Supplies, drugs & other prices at Baptist Hospital
Pensacola, FL · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $648.45 | $4,323 | 0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $263.70 | $1,758 | 0.7× |
| Adm tocilizu covid-19 1st (M0249) | $203.55 | $1,357 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $203.55 | $1,357 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $19.42 | $129.50 | 0.4× |
| Admin influenza virus vac (G0008) | $6.75 | $45 | 0.1× |
| Admin pneumococcal vaccine (G0009) | $13.80 | $92 | 0.3× |
| Alcohol/subs interv 15-30mn (G0396) | $19.50 | $130 | 0.5× |
| Annual alcohol screen 15 min (G0442) | $4.95 | $33 | 0.1× |
| Behavior counsel obesity 15m (G0447) | $4.50 | $30 | 0.0× |
| Brief alcohol misuse counsel (G0443) | $12.90 | $86 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $13.50 | $90 | 0.1× |
| Chemo extend iv infus w/pump (G0498) | $247.05 | $1,647 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $30.15 | $201 | 0.6× |
| Direct refer hospital observ (G0379) | $96 | $640 | 0.2× |
| Drug test def 1-7 classes (G0480) | $12 | $80 | 0.1× |
| Ekg tracing for initial prev (G0404) | $4.50 | $30 | 0.1× |
| Elec stim other than wound (G0283) | $11.85 | $79 | 0.9× |
| Hbot, full body chamber, 30m (G0277) | $255.45 | $1,703 | 1.8× |
| Hospital outpt clinic visit (G0463) | $29.25 | $195 | 0.2× |
| Hpv combo assay ca screen (G0476) | $15.75 | $105 | 0.4× |
| Initial preventive exam (G0402) | $19.50 | $130 | 0.1× |
| Inj for sacroiliac jt anesth (G0260) | $100.50 | $670 | 0.1× |
| Intens cardiac rehab no exer (G0423) | $86.70 | $578 | 0.6× |
| Intens cardiac rehab w/exerc (G0422) | $86.70 | $578 | 0.6× |
| Liver dis 10 assays w/nash (0003M) | $65.41 | $436.08 | 0.1× |
| Mra w/cont, chest (C8909) | $719.10 | $4,794 | 2.0× |
| Mra w/cont, pelvis (C8918) | $952.65 | $6,351 | 2.6× |
| Mra w/o cont, abd (C8901) | $650.55 | $4,337 | 2.6× |
| Mra w/o cont, chest (C8910) | $673.20 | $4,488 | 2.7× |
| Mra w/o cont, lwr ext (C8913) | $1,209.75 | $8,065 | 4.9× |
| Mra w/o fol w/cont, abd (C8902) | $854.25 | $5,695 | 2.3× |
| Mra w/o fol w/cont, chest (C8911) | $765 | $5,100 | 2.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,029.60 | $6,864 | 2.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,012.20 | $6,748 | 2.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $493.50 | $3,290 | 1.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $991.65 | $6,611 | 2.7× |
| Mri w/o fol w/cont, breast, (C8908) | $1,040.40 | $6,936 | 2.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $878.85 | $5,859 | 2.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $60.75 | $405 | 0.1× |
| Obtaining screen pap smear (Q0091) | $4.50 | $30 | 0.1× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,475.20 | $43,168 | 0.3× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$4,657.50 | $31,050 | 0.4× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$4,376.10 | $29,174 | 0.2× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$4,050 | $27,000 | 0.3× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) likely a partial charge, not the full procedure |
$1,549.80 | $10,332 | 0.2× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) likely a partial charge, not the full procedure |
$859.65 | $5,731 | 0.1× |
| Prolonged iv inf, req pump (C8957) | $165.75 | $1,105 | 0.7× |
| Psa screening (G0103) | $21.15 | $141 | 1.1× |
| Revasc intra lithotrip-ather (C9766) likely a partial charge, not the full procedure |
$4,160.55 | $27,737 | 0.2× |
| Revasc intra lithotrip-stent (C9765) likely a partial charge, not the full procedure |
$4,160.55 | $27,737 | 0.2× |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$2,520.15 | $16,801 | 0.2× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$7,054.05 | $47,027 | 0.4× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$7,054.05 | $47,027 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$7,054.05 | $47,027 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$4,410.15 | $29,401 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$6,654.75 | $44,365 | 0.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$5,743.05 | $38,287 | 0.3× |
| Tcat insj perm dual chamber ldls pm compl sys (0795T) likely a partial charge, not the full procedure |
$5,743.05 | $38,287 | 0.3× |
| Tcat rmvl/debulk icar mass suction device perq (0644T) | $3,984.75 | $26,565 | 0.7× |
| Therapeutic procd strg endur (G0237) | $29.85 | $199 | 1.0× |
| Trauma respons w/hosp criti (G0390) | $450 | $3,000 | 0.3× |
| Trluml perip athrc iliac art (0238T) likely a partial charge, not the full procedure |
$2,672.40 | $17,816 | 0.1× |
| Trluml perip athrc renal art (0234T) likely a partial charge, not the full procedure |
$2,321.85 | $15,479 | 0.2× |
| Tte w or w/o contr, cont ecg (C8930) | $1,050 | $7,000 | 1.3× |
| Tte w or w/o fol w/cont, com (C8921) | $735.45 | $4,903 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $1,012.50 | $6,750 | 1.2× |
| Unsched dialysis esrd pt hos (G0257) | $131.25 | $875 | 0.2× |
| Visit to determ ldct elig (G0296) | $19.50 | $130 | 0.2× |