{"File Summary":[{"Hospital Name":"St Josephs Hospital - Savannah","Prices Posted And Effective":"1/1/2021 12:00:00 AM","Gross Charge":"This section presents the standard gross charge for items and services.","Discounted Cash Price":"This section presents information regarding discounted cash pricing for those patients who decide to pay without insurance coverage.","Inpatient De-identified Negotiated Charge":"This section presents the de-identified minimum and maximum charge for items, services, and service packages that occur in the inpatient setting.","Inpatient Payer Specific Charge":"This section presents the payer specific negotiated charge for items, services, and service packages that occur in the inpatient setting.","Outpatient De-identified Negotiated Charge":"This section presents the de-identified minimum And maximum charge For items, services, And service packages that occur In the outpatient setting.","Outpatient Payer Specific Charge":"This section presents the payer specific negotiated charge for items, services, and service packages that occur in the outpatient setting."}],"Gross Charges":[{"Itemcode":"65100001","Description":"ED Level 1 Visit","CDM Revenue Code":"450","CDM HCPCS":"99281","Standard Price":271.0},{"Itemcode":"65100003","Description":"ED Levl-Critical Care 30-74MIN","CDM Revenue Code":"450","CDM HCPCS":"99291","Standard Price":2677.0},{"Itemcode":"65100004","Description":"ED Level 3 Visit","CDM Revenue Code":"450","CDM HCPCS":"99283","Standard Price":776.0},{"Itemcode":"65100005","Description":"ED Level 4 Visit","CDM Revenue Code":"450","CDM HCPCS":"99284","Standard Price":1048.0},{"Itemcode":"65100006","Description":"ED Level 5 Visit","CDM Revenue Code":"450","CDM HCPCS":"99285","Standard Price":1847.0},{"Itemcode":"65100096","Description":"ED Level 2 Visit","CDM Revenue Code":"450","CDM HCPCS":"99282","Standard Price":518.0},{"Itemcode":"65100120","Description":"ED Levl-Critical Care Add'l 30","CDM Revenue Code":"450","CDM HCPCS":"99292","Standard Price":1338.0},{"Itemcode":"65100306","Description":"E.D. Discharge for Insurance","CDM Revenue Code":"450","CDM HCPCS":"99281","Standard Price":1.0},{"Itemcode":"0130","Description":"Attempted Stereotactic Bx","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"0511","Description":"CLINIC ESTABLISHED PT LEVEL I","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"0512","Description":"CLINIC ESTABLISHED PT LEVEL V","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"0513","Description":"CLINIC ESTABLISHED PT LEVEL IV","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":390.0},{"Itemcode":"0514","Description":"CLINIC ESTABLISHED PT LEVELIII","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"0515","Description":"CLINIC ESTABLISHED PT LEVEL II","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"61552991","Description":"OB    Clinic Visit I","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"61552992","Description":"OB    Clinic Visit Ii","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"61552993","Description":"OB    Clinic Visit Iii","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"61552994","Description":"OB    Clinic Visit Iv","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":390.0},{"Itemcode":"61552995","Description":"OB    Clinic Visit V","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"61555720","Description":"Resuscitation: Neonatal Comp","CDM Revenue Code":"480","CDM HCPCS":"99465","Standard Price":4396.0},{"Itemcode":"63200092","Description":"Caloric Vstbl Tst Rec Bi Bix4","CDM Revenue Code":"471","CDM