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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ProcedurePosted cashPosted gross× 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)
range across 2 matching MRF lines
$2,184–$3,224.01 $2,800–$4,133.34 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$2,184–$3,224.01 $2,800–$4,133.34 varies
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)
range across 4 matching MRF lines
$95.39–$780 $122.30–$1,000 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 2 matching MRF lines
$72.54–$76.44 $93–$98 varies
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)
range across 2 matching MRF lines
$368.16–$899.34 $472–$1,153 varies
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
range across 2 matching MRF lines
$324.36–$399.98 $415.85–$512.80 varies
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)
range across 2 matching MRF lines
$156–$195 $200–$250 varies
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×

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.