Supplies, drugs & other prices at CaroMont Regional Medical Center

Gastonia, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $206 $206 4.5×
Admin influenza virus vac (G0008) $195 $195 4.3×
Admin pneumococcal vaccine (G0009) $195 $195 4.3×
Autolog prp not diab ulcer (G0460) $5,455 $5,455 2.7×
Cysto, litho, vacuum kidney (C9761) $27,293 $27,293 3.0×
Diab manage trn per indiv (G0108) $139 $139 2.5×
Diab manage trn ind/group (G0109) $82.50 $82.50 5.1×
Elec stim other than wound (G0283) $157 $157 12.4×
Elec stim unattend for press (G0281) $108 $108 9.2×
Fern test (Q0114) $85 $85 8.7×
Hbot, full body chamber, 30m (G0277) $1,002 $1,002 7.5×
Hep c screen high risk/other (G0472) $164 $164 3.5×
Liver dis 10 assays w/nash (0003M) $977 $977 1.9×
Mnt subs tx for change dx (G0270) $122 $122 3.8×
Mra w/cont, abd (C8900) $5,548 $5,548 16.4×
Mra w/cont, chest (C8909) $5,043 $5,043 14.9×
Mra w/cont, lwr ext (C8912) $6,439 $6,439 19.0×
Mra w/cont, pelvis (C8918) $5,294 $5,294 15.6×
Mra w/o cont, abd (C8901) $4,072 $4,072 17.6×
Mra w/o fol w/cont, abd (C8902) $5,555 $5,555 16.4×
Mra w/o fol w/cont, pelvis (C8920) $5,528 $5,528 16.3×
Mra, w/dye, upper extremity (C8934) $6,439 $6,439 19.0×
Mra, w/o dye, spinal canal (C8932) $5,137 $5,137 22.2×
Mra, w/o dye, upper extr (C8935) $5,137 $5,137 22.2×
Mra, w/o&w/dye, spinal canal (C8933) $7,280 $7,280 21.5×
Mri w/o fol w/cont, breast, (C8908) $7,552 $7,552 22.3×
Mri w/o fol w/cont, brst, un (C8905) $5,407 $5,407 15.9×
Oth resp proc, group (G0239) $214 $214 5.9×
Oth resp proc, indiv (G0238) $222 $222 7.9×
Perc d-e cor stent ather s (C9602) $54,279 $54,279 3.0×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $34,590 $34,590 2.8×
Perq Sacral Augmt Bilat Inj (0201T) $10,161 $10,161 1.4×
Perq Sacral Augmt Unilat Inj (0200T) $8,126 $8,126 1.2×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $22,672 $22,672 2.0×
Prostate biopsy, any mthd (G0416) $2,467 $2,467 7.1×
Psa screening (G0103) $179 $179 9.3×
Revasc intra lithotrip-ather (C9766) $40,568 $40,568 2.3×
Revasc intra lithotrip-stent (C9765) $40,568 $40,568 2.3×
Revasc intravasc lithotripsy (C9764) $26,700 $26,700 2.4×
Revasc lith-sten-ath tib/per (C9775) $54,078 $54,078 3.0×
Revasc lithotr-ather tib/per (C9774) $48,668 $48,668 2.7×
Revasc lithotr-stent tib/per (C9773) $43,261 $43,261 2.4×
Revasc lithotrip tibi/perone (C9772) $40,568 $40,568 3.6×
Revasc lithotrip-stent-ather (C9767) $54,078 $54,078 3.0×
Screen cerv/vag thin layer (G0123) $165 $165 8.1×
Screen pap by tech w md supv (P3000) $87 $87 4.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $55,866 $55,866 3.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $55,866 $55,866 3.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $71,566 $71,566 3.8×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $11,954 $11,954 3.9×
Therapeutic procd strg endur (G0237) $214 $214 7.6×
Trauma respons w/hosp criti (G0390) $7,153 $7,153 5.5×
Trluml Perip Athrc Renal Art (0234T) $44,796 $44,796 4.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $40,147 $40,147 2.3×