HCPCS":"92537","Standard Price":876.0},{"Itemcode":"63200093","Description":"Caloric Vstbl Tst Rec Bi Mono2","CDM Revenue Code":"471","CDM HCPCS":"92538","Standard 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- Initial Eval","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":390.0},{"Itemcode":"72050131","Description":"Valve Clinic- Reconsult","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"72050132","Description":"Valve Clinic-Ini Eval PLUS CC","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"72050140","Description":"Valve Clinic-1 WK F-U VISIT","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"72050150","Description":"Valve Clin-1 MO/1YR F-U VISIT","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"72050160","Description":"Valve Clinic-Hospital Consult","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"72205325","Description":"Intracardiac Echo","CDM Revenue Code":"480","CDM HCPCS":"93662","Standard Price":1684.0},{"Itemcode":"73100511","Description":"RT Clinic I","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"74201001","Description":"Clinic 1","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"74201002","Description":"Clinic II","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"74201025","Description":"SMOKING CESS W/O SYMP 3-10 MIN","CDM Revenue Code":"942","CDM HCPCS":"99406","Standard Price":76.0},{"Itemcode":"74201026","Description":"SMOKING CESS W/OSYMP >10 MIN","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":70.0},{"Itemcode":"74201027","Description":"Smoking Cess w/ Symp 3-10MN","CDM Revenue Code":"942","CDM HCPCS":"99406","Standard Price":76.0},{"Itemcode":"74201028","Description":"Smoking Cess w/ Symp >10MIN","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":76.0},{"Itemcode":"74201035","Description":"SBG SMOK CES INT>10MIN 1 ON 1","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":70.0},{"Itemcode":"74220025","Description":"Smoking Cess w/o Sym 3-10MIN","CDM Revenue Code":"942","CDM HCPCS":"99406","Standard Price":76.0},{"Itemcode":"74220026","Description":"Smoking Cess w/o Sym >10MIN","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":76.0},{"Itemcode":"74221001","Description":"Anticoag Clinic 1 Bluffton","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"74221002","Description":"Anticoag Clinic Ii Bluffton","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"74221003","Description":"Anticoag Clinic III Bluffton","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":300.0},{"Itemcode":"74221004","Description":"Anticoag Clinic IV  Bluffton","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":390.0},{"Itemcode":"74221005","Description":"Anticoag Clinic V Bluffton","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"74221027","Description":"Smoking Cess w/sympt 3-10MIN","CDM Revenue Code":"942","CDM HCPCS":"99406","Standard Price":63.0},{"Itemcode":"74221028","Description":"Smoking Cess w/ Symp >10MIN","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":73.0},{"Itemcode":"74221035","Description":"SBG SMOK CES INT>10MIN 1 ON 1","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":66.34},{"Itemcode":"74221036","Description":"SBG SMOK CES INT>10MIN 12WK","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":440.61},{"Itemcode":"74221037","Description":"SBG SMOK CES INT>10MIN 4WK","CDM Revenue Code":"942","CDM HCPCS":"99407","Standard Price":85.61},{"Itemcode":"74401031","Description":"Cit Clinic 1","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"74401035","Description":"Gilenya Clinic/Cit Clinic 