Supplies, drugs & other prices at CommonSpirit - Memorial Hospital - North Georgia
Ringgold, GA · every code in this section with a posted price and a Medicare benchmark.
51 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) | $1,297.67 | $4,384 | 1.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $805.42 | $2,721 | 1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $811.34 | $2,741 | 2.5× |
| Adm tocilizu covid-19 1st (M0249) | $548.79 | $1,854 | 1.3× |
| Adm tocilizu covid-19 2nd (M0250) | $548.79 | $1,854 | 1.3× |
| Covid-19 lab test non-cdc (U0002) | $67.49 | $228 | 1.3× |
| Diab manage trn per indiv (G0108) | $20.72 | $70 | 0.4× |
| Diab manage trn ind/group (G0109) | $14.80 | $50 | 0.9× |
| Direct refer hospital observ (G0379) | $49.14 | $166 | 0.1× |
| Drug test def 1-7 classes (G0480) | $159.25 | $538 | 1.4× |
| Elec stim other than wound (G0283) | $65.42 | $221 | 5.2× |
| Hbot, full body chamber, 30m (G0277) | $257.82 | $871 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $633.74 | $2,141 | 1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $33,735.12 | $113,970 | 1.2× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $8,711.28 | $29,430 | 1.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $8,711.28 | $29,430 | 1.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $24,171.36 | $81,660 | 1.2× |
| Mra w/cont, abd (C8900) | $1,618.24 | $5,467 | 5.0× |
| Mra w/cont, chest (C8909) | $933.29 | $3,153 | 2.9× |
| Mra w/cont, pelvis (C8918) | $408.48 | $1,380 | 1.3× |
| Mra w/o cont, abd (C8901) | $1,267.48 | $4,282 | 5.8× |
| Mra w/o cont, chest (C8910) | $621.31 | $2,099 | 2.8× |
| Mra w/o cont, pelvis (C8919) | $1,056.43 | $3,569 | 4.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,949.76 | $6,587 | 6.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,056.43 | $3,569 | 3.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,265.59 | $7,654 | 7.0× |
| Mra w/o fol w/cont, pelvis (C8920) | $408.48 | $1,380 | 1.3× |
| Mri w/o fol w/cont, breast, (C8908) | $1,793.76 | $6,060 | 5.6× |
| Oth resp proc, group (G0239) | $35.23 | $119 | 1.0× |
| Pathogen test for platelets (P9100) | $15.40 | $52 | 0.3× |
| Perc d-e cor revasc chro sin (C9607) | $11,026.89 | $37,253 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $10,810.81 | $36,523 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $11,026.89 | $37,253 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $10,810.81 | $36,523 | 1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$972.96 | $3,287 | 0.1× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $6,364.60 | $21,502 | 0.6× |
| Psa screening (G0103) | $26.94 | $91 | 1.4× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $4,027.08 | $13,605 | 1.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $4,027.08 | $13,605 | 1.2× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $643.80 | $2,175 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $11,529.20 | $38,950 | 0.7× |
| Revasc intra lithotrip-stent (C9765) | $11,529.20 | $38,950 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $8,589.33 | $29,018 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $11,280.56 | $38,110 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $18,562.16 | $62,710 | 1.1× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $24,171.36 | $81,660 | 1.2× |
| Therapeutic procd strg endur (G0237) | $35.23 | $119 | 1.3× |
| Tomosynthesis, mammo (G0279) | $27.24 | $92 | 2.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $18,546.48 | $62,657 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $992.20 | $3,352 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,190.52 | $4,022 | 1.6× |