Supplies, drugs & other prices at Avera McKennan Hospital & University Health Center

Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.

48 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) $1,810.80 $2,012 2.3×
2d tte w or w/o fol w/con,fu (C8924) $1,332.90 $1,481 3.7×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T)
range across 2 matching MRF lines
$2,551.50–$3,827.70 $2,835–$4,253 varies
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,757.70 $1,953 0.9×
Admin hepatitis b vaccine (G0010) $58.50 $65 1.2×
Admin pneumococcal vaccine (G0009) $69.30 $77 1.4×
Ca screen;pelvic/breast exam (G0101) $83.70 $93 0.8×
Catheterize for urine spec (P9612) $116.10 $129 12.4×
Chemo extend iv infus w/pump (G0498) $1,242 $1,380 3.7×
Diab manage trn per indiv (G0108)
range across 4 matching MRF lines
$90–$119.70 $100–$133 varies
Diab manage trn ind/group (G0109) $85.50 $95 5.3×
Direct refer hospital observ (G0379) $552.60 $614 0.9×
Drug test def 1-7 classes (G0480)
range across 21 matching MRF lines
$162.90–$950.40 $181–$1,056 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$405–$408.60 $450–$454 varies
Drug test def 8-14 classes (G0481) $170.10 $189 1.1×
Ekg tracing for initial prev (G0404) $22.50 $25 0.8×
Elec stim unattend for press (G0281) $125.10 $139 10.7×
Fern test (Q0114) $9.90 $11 1.0×
Hbot, full body chamber, 30m (G0277) $1,372.50 $1,525 9.8×
Hep c screen high risk/other (G0472) $124.20 $138 2.7×
Hiv combination assay (G0475) $192.60 $214 8.0×
Home sleep test/type 3 porta (G0399) $355.50 $395 1.6×
Hospital outpt clinic visit (G0463) $132.30 $147 1.0×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $2,049.30 $2,277 47.2×
Initial preventive exam (G0402) $116.10 $129 0.9×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $2,970.90 $3,301 5.9×
No pt prsnt train initial 30 (G0541) $198.90 $221 6.7×
Obtaining screen pap smear (Q0091) $24.30 $27 0.8×
Onc Merkel Cll Carc Srm Quan (0058U) $2,062.80 $2,292 6.4×
Pathogen test for platelets (P9100) $572.40 $636 9.5×
Pemivibart infusion (M0224) $424.80 $472 0.9×
Perc d-e cor stent ather s (C9602) $36,508.50 $40,565 1.9×
Perc drug-el cor stent sing (C9600) $23,990.40 $26,656 2.0×
Perq Sacral Augmt Bilat Inj (0201T) $12,410.10 $13,789 1.7×
Prolonged iv inf, req pump (C8957) $1,130.40 $1,256 5.2×
Prostate biopsy, any mthd (G0416) $1,790.10 $1,989 4.9×
Psa screening (G0103) $234.90 $261 12.2×
Rbc DNA gnotyp 10 bld groups (0084U) $766.80 $852 1.1×
Revasc intra lithotrip-stent (C9765) $20,265.30 $22,517 1.1×
Revasc intravasc lithotripsy (C9764) $12,656.70 $14,063 1.1×
Revasc lithotr-ather tib/per (C9774) $19,856.70 $22,063 1.1×
Scr c/v cyto,thinlayer,rescr (G0145) $189 $210 7.1×
Tomosynthesis, mammo (G0279) $71.10 $79 5.6×
Trauma respons w/hosp criti (G0390) $7,455.60 $8,284 5.5×
Trim nail(s) (G0127) $59.40 $66 1.0×
Tte w or w/o contr, cont ecg (C8930) $2,910.60 $3,234 3.6×
Tte w or wo fol wcon,doppler (C8929) $3,548.70 $3,943 4.4×
Unsched dialysis esrd pt hos (G0257) $2,592 $2,880 3.7×

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.