Supplies, drugs & other prices at Cleveland Clinic Indian River Hospital

Vero Beach, FL · every code in this section with a posted price and a Medicare benchmark.

112 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $89.70 $138 2.5×
2d tee w or w/o fol w/con,in (C8925) $3,691.35 $5,679 4.5×
2d tte w or w/o fol w/con,fu (C8924) $1,667.90 $2,566 4.6×
Ablation mal brst tumor perq crtx unilateral (0581T) $12,444.90 $19,146 3.0×
Admin influenza virus vac (G0008) $150.15 $231 3.1×
Admin pneumococcal vaccine (G0009) $150.15 $231 3.1×
Annual alcohol screen 15 min (G0442) $167.70 $258 4.3×
Behavior counsel obesity 15m (G0447) $518.70 $798 4.9×
Brief alcohol misuse counsel (G0443) $518.70 $798 4.9×
Ca screen;pelvic/breast exam (G0101) $300.95 $463 2.8×
Catheterize for urine spec (P9612) $13 $20 1.4×
Chemo extend iv infus w/pump (G0498) $1,699.10 $2,614 4.9×
Covid-19 lab test non-cdc (U0002) $89.70 $138 1.7×
Depression screen annual (G0444) $96.85 $149 2.5×
Devlopment test interpt&rep (G0451) $345.15 $531 3.3×
Diab manage trn per indiv (G0108) $143.65 $221 2.6×
Direct refer hospital observ (G0379) $1,992.25 $3,065 3.2×
Drug test def 1-7 classes (G0480) $44.20 $68 0.4×
Drug test def 15-21 classes (G0482) $837.20 $1,288 4.2×
Drug test def 22+ classes (G0483) $1,040 $1,600 4.2×
Drug test def 8-14 classes (G0481) $38.35 $59 0.2×
Egd flexible transnasal w/insj intral tube/cath (0654T) $12,364.95 $19,023 3.1×
Ekg tracing for initial prev (G0404) $79.95 $123 2.6×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $315.90 $486 3.2×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $442 $680 3.2×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $339.95 $523 5.5×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $242.45 $373 2.4×
Elec stim unattend for press (G0281) $119.60 $184 10.2×
Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and… (0789T) $298.35 $459 3.0×
Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and… (0788T) $298.35 $459 3.0×
Ephys eval ccm-d ld 1st impl (0930T) $3,945.50 $6,070 3.1×
Ephys eval ccm-d ld separate (0931T) $3,945.50 $6,070 3.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $38,331.15 $58,971 3.2×
Fern test (Q0114) $34.45 $53 3.5×
FLT3 (fms-related tyrosine kinase 3) (eg, acute lyeloid leukemia) internal tandem duplication (ITD) variants,… (0046U) $1,853.80 $2,852 4.5×
Hbot, full body chamber, 30m (G0277) $448.50 $690 3.1×
High inten beh couns std 30m (G0445) $518.70 $798 4.9×
Home sleep test/type 3 porta (G0399) $508.95 $783 2.3×
Hopd mntl hlt, grp (C7903) $72.15 $111 1.8×
Hospital outpt clinic visit (G0463) $418.60 $644 3.0×
Initial preventive exam (G0402) $418.60 $644 3.0×
Inj for sacroiliac jt anesth (G0260) $1,606.80 $2,472 2.2×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $42,181.75 $64,895 3.6×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $40,528.15 $62,351 3.5×
Insj/rplc cardiac modulj sys (0408T) $23,507.25 $36,165 0.7×
Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) $419.25 $645 3.0×
Intens behave ther cardio dx (G0446) $167.70 $258 4.3×
Interrog dev eval impl ccm-d system in person (0927T) $120.90 $186 3.1×
Ire ablation 1+tumors per organ w/img gdn perq (0600T) $14,745.90 $22,686 1.3×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $790.40 $1,216 3.0×
Monthly tx for dmht 20mins (G0553) $418.60 $644 3.0×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $792.35 $1,219 3.2×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,296.75 $1,995 2.8×
Obtaining screen pap smear (Q0091) $79.95 $123 2.6×
Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation,… (0857T) $345.15 $531 3.2×
