Supplies, drugs & other prices at Asante Three Rivers Medical Center

Grants Pass, OR · every code in this section with a posted price and a Medicare benchmark.

34 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $3,222.12 $4,957.10 3.5×
2d tte w or w/o fol w/con,fu (C8924) $1,456.52 $2,240.80 3.6×
Admin influenza virus vac (G0008) $55.06 $84.70 1.0×
Catheterize for urine spec (P9612) $26.91 $41.40 2.9×
Cbc without platelet (G0307) $19.76 $30.40 3.1×
Cbc/diffwbc w/o platelet (G0306) $23.66 $36.40 3.0×
Covid-19 lab test non-cdc (U0002) $150.08 $230.90 2.9×
Diab manage trn per indiv (G0108) $165.10 $254 3.0×
Diab manage trn ind/group (G0109) $47.71 $73.40 3.0×
Drug test def 8-14 classes (G0481) $370.56 $570.10 2.4×
Followup eval of foot pt lop (G0246) $498.74 $767.30 3.2×
Hbot, full body chamber, 30m (G0277) $562.44 $865.30 3.5×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $127.08 $195.50 2.9×
Initial foot exam pt lops (G0245) $498.74 $767.30 3.2×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $356.59 $548.60 2.9×
Neuro csf prion prtn qual (0035U) $1,582.42 $2,434.50 2.9×
Njx platelet plasma (0232T) $1,503.06 $2,312.40 2.9×
Oth resp proc, group (G0239) $160.10 $246.30 3.7×
Oth resp proc, indiv (G0238) $75.14 $115.60 2.2×
Pemivibart infusion (M0224) $1,837.29 $2,826.60 3.6×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $14,186.25 $21,825 1.0×
Prostate biopsy, any mthd (G0416) $1,355.96 $2,086.10 3.2×
Routine footcare pt w lops (G0247) $755.24 $1,161.90 3.2×
Tee w or w/o fol w/cont, mon (C8927) $3,222.12 $4,957.10 3.5×
Therapeutic procd strg endur (G0237) $75.14 $115.60 2.2×
Tpmt and Nudt15 Genotype (0034U) $1,363.57 $2,097.80 2.9×
Trluml perip athrc abd aorta (0236T) $41,498.66 $63,844.10 3.1×
Trluml Perip Athrc Brchiocph (0237T) $41,498.66 $63,844.10 3.1×
Trluml Perip Athrc Iliac Art (0238T) $66,146.08 $101,763.20 3.1×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $41,498.66 $63,844.10 3.1×
Tte w or w/o contr, cont ecg (C8930) $3,222.12 $4,957.10 3.5×
Tte w or w/o fol w/cont, com (C8921) $3,222.12 $4,957.10 3.5×
Tte w or w/o fol w/cont, f/u (C8922) $3,222.12 $4,957.10 3.5×
Unsched dialysis esrd pt hos (G0257) $2,853.70 $4,390.30 3.5×