Supplies, drugs & other prices at Carle Richland Memorial Hospital
Olney, IL · every code in this section with a posted price and a Medicare benchmark.
68 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $1,008 | $1,008 | 2.1× |
| Adm tocilizu covid-19 2nd (M0250) | $1,008 | $1,008 | 2.1× |
| Admin hepatitis b vaccine (G0010) | $168 | $168 | 3.3× |
| Admin influenza virus vac (G0008) | $116 | $116 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $116 | $116 | 2.3× |
| Ca screen;flexi sigmoidscope (G0104) | $1,344 | $1,344 | 1.3× |
| Catheterize for urine spec (P9612) | $179 | $179 | 19.2× |
| Colon ca scrn not hi rsk ind (G0121) | $4,106 | $4,106 | 4.1× |
| Colorectal scrn; hi risk ind (G0105) | $4,106 | $4,106 | 4.1× |
| Complex simulation w/pet-ct (G0562) | $5,852 | $5,852 | 2.9× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $21,253 | $21,253 | 4.8× |
| Drug test def 15-21 classes (G0482) | $894 | $894 | 4.5× |
| Drug test def 22+ classes (G0483) | $1,111 | $1,111 | 4.5× |
| Drug test def 8-14 classes (G0481) range across 3 matching MRF lines |
$470–$660 | $470–$660 | varies |
| Drug test def simple all cl (G0659) | $280 | $280 | 4.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $368 | $368 | 18.8× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$135–$280 | $135–$280 | varies |
| Elec stim unattend for press (G0281) | $280 | $280 | 24.0× |
| Group train w/o patient (G0543) range across 5 matching MRF lines |
$132–$139 | $132–$139 | varies |
| Hospital outpt clinic visit (G0463) range across 17 matching MRF lines |
$147–$2,006 | $147–$2,006 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,386 | $1,386 | 1.8× |
| Insertion perm ccm-d system pulse generator only (0916T) | $73,700 | $73,700 | 3.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $27,174 | $27,174 | 3.1× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $27,174 | $27,174 | 3.1× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $105,273 | $105,273 | 3.1× |
| Mra w/cont, abd (C8900) | $4,263 | $4,263 | 11.4× |
| Mra w/cont, chest (C8909) | $2,972 | $2,972 | 7.9× |
| Mra w/cont, lwr ext (C8912) | $2,972 | $2,972 | 7.9× |
| Mra w/cont, pelvis (C8918) | $2,972 | $2,972 | 7.9× |
| Mra w/o cont, abd (C8901) | $2,972 | $2,972 | 11.6× |
| Mra w/o cont, chest (C8910) | $2,919 | $2,919 | 11.4× |
| Mra w/o cont, lwr ext (C8913) | $2,919 | $2,919 | 11.4× |
| Mra w/o cont, pelvis (C8919) | $2,919 | $2,919 | 11.4× |
| Mra w/o fol w/cont, abd (C8902) | $4,988 | $4,988 | 13.3× |
| Mra w/o fol w/cont, chest (C8911) | $4,032 | $4,032 | 10.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,032 | $4,032 | 10.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $4,032 | $4,032 | 10.8× |
| Mra, w/dye, upper extremity (C8934) | $3,276 | $3,276 | 8.8× |
| Mra, w/o dye, upper extr (C8935) | $2,919 | $2,919 | 11.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,276 | $3,276 | 8.8× |
| Mri w/cont, breast, bi (C8906) | $2,972 | $2,972 | 7.9× |
| Mri w/cont, breast, uni (C8903) | $1,512 | $1,512 | 8.0× |
| Mri w/o fol w/cont, breast, (C8908) | $4,032 | $4,032 | 10.8× |
| Njx platelet plasma (0232T) | $431 | $431 | 0.9× |
| No pt prsnt train initial 30 (G0541) range across 5 matching MRF lines |
$71–$75 | $71–$75 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) | $1,292 | $1,292 | 4.0× |
| Ortho impl mvmt alys pair CT (0946T) | $352 | $352 | 3.1× |
| Pathogen test for platelets (P9100) | $110 | $110 | 1.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $18,722 | $18,722 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $1,270 | $1,270 | 3.3× |
| Psa screening (G0103) | $320 | $320 | 16.6× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $2,142 | $2,142 | 3.1× |
| Quan CT tiss charac w/o CT (0721T) | $2,142 | $2,142 | 3.1× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $6,006 | $6,006 | 2.7× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $1,025 | $1,025 | 4.8× |
| Removal perm ccm-d system pulse generator only (0919T) | $11,949 | $11,949 | 3.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $2,037 | $2,037 | 3.0× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) | $21,253 | $21,253 | 4.8× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $11,949 | $11,949 | 3.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $11,949 | $11,949 | 3.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $11,949 | $11,949 | 3.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $73,700 | $73,700 | 3.1× |
| Sbrt w/positron emission del (G0563) | $11,252 | $11,252 | 3.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $310 | $310 | 11.7× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $10,563 | $10,563 | 3.0× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$194–$1,134 | $194–$1,134 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $3,969 | $3,969 | 4.7× |
| Tte w or wo fol wcon,doppler (C8929) | $4,305 | $4,305 | 5.1× |
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.