Supplies, drugs & other prices at Alton Memorial Hospital
Alton, IL · every code in this section with a posted price and a Medicare benchmark.
93 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $54 | $90 | 1.5× |
| 2d tee w or w/o fol w/con,in (C8925) | $3,175.80 | $5,293 | 3.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,631.40 | $2,719 | 1.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $466.20 | $777 | 1.2× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $8,182.89 | $13,638.15 | 4.6× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $6,857.31 | $11,428.85 | 1.6× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $9,226 | $15,376.66 | 4.4× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $32,229.81 | $53,716.35 | 3.4× |
| Admin hepatitis b vaccine (G0010) | $82.20 | $137 | 1.6× |
| Admin influenza virus vac (G0008) | $82.20 | $137 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $82.20 | $137 | 1.6× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $61.20 | $102 | 2.0× |
| Chemo extend iv infus w/pump (G0498) | $793.80 | $1,323 | 2.2× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $17,351.58 | $28,919.30 | 6.8× |
| Covid-19 lab test non-cdc (U0002) | $77.40 | $129 | 1.5× |
| Diab manage trn per indiv (G0108) | $138.60 | $231 | 2.5× |
| Diab manage trn ind/group (G0109) | $49.80 | $83 | 3.1× |
| Direct refer hospital observ (G0379) | $570 | $950 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 4 matching MRF lines |
$96–$159 | $160–$265 | varies |
| Drug test def 15-21 classes (G0482) | $298.80 | $498 | 1.5× |
| Drug test def 22+ classes (G0483) | $370.80 | $618 | 1.5× |
| Drug test def 8-14 classes (G0481) | $235.20 | $392 | 1.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $69.60 | $116 | 3.6× |
| Elec stim other than wound (G0283) | $136.20 | $227 | 10.7× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $70,070.03 | $116,783.39 | 1.5× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $26,405.89 | $44,009.82 | 2.1× |
| Fecal blood scrn immunoassay (G0328) | $56.40 | $94 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $880.80 | $1,468 | 6.0× |
| Hep c screen high risk/other (G0472) | $79.80 | $133 | 1.7× |
| Hepb screen high risk indiv (G0499) | $94.80 | $158 | 3.4× |
| Hiv combination assay (G0475) | $101.40 | $169 | 4.2× |
| Home sleep test/type 3 porta (G0399) | $870 | $1,450 | 3.8× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$226.20–$1,366.89 | $377–$2,278.15 | varies |
| Hpv combo assay ca screen (G0476) | $58.20 | $97 | 1.7× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $66 | $110 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$4,898.41–$8,916.01 | $8,164.01–$14,860.01 | varies |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$11,089.20 | $18,482 | 0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $6,502.80 | $10,838 | 0.7× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$10,901.40 | $18,169 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $75,862.94 | $126,438.24 | 2.3× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $49,550.99 | $82,584.99 | 4.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $498.60 | $831 | 4.1× |
| Mra w/cont, abd (C8900) | $1,897.80 | $3,163 | 5.1× |
| Mra w/cont, lwr ext (C8912) | $1,423.20 | $2,372 | 3.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,157 | $3,595 | 5.8× |
| Mri w/o fol w/cont, breast, (C8908) | $3,357 | $5,595 | 9.0× |
| Pathogen test for platelets (P9100) | $1,287.60 | $2,146 | 20.4× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$41,803.18–$51,669.61 | $69,671.96–$86,116.01 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 4 matching MRF lines |
$29,236.90–$44,658.56 | $48,728.17–$74,430.93 | varies |
| Perc d-e cor stent ather s (C9602) range across 5 matching MRF lines |
$49,761.29–$57,539.02 | $82,935.49–$95,898.37 | varies |
| Perc drug-el cor stent sing (C9600) range across 5 matching MRF lines |
$32,017.93–$39,358.72 | $53,363.21–$65,597.87 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $25,144.45 | $41,907.42 | 1.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $23,062.56 | $38,437.60 | 3.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $25,794.63 | $42,991.05 | 3.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $7,480.20 | $12,467 | 0.6× |
| Place device/marker, non pro (C9728) | $4,156.20 | $6,927 | 2.8× |
| Prostate biopsy, any mthd (G0416) | $742.80 | $1,238 | 1.9× |
| Psa screening (G0103) | $166.80 | $278 | 8.6× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) | $1,095.60 | $1,826 | 1.1× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $750 | $1,250 | 1.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $789.60 | $1,316 | 1.1× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,097 | $3,495 | 0.9× |
| Removal perm ccm-d system pulse generator only (0919T) | $7,263 | $12,105 | 1.8× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $2,875.80 | $4,793 | 4.3× |
| Revasc intra lithotrip-ather (C9766) range across 3 matching MRF lines |
$41,914.50–$51,364.89 | $69,857.50–$85,608.15 | varies |
| Revasc intra lithotrip-stent (C9765) range across 3 matching MRF lines |
$47,034.10–$50,758.36 | $78,390.16–$84,597.26 | varies |
| Revasc intravasc lithotripsy (C9764) range across 3 matching MRF lines |
$34,988.32–$43,799.62 | $58,313.86–$72,999.37 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $60,779.45 | $101,299.08 | 3.1× |
| Revasc lithotr-ather tib/per (C9774) | $40,551.01 | $67,585.02 | 2.1× |
| Revasc lithotr-stent tib/per (C9773) | $58,374.73 | $97,291.21 | 3.0× |
| Revasc lithotrip tibi/perone (C9772) | $40,875.88 | $68,126.47 | 3.3× |
| Revasc lithotrip-stent-ather (C9767) range across 2 matching MRF lines |
$55,987.25–$60,779.45 | $93,312.08–$101,299.08 | varies |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $3,313.20 | $5,522 | 0.8× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,313.20 | $5,522 | 0.8× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $3,313.20 | $5,522 | 0.8× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$10,018.80 | $16,698 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $127.20 | $212 | 4.8× |
| Screen cerv/vag thin layer (G0123) | $72.60 | $121 | 3.6× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $34.80 | $58 | 1.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $50,622.16 | $84,370.26 | 2.5× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $52,751.80 | $87,919.66 | 2.6× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $37,169.61 | $61,949.35 | 1.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $70,102.31 | $116,837.18 | 3.4× |
| Tomosynthesis, mammo (G0279) | $30 | $50 | 2.4× |
| Tpmt and Nudt15 Genotype (0034U) | $640.80 | $1,068 | 1.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $46,395.22 | $77,325.36 | 7.6× |
| Trluml Perip Athrc Brchiocph (0237T) | $35,479.51 | $59,132.51 | 2.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $18,081.65 | $30,136.09 | 0.9× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $22,221.56 | $37,035.93 | 1.8× |
| Tte w or w/o fol w/con,stres (C8928) | $4,407 | $7,345 | 5.2× |
| Tte w or w/o fol w/cont, com (C8921) | $1,579.80 | $2,633 | 1.9× |
| Tte w or wo fol wcon,doppler (C8929) | $5,880.60 | $9,801 | 7.0× |
| Unsched dialysis esrd pt hos (G0257) | $875.40 | $1,459 | 1.2× |
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.