Supplies, drugs & other prices at Desoto Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $4.50 $9 0.1×
Admin influenza virus vac (G0008) $80 $160 1.6×
Admin pneumococcal vaccine (G0009) $80 $160 1.6×
Ca screen;flexi sigmoidscope (G0104) $810 $1,620 0.8×
Colon ca scrn not hi rsk ind (G0121) $3,732.62 $7,465.24 3.8×
Colorectal scrn; hi risk ind (G0105) $3,728.74 $7,457.48 3.8×
Covid-19 lab test non-cdc (U0002) $83 $166 1.6×
Direct refer hospital observ (G0379) $379 $758 0.6×
Drug test def 1-7 classes (G0480) $83 $166 0.7×
Elec stim other than wound (G0283) $57.50 $115 4.5×
Fecal blood scrn immunoassay (G0328) $35 $70 1.9×
Fern test (Q0114) $14.50 $29 1.5×
Hbot, full body chamber, 30m (G0277) $780 $1,560 5.4×
Hospital outpt clinic visit (G0463) $137.25 $356 1.0×
Inj for sacroiliac jt anesth (G0260) $1,033.50 $2,067 1.4×
Liver dis 10 assays w/nash (0003M) $228 $456 0.5×
Mra w/cont, lwr ext (C8912) $2,356 $4,712 6.5×
Mra w/cont, pelvis (C8918) $2,356 $4,712 6.5×
Mra w/o cont, lwr ext (C8913) $2,133.50 $4,267 8.6×
Mra w/o cont, pelvis (C8919) $2,133.50 $4,267 8.6×
Mra w/o fol w/cont, abd (C8902) $2,503.50 $5,007 6.9×
Mra w/o fol w/cont, chest (C8911) $2,503.50 $5,007 6.9×
Mra w/o fol w/cont, lwr ext (C8914) $2,503.50 $5,007 6.9×
Mra w/o fol w/cont, pelvis (C8920) $2,503.50 $5,007 6.9×
Mra, w/dye, upper extremity (C8934) $2,356 $4,712 6.5×
Mra, w/o dye, upper extr (C8935) $2,133.50 $4,267 8.6×
Mra, w/o&w/dye, spinal canal (C8933) $2,503.50 $5,007 6.9×
Mra, w/o&w/dye, upper extr (C8936) $2,503.50 $5,007 6.9×
Prostate biopsy, any mthd (G0416) $228 $456 0.6×
Psa screening (G0103) $95 $190 4.9×
Tomosynthesis, mammo (G0279) $96.25 $192.50 7.6×
Unsched dialysis esrd pt hos (G0257) $763 $1,526 1.1×