110299928 — Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml
Cite this view
HANK Price Transparency. (n.d.). HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML (CPT 110299928) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/110299928?code_type=CPT
“HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML (CPT 110299928) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/110299928?code_type=CPT. Accessed .
“HCHG GI COCKTAIL - MAALOX MAX 10ML & LIDOCANE VISCOUS 2% 5ML- PER 15ML (CPT 110299928) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/110299928?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,225–$2,225 (25th–75th percentile) across 1 hospital · 9 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 110299928 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| JACKSON GENERAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Cigna | Cigna | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Caresource | Caresource | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna | Better Health | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Buckeye Commercial | Buckeye Commercial | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Caresource Exchange Plan | Caresource Exchange Plan | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $4.00 | $2.00 | 2026-05-13 | MRF ↗ |