Supplies, drugs & other prices at Community Hospital East
Indianapolis, IN · every code in this section with a posted price and a Medicare benchmark.
131 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,420.20 | $2,367 | 1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $406.20 | $677 | 1.1× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $303.60 | $506 | 1.2× |
| Adm tocilizu covid-19 1st (M0249) | $590.40 | $984 | 1.3× |
| Adm tocilizu covid-19 2nd (M0250) | $590.40 | $984 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $75 | $125 | 1.5× |
| Admin influenza virus vac (G0008) range across 5 matching MRF lines |
$432.34–$2,742.27 | $720.56–$4,570.45 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$1,550.52–$2,572.19 | $2,584.20–$4,286.98 | varies |
| Alveoloplasty w/extract 1-3 (D7311) | $780 | $1,300 | 0.5× |
| Alveoplasty w/ extraction (D7310) | $792 | $1,320 | 0.5× |
| Arthro/shoul surg; w/spacer (C9781) | $47,138.24 | $78,563.74 | 3.5× |
| Auto tissue graft 1st tooth (D4273) | $792 | $1,320 | 0.5× |
| Bone replce graft first site (D4263) | $540 | $900 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $3,216.97 | $5,361.62 | 3.3× |
| Catheterize for urine spec (P9612) | $81 | $135 | 8.7× |
| Cbc without platelet (G0307) | $110.40 | $184 | 17.1× |
| Chemo extend iv infus w/pump (G0498) | $1,043.40 | $1,739 | 3.0× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$3,200.45–$3,270.80 | $5,334.08–$5,451.33 | varies |
| Colorectal scrn; hi risk ind (G0105) | $3,196.31 | $5,327.19 | 3.2× |
| Compre Audiom Threshold Eval & Speech Recog (0212T) | $240 | $400 | 1.8× |
| Cysto impl 4 or more (C9740) | $17,874.55 | $29,790.92 | 1.8× |
| Cysto, litho, vacuum kidney (C9761) | $19,158.13 | $31,930.21 | 1.9× |
| Cystoscopy prostatic imp 1-3 (C9739) | $8,694 | $14,490 | 1.5× |
| Diab manage trn per indiv (G0108) | $66 | $110 | 1.2× |
| Diab manage trn ind/group (G0109) | $77.40 | $129 | 4.8× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$231–$709.29 | $385–$1,182.15 | varies |
| Drug test def 15-21 classes (G0482) | $168 | $280 | 0.8× |
| Drug test def 22+ classes (G0483) | $241.80 | $403 | 1.0× |
| Drug test def 8-14 classes (G0481) | $144 | $240 | 0.9× |
| Egd flexible transnasal dx w/collj spec br/wa (0652T) | $3,096 | $5,160 | 1.5× |
| Elec stim other than wound (G0283) | $66 | $110 | 5.2× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,402.80 | $2,338 | 1.1× |
| Elisa hiv-1/hiv-2 screen (G0433) | $125.40 | $209 | 6.9× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $36,623.20 | $61,038.67 | 5.7× |
| Extraction coronal remnants (D7111) | $540 | $900 | 0.8× |
| Extraction erupted tooth/exr (D7140) | $540 | $900 | 0.8× |
| Facility svs dental rehab (G0330) | $9,418.30 | $15,697.16 | 2.7× |
| Fecal microbiota prep instil (G0455) | $3,265.20 | $5,442 | 3.3× |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $2,803.80 | $4,673 | 6.9× |
| Gingivectomy/plasty 1 to 3 (D4211) | $1,560 | $2,600 | 0.4× |
| Gingivectomy/plasty 4 or mor (D4210) | $1,560 | $2,600 | 0.4× |
| Gingivectomy/plasty rest (D4212) | $1,560 | $2,600 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $428.40 | $714 | 2.9× |
| Home sleep test/type 3 porta (G0399) | $673.20 | $1,122 | 2.9× |
| Hopd mntl hlt, grp (C7903) range across 2 matching MRF lines |
$54.60–$254.40 | $91–$424 | varies |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$150.60–$187.80 | $251–$313 | varies |
| I&d absc intraoral soft tiss (D7510) | $432 | $720 | 0.6× |
| I&d abscess extraoral (D7520) | $432 | $720 | 0.6× |
| Impact tooth rem bony w/comp (D7241) | $540 | $900 | 0.8× |
| Impact tooth remov comp bony (D7240) | $540 | $900 | 0.8× |
| Impact tooth remov part bony (D7230) | $540 | $900 | 0.8× |
| Impact tooth remov soft tiss (D7220) | $540 | $900 | 0.8× |
| Incision/drain abscess intra (D7511) | $432 | $720 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $2,266.64 | $3,777.73 | 3.0× |
| Injection of hiv prep drug (G0012) | $90 | $150 | 1.2× |
| Insertion of sinus tarsi implant (0335T) | $8,658 | $14,430 | 1.1× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $10,015.20 | $16,692 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $38,784.60 | $64,641 | 1.2× |
| Instill pharm renal pelvis (C9789) | $63,943.64 | $106,572.73 | 49.4× |
| Instlj fecal microbiota ssp (0780T) | $607.80 | $1,013 | 4.3× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $44.40 | $74 | 1.1× |
| Mandible graft (D7950) | $3,264 | $5,440 | 0.5× |
| Mra w/cont, abd (C8900) | $1,694.40 | $2,824 | 4.6× |
| Mra w/cont, chest (C8909) | $2,048.40 | $3,414 | 5.5× |
| Mra w/cont, lwr ext (C8912) | $2,069.40 | $3,449 | 5.6× |
| Mra w/o cont, abd (C8901) | $2,153.40 | $3,589 | 8.5× |
