Supplies, drugs & other prices at Dosher Memorial Hospital
Southport, NC · every code in this section with a posted price and a Medicare benchmark.
26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$5.67–$43.50 | $11.33–$87 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$5.67–$43.50 | $11.33–$87 | varies |
| Behavior counsel obesity 15m (G0447) | $41.50 | $83 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) range across 4 matching MRF lines |
$28.84–$67 | $57.68–$134 | varies |
| Catheterize for urine spec (P9612) | $4.50 | $9 | 0.5× |
| Diab manage trn per indiv (G0108) | $56 | $112 | 1.0× |
| Diab manage trn ind/group (G0109) | $20.50 | $41 | 1.3× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$73–$99.50 | $146–$199 | varies |
| Drug test def 8-14 classes (G0481) | $99.50 | $199 | 0.6× |
| Ekg tracing for initial prev (G0404) | $6.18 | $12.36 | 0.2× |
| Elec stim other than wound (G0283) | $36 | $72 | 2.8× |
| Extrnl counterpulse, per tx (G0166) | $92 | $184 | 0.7× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $17.50 | $35 | 0.5× |
| Group behave couns 2-10 (G0473) | $16.50 | $33 | 0.4× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$114–$816 | $228–$1,632 | varies |
| Hepb screen high risk indiv (G0499) | $5 | $10 | 0.2× |
| Hospital outpt clinic visit (G0463) | $170 | $340 | 1.3× |
| Hpv combo assay ca screen (G0476) | $30.50 | $61 | 0.9× |
| Initial preventive exam (G0402) | $125.15 | $250.29 | 0.9× |
| Mra w/o fol w/cont, chest (C8911) | $1,596.50 | $3,193 | 4.6× |
| Obtaining screen pap smear (Q0091) range across 4 matching MRF lines |
$33.48–$35 | $66.95–$70 | varies |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$128.75–$131.50 | $257.50–$263 | varies |
| Ppps, subseq visit (G0439) range across 6 matching MRF lines |
$87.04–$98 | $174.07–$196 | varies |
| Prostate biopsy, any mthd (G0416) | $375 | $750 | 1.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$94–$98.50 | $188–$197 | varies |
| Tomosynthesis, mammo (G0279) | $31 | $62 | 2.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.