Supplies, drugs & other prices at Adena Regional Medical Center

Chillicothe, 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.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,270.84 $2,541.68 1.7×
2d tte w or w/o fol w/con,fu (C8924) $1,270.84 $2,541.68 3.8×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $7,000.42 $14,000.84 1.9×
Admin hepatitis b vaccine (G0010) $84.78 $169.56 1.9×
Admin influenza virus vac (G0008) $84.78 $169.56 1.9×
Admin pneumococcal vaccine (G0009) $84.78 $169.56 1.9×
Autolog prp not diab ulcer (G0460) $3,352.35 $6,704.70 1.7×
Ca screen;flexi sigmoidscope (G0104) $2,171.79 $4,343.58 2.4×
Catheterize for urine spec (P9612) $38.51 $77.02 4.1×
Chemo extend iv infus w/pump (G0498) $735.30 $1,470.60 2.3×
Colon ca scrn not hi rsk ind (G0121) $2,990.28 $5,980.55 3.4×
Colorectal scrn; hi risk ind (G0105) $2,990.28 $5,980.55 3.4×
Covid-19 lab test non-cdc (U0002) $88.55 $177.10 1.7×
Diab manage trn ind/group (G0109) $33.69 $67.37 2.1×
Direct refer hospital observ (G0379) $1,126.57 $2,253.14 2.0×
Drug test def 1-7 classes (G0480)
range across 51 matching MRF lines
$27.57–$251.57 $55.13–$503.13 varies
Drug test def 15-21 classes (G0482) $315 $630 1.6×
Drug test def 22+ classes (G0483) $477.25 $954.50 1.9×
Drug test def 8-14 classes (G0481) $273.13 $546.25 1.7×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $1,666.38 $3,332.75 1.9×
Elec stim other than wound (G0283) $116.09 $232.18 9.1×
Endo defect closure gi tract (C9901) $19,130.62 $38,261.23 1.9×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $50,532.17 $101,064.34 1.2×
Esd endoscopy or colonoscopy (C9779) $2,011.49 $4,022.98 0.5×
Fecal blood scrn immunoassay (G0328) $37.93 $75.85 2.1×
Hbot, full body chamber, 30m (G0277) $391.32 $782.63 3.0×
Hep c screen high risk/other (G0472) $36.13 $72.25 0.8×
Hopd mntl hlt, 15-29 min (C7900) $149.92 $299.84 4.2×
Hopd mntl hlt, 30-60 min (C7901) $161.88 $323.75 1.7×
Hopd mntl hlt, grp (C7903) $52.14 $104.27 1.5×
Hpv combo assay ca screen (G0476) $37.50 $75 1.1×
Inj for sacroiliac jt anesth (G0260) $3,309.82 $6,619.63 4.9×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $273.13 $546.25 2.2×
Mra w/cont, abd (C8900) $1,116.94 $2,233.88 3.4×
Mra w/o cont, abd (C8901) $646.02 $1,292.03 2.8×
Mra w/o fol w/cont, abd (C8902) $1,391.50 $2,783 4.2×
Mra w/o fol w/cont, chest (C8911) $1,887.02 $3,774.04 5.7×
Mra w/o fol w/cont, pelvis (C8920) $1,981.37 $3,962.74 5.9×
Mri w/o fol w/cont, breast, (C8908) $721.59 $1,443.18 2.2×
Neuro csf prion prtn qual (0035U) $1,238.08 $2,476.15 2.3×
Njx platelet plasma (0232T) $732.46 $1,464.91 1.7×
Oth resp proc, group (G0239) $117.95 $235.90 3.3×
Oth resp proc, indiv (G0238) $54.74 $109.48 2.0×
Perc d-e cor revasc chro sin (C9607) $42,991.73 $85,983.45 2.5×
Perc d-e cor revasc t cabg s (C9604) $42,991.73 $85,983.45 3.9×
Perc d-e cor stent ather s (C9602) $25,622.73 $51,245.45 1.5×
Perc drug-el cor stent sing (C9600) $31,434.12 $62,868.24 2.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $10,476.55 $20,953.09 1.0×
Prostate biopsy, any mthd (G0416) $629.51 $1,259.02 1.8×
Psa screening (G0103) $43.86 $87.71 2.3×
Revasc intra lithotrip-ather (C9766) $32,234.67 $64,469.34 1.8×
Revasc intra lithotrip-stent (C9765) $32,234.67 $64,469.34 1.8×
Revasc intravasc lithotripsy (C9764) $20,223.35 $40,446.69 1.8×
Revasc lith-sten-ath tib/per (C9775) $32,234.67 $64,469.34 1.8×
Revasc lithotr-ather tib/per (C9774) $32,234.67 $64,469.34 1.8×
Revasc lithotr-stent tib/per (C9773) $32,234.67 $64,469.34 1.8×
Revasc lithotrip tibi/perone (C9772) $20,223.35 $40,446.69 1.8×
Scr c/v cyto,thinlayer,rescr (G0145) $69 $138 2.6×
Screen cerv/vag thin layer (G0123) $28.75 $57.50 1.4×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$93.14–$186.27 $186.27–$372.54 varies
Tte w or wo fol wcon,doppler (C8929) $2,508.74 $5,017.48 3.4×
Unsched dialysis esrd pt hos (G0257) $2,187.32 $4,374.63 3.3×

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.