| Mra w/o cont, chest (C8910) | $2,561.40 | $4,269 | 10.1× |
| Mra w/o cont, lwr ext (C8913) | $2,013.60 | $3,356 | 8.0× |
| Mra w/o cont, pelvis (C8919) | $2,153.40 | $3,589 | 8.5× |
| Mra w/o fol w/cont, abd (C8902) | $2,153.40 | $3,589 | 5.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,601.60 | $4,336 | 7.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,990.80 | $3,318 | 5.4× |
| Mra, w/dye, spinal canal (C8931) | $1,166.40 | $1,944 | 3.2× |
| Mri w/cont, breast, bi (C8906) | $3,534 | $5,890 | 9.6× |
| Mri w/cont, breast, uni (C8903) | $2,689.80 | $4,483 | 14.5× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $17,707.17 | $29,511.95 | 5.1× |
| Njx platelet plasma (0232T) | $27,771.16 | $46,285.27 | 58.8× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative 13,999 or fewer assigned members (0049U) | $2,803.80 | $4,673 | 6.9× |
| Osseous surgery 4 or more (D4260) | $3,264 | $5,440 | 0.5× |
| Oth resp proc, group (G0239) | $161.40 | $269 | 4.1× |
| Oth resp proc, indiv (G0238) | $93.60 | $156 | 3.1× |
| Pedicle soft tissue graft pr (D4270) | $792 | $1,320 | 0.5× |
| Perc d-e cor revasc chro sin (C9607) | $27,309.60 | $45,516 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $24,980.40 | $41,634 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $27,076.80 | $45,128 | 1.4× |
| Perc drug-el cor stent sing (C9600) | $27,822.60 | $46,371 | 2.3× |
| Perq Sacral Augmt Bilat Inj (0201T) | $15,496.20 | $25,827 | 2.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $7,166.40 | $11,944 | 0.6× |
| Place device/marker, non pro (C9728) range across 9 matching MRF lines |
$884.40–$4,320.60 | $1,474–$7,201 | varies |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $44.40 | $74 | 1.1× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $44.40 | $74 | 1.1× |
| Prolonged iv inf, req pump (C8957) | $1,609.80 | $2,683 | 7.2× |
| Prostate biopsy, any mthd (G0416) | $263.40 | $439 | 0.7× |
| Psa screening (G0103) range across 2 matching MRF lines |
$99–$247.80 | $165–$413 | varies |
| Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T) | $174 | $290 | 4.4× |
| Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T) | $93 | $155 | 2.4× |
| Rem imp tooth w mucoper flp (D7210) | $780 | $1,300 | 0.5× |
| Removal of sloughed off bone (D7550) | $540 | $900 | 0.8× |
| Removal of torus palatinus (D7472) | $540 | $900 | 0.8× |
| Removal Ss Dfb Electrode (0573T) | $4,630.20 | $7,717 | 1.2× |
| Remove torus mandibularis (D7473) | $540 | $900 | 0.8× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $4,630.20 | $7,717 | 1.2× |
| Revasc intra lithotrip-ather (C9766) | $14,543.40 | $24,239 | 0.7× |
| Revasc intra lithotrip-stent (C9765) | $14,543.40 | $24,239 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $7,272.60 | $12,121 | 0.6× |
| Revasc lith-sten-ath tib/per (C9775) | $25,885.80 | $43,143 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $24,391.20 | $40,652 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $37,050 | $61,750 | 1.9× |
| Revasc lithotrip tibi/perone (C9772) | $17,166 | $28,610 | 1.4× |
| Revasc lithotrip-stent-ather (C9767) | $23,400 | $39,000 | 1.2× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $4,630.20 | $7,717 | 1.2× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $27,787.80 | $46,313 | 1.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $22,969.80 | $38,283 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $23,971.80 | $39,953 | 1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,757.20 | $6,262 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $22,969.80 | $38,283 | 1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $31,467.60 | $52,446 | 5.2× |
| Therapeutic procd strg endur (G0237) | $91.80 | $153 | 3.0× |
| Tomosynthesis, mammo (G0279) | $123 | $205 | 9.7× |
| Tooth reimplantation (D7270) | $540 | $900 | 0.8× |
| Tooth root removal (D7250) | $540 | $900 | 0.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $10,108.20 | $16,847 | 1.7× |
| Transcatheter renal sympath denervation unilat (0338T) | $6,738.60 | $11,231 | 1.1× |
| Trauma respons w/hosp criti (G0390) | $1,236.60 | $2,061 | 0.9× |
| Trluml perip athrc abd aorta (0236T) | $15,192 | $25,320 | 1.2× |
| Trluml Perip Athrc Brchiocph (0237T) | $30,384.60 | $50,641 | 2.5× |
| Trluml Perip Athrc Iliac Art (0238T) | $15,192 | $25,320 | 0.8× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $15,874.20 | $26,457 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $1,829.40 | $3,049 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,461.60 | $2,436 | 1.8× |
| Unsched dialysis esrd pt hos (G0257) | $6,623.34 | $11,038.90 | 9.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.