Supplies, drugs & other prices at Ascension Saint Thomas Rutherford
Murfreesboro, TN · every code in this section with a posted price and a Medicare benchmark.
54 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,108.76 | $3,695.85 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,108.32 | $3,694.40 | 3.3× |
| 3D cntr simula trgt lvr les (0944T) | $208.35 | $694.50 | 0.9× |
| Admin influenza virus vac (G0008) | $43.88 | $146.25 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $43.88 | $146.25 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $672.71 | $2,242.35 | 0.8× |
| Catheterize for urine spec (P9612) | $86.28 | $287.60 | 9.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,093.16 | $3,643.85 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,093.16 | $3,643.85 | 1.2× |
| Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) | $284.30 | $947.65 | 2.8× |
| Cysto, litho, vacuum kidney (C9761) | $7,758.90 | $25,863 | 0.9× |
| Diab manage trn per indiv (G0108) | $85.11 | $283.70 | 1.5× |
| Diab manage trn ind/group (G0109) | $36.38 | $121.25 | 2.3× |
| Drug test def 1-7 classes (G0480) | $96.39 | $321.30 | 0.8× |
| Drug test def 8-14 classes (G0481) | $48.93 | $163.10 | 0.3× |
| Elec stim other than wound (G0283) | $35.10 | $117 | 2.8× |
| Elec stim unattend for press (G0281) | $43.59 | $145.30 | 3.7× |
| Hbot, full body chamber, 30m (G0277) | $720.97 | $2,403.22 | 5.5× |
| Inj for sacroiliac jt anesth (G0260) | $775.85 | $2,586.15 | 1.1× |
| Mra w/cont, abd (C8900) | $771.92 | $2,573.05 | 2.3× |
| Mra w/cont, lwr ext (C8912) | $820.34 | $2,734.45 | 2.5× |
| Mra w/cont, pelvis (C8918) | $578.94 | $1,929.80 | 1.7× |
| Mra w/o cont, abd (C8901) | $671.21 | $2,237.35 | 2.9× |
| Mra w/o cont, chest (C8910) | $819.95 | $2,733.15 | 3.6× |
| Mra w/o cont, lwr ext (C8913) | $713.33 | $2,377.75 | 3.1× |
| Mra w/o cont, pelvis (C8919) | $505.68 | $1,685.60 | 2.2× |
| Mra w/o fol w/cont, abd (C8902) | $845.42 | $2,818.05 | 2.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,084.17 | $3,613.90 | 3.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $943.40 | $3,144.65 | 2.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $667.73 | $2,225.75 | 2.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,309.41 | $4,364.70 | 3.9× |
| Oth resp proc, group (G0239) | $69.30 | $231 | 1.9× |
| Oth resp proc, indiv (G0238) | $69.30 | $231 | 2.5× |
| Pathogen test for platelets (P9100) | $50.24 | $167.45 | 0.9× |
| Pelvic ring fracture uni/bil (G0413) unusually low: confirm this is the full procedure |
$3,023.64 | $10,078.80 | 0.4× |
| Perc d-e cor revasc chro sin (C9607) | $20,854.53 | $69,515.10 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $20,854.53 | $69,515.10 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $20,854.53 | $69,515.10 | 1.2× |
| Perc drug-el cor stent sing (C9600) | $13,239.59 | $44,131.95 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,823.92 | $22,746.40 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,217.43 | $20,724.75 | 0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$5,405.75 | $18,019.15 | 0.5× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $87.84 | $292.80 | 0.1× |
| Screen pap by tech w md supv (P3000) | $27.65 | $92.15 | 1.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $13,520.76 | $45,069.20 | 2.5× |
| Therapeutic procd strg endur (G0237) | $68.93 | $229.75 | 2.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,588.55 | $18,628.50 | 1.0× |
| Transcatheter renal sympath denervation unilat (0338T) | $5,588.55 | $18,628.50 | 1.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $6,310.47 | $21,034.90 | 0.6× |
| Trluml Perip Athrc Renal Art (0234T) | $6,310.47 | $21,034.90 | 0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,310.47 | $21,034.90 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$7,657.76 | $25,525.85 | 0.4× |
| Tte w or w/o fol w/con,stres (C8928) | $1,108.76 | $3,695.85 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,738.13 | $5,793.75 | 2.3× |