5","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"75100016","Description":"Canalith Repositioning","CDM Revenue Code":"420","CDM HCPCS":"95992","Standard Price":104.0},{"Itemcode":"75100052","Description":"Biofeedback Pelvic 1st 15 min","CDM Revenue Code":"420","CDM HCPCS":"90912","Standard Price":130.0},{"Itemcode":"75100053","Description":"Biofeedback Pelvic Add 15 min","CDM Revenue Code":"420","CDM HCPCS":"90913","Standard Price":115.0},{"Itemcode":"75102004","Description":"ROM","CDM Revenue Code":"420","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75102209","Description":"Dressing Change","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"75110052","Description":"Biofeedback Pelvic 1st 15 min","CDM Revenue Code":"420","CDM HCPCS":"90912","Standard Price":130.0},{"Itemcode":"75110053","Description":"Biofeedback Pelvic Add 15 min","CDM Revenue Code":"420","CDM HCPCS":"90913","Standard Price":115.0},{"Itemcode":"75112004","Description":"ROM","CDM Revenue Code":"420","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75140016","Description":"Canalith Repositioning","CDM Revenue Code":"420","CDM HCPCS":"95992","Standard Price":104.0},{"Itemcode":"75142004","Description":"ROM","CDM Revenue Code":"420","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75142210","Description":"Dressing Change","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"75150052","Description":"Biofeedback Pelvic 1st 15 min","CDM Revenue Code":"420","CDM HCPCS":"90912","Standard Price":130.0},{"Itemcode":"75150053","Description":"Biofeedback Pelvic Add 15 min","CDM Revenue Code":"420","CDM HCPCS":"90913","Standard Price":115.0},{"Itemcode":"75152004","Description":"ROM","CDM Revenue Code":"420","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75160052","Description":"Biofeedback Pelvic 1st 15 min","CDM Revenue Code":"420","CDM HCPCS":"90912","Standard Price":130.0},{"Itemcode":"75160053","Description":"Biofeedback Pelvic Add 15 min","CDM Revenue Code":"420","CDM HCPCS":"90913","Standard Price":115.0},{"Itemcode":"75162004","Description":"ROM","CDM Revenue Code":"420","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75200052","Description":"Biofeedback Pelvic 1st 15 min","CDM Revenue Code":"430","CDM HCPCS":"90912","Standard Price":130.0},{"Itemcode":"75200053","Description":"Biofeedback Pelvic Add 15 min","CDM Revenue Code":"430","CDM HCPCS":"90913","Standard Price":115.0},{"Itemcode":"75202004","Description":"ROM","CDM Revenue Code":"430","CDM HCPCS":"95851","Standard Price":491.0},{"Itemcode":"75202209","Description":"Dressing Change","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"75340001","Description":"SBG SMOK CESS W/OSYMP 3-10 MIN","CDM Revenue Code":"942","CDM HCPCS":"99406","Standard Price":66.0},{"Itemcode":"75375620","Description":"OP Ostomy Clinic","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"75800070","Description":"Chd Cardiac Rehab Phase 2","CDM Revenue Code":"943","CDM HCPCS":"93798","Standard Price":245.0},{"Itemcode":"75800086","Description":"Chd Cardiac Rehab w/o ECG","CDM Revenue Code":"943","CDM HCPCS":"93797","Standard Price":245.0},{"Itemcode":"75800087","Description":"Chd Cardiac Rehab w/o ECG","CDM Revenue Code":"943","CDM HCPCS":"93797","Standard Price":245.0},{"Itemcode":"75800097","Description":"Pulmonary Rehab Each Hour","CDM Revenue Code":"948","CDM HCPCS":"G0424","Standard Price":245.0},{"Itemcode":"75800098","Description":"PAD Rehab Per Session","CDM Revenue Code":"480","CDM HCPCS":"93668","Standard Price":274.0},{"Itemcode":"75800200","Description":"Disease Mgmt Card Rehab Phase2","CDM Revenue Code":"943","CDM HCPCS":"93798","Standard