[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-396430-105":59,"doc-detail-396430-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","hospital-price-list","HOSPITAL PRICE LIST","","Hospital price list providing itemized charge code descriptions with associated revenue codes, procedure codes, and listed rates. Entries include room and isolation-related services, swing bed and long-term care standard or skilled semi-private/private options, and bed-hold services. The document also enumerates medication and vaccine charges such as COVID-19 vaccines, bronchodilation and inhalation therapies, antibiotics, cardiovascular drugs, analgesics, and other administered products, each mapped to billing procedure identifiers and a specific price.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hospital-price-list/396430/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hospital-price-list/396430.png","ImageObject",300,407,{"name":92,"@type":93},"Sarah ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-26",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What information is provided for each hospital charge item?","Question",{"text":113,"@type":114},"Each row lists a charge code and description, a revenue code, a procedure code, and a rate.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Does the price list include both services and medications?",{"text":118,"@type":114},"Yes. It contains entries for room/isolation and care-bed services as well as medication and vaccine items.",{"name":120,"@type":111,"acceptedAnswer":121},"How are the items organized in the list?",{"text":122,"@type":114},"The document organizes items as a table across multiple pages under the heading \"HOSPITAL PRICE LIST.\"","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},396430,1791097507,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":145,"read_time":146,"preview_page_count":4},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Page: 1  \nHOSPITAL PRICE LIST  \n\n| Charge Code Description | Revenue Code | Procedure Code | Rate |\n| --- | --- | --- | --- |\n\n\n| 3560001 | SWING BED | 101 |  | 2163.00 |\n| --- | --- | --- | --- | --- |\n| 3580001 | LTC STANDARD SEMIPRIVATE | 101 |  | 720.00 |\n| 3580002 | LTC SKILLED SEMIPRIVATE | 101 |  | 1600.00 |\n| 3580003 | LTC STANDARD PRIVATE | 101 |  | 720.00 |\n| 3580004 | LTC SKILLED PRIVATE | 101 |  | 1700.00 |\n| 3170002 | STRICT ISOLATION | 110 |  | 3677.00 |\n| 3170011 | ISOLATION W/TELEMETRY | 110 |  | 4326.00 |\n| 3170009 | PATIENT ROOM PRIVATE | 111 |  | 3569.00 |\n| 3170106 | ISOLATION ROOM PRIVATE | 111 |  | 4002.00 |\n| 3170001 | PATIENT ROOM SEMI-PRIVATE | 121 |  | 3245.00 |\n| 3170006 | PEDIATRIC ROOM | 123 |  | 3245.00 |\n| 3170004 | TELEMETRY ROOM | 129 |  | 4002.00 |\n| 3580009 | LOA BED HOLD | 180 |  | 700.00 |\n| 5397178 | RCH Boostrix | 250 | 90715 | 123.00 |\n| 5398140 | VARIVAX VACCINE (VARICELL | 250 | 90716 | 232.75 |\n| 5390036 | PFIZER COVID-19 VACCINE 0.3ML INJ | 250 | 91300 | 0.01 |\n| 5390047 | MODERNA COVID-19 VACCINE 0.5ML INJ | 250 | 91301 | 0.01 |\n| 5390037 | JANSSEN COVID-19 VACCINE 0.5 ML INJ | 250 | 91303 | 0.01 |\n| 5390571 | NS 3ML INHALATION THERAPY | 250 | A4216 | 13.44 |\n| 5393072 | NS 10ML VIAL | 250 | A4216 | 21.76 |\n| 5394887 | WATER FOR INJECTION 10ML | 250 | A4216 | 21.76 |\n| 5390373 | METHYLENE BLUE 50MG/10ML VIAL | 250 | A9535 | 60.50 |\n| 5397712 | PROTONIX