
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Medication
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
0011A
RX, ADM SARS-COV2 100 MCG/0.5 ML, 1ST, IM
0011A
RX, ADM SARS-COV2 100 MCG/0.5 ML, 1ST, IM
0011A
RX, ADM SARS-COV2 100 MCG/0.5 ML, 1ST, IM
0011A
RX, ADM SARS-COV2 100 MCG/0.5 ML, 1ST, IM
0012A
RX ADM SARS-COV2 100 MCG/0.5 ML, 2ND, IM
0012A
RX ADM SARS-COV2 100 MCG/0.5 ML, 2ND, IM
0012A
RX ADM SARS-COV2 100 MCG/0.5 ML, 2ND, IM
0012A
RX ADM SARS-COV2 100 MCG/0.5 ML, 2ND, IM
0013A
RX ADM SARSCOV2 100MCG/0.5ML, 3RD, IM
0064A
RX ADM SARSCOV2 50MCG/0.25MLBST, BOOSTER DOSE
80299
LAB ANALGESICS, NON-OPIOID, 1 OR 2. SALICYLATE LEVEL, NOT ELSE SPEC
80305
LAB, LAKE CO HHS, DRUG SCREEN
80356
LAB HEROIN METABOLITE
90384
RHOGAM ULTRA-FILTERED PLUS SYR 300 mcg, 1 each
90633
RX HEPATITIS A (HAVRIX) VACCINE 0.5 ML SYRINGE
90633
RX HEPATITIS A (VAQTA) VACCINE 0.5 ML SYRINGE
90662
2019 -2020 FLUZONE HIGH DOSE (IIV), SPLIT, IM
90662
RX FLUZONE QUAD 0.7ML, PER SYRINGE
90672
INFLUENZA VIRUS VACCINE, QUADRIVALENT, LIVE (LAIV4), INTRANASAL
90686
RX FLUZONE QUAD 0.5ML, SYRINGE
90688
FLUZONE, QUADRIVALENT (IIV4), SPLIT, 0.5 ML IM, 2021-2022 SEASON
90700
RX DTAP DIPTH/TETANUS/PERTUSS (INFANRIX) 0.5 ML SYRINGE
90707
RX MEASLES MUMPS RUBELLA (M-M-R II) VACCINE W/DILUENT VIAL
90713
RX POLIO (IPOL) VACCINE 0.5 ML DOSE MULTI-DOSE VIAL
90715
TDAP
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