Supplies, drugs & other prices at Avera St. Mary's Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,192.50 $1,325 3.3×
Admin hepatitis b vaccine (G0010) $69.30 $77 1.4×
Admin pneumococcal vaccine (G0009) $70.20 $78 1.5×
Ca screen;pelvic/breast exam (G0101) $93.60 $104 0.9×
Catheterize for urine spec (P9612) $15.30 $17 1.6×
Chemo extend iv infus w/pump (G0498) $781.20 $868 2.3×
Diab manage trn per indiv (G0108) $54.90 $61 1.0×
Diab manage trn ind/group (G0109) $26.10 $29 1.6×
Direct refer hospital observ (G0379) $860.40 $956 1.4×
Drug test def 1-7 classes (G0480)
range across 8 matching MRF lines
$171.90–$1,135.80 $191–$1,262 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$225–$348.30 $250–$387 varies
Drug test def 8-14 classes (G0481) $261 $290 1.7×
Ekg tracing for initial prev (G0404)
range across 2 matching MRF lines
$36.90–$235.80 $41–$262 varies
Hep c screen high risk/other (G0472) $110.70 $123 2.4×
Hiv combination assay (G0475) $72.90 $81 3.0×
Home sleep test/type 3 porta (G0399) $295.20 $328 1.3×
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) $131.40 $146 1.0×
Njx platelet plasma (0232T) $411.30 $457 0.9×
Obtaining screen pap smear (Q0091) $29.70 $33 1.0×
Prolonged iv inf, req pump (C8957) $1,076.40 $1,196 5.0×
Psa screening (G0103) $325.80 $362 16.9×
Rbc DNA gnotyp 10 bld groups (0084U) $1,179.90 $1,311 1.6×
Therapeutic procd strg endur (G0237) $112.50 $125 3.8×
Tomosynthesis, mammo (G0279) $71.10 $79 5.6×
Trauma respons w/hosp criti (G0390) $1,424.70 $1,583 1.0×
Tte w or wo fol wcon,doppler (C8929) $4,422.60 $4,914 5.5×

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.