Supplies, drugs & other prices at Aspirus Iron River Hospital

Iron River, MI · every code in this section with a posted price and a Medicare benchmark.

102 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) $1,788.15 $2,751 2.3×
2d tte w or w/o fol w/con,co (C8923) $1,713.40 $2,636 2.2×
2d tte w or w/o fol w/con,fu (C8924) $956.80 $1,472 2.8×
Admin hepatitis b vaccine (G0010) $48.10 $74 1.0×
Admin influenza virus vac (G0008) $27.30 $42 0.6×
Admin pneumococcal vaccine (G0009) $27.30 $42 0.6×
Assistive algorithmic analysis of acoustic and electrocardiogram recording for detection of cardiac dysfunction (eg,… (0962T) $109.20 $168 0.8×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$575.25–$679.25 $885–$1,045 varies
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$75.40–$121.55 $116–$187 varies
Catheterize for urine spec (P9612) $14.30 $22 1.5×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$1,293.50–$1,922.70 $1,990–$2,958 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$1,624.35–$1,886.95 $2,499–$2,903 varies
Demonstrate use home inr mon (G0248) $280.15 $431 2.1×
Depression screen annual (G0444) $31.20 $48 0.8×
Diab manage trn per indiv (G0108) $154.05 $237 2.8×
Diab manage trn ind/group (G0109) $43.55 $67 2.7×
Direct refer hospital observ (G0379) $215.15 $331 0.4×
Drug test def 1-7 classes (G0480)
range across 5 matching MRF lines
$150.15–$259.35 $231–$399 varies
Drug test def 15-21 classes (G0482) $259.35 $399 1.3×
Drug test def 22+ classes (G0483)
range across 2 matching MRF lines
$397.15–$618.80 $611–$952 varies
Drug test def 8-14 classes (G0481) $204.75 $315 1.3×
Ekg tracing for initial prev (G0404) $83.85 $129 2.9×
Elec stim other than wound (G0283) $75.40 $116 5.9×
Electrophysiologic eval ccm-d leads separate (0931T) $4,818.45 $7,413 4.0×
Esd endoscopy or colonoscopy (C9779) $4,446 $6,840 1.2×
Esophag muc integ w/eso egd (C9777) $3,502.85 $5,389 0.9×
Extrnl counterpulse, per tx (G0166) $1,727.05 $2,657 13.0×
Fecal blood scrn immunoassay (G0328) $85.80 $132 4.8×
Hbot, full body chamber, 30m (G0277) $638.95 $983 4.7×
Hep c screen high risk/other (G0472) $118.30 $182 2.6×
Hepb screen high risk indiv (G0499) $227.50 $350 8.0×
Home sleep test/type 3 porta (G0399) $608.40 $936 2.8×
Initial foot exam pt lops (G0245) $87.75 $135 0.7×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$147.55–$237.90 $227–$366 varies
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines
$230.10–$1,816.42 $354–$2,794.50 varies
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $5,619.90 $8,646 1.1×
Interrogation device evaluation (remote), up to 90 days, cardiac contractility modulation system, remote data… (0949T) $112.45 $173 3.0×
Magnetically controlled capsule endoscopy w/i&r (0651T)
range across 2 matching MRF lines
$2,937.35–$3,498.95 $4,519–$5,383 varies
Mnt subs tx for change dx (G0270) $43.55 $67 1.4×
Mra w/cont, abd (C8900) $3,089.45 $4,753 8.9×
Mra w/cont, lwr ext (C8912) $2,249.65 $3,461 6.5×
Mra w/cont, pelvis (C8918) $518.70 $798 1.5×
Mra w/o cont, abd (C8901) $2,048.80 $3,152 8.6×
Mra w/o cont, chest (C8910) $2,094.30 $3,222 8.8×
Mra w/o cont, lwr ext (C8913) $1,327.95 $2,043 5.6×
Mra w/o cont, pelvis (C8919) $327.60 $504 1.4×
Mra w/o fol w/cont, abd (C8902) $2,832.70 $4,358 8.1×
Mra w/o fol w/cont, chest (C8911) $2,664.35 $4,099 7.7×
Mra w/o fol w/cont, lwr ext (C8914) $2,726.10 $4,194 7.8×
Mra w/o fol w/cont, pelvis (C8920) $2,050.10 $3,154 5.9×
