Charlotte, NC
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 30, 2026 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Novant Health Ballantyne Medical Center LLC’s price for it.
The codes Novant Health Ballantyne Medical Center LLC has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Lactated Ringer's solution infusionHCPCS J7120 | $7 | $11 | $6 | 54% | 2,722 | $3 | $18 |
| Propofol intravenous emulsionHCPCS J2704 | $34 | $56 | $42 | 75% | 1,946 | $0 | $144 |
| Flumazenil IV injectionHCPCS J3490 | $10 | $27 | $32 | 119% | 1,828–1,873 | $0 | $78 |
| Normal saline IV solution 0.9%HCPCS J7030 | $7 | $11 | $6 | 55% | 1,786–1,804 | $3 | $18 |
| Hydroxychloroquine 200 mg oral tabletHCPCS J8499 | $0 | $0 | $0 | 50% | 1,448–1,475 | $0 | $0 |
| Sodium chloride (saline) IV solutionHCPCS J7050 | $7 | $10 | $7 | 63% | 1,307–1,325 | $1 | $18 |
| Electrocardiogram (ECG) heart rhythm tracingCPT 93005 | $57 | $71 | $80 | 113% | 1,059–1,077 | $10 | $266 |
| Lidocaine local anesthetic injection, preservative-free 1%HCPCS J2003 | $33 | $52 | $36 | 70% | 699–717 | $0 | $114 |
| Bupivacaine local anesthetic injection, preservative-freeHCPCS J0665 | $36 | $45 | $29 | 64% | 637–664 | $0 | $92 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $17 | $19 | $13 | 68% | 491–509 | $0 | $36 |
EIN: 863305323
Last updated: Mar 30, 2026
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Hospital ID: 90a2e2c5a3c3c3fe9fb00ed2a09f537722c2c366c1dfcfc28340237e760a143c