Supplies, drugs & other prices at CentraCare - Monticello Hospital
Monticello, 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) | $782.34 | $1,003 | 2.1× |
| Admin influenza virus vac (G0008) | $55.38 | $71 | 1.1× |
| Catheterize for urine spec (P9612) | $82.68 | $106 | 8.9× |
| Cbc without platelet (G0307) | $33.97 | $43.55 | 5.3× |
| Chemo extend iv infus w/pump (G0498) | $499.20 | $640 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) | $2,076.75 | $2,662.50 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $2,076.75 | $2,662.50 | 2.1× |
| Diab manage trn per indiv (G0108) | $320.19 | $410.50 | 5.7× |
| Direct refer hospital observ (G0379) | $616.20 | $790 | 1.0× |
| Drug test def 1-7 classes (G0480) | $92.62 | $118.75 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $2,087.28 | $2,676 | 14.5× |
| Hep c screen high risk/other (G0472) | $37.64 | $48.25 | 0.8× |
| Hiv combination assay (G0475) | $40.27 | $51.62 | 1.7× |
| Home sleep test/type 3 porta (G0399) | $411.06 | $527 | 1.8× |
| Hospital outpt clinic visit (G0463) | $277.68 | $356 | 2.0× |
| Ig paraprotein qual bld/ur (0077U) | $74.49 | $95.50 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $2,251.86 | $2,887 | 3.0× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) | $3,682.38 | $4,721 | 1.1× |
| Intens cardiac rehab no exer (G0423) | $274.95 | $352.50 | 2.0× |
| Intens cardiac rehab w/exerc (G0422) | $402.48 | $516 | 3.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,907.88 | $2,446 | 5.2× |
| Oth resp proc, indiv (G0238) | $248.04 | $318 | 8.2× |
| Psa screening (G0103) | $51.64 | $66.20 | 2.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $735.54 | $943 | 1.0× |
| Tomosynthesis, mammo (G0279) | $172.77 | $221.50 | 13.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,296.36 | $1,662 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $1,521 | $1,950 | 1.9× |
| Ven blood coll snf/hha (G0471) | $31.20 | $40 | 2.8× |