Mri w/o fol w/cont, breast, (C8908) $3,467.10 $5,334 10.0×
Mri w/o fol w/cont, brst, un (C8905) $4,764.50 $7,330 13.7×
N-invas assmt bld oxy gas xchng eff&cardresp i&r (0893T) $262.60 $404 2.0×
Neuro csf prion prtn qual (0035U) $217.10 $334 0.4×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$65–$105.30 $100–$162 varies
Onc Merkel Cll Carc Srm Quan (0058U) $653.25 $1,005 2.0×
Ortho impl mvmt alys pair CT (0946T) $1,314.30 $2,022 12.6×
Oth resp proc, group (G0239) $126.75 $195 3.4×
Oth resp proc, indiv (G0238) $122.20 $188 4.2×
Pathogen test for platelets (P9100) $68.90 $106 1.2×
Perc d-e cor revasc chro sin (C9607) $12,188.15 $18,751 0.7×
Perc d-e cor revasc t cabg s (C9604) $11,128 $17,120 1.0×
Perc d-e cor stent ather s (C9602) $12,188.15 $18,751 0.7×
Perc drug-el cor stent sing (C9600) $15,627.95 $24,043 1.4×
Perq Sacral Augmt Bilat Inj (0201T) $8,506.55 $13,087 1.2×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $8,444.15 $12,991 0.7×
Pne flu hepb cov home admin (M0201) $45.50 $70 1.3×
Potassium hydroxide preps (Q0112) $26.65 $41 4.6×
Ppps, initial visit (G0438) $193.70 $298 1.1×
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$83.20–$133.90 $128–$206 varies
Prgrmg dev eval scrms phys/qhp remote (0650T) $234 $360 6.3×
Prolonged iv inf, req pump (C8957) $237.25 $365 1.1×
Prostate biopsy, any mthd (G0416)
range across 3 matching MRF lines
$923–$1,133.60 $1,420–$1,744 varies
Provide inr test mater/equip (G0249) $252.20 $388 1.9×
Psa screening (G0103) $115.05 $177 6.0×
Revasc intra lithotrip-ather (C9766) $22,553.70 $34,698 1.2×
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines
$19,273.80–$28,910.70 $29,652–$44,478 varies
Revasc intravasc lithotripsy (C9764)
range across 2 matching MRF lines
$10,234.25–$15,351.38 $15,745–$23,617.50 varies
Revasc lith-sten-ath tib/per (C9775) $29,271.45 $45,033 1.6×
Revasc lithotr-ather tib/per (C9774) $14,676.35 $22,579 0.8×
Revasc lithotr-stent tib/per (C9773) $17,246.45 $26,533 0.9×
Revasc lithotrip tibi/perone (C9772) $11,051.95 $17,003 1.0×
Revasc lithotrip-stent-ather (C9767) $33,234.50 $51,130 1.8×
Scr c/v cyto,thinlayer,rescr (G0145) $126.10 $194 4.8×
Screen cerv/vag thin layer (G0123) $97.50 $150 4.8×
Spine device implant surgery (C9757)
unusually low: confirm this is the full procedure
$5,762.25 $8,865 0.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $13,308.75 $20,475 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $12,697.75 $19,535 0.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$2,223.65 $3,421 0.4×
Therapeutic procd strg endur (G0237) $122.20 $188 4.2×
Tomosynthesis, mammo (G0279)
range across 4 matching MRF lines
$96.20–$156 $148–$240 varies
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,958.55 $9,167 1.1×
Transcatheter renal sympath denervation unilat (0338T) $3,972.15 $6,111 0.7×
Trauma respons w/hosp criti (G0390)
range across 9 matching MRF lines
$430.95–$6,906.25 $663–$10,625 varies
Trim nail(s) (G0127) $35.10 $54 0.6×
Trluml Perip Athrc Iliac Art (0238T) $11,271.65 $17,341 0.6×
Tte w or w/o fol w/con,stres (C8928) $1,713.40 $2,636 2.2×
Tte w or w/o fol w/cont, com (C8921) $1,690 $2,600 2.2×
Tte w or w/o fol w/cont, f/u (C8922) $879.45 $1,353 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,998.10 $3,074 2.6×
Unsched dialysis esrd pt hos (G0257) $1,574.30 $2,422 2.3×
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$76.70–$124.15 $118–$191 varies

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.