Supplies, drugs & other prices at CentraCare - Rice Memorial Hospital
Willmar, MN · every code in this section with a posted price and a Medicare benchmark.
37 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) | $536.34 | $800.50 | 1.5× |
| Admin influenza virus vac (G0008) | $47.57 | $71 | 1.0× |
| Catheterize for urine spec (P9612) | $53.94 | $80.50 | 5.8× |
| Chemo extend iv infus w/pump (G0498) | $371.85 | $555 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $1,597.95 | $2,385 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,730.28 | $2,582.50 | 1.8× |
| Direct refer hospital observ (G0379) | $247.40 | $369.25 | 0.4× |
| Drug test def 1-7 classes (G0480) | $218.30 | $325.82 | 1.9× |
| Drug test def 15-21 classes (G0482) | $1,415.44 | $2,112.60 | 7.1× |
| Drug test def 22+ classes (G0483) | $1,669.10 | $2,491.20 | 6.8× |
| Elec stim other than wound (G0283) | $77.05 | $115 | 6.1× |
| Hep c screen high risk/other (G0472) | $32.33 | $48.25 | 0.7× |
| Hiv combination assay (G0475) | $85.26 | $127.25 | 3.5× |
| Home sleep test/type 3 porta (G0399) | $353.09 | $527 | 1.6× |
| Hospital outpt clinic visit (G0463) | $309.88 | $462.50 | 2.3× |
| Ig paraprotein qual bld/ur (0077U) | $62.31 | $93 | 1.4× |
| Iliac Atherectomy (0238T) | $14,885.39 | $22,217 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $1,396.95 | $2,085 | 1.9× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) | $3,073.06 | $4,586.66 | 0.9× |
| Insertion of sinus tarsi implant (0335T) | $10,452 | $15,600 | 1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $343.58 | $512.80 | 2.8× |
| Mra w/cont, abd (C8900) | $1,392.93 | $2,079 | 3.9× |
| Mra w/cont, lwr ext (C8912) | $3,213.32 | $4,796 | 8.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,816.04 | $2,710.50 | 5.0× |
| Oth resp proc, group (G0239) | $93.13 | $139 | 2.4× |
| Prostate biopsy, any mthd (G0416) | $438.52 | $654.50 | 1.2× |
| Psa screening (G0103) | $49 | $73.12 | 2.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $631.81 | $943 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $12,529 | $18,700 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $24,506.59 | $36,577 | 2.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $87.77 | $131 | 3.3× |
| Therapeutic procd strg endur (G0237) | $168.84 | $252 | 5.7× |
| Trauma respons w/hosp criti (G0390) | $2,904.45 | $4,335 | 2.1× |
| Trim nail(s) (G0127) | $125.96 | $188 | 2.1× |
| Tte w or w/o fol w/con,stres (C8928) | $975.52 | $1,456 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,183.89 | $1,767 | 1.5× |
| Ven blood coll snf/hha (G0471) | $26.80 | $40 | 2.4× |