Supplies, drugs & other prices at Dignity Health Arizona General Hospital – Laveen

Laveen, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $8.23 $35.91 0.2×
2d tte w or w/o fol w/con,co (C8923) $725.25 $3,167 0.9×
2d tte w or w/o fol w/con,fu (C8924) $350.83 $1,532 0.9×
Admin hepatitis b vaccine (G0010) $14.20 $62 0.3×
Admin influenza virus vac (G0008) $45.80 $200 0.9×
Admin pneumococcal vaccine (G0009) $22.45 $98 0.4×
Alcohol/subs interv 15-30mn (G0396) $31.84 $139 0.8×
Alcohol/subs interv >30 min (G0397) $31.84 $139 0.2×
Catheterize for urine spec (P9612) $15.58 $68 1.7×
Direct refer hospital observ (G0379) $521.21 $2,276 0.8×
Drug test def 1-7 classes (G0480) $27.48 $120 0.2×
Drug test def 15-21 classes (G0482) $44.44 $194 0.2×
Drug test def 22+ classes (G0483) $182.06 $795 0.7×
Hospital outpt clinic visit (G0463) $68.02 $297 0.5×
Mra w/cont, abd (C8900) $864.71 $3,776 2.3×
Mra w/cont, chest (C8909) $927.68 $4,051 2.5×
Mra w/cont, lwr ext (C8912) $846.62 $3,697 2.3×
Mra w/cont, pelvis (C8918) $908.22 $3,966 2.4×
Mra w/o cont, abd (C8901) $635.71 $2,776 2.5×
Mra w/o cont, chest (C8910) $469.68 $2,051 1.8×
Mra w/o cont, lwr ext (C8913) $846.62 $3,697 3.3×
Mra w/o cont, pelvis (C8919) $679.22 $2,966 2.7×
Mra w/o fol w/cont, chest (C8911) $1,385.68 $6,051 3.7×
Mra w/o fol w/cont, lwr ext (C8914) $1,075.62 $4,697 2.9×
Mra w/o fol w/cont, pelvis (C8920) $1,137.22 $4,966 3.1×
Mra, w/dye, upper extremity (C8934) $639.14 $2,791 1.7×
Mra, w/o dye, upper extr (C8935) $410.14 $1,791 1.6×
Mra, w/o&w/dye, upper extr (C8936) $868.14 $3,791 2.3×
Psa screening (G0103) $58.17 $254 3.0×
Rx Metab Advrs Trgt Seq Alys (0029U) $297.25 $1,298 0.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,467.29 $15,141 1.0×
Tte w or w/o fol w/con,stres (C8928) $471.97 $2,061 0.6×
Tte w or wo fol wcon,doppler (C8929) $771.51 $3,369 0.9×
Unsched dialysis esrd pt hos (G0257) $583.84 $2,549.50 0.8×