Supplies, drugs & other prices at Atrium Health Wake Forest Baptist Medical Center

Winston-Salem, NC · every code in this section with a posted price and a Medicare benchmark.

97 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) $1,280 $2,560 1.7×
2d tte w or w/o fol w/con,fu (C8924) $676 $1,352 2.0×
3D cntr simula trgt lvr les (0944T) $287.50 $575 1.2×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) $12,267.50 $24,535 1.2×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $8,921.50 $17,843 0.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,918 $7,836 2.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $5,410 $10,820 2.9×
Admin hepatitis b vaccine (G0010) $34.50 $69 0.8×
Admin influenza virus vac (G0008) $31.50 $63 0.7×
Admin pneumococcal vaccine (G0009) $36 $72 0.8×
Behavior counsel obesity 15m (G0447) $26.50 $53 0.3×
Ca screen;pelvic/breast exam (G0101) $43.50 $87 0.4×
Catheterize for urine spec (P9612) $9.50 $19 1.0×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $2,505 $5,010 1.1×
Depression screen annual (G0444) $28 $56 0.8×
Diab manage trn per indiv (G0108) $81 $162 1.5×
Diab manage trn ind/group (G0109) $26 $52 1.6×
Direct refer hospital observ (G0379) $121 $242 0.2×
Ekg tracing for initial prev (G0404) $18 $36 0.6×
Elec stim other than wound (G0283) $72.75 $145.50 5.7×
Electrophysiologic eval icds w/ss electrode (0577T) $3,134 $6,268 2.7×
Fecal blood scrn immunoassay (G0328) $34 $68 1.9×
Fern test (Q0114) $7 $14 0.7×
Hbot, full body chamber, 30m (G0277) $487 $974 3.6×
Hep c screen high risk/other (G0472) $73.50 $147 1.6×
Hepb screen high risk indiv (G0499) $87.50 $175 3.1×
Hospital outpt clinic visit (G0463) $105.50 $211 0.8×
Initial preventive exam (G0402) $67 $134 0.5×
Inj for sacroiliac jt anesth (G0260) $1,611 $3,222 2.4×
Insertion of substernal implantable defibrillator electrode (0572T) $6,674 $13,348 0.8×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $25,735.50 $51,471 0.8×
Liver dis 10 assays w/nash (0003M) $937.50 $1,875 1.9×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) $937.50 $1,875 1.9×
Mra w/cont, chest (C8909) $1,413.50 $2,827 4.2×
Mra w/cont, pelvis (C8918) $1,349.50 $2,699 4.0×
Mra w/o cont, abd (C8901) $979 $1,958 4.2×
Mra w/o cont, chest (C8910) $1,080.50 $2,161 4.7×
Mra w/o cont, lwr ext (C8913) $2,297 $4,594 9.9×
Mra w/o cont, pelvis (C8919) $1,010.50 $2,021 4.4×
Mra w/o fol w/cont, abd (C8902) $1,578.50 $3,157 4.7×
Mra w/o fol w/cont, chest (C8911) $1,742.50 $3,485 5.1×
Mra w/o fol w/cont, lwr ext (C8914) $2,297 $4,594 6.8×
Mra w/o fol w/cont, pelvis (C8920) $1,666.50 $3,333 4.9×
Mra, w/dye, spinal canal (C8931) $806.50 $1,613 2.4×
Mra, w/o dye, spinal canal (C8932) $806.50 $1,613 3.5×
Mra, w/o&w/dye, spinal canal (C8933) $806.50 $1,613 2.4×
Mra, w/o&w/dye, upper extr (C8936) $3,422 $6,844 10.1×
Mri w/o fol w/cont, breast, (C8908) $308 $616 0.9×
Mri w/o fol w/cont, brst, un (C8905) $1,922 $3,844 5.7×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,141.50 $2,283 2.1×
Obtaining screen pap smear (Q0091) $15.50 $31 0.6×
Oth resp proc, group (G0239) $28 $56 0.8×
Oth resp proc, indiv (G0238) $110.75 $221.50 3.9×
Perc d-e cor revasc chro sin (C9607) $14,750 $29,500 0.8×
Perc d-e cor revasc t cabg s (C9604) $14,013 $28,026 1.3×
Perc d-e cor stent ather s (C9602) $14,013 $28,026 0.8×
Perc drug-el cor stent sing (C9600) $14,750 $29,500 1.3×
Perq Sacral Augmt Bilat Inj (0201T) $10,650.50 $21,301 1.5×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $17,655.50 $35,311 1.6×
Place device/marker, non pro (C9728) $2,259.50 $4,519 1.7×
Pre 3d mdl w/ccta and/or mri (C9793) $610 $1,220 0.7×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $139.50 $279 3.9×
Prostate biopsy, any mthd (G0416) $539.50 $1,079 1.6×
Psa screening (G0103) $83 $166 4.3×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $474 $948 2.3×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,598 $5,196 0.7×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$4,900 $9,800 0.4×
Rmvl substernal implantable defibrillator eltrd (0573T) $2,473.50 $4,947 0.7×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $5,110 $10,220 1.4×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $20,065.50 $40,131 0.9×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $22,379 $44,758 7.1×
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 4.1×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $5,835.50 $11,671 1.9×
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 3.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $37,942.50 $75,885 2.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $75,885 $151,770 4.1×
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) $4,058 $8,116 0.7×
Therapeutic procd strg endur (G0237) $64 $128 2.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,199.50 $8,399 0.8×
Transcatheter renal sympath denervation unilat (0338T) $4,386.50 $8,773 0.8×
Trauma respons w/hosp criti (G0390) $12,452.75 $24,905.50 9.6×
Trim nail(s) (G0127) $94.50 $189 1.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $16,519.50 $33,039 0.9×
Tte w or w/o fol w/con,stres (C8928) $1,387 $2,774 1.8×
Tte w or w/o fol w/cont, com (C8921) $2,449 $4,898 3.2×
Tte w or w/o fol w/cont, f/u (C8922) $1,555.50 $3,111 2.0×
Tte w or wo fol wcon,doppler (C8929) $2,224 $4,448 2.9×
Unsched dialysis esrd pt hos (G0257) $815 $1,630 1.2×
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure
$7,571 $15,142 0.4×
Visit to determ ldct elig (G0296) $80 $160 0.8×