Supplies, drugs & other prices at Baptist Memorial Hospital-Tipton
Covington, TN · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $31.44 | $131 | 0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $555.60 | $2,315 | 1.7× |
| Adm tocilizu covid-19 1st (M0249) | $378.96 | $1,579 | 0.9× |
| Adm tocilizu covid-19 2nd (M0250) | $378.96 | $1,579 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $28.44 | $118.50 | 0.7× |
| Admin influenza virus vac (G0008) | $26.28 | $109.50 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $28.44 | $118.50 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $44.64 | $186 | 0.9× |
| Direct refer hospital observ (G0379) | $264.48 | $1,102 | 0.5× |
| Drug test def 1-7 classes (G0480) | $72 | $300 | 0.6× |
| Elec stim other than wound (G0283) | $52.32 | $218 | 4.1× |
| Hospital outpt clinic visit (G0463) | $78.24 | $326 | 0.6× |
| Hpv combo assay ca screen (G0476) | $28.32 | $118 | 0.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,520.88 | $6,337 | 4.7× |
| Mra, w/dye, upper extremity (C8934) | $873.12 | $3,638 | 2.7× |
| Mra, w/o dye, upper extr (C8935) | $765.60 | $3,190 | 3.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,244.64 | $5,186 | 3.9× |
| Pemivibart infusion (M0224) | $336.96 | $1,404 | 0.8× |
| Pin service 60m per month (G0023) | $57.36 | $239 | 0.6× |
| Prolonged iv inf, req pump (C8957) | $197.76 | $824 | 1.0× |
| Psa screening (G0103) | $132 | $550 | 6.8× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $77.04 | $321 | 0.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $36 | $150 | 1.4× |
| Tomosynthesis, mammo (G0279) | $48 | $200 | 3.8× |
| Tte w or wo fol wcon,doppler (C8929) | $904.56 | $3,769 | 1.2× |