Supplies, drugs & other prices at Dignity Health Chandler Regional Medical Center
Chandler, AZ · every code in this section with a posted price and a Medicare benchmark.
38 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $376.28 | $1,404 | 0.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $329.91 | $1,231 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $328.57 | $1,226 | 0.7× |
| Adm tocilizu covid-19 2nd (M0250) | $328.57 | $1,226 | 0.7× |
| Alcohol/subs interv 15-30mn (G0396) | $40.20 | $150 | 1.0× |
| Catheterize for urine spec (P9612) | $8.18 | $30.50 | 0.9× |
| Covid-19 lab test non-cdc (U0002) | $54.94 | $205 | 1.1× |
| Diab manage trn per indiv (G0108) | $101.58 | $379 | 1.8× |
| Diab manage trn ind/group (G0109) | $61.64 | $230 | 3.8× |
| Direct refer hospital observ (G0379) | $843.14 | $3,146 | 1.3× |
| Drug test def 1-7 classes (G0480) | $57.67 | $215.16 | 0.5× |
| Drug test def 15-21 classes (G0482) | $190.46 | $710.66 | 1.0× |
| Drug test def 22+ classes (G0483) | $264.79 | $988 | 1.1× |
| Fern test (Q0114) | $19.30 | $72 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $318.12 | $1,187 | 2.2× |
| Heart symp image plnr spect (0332T) | $1,568.61 | $5,853 | 1.1× |
| Home sleep test/type 3 porta (G0399) | $478.65 | $1,786 | 2.1× |
| Inj for sacroiliac jt anesth (G0260) | $933.98 | $3,485 | 1.2× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $9,837.48 | $36,707 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $38,095.40 | $142,147 | 1.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,646.86 | $6,145 | 4.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $579.95 | $2,163.96 | 1.1× |
| Prolonged iv inf, req pump (C8957) | $359.66 | $1,342 | 1.6× |
| Prostate biopsy, any mthd (G0416) | $411.12 | $1,534 | 1.1× |
| Psa screening (G0103) | $22.52 | $84 | 1.2× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $4,547.16 | $16,967 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $20,504.42 | $76,509 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $4,547.16 | $16,967 | 1.1× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) | $27,300.09 | $101,866 | 1.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $22,562.66 | $84,189 | 1.1× |
| Trauma respons w/hosp criti (G0390) | $3,746.91 | $13,981 | 2.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$5,957.11 | $22,228 | 0.3× |
| Tte w or w/o fol w/con,stres (C8928) | $900.22 | $3,359 | 1.1× |
| Tte w or w/o fol w/cont, com (C8921) | $1,089.42 | $4,065 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,098.54 | $4,099 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) | $616.14 | $2,299 | 0.8× |
| Vasc emb/occ w/prs cath (C9797) | $13,446.64 | $50,174 | 0.7× |
| Wet mounts/ w preparations (Q0111) | $20.10 | $75 | 1.1× |