Price":4716.0},{"Itemcode":"76950036","Description":"Cont Ctr Biofeedback","CDM Revenue Code":"940","CDM HCPCS":"90911","Standard Price":176.0},{"Itemcode":"76950039","Description":"Continence Center Management","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"76951053","Description":"Clinic Visit III","CDM Revenue Code":"761","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"76970190","Description":"Established Patient 1","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":175.0},{"Itemcode":"76970195","Description":"Established Patient 2","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":250.0},{"Itemcode":"76970200","Description":"Established Patient 3","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":345.0},{"Itemcode":"76970205","Description":"Established Patient 4","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":390.0},{"Itemcode":"76970210","Description":"OP Visit Estab Patient Lvl5","CDM Revenue Code":"510","CDM HCPCS":"G0463","Standard Price":480.0},{"Itemcode":"0116","Description":"Digi Mammo Diag Uni RT w/CAD","CDM Revenue Code":"401","CDM HCPCS":"77065","Standard Price":427.0},{"Itemcode":"0129","Description":"Digi Mam Diag Uni LT W/CAD&Mag","CDM Revenue Code":"401","CDM HCPCS":"77065","Standard Price":427.0},{"Itemcode":"0131","Description":"Digi Mam Diag Uni RT W/CAD&Mag","CDM Revenue Code":"401","CDM HCPCS":"77065","Standard Price":427.0},{"Itemcode":"0134","Description":"Digi Mam Diag BI W/CAD&Mag","CDM Revenue Code":"401","CDM HCPCS":"77066","Standard Price":464.0},{"Itemcode":"0138","Description":"SCREEN Mammo Uni LT W/CAD","CDM Revenue Code":"403","CDM HCPCS":"77067","Standard Price":400.0},{"Itemcode":"0139","Description":"SCREEN Mammo Uni RT W/CAD","CDM Revenue Code":"403","CDM HCPCS":"77067","Standard Price":400.0},{"Itemcode":"0143","Description":"SCREEN Mammo BI W/CAD&IMPLANT","CDM Revenue Code":"403","CDM HCPCS":"77067","Standard Price":464.0},{"Itemcode":"0147","Description":"Xray Biopsy Surg Specimen","CDM Revenue Code":"320","CDM HCPCS":"76098","Standard Price":426.0},{"Itemcode":"0163","Description":"SCREEN Mammo BI W/CAD","CDM Revenue Code":"403","CDM HCPCS":"77067","Standard Price":464.0},{"Itemcode":"0212","Description":"Digi Mam Diag BI w/CAD","CDM Revenue Code":"401","CDM HCPCS":"77066","Standard Price":464.0},{"Itemcode":"0221","Description":"Digi Mam Diag Uni RT W/CAD&Mag","CDM Revenue Code":"401","CDM HCPCS":"77065","Standard Price":427.0},{"Itemcode":"0265","Description":"Galactogram","CDM Revenue Code":"320","CDM HCPCS":"77053","Standard Price":750.0},{"Itemcode":"0267","Description":"Galactogram Multi Ducts","CDM Revenue Code":"320","CDM HCPCS":"77054","Standard Price":671.0},{"Itemcode":"2013","Description":"DIAGN BREAST TOMOSYNTHESIS, LT","CDM Revenue Code":"401","CDM HCPCS":"G0279","Standard Price":103.0},{"Itemcode":"2014","Description":"DIAG BREAST TOMOSYNTHESIS, RT","CDM Revenue Code":"401","CDM HCPCS":"G0279","Standard Price":103.0},{"Itemcode":"2015","Description":"DIAGN BREAST TOMOSYNTHESIS, BI","CDM Revenue Code":"401","CDM HCPCS":"G0279","Standard Price":103.0},{"Itemcode":"2115","Description":"Digi Mammo Diag Uni Lt w/CAD","CDM Revenue Code":"401","CDM HCPCS":"77065","Standard Price":427.0},{"Itemcode":"2141","Description":"XR Chest Decubitus/2Vw - Left","CDM Revenue Code":"320","CDM HCPCS":"71046","Standard Price":502.0},{"Itemcode":"2150","Description":"XR Chest Single View","CDM Revenue Code":"320","CDM HCPCS":"71045","Standard Price":475.0},{"Itemcode":"2155","Description":"XR Chest 2V","CDM Revenue Code":"320","CDM HCPCS":"71046","Standard