Supplies, drugs & other prices at Ascension Saint Thomas Stones River
Woodbury, TN · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $43.88 | $146.25 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $43.88 | $146.25 | 1.0× |
| Catheterize for urine spec (P9612) | $86.18 | $287.25 | 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× |
| Drug test def 1-7 classes (G0480) | $96.39 | $321.30 | 0.8× |
| Drug test def 22+ classes (G0483) | $96.39 | $321.30 | 0.4× |
| Drug test def 8-14 classes (G0481) | $48.93 | $163.10 | 0.3× |
| Elec stim other than wound (G0283) | $42.28 | $140.92 | 3.3× |
| Inj for sacroiliac jt anesth (G0260) | $761.37 | $2,537.90 | 1.1× |
| Mra w/cont, abd (C8900) | $810.53 | $2,701.75 | 2.4× |
| Mra w/cont, chest (C8909) | $1,166.79 | $3,889.30 | 3.5× |
| Mra w/cont, lwr ext (C8912) | $861.33 | $2,871.10 | 2.6× |
| Mra w/cont, pelvis (C8918) | $607.89 | $2,026.30 | 1.8× |
| Mra w/o cont, abd (C8901) | $704.76 | $2,349.20 | 3.1× |
| Mra w/o cont, lwr ext (C8913) | $749 | $2,496.65 | 3.3× |
| Mra w/o fol w/cont, abd (C8902) | $887.69 | $2,958.95 | 2.7× |
| Mra w/o fol w/cont, chest (C8911) | $1,138.37 | $3,794.55 | 3.4× |
| Pathogen test for platelets (P9100) | $98.30 | $327.68 | 1.7× |
| Screen pap by tech w md supv (P3000) | $27.65 | $92.15 | 1.5× |
| Tomosynthesis, mammo (G0279) | $34.07 | $113.55 | 2.7× |
| Tte w or wo fol wcon,doppler (C8929) | $1,376.90 | $4,589.65 | 1.8× |