Supplies, drugs & other prices at Boone Hospital Center

Columbia, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $79.80 $133 2.2×
2d tee w or w/o fol w/con,in (C8925) $1,759.80 $2,933 2.2×
2d tte w or w/o fol w/con,co (C8923) $1,227.60 $2,046 1.6×
2d tte w or w/o fol w/con,fu (C8924) $924.60 $1,541 2.6×
Admin hepatitis b vaccine (G0010) $78.60 $131 1.7×
Admin influenza virus vac (G0008) $58.20 $97 1.2×
Admin pneumococcal vaccine (G0009) $58.20 $97 1.2×
Autolog prp not diab ulcer (G0460) $2,743.80 $4,573 1.3×
Ca screen;flexi sigmoidscope (G0104) $1,217.40 $2,029 1.3×
Ca screen;pelvic/breast exam (G0101) $54.60 $91 0.5×
Colon ca scrn not hi rsk ind (G0121) $897.30 $1,495.50 1.0×
Colorectal scrn; hi risk ind (G0105) $897 $1,495 1.0×
Covid-19 lab test non-cdc (U0002) $112.80 $188 2.2×
Diab manage trn per indiv (G0108) $134.40 $224 2.4×
Diab manage trn ind/group (G0109) $60.60 $101 3.8×
Direct refer hospital observ (G0379) $874.80 $1,458 1.5×
Drug test def 1-7 classes (G0480) $253.20 $422 2.2×
Drug test def 15-21 classes (G0482) $391.47 $652.45 2.0×
Drug test def 22+ classes (G0483) $485.50 $809.17 2.0×
Drug test def 8-14 classes (G0481) $308.32 $513.86 2.0×
Eia hiv-1/hiv-2 screen (G0432) $123 $205 6.3×
Elec stim other than wound (G0283) $55.80 $93 4.4×
Ephys eval ccm-d ld 1st impl (0930T) $1,821 $3,035 1.5×
Ephys eval ccm-d ld separate (0931T) $1,821 $3,035 1.5×
Flt3 gene itd variants quan (0046U) $753.60 $1,256 1.8×
Hbot, full body chamber, 30m (G0277) $653.40 $1,089 4.7×
Hep c screen high risk/other (G0472) $88.99 $148.32 1.9×
Hepb screen high risk indiv (G0499) $66 $110 2.3×
Hiv combination assay (G0475) $94.55 $157.59 3.9×
Hospital outpt clinic visit (G0463) $139.20 $232 1.0×
Ig paraprotein qual bld/ur (0077U) $414.60 $691 9.5×
Initial preventive exam (G0402) $235.20 $392 1.8×
Inj for sacroiliac jt anesth (G0260) $2,166.90 $3,611.50 3.1×
Intens cardiac rehab no exer (G0423) $186 $310 1.4×
Intens cardiac rehab w/exerc (G0422) $255 $425 2.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $277.20 $462 2.3×
Mra w/cont, abd (C8900) $1,205.40 $2,009 3.4×
Mra w/cont, chest (C8909) $1,054.20 $1,757 3.0×
Mra w/cont, lwr ext (C8912) $1,356 $2,260 3.9×
Mra w/cont, pelvis (C8918) $1,039.80 $1,733 3.0×
Mra w/o cont, abd (C8901) $757.80 $1,263 3.2×
Mra w/o cont, chest (C8910) $955.20 $1,592 4.0×
Mra w/o cont, lwr ext (C8913) $1,117.80 $1,863 4.7×
Mra w/o cont, pelvis (C8919) $1,023.60 $1,706 4.3×
Mra w/o fol w/cont, abd (C8902) $1,281.60 $2,136 3.7×
Mra w/o fol w/cont, chest (C8911) $1,171.80 $1,953 3.4×
Mra w/o fol w/cont, lwr ext (C8914) $1,486.20 $2,477 4.3×
Mra w/o fol w/cont, pelvis (C8920) $1,358.40 $2,264 3.9×
Mra, w/dye, spinal canal (C8931) $1,572.60 $2,621 4.5×
Mra, w/dye, upper extremity (C8934) $1,241.40 $2,069 3.6×
