Supplies, drugs & other prices at Bon Secours St. Francis Downtown
Greenville, SC · every code in this section with a posted price and a Medicare benchmark.
50 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) | $2,252.40 | $3,754 | 3.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $708 | $1,180 | 2.1× |
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) | $3,621 | $6,035 | 2.3× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) | $14,365.20 | $23,942 | 1.7× |
| Alveolus clsd reduc stblz te (D7771) | $7,362 | $12,270 | 2.3× |
| Arthro/shoul surg; w/spacer (C9781) | $65,488.02 | $109,146.70 | 5.3× |
| Ca screen;flexi sigmoidscope (G0104) | $7,592.40 | $12,654 | 8.5× |
| Catheterize for urine spec (P9612) | $39 | $65 | 4.2× |
| Colon ca scrn not hi rsk ind (G0121) | $7,808.40 | $13,014 | 8.8× |
| Colorectal scrn; hi risk ind (G0105) | $6,973.31 | $11,622.18 | 7.8× |
| Cysto impl 4 or more (C9740) | $48,886.66 | $81,477.77 | 5.4× |
| Cysto, litho, vacuum kidney (C9761) | $39,094.88 | $65,158.13 | 4.3× |
| Cystoscopy prostatic imp 1-3 (C9739) | $22,024.81 | $36,708.02 | 4.3× |
| Direct refer hospital observ (G0379) | $1,323.60 | $2,206 | 2.3× |
| Drug test def 1-7 classes (G0480) | $206.10 | $343.50 | 1.8× |
| Elec stim other than wound (G0283) | $101.40 | $169 | 8.0× |
| Endo outlet restrict w/tube (C9785) | $41,273.96 | $68,789.93 | 4.1× |
| Hepb screen high risk indiv (G0499) | $84.60 | $141 | 3.0× |
| Ig paraprotein qual bld/ur (0077U) | $171.90 | $286.50 | 4.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $366 | $610 | 3.0× |
| Mra w/o cont, abd (C8901) | $560.40 | $934 | 2.5× |
| Mra w/o fol w/cont, abd (C8902) | $2,717.40 | $4,529 | 8.1× |
| Mra w/o fol w/cont, chest (C8911) | $3,568.20 | $5,947 | 10.7× |
| Mri w/o fol w/cont, breast, (C8908) | $4,827.60 | $8,046 | 14.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $1,623 | $2,705 | 3.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $37,155.64 | $61,926.07 | 86.8× |
| Oth resp proc, indiv (G0238) | $97.20 | $162 | 3.5× |
| Pathogen test for platelets (P9100) | $54 | $90 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) | $19,566.60 | $32,611 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $16,020 | $26,700 | 1.4× |
| Perc d-e cor stent ather s (C9602) | $19,074.60 | $31,791 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $13,230 | $22,050 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $12,381.60 | $20,636 | 1.8× |
| Perq Sacral Augmt Unilat Inj (0200T) | $7,097.40 | $11,829 | 1.0× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $13,683.60 | $22,806 | 1.2× |
| Prostate biopsy, any mthd (G0416) | $484.20 | $807 | 1.4× |
| Psa screening (G0103) | $242.40 | $404 | 12.6× |
| Revasc intra lithotrip-stent (C9765) | $24,969.60 | $41,616 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $12,483.60 | $20,806 | 1.1× |
| Revasc lithotr-ather tib/per (C9774) | $43,096.20 | $71,827 | 2.5× |
| Revasc lithotr-stent tib/per (C9773) | $43,096.20 | $71,827 | 2.5× |
| Revasc lithotrip-stent-ather (C9767) | $43,096.20 | $71,827 | 2.5× |
| Rpr intst excl anrect fist (C9796) | $6,420.60 | $10,701 | 2.4× |
| Tooth reimplantation (D7270) | $2,013.60 | $3,356 | 3.3× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $1,398 | $2,330 | 3.0× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $10,500 | $17,500 | 3.0× |
| Trim nail(s) (G0127) | $8,089.13 | $13,481.88 | 143.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $20,156.40 | $33,594 | 1.8× |
| Tte w or w/o fol w/con,stres (C8928) | $1,503 | $2,505 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,131.60 | $1,886 | 1.7× |