Supplies, drugs & other prices at Adena Fayette Medical Center
Washington Ch, OH · every code in this section with a posted price and a Medicare benchmark.
62 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,270.84–$2,541.68 | $2,541.68 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,270.84–$2,541.68 | $2,541.68 | varies |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) range across 2 matching MRF lines |
$7,000.42–$14,000.84 | $14,000.84 | varies |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$84.78–$169.56 | $169.56 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$84.78–$169.56 | $169.56 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$84.78–$169.56 | $169.56 | varies |
| Autolog prp not diab ulcer (G0460) range across 2 matching MRF lines |
$3,352.35–$6,704.70 | $6,704.70 | varies |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$2,171.79–$4,343.58 | $4,343.58 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$38.51–$77.02 | $77.02 | varies |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$735.30–$1,470.60 | $1,470.60 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,990.28–$5,980.55 | $5,980.55 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,990.28–$5,980.55 | $5,980.55 | varies |
| Covid-19 lab test non-cdc (U0002) range across 4 matching MRF lines |
$88.55–$177.10 | $177.10 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$33.69–$67.37 | $67.37 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$1,126.57–$2,253.14 | $2,253.14 | varies |
| Drug test def 1-7 classes (G0480) range across 102 matching MRF lines |
$27.57–$503.13 | $55.13–$503.13 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$315–$630 | $630 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$477.25–$954.50 | $954.50 | varies |
| Drug test def 8-14 classes (G0481) range across 4 matching MRF lines |
$273.13–$546.25 | $546.25 | varies |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) range across 2 matching MRF lines |
$1,666.38–$3,332.75 | $3,332.75 | varies |
| Elec stim other than wound (G0283) range across 8 matching MRF lines |
$116.09–$232.18 | $232.18 | varies |
| Endo defect closure gi tract (C9901) range across 2 matching MRF lines |
$19,130.62–$38,261.23 | $38,261.23 | varies |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) range across 2 matching MRF lines |
$50,532.17–$101,064.34 | $101,064.34 | varies |
| Esd endoscopy or colonoscopy (C9779) range across 2 matching MRF lines |
$2,011.49–$4,022.98 | $4,022.98 | varies |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$37.93–$75.85 | $75.85 | varies |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$391.32–$782.63 | $782.63 | varies |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$36.13–$72.25 | $72.25 | varies |
| Hopd mntl hlt, 15-29 min (C7900) range across 2 matching MRF lines |
$149.92–$299.84 | $299.84 | varies |
| Hopd mntl hlt, 30-60 min (C7901) range across 2 matching MRF lines |
$161.88–$323.75 | $323.75 | varies |
| Hopd mntl hlt, grp (C7903) range across 2 matching MRF lines |
$52.14–$104.27 | $104.27 | varies |
| Hpv combo assay ca screen (G0476) range across 2 matching MRF lines |
$37.50–$75 | $75 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$3,309.82–$6,619.63 | $6,619.63 | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$273.13–$546.25 | $546.25 | varies |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$1,116.94–$2,233.88 | $2,233.88 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$646.02–$1,292.03 | $1,292.03 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$1,391.50–$2,783 | $2,783 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$1,887.02–$3,774.04 | $3,774.04 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$1,981.37–$3,962.74 | $3,962.74 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$721.59–$1,443.18 | $1,443.18 | varies |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$1,238.08–$2,476.15 | $2,476.15 | varies |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$732.46–$1,464.91 | $1,464.91 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$117.95–$235.90 | $235.90 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$54.74–$109.48 | $109.48 | varies |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$42,991.73–$85,983.45 | $85,983.45 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$42,991.73–$85,983.45 | $85,983.45 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$25,622.73–$51,245.45 | $51,245.45 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$31,434.12–$62,868.24 | $62,868.24 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 2 matching MRF lines |
$10,476.55–$20,953.09 | $20,953.09 | varies |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$629.51–$1,259.02 | $1,259.02 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$43.86–$87.71 | $87.71 | varies |
| Revasc intra lithotrip-ather (C9766) range across 2 matching MRF lines |
$32,234.67–$64,469.34 | $64,469.34 | varies |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$32,234.67–$64,469.34 | $64,469.34 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$20,223.35–$40,446.69 | $40,446.69 | varies |
| Revasc lith-sten-ath tib/per (C9775) range across 2 matching MRF lines |
$32,234.67–$64,469.34 | $64,469.34 | varies |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$32,234.67–$64,469.34 | $64,469.34 | varies |
| Revasc lithotr-stent tib/per (C9773) range across 2 matching MRF lines |
$32,234.67–$64,469.34 | $64,469.34 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$20,223.35–$40,446.69 | $40,446.69 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$69–$138 | $138 | varies |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$28.75–$57.50 | $57.50 | varies |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$93.14–$372.54 | $186.27–$372.54 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$2,508.74–$5,017.48 | $5,017.48 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,187.32–$4,374.63 | $4,374.63 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.