Supplies, drugs & other prices at Chesapeake Regional Medical Center
Chesapeake, VA · every code in this section with a posted price and a Medicare benchmark.
67 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) | $3,222.98 | $5,371.64 | 4.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,087.26 | $1,812.10 | 3.2× |
| Admin hepatitis b vaccine (G0010) | $68.55 | $114.25 | 1.5× |
| Admin influenza virus vac (G0008) | $68.55 | $114.25 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $68.55 | $114.25 | 1.5× |
| Catheterize for urine spec (P9612) | $49.34 | $82.23 | 5.3× |
| Covid-19 lab test non-cdc (U0002) | $38.48 | $64.13 | 0.7× |
| Diab manage trn per indiv (G0108) | $94.42 | $157.37 | 1.7× |
| Diab manage trn ind/group (G0109) | $53.54 | $89.23 | 3.3× |
| Direct refer hospital observ (G0379) | $812.88 | $1,354.80 | 1.4× |
| Drug test def 1-7 classes (G0480) | $132.46 | $220.76 | 1.2× |
| Drug test def 15-21 classes (G0482) | $205.23 | $342.05 | 1.0× |
| Drug test def 22+ classes (G0483) | $220.76 | $367.94 | 0.9× |
| Elec stim other than wound (G0283) | $77.82 | $129.70 | 6.1× |
| Elec stim unattend for press (G0281) | $77.82 | $129.70 | 6.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $25,497.99 | $42,496.65 | 2.3× |
| Group mnt 2 or more 30 mins (G0271) | $65.90 | $109.83 | 3.9× |
| Hbot, full body chamber, 30m (G0277) | $667.28 | $1,112.13 | 5.0× |
| Home sleep test/type 3 porta (G0399) | $544.19 | $906.98 | 2.6× |
| Iliac Atherectomy (0238T) | $40,392.95 | $67,321.58 | 2.3× |
| Liver Dis 10 Assays W/Nash (0003M) | $1,054.90 | $1,758.16 | 2.1× |
| Mnt subs tx for change dx (G0270) | $48.08 | $80.13 | 1.5× |
| Mra w/cont, abd (C8900) | $1,792.21 | $2,987.02 | 5.3× |
| Mra w/cont, chest (C8909) | $1,792.21 | $2,987.02 | 5.3× |
| Mra w/cont, lwr ext (C8912) | $1,534.75 | $2,557.92 | 4.5× |
| Mra w/cont, pelvis (C8918) | $1,550.81 | $2,584.68 | 4.6× |
| Mra w/o cont, abd (C8901) | $1,685.36 | $2,808.93 | 7.2× |
| Mra w/o cont, chest (C8910) | $1,685.36 | $2,808.93 | 7.2× |
| Mra w/o cont, lwr ext (C8913) | $1,302.47 | $2,170.79 | 5.6× |
| Mra w/o cont, pelvis (C8919) | $1,302.47 | $2,170.79 | 5.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,879.76 | $3,132.93 | 5.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,879.76 | $3,132.93 | 5.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,767.83 | $2,946.38 | 5.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,767.83 | $2,946.38 | 5.2× |
| Mri w/cont, breast, bi (C8906) | $2,564.60 | $4,274.34 | 7.5× |
| Mri w/o fol w/cont, breast, (C8908) | $2,692.83 | $4,488.05 | 7.9× |
| Neuro csf prion prtn qual (0035U) | $507.19 | $845.31 | 0.9× |
| Oth resp proc, group (G0239) | $156.52 | $260.87 | 4.3× |
| Oth resp proc, indiv (G0238) | $122.89 | $204.82 | 4.4× |
| Pathogen test for platelets (P9100) | $118.02 | $196.70 | 2.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,874.50 | $16,457.50 | 1.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $26,537.02 | $44,228.37 | 2.4× |
| Potassium hydroxide preps (Q0112) | $74.74 | $124.56 | 12.8× |
| Prostate biopsy, any mthd (G0416) | $417.52 | $695.87 | 1.2× |
| Psa screening (G0103) | $103.64 | $172.73 | 5.4× |
| Revasc intra lithotrip-ather (C9766) | $32,085.38 | $53,475.64 | 1.8× |
| Revasc intra lithotrip-stent (C9765) | $32,085.38 | $53,475.64 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $20,067.14 | $33,445.24 | 1.8× |
| Revasc lith-sten-ath tib/per (C9775) | $32,085.38 | $53,475.64 | 1.8× |
| Revasc lithotr-ather tib/per (C9774) | $32,085.38 | $53,475.64 | 1.8× |
| Revasc lithotr-stent tib/per (C9773) | $32,085.38 | $53,475.64 | 1.8× |
| Revasc lithotrip tibi/perone (C9772) | $20,067.14 | $33,445.24 | 1.8× |
| Revasc lithotrip-stent-ather (C9767) | $32,085.38 | $53,475.64 | 1.8× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) likely a partial charge, not the full procedure |
$2,422.21 | $4,037.02 | 0.1× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $60.36 | $100.60 | 2.3× |
| Screen cerv/vag thin layer (G0123) | $63.35 | $105.58 | 3.1× |
| Screen pap by tech w md supv (P3000) | $35.65 | $59.42 | 1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $42,910.11 | $71,516.85 | 2.3× |
| Tomosynthesis, mammo (G0279) | $57.38 | $95.64 | 4.5× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $12,074.08 | $20,123.47 | 2.2× |
| Transcatheter renal sympath denervation unilat (0338T) | $8,049.39 | $13,415.65 | 1.4× |
| Trauma respons w/hosp criti (G0390) | $6,750 | $11,250 | 5.2× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,898 | $4,830 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $1,869.19 | $3,115.32 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $2,231.83 | $3,719.71 | 2.9× |
| Unsched dialysis esrd pt hos (G0257) | $964.54 | $1,607.56 | 1.4× |
| Wet mounts/ w preparations (Q0111) | $41.39 | $68.99 | 2.2× |