Price":502.0},{"Itemcode":"2156","Description":"XR Chest Decubitus 2Vw - Right","CDM Revenue Code":"320","CDM HCPCS":"71046","Standard Price":502.0},{"Itemcode":"2157","Description":"XR Chest Flouro 2vw Frnt&Latrl","CDM Revenue Code":"320","CDM HCPCS":"71046","Standard Price":502.0},{"Itemcode":"2159","Description":"XR Chest -  Lordotic/Sngl Vw","CDM Revenue Code":"320","CDM HCPCS":"71045","Standard Price":475.0},{"Itemcode":"2161","Description":"XR Chest Oblique Projectn 2viw","CDM Revenue Code":"320","CDM HCPCS":"71046","Standard Price":502.0},{"Itemcode":"2162","Description":"XR Chest Portable","CDM Revenue Code":"320","CDM HCPCS":"71045","Standard Price":475.0},{"Itemcode":"6091","Description":"Breast Tomosynthesis Screen-BI","CDM Revenue Code":"403","CDM HCPCS":"77063","Standard Price":63.0},{"Itemcode":"6092","Description":"Breast Tomosynthesis Scrn-Uni","CDM Revenue Code":"403","CDM HCPCS":"77063","Standard Price":54.0},{"Itemcode":"64131617","Description":"Chest Xray - 1 View Frontal","CDM Revenue Code":"320","CDM HCPCS":"71045","Standard Price":475.0},{"Itemcode":"2301","Description":"CT Maxillo Facial W/Contrast","CDM Revenue Code":"351","CDM HCPCS":"70487","Standard Price":2517.0},{"Itemcode":"5070","Description":"CT - Brain W/Contrast","CDM Revenue Code":"351","CDM HCPCS":"70460","Standard Price":2011.0},{"Itemcode":"5075","Description":"CT - Brain W/O Contrast","CDM Revenue Code":"351","CDM HCPCS":"70450","Standard Price":1473.0},{"Itemcode":"5080","Description":"CT - Brain Wo/W Contrast","CDM Revenue Code":"351","CDM HCPCS":"70470","Standard Price":2383.0},{"Itemcode":"5085","Description":"CT Brain Wo Contrast - Stroke","CDM Revenue Code":"351","CDM HCPCS":"70450","Standard Price":1473.0},{"Itemcode":"5086","Description":"CTA Head W/Wo With Ct Head","CDM Revenue Code":"350","CDM HCPCS":"70496","Standard Price":4946.0},{"Itemcode":"5149","Description":"CTA Neck Parathyroid wo/w cont","CDM Revenue Code":"351","CDM HCPCS":"70498","Standard Price":4951.0},{"Itemcode":"5150","Description":"CT Angio Head Wo/W Cont","CDM Revenue Code":"351","CDM HCPCS":"70496","Standard Price":4946.0},{"Itemcode":"5151","Description":"CTA Angio Neck Wo/W Cont","CDM Revenue Code":"351","CDM HCPCS":"70498","Standard Price":4951.0},{"Itemcode":"5235","Description":"CT Spine Cervic Post Myelogram","CDM Revenue Code":"352","CDM HCPCS":"72126","Standard Price":1963.0},{"Itemcode":"5245","Description":"CT maxillofacial w/wo con","CDM Revenue Code":"350","CDM HCPCS":"70488","Standard 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-Respiratory Syncy","CDM Revenue Code":"300","CDM HCPCS":"87807","Standard Price":360.0},{"Itemcode":"70100113","Description":"Gram Stain","CDM Revenue Code":"300","CDM HCPCS":"87205","Standard Price":56.0},{"Itemcode":"70100117","Description":"Culture ID -AEROBIC ADDL","CDM Revenue Code":"300","CDM HCPCS":"87077","Standard Price":53.0},{"Itemcode":"70100126","Description":"Beta Strp Scrn-Grp A","CDM Revenue Code":"300","CDM HCPCS":"87430","Standard Price":145.0},{"Itemcode":"70100141","Description":"Concentration For Infect Agent","CDM Revenue Code":"300","CDM HCPCS":"87015","Standard Price":81.0},{"Itemcode":"70100151","Description":"Fungal Culture:Body Fluid","CDM Revenue Code":"300","CDM HCPCS":"87102","Standard Price":410.0},{"Itemcode":"70100152","Description":"Fungus Culture Blood","CDM Revenue Code":"300","CDM HCPCS":"87103","Standard Price":445.0},{"Itemcode":"70100154","Description":"Culture Fungi: Skin-Hair-Nails","CDM Revenue Code":"300","CDM HCPCS":"87101","Standard 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