MEMPHIS, TN
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 19, 2026 | Sep 30, 2026 | Yes |
The codes Methodist Lebonheur Childrens Hosp has the most pricing samples for. Look up any other code in the search bar to see Methodist Lebonheur Childrens Hosp’s price for it.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Lactated Ringer's solution infusionHCPCS J7120 | $16 | $14 | $9 | 62% | 461,904 | $2 | $27 |
| Normal saline IV solution 0.9%HCPCS J7030 | $18 | $37 | $50 | 136% | 447,870 | $2 | $169 |
| Dextrose 5% and sodium chloride 0.9% IV solutionHCPCS J7042 | $13 | $13 | $8 | 64% | 174,500 | $1 | $27 |
| Observation care, per hourHCPCS G0378 | $1.0k | $2.1k | $2.6k | 125% | 143,556 | $13 | $12.8k |
| Sodium chloride 0.9% IV solutionHCPCS J7040 | $1 | $6 | $8 | 126% | 60,697 | $0 | $27 |
| Potassium chloride injection, 2 mEq per mLHCPCS J3480 | $2 | $22 | $58 | 260% | 57,002–57,020 | $1 | $405 |
| Sodium chloride (saline) IV solutionHCPCS J7050 | $1 | $4 | $5 | 120% | 47,193 | $1 | $17 |
| Balloon angioplasty catheter, over-the-wire, 3.5mmHCPCS C1725 | $343 | $826 | $1.6k | 189% | 6,341–62,996 | $0 | $27.5k |
| Discontinued guide wire kitHCPCS C1769 | $139 | $251 | $406 | 162% | 3,414–33,240 | $6 | $7.7k |
| Blood draw from a veinCPT 36415 | $9 | $52 | $111 | 213% | 18,037–18,172 | $3 | $659 |
The 11 payers Methodist Lebonheur Childrens Hosp files negotiated rates with, across all its codes. Hospitals name plans in their own words, so a plan can appear under several spellings.
| Cigna | 6 | 350,860 |
| UnitedHealthcare | 6 | 179,119 |
| Blue Cross Blue Shield | 5 | 282,514 |
| Humana | 2 | 21,374 |
| Molina Healthcare | 2 | 21,501 |
| Optum | 2 | 33,537 |
| WellCare | 2 | 21,008 |
| Aetna | 1 | 65,555 |
| Devoted Health | 1 | 10,341 |
| Medicare | 1 | 10,717 |
| TRICARE | 1 | 5,708 |
EIN: 620479367
Last updated: Mar 19, 2026
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Hospital ID: 28193ac1dd39090276029c5a4ba612f87137f94c0f42c07a3bad25d33ead1968