Supplies, drugs & other prices at Cuyuna Regional Medical Center

Crosby, MN · 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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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $38.08 $112 1.1×
2d tee w or w/o fol w/con,in (C8925) $660.96 $1,944 0.8×
2d tte w or w/o fol w/con,fu (C8924) $918.68 $2,702 2.6×
Adm of soc dtr assess 5-15 m (G0136) $22.70 $66.75 0.6×
Admin hepatitis b vaccine (G0010) $14.62 $43 0.3×
Admin influenza virus vac (G0008) $14.62 $43 0.3×
Admin pneumococcal vaccine (G0009) $14.62 $43 0.3×
Behavior counsel obesity 15m (G0447) $23.46 $69 0.2×
Brief alcohol misuse counsel (G0443) $41.48 $122 0.4×
Ca screen;flexi sigmoidscope (G0104) $161.84 $476 0.2×
Ca screen;pelvic/breast exam (G0101) $55.76 $164 0.5×
Catheterize for urine spec (P9612) $23.46 $69 2.5×
Cbc without platelet (G0307) $7.48 $22 1.2×
Cbc/diffwbc w/o platelet (G0306) $10.54 $31 1.4×
Chemo extend iv infus w/pump (G0498) $319.60 $940 0.9×
Colon ca scrn not hi rsk ind (G0121) $601.46 $1,769 0.6×
Colorectal scrn; hi risk ind (G0105) $722.16 $2,124 0.8×
Depression screen annual (G0444) $18.02 $53 0.5×
Diab manage trn per indiv (G0108) $51 $150 0.9×
Diab manage trn ind/group (G0109) $23.80 $70 1.5×
Direct refer hospital observ (G0379) $27.20 $80 0.0×
Drug test def 1-7 classes (G0480) $117.64 $346 1.0×
Drug test def 8-14 classes (G0481) $90.78 $267 0.6×
Ekg tracing for initial prev (G0404) $82.96 $244 2.8×
Elec stim other than wound (G0283) $21.42 $63 1.7×
Fecal blood scrn immunoassay (G0328) $46.24 $136 2.6×
Fern test (Q0114) $36.72 $108 3.8×
Hep c screen high risk/other (G0472) $96.90 $285 2.1×
Hepb screen high risk indiv (G0499) $34.68 $102 1.2×
Hospital outpt clinic visit (G0463) $100.98 $297 0.7×
Initial preventive exam (G0402) $113.22 $333 0.8×
Inj for sacroiliac jt anesth (G0260) $644.98 $1,897 0.9×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $68.34 $201 0.1×
Mnt subs tx for change dx (G0270) $29.92 $88 0.9×
Mra w/cont, abd (C8900) $1,844.84 $5,426 5.1×
Mra w/cont, lwr ext (C8912) $1,844.84 $5,426 5.1×
Mra w/cont, pelvis (C8918) $1,844.84 $5,426 5.1×
Mra w/o cont, lwr ext (C8913) $1,844.84 $5,426 7.5×
Mra w/o fol w/cont, abd (C8902) $1,844.84 $5,426 5.1×
Mra w/o fol w/cont, chest (C8911) $1,844.84 $5,426 5.1×
Mra w/o fol w/cont, lwr ext (C8914) $1,844.84 $5,426 5.1×
Mra, w/o&w/dye, upper extr (C8936) $1,844.84 $5,426 5.1×
Mri w/cont, breast, bi (C8906) $1,844.84 $5,426 5.1×
Mri w/cont, breast, uni (C8903) $1,844.84 $5,426 10.2×
Mri w/o fol w/cont, breast, (C8908) $1,844.84 $5,426 5.1×
Mri w/o fol w/cont, brst, un (C8905) $1,844.84 $5,426 5.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $97.24 $286 0.2×
Obtaining screen pap smear (Q0091) $50.66 $149 1.7×
Oth resp proc, group (G0239) $33.32 $98 0.9×
Oth resp proc, indiv (G0238) $33.32 $98 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $5,752.80 $16,920 0.8×
Perq Sacral Augmt Unilat Inj (0200T) $5,752.80 $16,920 0.8×
Ppps, initial visit (G0438) $90.78 $267 0.5×
Ppps, subseq visit (G0439) $60.86 $179 0.4×
Prostate biopsy, any mthd (G0416) $282.20 $830 0.8×
Psa screening (G0103) $97.58 $287 5.1×
Scr c/v cyto,thinlayer,rescr (G0145) $64.43 $189.50 2.4×
Screen cerv/vag thin layer (G0123) $63.58 $187 3.1×
Therapeutic procd strg endur (G0237) $33.32 $98 1.1×
Tomosynthesis, mammo (G0279) $212.50 $625 16.7×
Trauma respons w/hosp criti (G0390) $478.72 $1,408 0.3×
Trim nail(s) (G0127) $57.80 $170 0.9×
Tte w or w/o contr, cont ecg (C8930) $918.68 $2,702 1.1×
Tte w or w/o fol w/con,stres (C8928) $918.68 $2,702 1.1×
Tte w or w/o fol w/cont, com (C8921) $918.68 $2,702 1.1×
Tte w or wo fol wcon,doppler (C8929) $918.68 $2,702 1.1×
Visit to determ ldct elig (G0296) $32.30 $95 0.3×