Supplies, drugs & other prices at Atrium Health Navicent The Medical Center

Macon, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,671 $3,342 2.2×
2d tte w or w/o fol w/con,co (C8923) $728.50 $1,457 0.9×
2d tte w or w/o fol w/con,fu (C8924) $465.50 $931 1.4×
Adm tocilizu covid-19 1st (M0249) $608 $1,216 1.4×
Adm tocilizu covid-19 2nd (M0250) $608 $1,216 1.4×
Admin hepatitis b vaccine (G0010) $61 $122 1.3×
Admin influenza virus vac (G0008) $61 $122 1.3×
Admin pneumococcal vaccine (G0009) $61 $122 1.3×
Alcohol/sub misuse assess (G2011) $36 $72 1.3×
Behavior counsel obesity 15m (G0447) $67 $134 0.7×
Ca screen;pelvic/breast exam (G0101) $33.50 $67 0.3×
Catheterize for urine spec (P9612) $145.25 $290.50 15.6×
Chemo extend iv infus w/pump (G0498) $655.50 $1,311 2.0×
Coms ther 1st appl<=50 sq cm (0906T) $283.45 $566.90 1.4×
Depression screen annual (G0444) $23.50 $47 0.6×
Diab manage trn per indiv (G0108) $58.50 $117 1.0×
Diab manage trn ind/group (G0109) $31 $62 1.9×
Direct refer hospital observ (G0379) $274.50 $549 0.5×
Ekg tracing for initial prev (G0404) $124.50 $249 4.4×
Electrocardiogram, algorithmically generated 12-lead ECG from a reduced-lead ECG; tracing only (0904T) $84.75 $169.50 1.5×
Electrophysiologic eval icds w/ss electrode (0577T) $3,411.50 $6,823 2.8×
Ephys eval ccm-d ld 1st impl (0930T) $1,731.73 $3,463.45 1.4×
Ephys eval ccm-d ld separate (0931T) $1,731.73 $3,463.45 1.4×
Fern test (Q0114) $49 $98 5.0×
Hbot, full body chamber, 30m (G0277) $534.50 $1,069 3.9×
Hep c screen high risk/other (G0472) $173 $346 3.7×
Hepb screen high risk indiv (G0499) $87.50 $175 3.1×
Hospital outpt clinic visit (G0463) $208.50 $417 1.6×
Initial preventive exam (G0402) $126 $252 1.0×
Insert cv cath inf & sup app (C9780) $4,344 $8,688 0.5×
Insertion perm ccm-d system pulse generator only (0916T) $48,051.50 $96,103 2.2×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $18,647.50 $37,295 2.3×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $8,849.50 $17,699 1.1×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $44,912 $89,824 1.5×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $44,912 $89,824 1.5×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $18,647.50 $37,295 2.3×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $18,647.50 $37,295 2.3×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $48,051.50 $96,103 2.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $35,237.13 $70,474.25 1.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $2,873 $5,746 78.2×
Interrog dev eval impl ccm-d system in person (0927T) $53.35 $106.70 1.5×
Lev 1 hosp type b ed visit (G0380) $185 $370 2.5×
Lev 2 hosp type b ed visit (G0381) $355.50 $711 3.9×
Lev 3 hosp type b ed visit (G0382) $591.50 $1,183 3.5×
Lev 4 hosp type b ed visit (G0383) $905 $1,810 3.5×
Lev 5 hosp type b ed visit (G0384) $1,524.50 $3,049 3.8×
Liver dis 10 assays w/nash (0003M) $515 $1,030 1.0×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) $577 $1,154 1.1×
Mra w/cont, abd (C8900) $2,688 $5,376 7.8×
Mra w/cont, chest (C8909) $2,483.50 $4,967 7.2×
Mra w/cont, lwr ext (C8912) $1,730.50 $3,461 5.0×
Mra w/cont, pelvis (C8918) $866 $1,732 2.5×
Mra w/o cont, abd (C8901) $2,688 $5,376 11.4×
Mra w/o cont, chest (C8910) $2,483.50 $4,967 10.6×
Mra w/o cont, lwr ext (C8913) $1,730.50 $3,461 7.4×
Mra w/o cont, pelvis (C8919) $866 $1,732 3.7×
Mra w/o fol w/cont, abd (C8902) $2,688 $5,376 7.8×
Mra w/o fol w/cont, chest (C8911) $2,483.50 $4,967 7.2×
Mra w/o fol w/cont, lwr ext (C8914) $1,730.50 $3,461 5.0×
Mra w/o fol w/cont, pelvis (C8920) $866 $1,732 2.5×
Mra, w/dye, spinal canal (C8931) $2,715.50 $5,431 7.9×
Mra, w/o dye, spinal canal (C8932) $2,715.50 $5,431 11.6×
Mra, w/o&w/dye, spinal canal (C8933) $2,715.50 $5,431 7.9×
Mra, w/o&w/dye, upper extr (C8936) $1,720.50 $3,441 5.0×
Mri w/o fol w/cont, breast, (C8908) $3,772.50 $7,545 11.0×
Mri w/o fol w/cont, brst, un (C8905) $2,933.50 $5,867 8.5×
N-invs det hrt fail aug echo (0932T) $427.83 $855.65 1.4×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,140.50 $2,281 2.1×
Open impltj int neurostimulation sys vagus nerve (0908T)