IV 40MG VIAL | 250 | C9113 | 24.00 |\n| 5394188 | EPINEPHRINE 1MG/10ML SYRI | 250 | J0171 | 22.00 |\n| 5397778 | LEVEMIR 100 UNITS/ML (INS | 250 | J1815 | 554.75 |\n| 5390290 | DIPRIVAN (PROPOFOL) INJ 200 mg / 20 mL | 250 | J2704 | 29.00 |\n| 5398161 | TYGACIL 50MG VIAL (TIGECY | 250 | J3243 | 281.75 |\n| 5390289 | POTASSIUM ACETATE 40MEQ ( | 250 | J3480 | 21.76 |\n| 5390018 | ACTIFED 60/2 .5MG (PSEUDOE | 250 | J3490 | 3.00 |\n| 5390020 | OXYCODONE 5MG TABLET | 250 | J3490 | 7.46 |\n| 5390021 | PEN G BENZATHINE (BICILLI | 250 | J3490 | 192.61 |\n| 5390022 | DYNAPEN (DICLOXACILLIN) 2 | 250 | J3490 | 7.00 |\n| 5390023 | DOMEBORO EAR SOLN 2% 60M | 250 | J3490 | 144.00 |\n| 5390025 | PRILOSEC 20MG (OMEPRAZOLE | 250 | J3490 | 29.00 |\n| 5390026 | ATARAX 10MG (HYDROXYZINE) | 250 | J3490 | 5.34 |\n| 5390029 | XANAX 0.25MG (ALPRAZOLAM) | 250 | J3490 | 7.46 |\n| 5390030 | D5LR 1000ML + PITOCIN 20 | 250 | J3490 | 104.93 |\n| 5390031 | PREVACID 30MG (LANSOPRAZO | 250 | J3490 | 11.25 |\n| 5390032 | PERSANTINE (DIPYRIDAMOLE) | 250 | J3490 | 5.34 |\n| 5390033 | MYSOLINE (PRIMODINE) 250M | 250 | J3490 | 5.34 |\n| 5390034 | CARDIZEM (DILTIAZEM) 50MG | 250 | J3490 | 27.25 |\n| 5390035 | PRAVACHOL 40MG (PRAVASTAT | 250 | J3490 | 24.00 |\n| 5390039 | ZAROXOLYN 5MG (METOLAZONE | 250 | J3490 | 12.00 |\n| 5390041 | ASPIRIN 81MG (CHEWABLE) T | 250 | J3490 | 5.34 |\n| 5390044 | DURICEF (CEFADROXIL) 500M | 250 | J3490 | 19.50 |\n| 5390045 | COZAAR 50 MG (LOSARTAN) T | 250 | J3490 | 22.50 |\n\nPage: 2  \nHOSPITAL PRICE LIST  \n\n| Charge Code Description | Revenue Code | Procedure Code | Rate |\n| --- | --- | --- | --- |\n\n\n| 5390048 | NITRO-BID 2% OINTMENT UD | 250 | J3490 | 14.00 |\n| --- | --- | --- | --- | --- |\n| 5390049 | PHENOBARBITAL 100MG TABLE | 250 | J3490 | 7.46 |\n| 5390051 | XANAX 0.5MG (ALPRAZOLAM) | 250 | J3490 | 7.46 |\n| 5390052 | DULCOLAX 10MG (BISACODYL) | 250 | J3490 | 5.34 |\n| 5390054 | METHERGINE 0.2MG TABLET ( | 250 | J3490 | 8.75 |\n| 5390057 | COUMADIN 4 MG (WARFARIN) | 250 | J3490 | 13.50 |\n| 5390058 | NIPRIDE 50MG (NITROPRUSSI | 250 | J3490 | 98.82 |\n| 5390059 | ZESTRIL 5MG (LISINOPRIL) | 250 | J3490 | 5.34 |\n| 5390060 | PULMOCARE RTH 1000ML | 250 | J3490 | 34.00 |\n| 5390061 | LOMOTIL 2.5MGTABLET (DIPH | 250 | J3490 | 5.34 |\n| 5390062 | TETRACYCLINE 250MG CAPSUL | 250 | J3490 | 5.34 |\n| 5390063 | SODIUM ACETATE 40MEQ/20ML | 250 | J3490 | 21.76 |\n| 5390064 | XOPENEX 1.25MG/0 .5ML (LEV | 250 | J3490 | 18.75 |\n| 5390067 | PREMARIN 0.625MG TABLET | 250 | J3490 | 27.00 |\n| 5390068 | CLEOCIN (CLINDAMYCIN) 150 | 250 | J3490 | 13.32 |\n| 5390069 | FIBERCON 625MG (POLYCARBO |","cbCaij69osyIaiRA","https://ap.wps.com/l/cbCaij69osyIaiRA","pdf",2343260,110,"English","# Hospital Price List\n## Charges and Services\n## Medications and Vaccines","[{\"question\":\"What information is provided for each hospital charge item?\",\"answer\":\"Each row lists a charge code and description, a revenue code, a procedure code, and a rate.\"},{\"question\":\"Does the price list include both services and medications?\",\"answer\":\"Yes. It contains entries for room/isolation and care-bed services as well as medication and vaccine items.\"},{\"question\":\"How are the items organized in the list?\",\"answer\":\"The document organizes items as a table across multiple pages under the heading \\\"HOSPITAL PRICE LIST.\\\"\"}]","HOSPITAL PRICE LIST | PDF",1790441354,277]