Supplies, drugs & other prices at Brooklyn Hospital Center - Downtown Campus

Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $3,648.11 $3,648.11 3.7×
Adm tocilizu covid-19 1st (M0249) $1,474.64 $1,474.64 2.7×
Adm tocilizu covid-19 2nd (M0250) $1,474.64 $1,474.64 2.7×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$168.30–$192.69 $168.30–$192.69 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$168.30–$192.69 $168.30–$192.69 varies
Admin pneumococcal vaccine (G0009) $192.69 $192.69 3.3×
Amalgam three surfaces perma (D2160) $328.32 $328.32 0.4×
Bitewings four images (D0274) $99.46 $99.46 0.3×
Ca screen;flexi sigmoidscope (G0104) $9,454.59 $9,454.59 8.1×
Ca screen;pelvic/breast exam (G0101) $382.75 $382.75 3.0×
Chemo extend iv infus w/pump (G0498) $1,361.32 $1,361.32 3.3×
Colon ca scrn not hi rsk ind (G0121)
range across 3 matching MRF lines
$5,102.48–$10,116.41 $5,102.48–$10,116.41 varies
Colorectal scrn; hi risk ind (G0105) $9,454.59 $9,454.59 8.1×
Comprehensve oral evaluation (D0150) $49.74 $49.74 0.3×
Cone beam ct interp both jaw (D0367) $818.79 $818.79 6.3×
Core build-up incl any pins (D2950) $433.23 $433.23 0.5×
Dental bitewing single image (D0270) $43.60 $43.60 0.4×
Dental bitewings two images (D0272) $70.83 $70.83 0.7×
Dental prophylaxis adult (D1110) $143.05 $143.05 0.9×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$181.07–$193.74 $181.07–$193.74 varies
Diab manage trn ind/group (G0109) $54.94 $54.94 3.4×
Drug test def 1-7 classes (G0480)
range across 12 matching MRF lines
$7.36–$547.38 $7.36–$547.38 varies
Elec stim other than wound (G0283)
range across 3 matching MRF lines
$89.97–$295.22 $89.97–$295.22 varies
End thxpy, premolar tooth (D3320) $1,309.27 $1,309.27 1.6×
Extraction erupted tooth/exr (D7140)
range across 2 matching MRF lines
$238.42–$476.84 $238.42–$476.84 varies
Hbot, full body chamber, 30m (G0277)
range across 2 matching MRF lines
$1,626.18–$7,101.80 $1,626.18–$7,101.80 varies
Hospital outpt clinic visit (G0463)
range across 48 matching MRF lines
$255.02–$4,148.10 $255.02–$4,148.10 varies
I&d absc intraoral soft tiss (D7510) $151.42 $151.42 0.2×
Impact tooth remov comp bony (D7240) $770.81 $770.81 1.0×
Impact tooth remov part bony (D7230) $627.06 $627.06 0.8×
Impact tooth remov soft tiss (D7220) $453.27 $453.27 0.6×
Inj for sacroiliac jt anesth (G0260)
range across 5 matching MRF lines
$2,192.16–$8,205.70 $2,192.16–$8,205.70 varies
Insertion of sinus tarsi implant (0335T) $13,170.14 $13,170.14 1.5×
Intraor comprehensive series (D0210) $197.54 $197.54 0.7×
Intraoral periapical first (D0220) $43.60 $43.60 0.4×
Limit oral eval problm focus (D0140) $301.14 $301.14 1.8×
Limited occlusal adjustment (D9951) $1,966.25 $1,966.25 2.4×
Mra w/cont, chest (C8909) $7,986.31 $7,986.31 18.3×
Mra w/cont, lwr ext (C8912) $6,890.36 $6,890.36 15.8×
Mra w/o cont, abd (C8901) $3,617.25 $3,617.25 12.1×
Mra w/o cont, chest (C8910) $3,760.48 $3,760.48 12.6×
Mra w/o cont, lwr ext (C8913) $8,447.69 $8,447.69 28.4×
Mra w/o fol w/cont, abd (C8902) $5,697.78 $5,697.78 13.1×
Mra w/o fol w/cont, chest (C8911) $7,801.62 $7,801.62 17.9×
Mra w/o fol w/cont, pelvis (C8920) $6,764.17 $6,764.17 15.5×
Mri w/cont, breast, bi (C8906) $3,993.15 $3,993.15 9.2×