unusually low: confirm this is the full procedure
$13,675.50 $27,351 0.5×
Oth resp proc, indiv (G0238) $46 $92 1.6×
Perc d-e cor revasc chro sin (C9607) $23,116.50 $46,233 1.3×
Perc d-e cor revasc t cabg s (C9604) $18,509.50 $37,019 1.6×
Perc d-e cor stent ather s (C9602) $18,494 $36,988 1.0×
Perc drug-el cor stent sing (C9600) $18,509.50 $37,019 1.6×
Perq Sacral Augmt Bilat Inj (0201T) $7,445 $14,890 1.0×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $11,527 $23,054 1.0×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $52.50 $105 1.4×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $3,001 $6,002 81.7×
Programming device eval impl ccm-d sys in person (0926T) $53.35 $106.70 1.5×
Prostate biopsy, any mthd (G0416) $111.50 $223 0.3×
Psa screening (G0103) $92 $184 4.8×
QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile ECG device (0902T) $183.88 $367.75 1.4×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $4,316.50 $8,633 2.1×
Relocation skin pocket implanted ccm-d pg (0925T) $2,225 $4,450 1.1×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $53.35 $106.70 1.5×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $7,282 $14,564 2.0×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $7,282 $14,564 2.0×
Removal int neurostimulation sys vagus nerve (0910T) $11,420 $22,840 3.3×
Removal perm ccm-d system pulse generator only (0919T) $4,763.50 $9,527 1.3×
Replacement int neurostimulation sys vagus nerve (0909T)
likely a partial charge, not the full procedure
$7,836.50 $15,673 0.3×
Repos Cardiac Modulj Transvenous Electrode (0415T) $1,539 $3,078 2.5×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $6,588.50 $13,177 10.7×
Revasc intra lithotrip-ather (C9766) $17,067.08 $34,134.15 0.9×
Revasc intra lithotrip-stent (C9765) $16,942.88 $33,885.75 0.9×
Revasc intravasc lithotripsy (C9764) $10,715.53 $21,431.05 0.9×
Revasc lith-sten-ath tib/per (C9775) $16,131.38 $32,262.75 0.9×
Revasc lithotr-ather tib/per (C9774) $17,205.33 $34,410.65 1.0×
Revasc lithotr-stent tib/per (C9773) $18,413.85 $36,827.70 1.0×
Revasc lithotrip tibi/perone (C9772) $12,778.13 $25,556.25 1.1×
Revasc lithotrip-stent-ather (C9767) $21,930.58 $43,861.15 1.2×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $19,978.50 $39,957 0.9×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $4,763.50 $9,527 1.3×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $4,918.50 $9,837 1.3×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $6,967.50 $13,935 1.9×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T)
likely a partial charge, not the full procedure
$2,489.50 $4,979 0.1×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $22,379 $44,758 7.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $37,942.50 $75,885 2.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $37,942.50 $75,885 2.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $37,942.50 $75,885 2.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $75,885 $151,770 4.0×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $5,835.50 $11,671 1.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $5,835.50 $11,671 1.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $11,260 $22,520 3.6×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $75,885 $151,770 4.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $37,942.50 $75,885 2.0×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $37,942.50 $75,885 2.0×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,780 $13,560 1.2×
Therapeutic procd strg endur (G0237) $56.50 $113 2.0×
Trauma respons w/hosp criti (G0390) $6,451 $12,902 4.9×
Trim nail(s) (G0127) $46.50 $93 0.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $8,612.50 $17,225 0.8×
Trluml peripheral atherectomy iliac artery ea (0238T) $10,883.50 $21,767 0.6×
Tte w or w/o fol w/con,stres (C8928) $1,049 $2,098 1.4×
Tte w or w/o fol w/cont, com (C8921) $897 $1,794 1.2×
Tte w or w/o fol w/cont, f/u (C8922) $426 $852 0.6×
Tte w or wo fol wcon,doppler (C8929) $1,399.50 $2,799 1.8×
Vasc emb/occ w/prs cath (C9797) $12,153 $24,306 0.7×
Visit to determ ldct elig (G0296) $87.50 $175 0.9×