Supplies, drugs & other prices at CentraCare - St. Cloud Hospital
Saint Cloud, MN · every code in this section with a posted price and a Medicare benchmark.
62 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,164.64 | $2,008 | 1.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $599.72 | $1,034 | 1.7× |
| Admin hepatitis b vaccine (G0010) | $35.09 | $60.50 | 0.7× |
| Admin influenza virus vac (G0008) | $41.18 | $71 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $38.14 | $65.75 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $1,682 | $2,900 | 1.7× |
| Catheterize for urine spec (P9612) | $46.69 | $80.50 | 5.0× |
| Cbc without platelet (G0307) | $25.26 | $43.55 | 3.9× |
| Cbc/diffwbc w/o platelet (G0306) | $25.69 | $44.30 | 3.3× |
| Chemo extend iv infus w/pump (G0498) | $371.20 | $640 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $1,972 | $3,400 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,389.60 | $4,120 | 2.5× |
| Cysto, litho, vacuum kidney (C9761) | $8,746.40 | $15,080 | 0.9× |
| Direct refer hospital observ (G0379) | $1,229.74 | $2,120.24 | 2.0× |
| Drug test def 1-7 classes (G0480) | $155.44 | $268 | 1.4× |
| Esd endoscopy or colonoscopy (C9779) | $5,858 | $10,100 | 1.5× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $11,266.50 | $19,425 | 0.9× |
| Hbot, full body chamber, 30m (G0277) | $1,552.08 | $2,676 | 10.9× |
| Hep c screen high risk/other (G0472) | $27.99 | $48.25 | 0.6× |
| Hiv combination assay (G0475) | $31.90 | $55 | 1.3× |
| Home sleep test/type 3 porta (G0399) | $316.10 | $545 | 1.4× |
| Hospital outpt clinic visit (G0463) | $406 | $700 | 2.9× |
| Ig paraprotein qual bld/ur (0077U) | $96.40 | $166.20 | 2.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,388.33 | $2,393.67 | 1.9× |
| Intens cardiac rehab no exer (G0423) | $785.90 | $1,355 | 5.9× |
| Intens cardiac rehab w/exerc (G0422) | $691.36 | $1,192 | 5.2× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $241.19 | $415.85 | 2.0× |
| Mra w/cont, abd (C8900) | $1,205.82 | $2,079 | 3.3× |
| Mra w/cont, lwr ext (C8912) | $2,781.68 | $4,796 | 7.7× |
| Mra w/o cont, chest (C8910) | $1,469.72 | $2,534 | 5.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,418.68 | $2,446 | 3.9× |
| Mra w/o fol w/cont, chest (C8911) | $1,513.80 | $2,610 | 4.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,572.09 | $2,710.50 | 4.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,480.74 | $2,553 | 4.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,364.57 | $2,352.71 | 3.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $923.36 | $1,592 | 2.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $703.54 | $1,213 | 1.5× |
| Oth resp proc, group (G0239) | $185.60 | $320 | 4.8× |
| Oth resp proc, indiv (G0238) | $278.40 | $480 | 9.3× |
| Perc d-e cor revasc chro sin (C9607) | $14,853.22 | $25,609 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $12,156.80 | $20,960 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $16,106.60 | $27,770 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $18,371.50 | $31,675 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $391.50 | $675 | 1.1× |
| Psa screening (G0103) | $31.32 | $54 | 1.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $546.94 | $943 | 0.8× |
| Revasc intra lithotrip-ather (C9766) | $21,216.40 | $36,580 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $33,412.35 | $57,607.50 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $11,110.48 | $19,156 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $33,060 | $57,000 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $21,215.53 | $36,578.50 | 1.8× |
| Revasc lithotrip-stent-ather (C9767) | $32,537.42 | $56,099 | 1.7× |
| Therapeutic procd strg endur (G0237) | $153.12 | $264 | 5.1× |
| Tomosynthesis, mammo (G0279) | $130.50 | $225 | 10.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $14,890.92 | $25,674 | 2.5× |
| Trauma respons w/hosp criti (G0390) | $2,998.60 | $5,170 | 2.2× |
| Trim nail(s) (G0127) | $109.04 | $188 | 1.8× |
| Tte w or w/o fol w/con,stres (C8928) | $1,012.10 | $1,745 | 1.2× |
| Tte w or w/o fol w/cont, com (C8921) | $994.12 | $1,714 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,747.83 | $3,013.50 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,664.89 | $2,870.50 | 2.3× |
| Ven blood coll snf/hha (G0471) | $23.20 | $40 | 2.0× |