Supplies, drugs & other prices at CentraCare - Melrose Hospital
Melrose, MN · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $806.52 | $1,034 | 2.2× |
| Admin influenza virus vac (G0008) | $55.38 | $71 | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $3,016 | $3,866.67 | 3.1× |
| Catheterize for urine spec (P9612) | $82.68 | $106 | 8.9× |
| Chemo extend iv infus w/pump (G0498) | $499.20 | $640 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $2,704 | $3,466.67 | 2.8× |
| Colorectal scrn; hi risk ind (G0105) | $2,704 | $3,466.67 | 2.8× |
| Diab manage trn per indiv (G0108) | $640.38 | $821 | 11.5× |
| Direct refer hospital observ (G0379) | $308.10 | $395 | 0.5× |
| Drug test def 1-7 classes (G0480) | $256.43 | $328.75 | 2.2× |
| Ekg tracing for initial prev (G0404) | $27.11 | $34.75 | 0.9× |
| Elec stim other than wound (G0283) | $89.70 | $115 | 7.1× |
| Hep c screen high risk/other (G0472) | $37.64 | $48.25 | 0.8× |
| Hiv combination assay (G0475) | $42.90 | $55 | 1.8× |
| Hospital outpt clinic visit (G0463) | $336.26 | $431.10 | 2.4× |
| Ig paraprotein qual bld/ur (0077U) | $74.49 | $95.50 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,327.56 | $1,702 | 1.8× |
| Intens cardiac rehab no exer (G0423) | $274.95 | $352.50 | 2.1× |
| Intens cardiac rehab w/exerc (G0422) | $633.75 | $812.50 | 4.8× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $362.17 | $464.32 | 3.0× |
| Oth resp proc, group (G0239) | $124.80 | $160 | 3.2× |
| Oth resp proc, indiv (G0238) | $499.20 | $640 | 16.7× |
| Psa screening (G0103) | $71.96 | $92.25 | 3.7× |
| Therapeutic procd strg endur (G0237) | $102.96 | $132 | 3.4× |
| Tomosynthesis, mammo (G0279) | $175.50 | $225 | 13.8× |
| Trauma respons w/hosp criti (G0390) | $2,878.20 | $3,690 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,567.02 | $2,009 | 1.9× |
| Ven blood coll snf/hha (G0471) | $31.20 | $40 | 2.8× |