Mra, w/o dye, spinal canal (C8932) $1,472.40 $2,454 6.2×
Mra, w/o dye, upper extr (C8935) $1,104 $1,840 4.6×
Mra, w/o&w/dye, spinal canal (C8933) $1,672.20 $2,787 4.8×
Mra, w/o&w/dye, upper extr (C8936) $1,291.80 $2,153 3.7×
Mri w/o fol w/cont, breast, (C8908) $1,330.20 $2,217 3.8×
Mri w/o fol w/cont, brst, un (C8905) $1,212.60 $2,021 3.5×
N-invs det hrt fail aug echo (0932T) $450 $750 1.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,000.80 $1,668 1.8×
Obtaining screen pap smear (Q0091) $59.40 $99 2.1×
Opps service,sched team conf (G0175) $572.40 $954 1.4×
Oral hiv-1/hiv-2 screen (G0435) $78.60 $131 6.6×
Oth resp proc, group (G0239) $223.80 $373 6.0×
Oth resp proc, indiv (G0238) $47.40 $79 1.6×
Perc d-e cor revasc chro sin (C9607) $15,550.20 $25,917 0.8×
Perc d-e cor revasc t cabg s (C9604) $15,550.20 $25,917 1.3×
Perc d-e cor stent ather s (C9602) $19,288.80 $32,148 1.1×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $18,810 $31,350 1.5×
Perq Sacral Augmt Bilat Inj (0201T) $11,788.80 $19,648 1.6×
Perq Sacral Augmt Unilat Inj (0200T) $5,894.40 $9,824 0.8×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,552.40 $14,254 0.7×
Ppps, initial visit (G0438) $234.60 $391 1.3×
Ppps, subseq visit (G0439) $182.40 $304 1.3×
Prostate biopsy, any mthd (G0416) $600 $1,000 1.7×
Psa screening (G0103) $48.20 $80.34 2.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $1,367.02 $2,278.36 1.9×
Revasc intra lithotrip-ather (C9766) $15,348.60 $25,581 0.8×
Revasc intra lithotrip-stent (C9765) $16,921.80 $28,203 0.9×
Revasc intravasc lithotripsy (C9764) $8,352 $13,920 0.7×
Revasc lith-sten-ath tib/per (C9775) $25,163.40 $41,939 1.4×
Revasc lithotr-ather tib/per (C9774) $25,163.40 $41,939 1.4×
Revasc lithotr-stent tib/per (C9773) $25,163.40 $41,939 1.4×
Revasc lithotrip tibi/perone (C9772) $15,550.20 $25,917 1.3×
Revasc lithotrip-stent-ather (C9767) $24,549.60 $40,916 1.3×
Screen pap by tech w md supv (P3000) $54.60 $91 2.9×
Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) $34.61 $57.68 1.9×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $4,824.60 $8,041 1.5×
Therapeutic procd strg endur (G0237) $111.60 $186 3.9×
Tomosynthesis, mammo (G0279) $45 $75 3.5×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $1,030.80 $1,718 2.2×
Trim nail(s) (G0127) $31.80 $53 0.5×
Trluml peripheral atherectomy iliac artery ea (0238T) $24,295.20 $40,492 1.3×
Tte w or w/o contr, cont ecg (C8930) $1,199.40 $1,999 1.5×
Tte w or w/o fol w/con,stres (C8928) $2,013 $3,355 2.6×
Tte w or w/o fol w/cont, com (C8921) $2,106.60 $3,511 2.7×
Tte w or w/o fol w/cont, f/u (C8922) $1,199.40 $1,999 1.5×
Tte w or wo fol wcon,doppler (C8929) $2,947.80 $4,913 3.8×
Unsched dialysis esrd pt hos (G0257) $1,020.60 $1,701 1.5×
Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) $1,406.40 $2,344 1.5×