Mri w/cont, breast, uni (C8903)
range across 2 matching MRF lines
$5,991.30–$8,986.97 $5,991.30–$8,986.97 varies
Mri w/o fol w/cont, breast, (C8908)
range across 4 matching MRF lines
$1,697.60–$8,112.09 $1,697.60–$8,112.09 varies
Mri w/o fol w/cont, brst, un (C8905)
range across 3 matching MRF lines
$1,697.60–$7,489.11 $1,697.60–$7,489.11 varies
Njx platelet plasma (0232T) $6,154.27 $6,154.27 11.0×
Obtaining screen pap smear (Q0091) $123.65 $123.65 3.4×
Occ guard, hard, full arch (D9944) $203.37 $203.37 0.3×
Panoramic image (D0330) $170.29 $170.29 0.6×
Pathogen test for platelets (P9100) $143.33 $143.33 1.9×
Perc d-e cor revasc chro sin (C9607) $69,979.11 $69,979.11 3.1×
Perc d-e cor revasc t cabg s (C9604) $46,168.33 $46,168.33 3.2×
Perc d-e cor stent ather s (C9602) $67,534.34 $67,534.34 3.0×
Perc drug-el cor stent sing (C9600)
range across 3 matching MRF lines
$40,325.21–$46,168.33 $40,325.21–$46,168.33 varies
Periodic oral evaluation (D0120) $64.04 $64.04 0.4×
Periodontal maint procedures (D4910) $170.22 $170.22 0.2×
Periodontal scaling & root (D4341) $1,558.64 $1,558.64 1.9×
Periodontal scaling 1-3teeth (D4342) $385.56 $385.56 0.5×
Post 1 srfc resinbased cmpst (D2391) $271.12 $271.12 0.3×
Post 2 srfc resinbased cmpst (D2392) $674.76 $674.76 0.8×
Post 3 srfc resinbased cmpst (D2393) $445.50 $445.50 0.6×
Post >=4srfc resinbase cmpst (D2394) $284.42 $284.42 0.4×
Ppps, initial visit (G0438)
range across 2 matching MRF lines
$575.93–$659.39 $575.93–$659.39 varies
Ppps, subseq visit (G0439)
range across 7 matching MRF lines
$513.19–$659.39 $513.19–$659.39 varies
Prostate biopsy, any mthd (G0416) $1,670.68 $1,670.68 3.7×
Psa screening (G0103) $141.25 $141.25 7.3×
Rem imp tooth w mucoper flp (D7210)
range across 3 matching MRF lines
$430.51–$3,874.59 $430.51–$3,874.59 varies
Resin 4/> surf or w incis an (D2335) $431.28 $431.28 0.5×
Resin one surface-anterior (D2330)
range across 2 matching MRF lines
$250.68–$501.36 $250.68–$501.36 varies
Resin three surfaces-anterio (D2332) $380.12 $380.12 0.5×
Resin two surfaces-anterior (D2331) $311.99 $311.99 0.4×
Revasc intra lithotrip-ather (C9766) $61,212.24 $61,212.24 2.7×
Revasc intra lithotrip-stent (C9765) $61,212.24 $61,212.24 2.7×
Revasc intravasc lithotripsy (C9764) $38,547.89 $38,547.89 2.7×
Revasc lith-sten-ath tib/per (C9775) $61,212.24 $61,212.24 2.7×
Revasc lithotr-ather tib/per (C9774) $61,212.24 $61,212.24 2.7×
Revasc lithotr-stent tib/per (C9773) $61,212.24 $61,212.24 2.7×
Revasc lithotrip tibi/perone (C9772) $38,547.93 $38,547.93 2.7×
Revasc lithotrip-stent-ather (C9767) $61,212.24 $61,212.24 2.7×
Scr c/v cyto,thinlayer,rescr (G0145)
range across 2 matching MRF lines
$25–$26.75 $25–$26.75 varies
Screen cerv/vag thin layer (G0123) $201.09 $201.09 9.9×
Tee w or w/o fol w/cont, mon (C8927) $3,648.11 $3,648.11 3.7×
Tee w or w/o fol w/cont,cong (C8926) $3,648.11 $3,648.11 3.7×
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines
$211.16–$241.76 $211.16–$241.76 varies
Tooth root removal (D7250) $359.61 $359.61 0.4×
Trauma respons w/hosp criti (G0390) $6,758.28 $6,758.28 4.1×
Trim nail(s) (G0127) $327.99 $327.99 4.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.