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Cost Estimator
Odessa Memorial Healthcare Center
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Cash Pricing
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Nursing Charges
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
M0222 Intravenous injection, bebtelovimab, includes injectio
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infu
M0247 Intravenous Infustion, sotrovimab, includes infustion
0001A
0001A Pfizer-Biontech Covid-19 Vaccine - First Dose
0002A
0002A Pfizer-Biontech Covid-19 Vaccine - Second Dose
0003A
0003A Pfizer-Biontech Covid-19 Vaccine - Third Dose.
0004A
0004A Pfizer-Biontech Covid-19 Vaccine - Booster.
0011A
0011A Moderna Vaccine 1st Dose: 100mcg
0012A
0012A Moderna Vaccine 2nd Dose: 100mcg
0013A
0013A Moderna Vaccine 3rd Dose: 100mcg.
0031A
0031A Immunization administration by intramuscular injection
0034A
0034A Johnson & Johnson Booster Dose
0051A
0051A- Pfizer First Dose Undiluted
0052A
0052A- Pfizer Second Dose Undiluted
0053A
0053A- Pfizer Third Dose Undiluted
0054A
0054A- Pfizer Booster Dose Undiluted
0064A
0064A Moderna Vaccine Booster Dose
51701
STRAIGHT CATH INSERT
51702
INDWELLING CATH/ SIMPLE
51703
INDWELLING CATH/COMPX
90471
FLU VACCINE ADMINISTRATION
90471
PPV ADMINISTRATION
96372
96372 INJ IM/SUBQ CHARGE
96523
IRRIGATION OF VENOUS PORT
97602
WOUND TRMT
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