Supplies, drugs & other prices at Alta Bates Summit Medical Center

Oakland, CA · every code in this section with a posted price and a Medicare benchmark.

73 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) $5,279 $5,279 4.7×
2d tte w or w/o fol w/con,co (C8923) $3,595 $3,595 3.2×
2d tte w or w/o fol w/con,fu (C8924) $2,243 $2,243 4.5×
Adm tocilizu covid-19 1st (M0249) $1,162 $1,162 1.9×
Adm tocilizu covid-19 2nd (M0250) $1,263 $1,263 2.0×
Admin hepatitis b vaccine (G0010) $147 $147 2.2×
Admin influenza virus vac (G0008) $193 $193 2.9×
Admin pneumococcal vaccine (G0009) $181 $181 2.7×
Catheterize for urine spec (P9612) $137 $137 14.7×
Chemo extend iv infus w/pump (G0498) $1,338 $1,338 2.8×
CT breast w/3d rendering bi with contrast (0637T) $1,636 $1,636 3.3×
CT breast w/3d rendering bi without contrast (0636T) $1,025 $1,025 3.0×
CT breast w/3d rendering uni with contrast (0634T) $796 $796 3.2×
CT breast w/3d rendering uni without contrast (0633T) $486 $486 3.3×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $1,636 $1,636 3.3×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $796 $796 3.2×
Demonstrate use home inr mon (G0248) $644 $644 3.4×
Dermal filler injection(s) (G0429) $8,540 $8,540 2.9×
Diab manage trn per indiv (G0108) $219 $219 3.9×
Diab manage trn ind/group (G0109) $96 $96 6.0×
Direct refer hospital observ (G0379) $1,099 $1,099 1.3×
Elec stim other than wound (G0283) $156 $156 12.3×
Fecal blood scrn immunoassay (G0328) $121 $121 6.7×
Fern test (Q0114) $214 $214 22.0×
Hep c screen high risk/other (G0472) $168 $168 3.6×
Hepb screen high risk indiv (G0499) $180 $180 6.4×
Home sleep test/type 3 porta (G0399) $1,846 $1,846 6.0×
Hospital outpt clinic visit (G0463)
range across 21 matching MRF lines
$123–$667 $123–$667 varies
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$5,128–$7,692 $5,128–$7,692 varies
Mra w/cont, abd (C8900) $4,415 $4,415 8.9×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$5,262–$7,893 $5,262–$7,893 varies
Mra w/cont, pelvis (C8918) $4,134 $4,134 8.3×
Mra w/o cont, abd (C8901) $5,017 $5,017 14.8×
Mra w/o cont, chest (C8910) $5,951 $5,951 17.5×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$4,201–$6,302 $4,201–$6,302 varies
Mra w/o cont, pelvis (C8919) $3,390 $3,390 10.0×
Mra w/o fol w/cont, abd (C8902) $6,953 $6,953 14.0×
Mra w/o fol w/cont, chest (C8911) $7,678 $7,678 15.5×
Mra w/o fol w/cont, pelvis (C8920) $8,875 $8,875 17.9×
Mra, w/o&w/dye, spinal canal (C8933) $5,266 $5,266 10.6×
Oral hiv-1/hiv-2 screen (G0435) $578 $578 48.2×
Oth resp proc, group (G0239) $313 $313 5.9×
Oth resp proc, indiv (G0238) $191 $191 4.6×
Pathogen test for platelets (P9100) $126 $126 1.5×
Perc d-e cor revasc chro sin (C9607) $49,767 $49,767 1.9×
Perc d-e cor revasc t cabg s (C9604) $42,981 $42,981 2.6×
Perc d-e cor stent ather s (C9602) $53,998 $53,998 2.1×
Perc drug-el cor stent sing (C9600) $46,398 $46,398 2.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $29,951 $29,951 1.8×
Prolonged iv inf, req pump (C8957) $740 $740 2.4×
Prostate biopsy, any mthd (G0416) $757 $757 1.5×
Psa screening (G0103) $253 $253 13.1×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $4,052 $4,052 11.9×
Quan MRI alys brain with diagnostic MRI (0866T) $4,052 $4,052 11.9×
Revasc intra lithotrip-stent (C9765) $44,006 $44,006 1.7×
Revasc intravasc lithotripsy (C9764) $27,307 $27,307 1.7×
Revasc lithotrip tibi/perone (C9772) $31,943 $31,943 1.9×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $70,315 $70,315 2.6×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $105,447 $105,447 3.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $95,378 $95,378 3.5×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $13,529 $13,529 3.0×
Tee w or w/o fol w/cont, mon (C8927) $17,432 $17,432 15.6×
Tee w or w/o fol w/cont,cong (C8926) $8,594 $8,594 7.7×
Therapeutic procd strg endur (G0237) $188 $188 4.6×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$188–$282 $188–$282 varies
Trluml perip athrc abd aorta (0236T) $72,387 $72,387 4.4×
Trluml Perip Athrc Brchiocph (0237T) $70,291 $70,291 4.3×
Trluml Perip Athrc Iliac Art (0238T) $40,084 $40,084 1.5×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $68,899 $68,899 4.2×
Tte w or w/o contr, cont ecg (C8930) $6,498 $6,498 5.8×
Tte w or w/o fol w/con,stres (C8928) $4,242 $4,242 3.8×
Tte w or wo fol wcon,doppler (C8929) $5,934 $5,934 5.3×
Unsched dialysis esrd pt hos (G0257) $3,085 $3,085 3.2×

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.