Supplies, drugs & other prices at Cox Medical Centers
Springfield, MO · every code in this section with a posted price and a Medicare benchmark.
75 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) | $1,084.23 | $4,302.50 | 1.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $496.84 | $1,971.57 | 1.4× |
| Adm tocilizu covid-19 1st (M0249) | $226.80 | $900 | 0.5× |
| Admin hepatitis b vaccine (G0010) | $24.56 | $97.48 | 0.5× |
| Admin influenza virus vac (G0008) | $24.56 | $97.48 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $24.56 | $97.48 | 0.5× |
| Catheterize for urine spec (P9612) | $46.34 | $183.87 | 5.0× |
| Chemo extend iv infus w/pump (G0498) | $230.71 | $915.53 | 0.7× |
| Diab manage trn per indiv (G0108) | $55.64 | $220.81 | 1.0× |
| Diab manage trn ind/group (G0109) | $29.16 | $115.72 | 1.8× |
| Direct refer hospital observ (G0379) | $183.46 | $728 | 0.3× |
| Drug test def 1-7 classes (G0480) | $62.32 | $128.64 | 0.5× |
| Drug test def 22+ classes (G0483) | $3.77 | $14.97 | 0.0× |
| Drug test def 8-14 classes (G0481) | $1.26 | $4.99 | 0.0× |
| Eia hiv-1/hiv-2 screen (G0432) | $71.13 | $282.27 | 3.6× |
| Elec stim other than wound (G0283) | $29.85 | $118.44 | 2.4× |
| Elec stim unattend for press (G0281) | $55.16 | $218.88 | 4.7× |
| Fecal blood scrn immunoassay (G0328) | $26.72 | $106.03 | 1.5× |
| Hbot, full body chamber, 30m (G0277) | $152.94 | $606.88 | 1.1× |
| Heart symp image plnr (0331T) | $984.91 | $3,908.38 | 0.8× |
| Heart symp image plnr spect (0332T) | $1,022.79 | $4,058.71 | 0.8× |
| Hep c screen high risk/other (G0472) | $73.31 | $290.92 | 1.6× |
| Home sleep test/type 3 porta (G0399) | $166.44 | $660.46 | 0.8× |
| Hospital outpt clinic visit (G0463) | $40.24 | $159.69 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) | $809.65 | $3,212.91 | 1.1× |
| Intens cardiac rehab no exer (G0423) | $85.53 | $339.40 | 0.7× |
| Intens cardiac rehab w/exerc (G0422) | $97.52 | $386.98 | 0.8× |
| Mra w/cont, abd (C8900) | $1,044.89 | $4,146.37 | 3.0× |
| Mra w/cont, pelvis (C8918) | $768.83 | $3,050.91 | 2.2× |
| Mra w/o cont, abd (C8901) | $995.13 | $3,948.92 | 4.2× |
| Mra w/o cont, pelvis (C8919) | $908.18 | $3,603.89 | 3.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,201.62 | $4,768.32 | 3.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,092 | $4,333.35 | 3.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,301.95 | $5,166.48 | 3.7× |
| Mri w/cont, breast, bi (C8906) | $1,134.79 | $4,503.12 | 3.2× |
| Mri w/cont, breast, uni (C8903) | $756.52 | $3,002.08 | 4.3× |
| Mri w/o fol w/cont, breast, (C8908) | $1,151.39 | $4,569 | 3.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $859.23 | $3,409.64 | 2.5× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $247.56 | $982.37 | 0.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $443.78 | $1,761.02 | 1.0× |
| Oth resp proc, group (G0239) | $98.11 | $389.34 | 2.6× |
| Oth resp proc, indiv (G0238) | $32.70 | $129.78 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$2,917.49 | $11,577.35 | 0.4× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$2,098.26 | $8,326.44 | 0.3× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$4,138.51 | $16,422.64 | 0.4× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $21.35 | $84.73 | 0.6× |
| Psa screening (G0103) | $46.66 | $185.15 | 2.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $246.76 | $979.20 | 0.3× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$5,939.66 | $23,570.07 | 0.3× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,060.05 | $31,984.31 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,651.14 | $18,456.92 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) | $9,202.76 | $36,518.90 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$9,048.93 | $35,908.46 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$6,872.74 | $27,272.78 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$5,353.70 | $21,244.86 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$7,964.02 | $31,603.26 | 0.4× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) | $14,916.20 | $59,191.28 | 0.7× |
| Screen cerv/vag thin layer (G0123) | $46.60 | $184.94 | 2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $11,028.15 | $43,762.51 | 0.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,804.04 | $7,158.90 | 0.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $11,028.15 | $43,762.51 | 0.6× |
| Therapeutic procd strg endur (G0237) | $34.89 | $138.44 | 1.2× |
| Tomosynthesis, mammo (G0279) | $39.69 | $157.49 | 3.1× |
| Trauma respons w/hosp criti (G0390) | $2,765.96 | $10,976 | 2.1× |
| Trim nail(s) (G0127) | $20.96 | $83.16 | 0.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$5,479.06 | $21,742.32 | 0.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$6,831.23 | $27,108.06 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $690.60 | $2,740.46 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $934.84 | $3,709.68 | 1.2× |
| Tte w or w/o fol w/cont, com (C8921) | $651.71 | $2,586.15 | 0.8× |
| Tte w or w/o fol w/cont, f/u (C8922) | $939.78 | $3,729.29 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,065.46 | $4,228.02 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $546.08 | $2,166.99 | 0.8× |
| Vasc emb/occ w/prs cath (C9797) | $12,691.49 | $50,363.04 | 0.7× |
| Visit to determ ldct elig (G0296) | $45.18 | $179.30 | 0.4× |