Supplies, drugs & other prices at Bristol Hospital

Bristol, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,125.30 $2,046 1.2×
2d tte w or w/o fol w/con,fu (C8924) $730.95 $1,329 1.7×
Admin influenza virus vac (G0008) $64.35 $117 1.1×
Diab manage trn per indiv (G0108) $133.92 $243.50 2.4×
Diab manage trn ind/group (G0109) $37.40 $68 2.3×
Direct refer hospital observ (G0379) $381.70 $694 0.5×
Fecal blood scrn immunoassay (G0328) $34.84 $63.34 1.9×
Group mnt 2 or more 30 mins (G0271) $41.80 $76 2.5×
Hbot, full body chamber, 30m (G0277) $466.95 $849 2.8×
Hopd mntl hlt, 15-29 min (C7900) $79.12 $143.85 1.8×
Hopd mntl hlt, 30-60 min (C7901) $202.13 $367.50 1.7×
Inj for sacroiliac jt anesth (G0260) $2,886.40 $5,248 3.4×
Mnt subs tx for change dx (G0270) $41.80 $76 1.3×
Oth resp proc, group (G0239) $165.55 $301 3.7×
Oth resp proc, indiv (G0238) $133.65 $243 3.9×
Perq Sacral Augmt Bilat Inj (0201T) $5,848.70 $10,634 0.7×
Psa screening (G0103) $85.55 $155.53 4.4×
Tee w or w/o fol w/cont, mon (C8927) $1,125.30 $2,046 1.2×
Therapeutic procd strg endur (G0237) $96.80 $176 2.8×
Tte w or w/o fol w/con,stres (C8928) $1,136.30 $2,066 1.2×
Tte w or wo fol wcon,doppler (C8929) $1,051.60 $1,912 1.1×
Unsched dialysis esrd pt hos (G0257) $1,131.90 $2,058 1.4×
Ven blood coll snf/hha (G0471) $25.40 $46.17 2.2×