Oth resp proc, group (G0239) $127.40 $196 3.3×
Oth resp proc, indiv (G0238) $79.95 $123 2.6×
Pemivibart infusion (M0224) $1,462.50 $2,250 3.2×
Perc d-e cor revasc chro sin (C9607) $41,644.20 $64,068 2.2×
Perc d-e cor revasc t cabg s (C9604) $34,602.75 $53,235 2.9×
Perc d-e cor stent ather s (C9602) $36,316.15 $55,871 1.9×
Perc drug-el cor stent sing (C9600) $33,839.65 $52,061 2.8×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $23,217.35 $35,719 3.1×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) $15,355.60 $23,624 2.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $18,530.20 $28,508 1.5×
Potassium hydroxide preps (Q0112) $30.55 $47 5.2×
Ppps, initial visit (G0438) $165.10 $254 0.9×
Ppps, subseq visit (G0439) $153.40 $236 1.1×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $120.90 $186 3.1×
Programming device eval impl ccm-d sys in person (0926T) $120.90 $186 3.1×
Prolonged iv inf, req pump (C8957) $1,549.60 $2,384 7.0×
Quan MRI alys brn w/dx MRI (0866T) $785.85 $1,209 3.2×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $442 $680 3.2×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $120.90 $186 3.1×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) $508.95 $783 3.8×
Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) $418.60 $644 3.0×
Revasc intra lithotrip-ather (C9766) $83,891.60 $129,064 4.4×
Revasc intra lithotrip-stent (C9765) $30,315.35 $46,639 1.6×
Revasc intravasc lithotripsy (C9764) $52,981.50 $81,510 4.4×
Revasc lith-sten-ath tib/per (C9775) $31,556.85 $48,549 1.6×
Revasc lithotr-ather tib/per (C9774) $29,529.50 $45,430 1.5×
Revasc lithotr-stent tib/per (C9773) $37,495.90 $57,686 2.0×
Revasc lithotrip tibi/perone (C9772) $21,798.40 $33,536 1.8×
Revasc lithotrip-stent-ather (C9767) $27,999.40 $43,076 1.5×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $11,176.75 $17,195 3.1×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $11,176.75 $17,195 3.1×
Risk ascvd tst once pr 12 mo (G0537) $96.85 $149 2.5×
Rlcj skin pocket ccm-d pg (0925T) $5,944.90 $9,146 2.8×
Rmvl perm ccm-d sys 1 dfb ld (0921T) $11,827.40 $18,196 3.0×
Rmvl perm ccm-d sys dual ld (0922T) $11,827.40 $18,196 3.0×
Rmvl&rplcmt perm ccm-d pg (0923T) $23,184.20 $35,668 1.0×
Rpos prv ccm-d trnsvns eltrd (0924T) $2,009.15 $3,091 3.1×
Screen pap by tech w md supv (P3000) $69.55 $107 3.8×
Semen analysis (G0027) $37.05 $57 5.7×
Supply of digital device (G0552) $418.60 $644 3.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $18,478.20 $28,428 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $20,912.45 $32,173 1.0×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $23,540.40 $36,216 1.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $10,229.70 $15,738 3.1×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $18,478.20 $28,428 0.9×
Tcat rmvl/debulk icar mass suction device perq (0644T) $18,530.20 $28,508 3.1×
Therapeutic procd strg endur (G0237) $79.95 $123 2.6×
Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring,… (0933T) $10,453.95 $16,083 3.1×
Transcatheter renal sympath denervation bilat (0339T) $10,545.60 $16,224 1.8×
Transcatheter renal sympath denervation unilat (0338T) $18,530.20 $28,508 3.1×
Trluml perip athrc iliac art (0238T) $31,187 $47,980 1.6×
Tte w or w/o contr, cont ecg (C8930) $3,691.35 $5,679 4.5×
Tte w or w/o fol w/cont, f/u (C8922) $3,691.35 $5,679 4.5×
Tte w or wo fol wcon,doppler (C8929) $3,691.35 $5,679 4.5×
Unsched dialysis esrd pt hos (G0257) $2,274.35 $3,499 3.2×
Visit to determ ldct elig (G0296) $300.95 $463 2.8×
Wet mounts/ w preparations (Q0111) $124.15 $191 6.7×