Supplies, drugs & other prices at Aspirus Merrill Hospital

Merrill, WI · every code in this section with a posted price and a Medicare benchmark.

87 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) $1,703 $2,620 2.2×
2d tte w or w/o fol w/con,co (C8923) $1,631.50 $2,510 2.1×
2d tte w or w/o fol w/con,fu (C8924) $911.30 $1,402 2.7×
Admin hepatitis b vaccine (G0010) $45.50 $70 1.0×
Admin influenza virus vac (G0008) $26 $40 0.6×
Admin pneumococcal vaccine (G0009) $26 $40 0.6×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$542.75–$679.25 $835–$1,045 varies
Ca screen;pelvic/breast exam (G0101) $115.70 $178 1.2×
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–$1,747.85 $1,990–$2,689 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$1,624.35–$1,715.35 $2,499–$2,639 varies
Diab manage trn per indiv (G0108) $145.60 $224 2.6×
Diab manage trn ind/group (G0109) $40.95 $63 2.6×
Direct refer hospital observ (G0379) $215.15 $331 0.4×
Drug test def 1-7 classes (G0480)
range across 4 matching MRF lines
$145.60–$228.15 $224–$351 varies
Drug test def 15-21 classes (G0482) $251.55 $387 1.3×
Drug test def 22+ classes (G0483)
range across 2 matching MRF lines
$385.45–$600.60 $593–$924 varies
Drug test def 8-14 classes (G0481) $198.90 $306 1.3×
Ekg tracing for initial prev (G0404) $79.30 $122 2.8×
Elec stim other than wound (G0283) $72.80 $112 5.7×
Esd endoscopy or colonoscopy (C9779) $4,234.10 $6,514 1.1×
Esophag muc integ w/eso egd (C9777) $3,304.60 $5,084 0.9×
Extrnl counterpulse, per tx (G0166) $1,629.55 $2,507 12.6×
Fecal blood scrn immunoassay (G0328) $83.20 $128 4.6×
Hbot, full body chamber, 30m (G0277) $602.55 $927 4.5×
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) $573.95 $883 2.7×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$140.40–$226.85 $216–$349 varies
Inj for sacroiliac jt anesth (G0260)
range across 4 matching MRF lines
$221–$1,729.65 $340–$2,661 varies
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $5,352.10 $8,234 1.0×
Magnetically controlled capsule endoscopy w/i&r (0651T)
range across 2 matching MRF lines
$2,937.35–$3,300.70 $4,519–$5,078 varies
Mnt subs tx for change dx (G0270) $40.95 $63 1.3×
Mra w/cont, abd (C8900) $2,942.55 $4,527 8.7×
Mra w/cont, lwr ext (C8912) $2,142.40 $3,296 6.3×
Mra w/o cont, abd (C8901) $1,951.30 $3,002 8.4×
Mra w/o cont, chest (C8910) $1,994.85 $3,069 8.6×
Mra w/o cont, lwr ext (C8913) $1,264.90 $1,946 5.5×
Mra w/o fol w/cont, abd (C8902) $2,697.50 $4,150 8.0×
Mra w/o fol w/cont, chest (C8911) $2,537.60 $3,904 7.5×
Mra w/o fol w/cont, lwr ext (C8914) $2,596.10 $3,994 7.7×
Mra w/o fol w/cont, pelvis (C8920) $1,952.60 $3,004 5.8×
Mri w/o fol w/cont, breast, (C8908) $3,302 $5,080 9.7×
Mri w/o fol w/cont, brst, un (C8905) $4,537.65 $6,981 13.4×
Neuro csf prion prtn qual (0035U) $210.60 $324 0.4×
Obtaining screen pap smear (Q0091) $101.40 $156 3.6×
Oth resp proc, group (G0239) $119.60 $184 3.3×
Oth resp proc, indiv (G0238) $115.05 $177 4.1×
Pathogen test for platelets (P9100) $68.90 $106 1.2×
Perc d-e cor revasc chro sin (C9607) $10,598.25 $16,305 0.6×
Perc d-e cor revasc t cabg s (C9604) $10,598.25 $16,305 0.9×
Perc d-e cor stent ather s (C9602) $10,598.25 $16,305 0.6×
Perc drug-el cor stent sing (C9600) $10,598.25 $16,305 0.9×
Perq Sacral Augmt Bilat Inj (0201T) $8,024.90 $12,346 1.1×
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) $184.60 $284 1.1×
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$79.30–$127.40 $122–$196 varies
Prgrmg dev eval scrms phys/qhp remote (0650T) $221 $340 6.1×
Prolonged iv inf, req pump (C8957) $223.60 $344 1.1×
Prostate biopsy, any mthd (G0416) $419.25 $645 1.2×
Psa screening (G0103) $111.80 $172 5.8×
Revasc intra lithotrip-ather (C9766) $21,277.10 $32,734 1.2×
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines
$18,183.10–$27,274.65 $27,974–$41,961 varies
Revasc intravasc lithotripsy (C9764)
range across 2 matching MRF lines
$9,655.10–$14,482.65 $14,854–$22,281 varies
Revasc lith-sten-ath tib/per (C9775) $27,614.60 $42,484 1.6×
Revasc lithotr-ather tib/per (C9774) $13,845.65 $21,301 0.8×
Revasc lithotr-stent tib/per (C9773) $16,270.15 $25,031 0.9×
Revasc lithotrip tibi/perone (C9772) $10,426.65 $16,041 0.9×
Revasc lithotrip-stent-ather (C9767) $31,353.40 $48,236 1.8×
Scr c/v cyto,thinlayer,rescr (G0145) $126.10 $194 4.8×
Screen cerv/vag thin layer (G0123) $92.95 $143 4.6×
Spine device implant surgery (C9757)
unusually low: confirm this is the full procedure
$5,649.15 $8,691 0.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $12,675 $19,500 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $12,093.25 $18,605 0.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$2,097.55 $3,227 0.4×
Therapeutic procd strg endur (G0237) $115.05 $177 4.1×
Tomosynthesis, mammo (G0279)
range across 4 matching MRF lines
$87.10–$148.20 $134–$228 varies
Trauma respons w/hosp criti (G0390)
range across 9 matching MRF lines
$410.15–$6,577.35 $631–$10,119 varies
Trim nail(s) (G0127) $33.15 $51 0.6×
Trluml Perip Athrc Iliac Art (0238T) $10,633.35 $16,359 0.6×
Tte w or w/o fol w/con,stres (C8928) $1,631.50 $2,510 2.1×
Tte w or w/o fol w/cont, com (C8921) $1,594.45 $2,453 2.1×
Tte w or w/o fol w/cont, f/u (C8922) $829.40 $1,276 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,903.20 $2,928 2.5×
Unsched dialysis esrd pt hos (G0257) $1,499.55 $2,307 2.2×
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$73.45–$118.30 $113–$182 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.