Supplies, drugs & other prices at Dukes Memorial Hospital

Peru, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001)
range across 3 matching MRF lines
$12.50–$76 $25–$152 varies
2d tte w or w/o fol w/con,co (C8923) $1,221 $2,442 1.5×
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$333–$1,076.50 $666–$2,153 varies
Adm of soc dtr assess 5-15 m (G0136) $22 $44 0.6×
Adm tocilizu covid-19 1st (M0249) $506 $1,012 1.1×
Adm tocilizu covid-19 2nd (M0250) $506 $1,012 1.1×
Admin hepatitis b vaccine (G0010)
range across 9 matching MRF lines
$12.50–$104.50 $25–$209 varies
Admin influenza virus vac (G0008)
range across 9 matching MRF lines
$12.50–$47.50 $25–$95 varies
Admin pneumococcal vaccine (G0009)
range across 9 matching MRF lines
$12.50–$104.50 $25–$209 varies
Annual alcohol screen 15 min (G0442)
range across 3 matching MRF lines
$11–$21 $22–$42 varies
Behavior counsel obesity 15m (G0447) $30 $60 0.3×
Brief alcohol misuse counsel (G0443) $30 $60 0.3×
Ca screen;flexi sigmoidscope (G0104)
range across 4 matching MRF lines
$75–$165.50 $150–$331 varies
Ca screen;pelvic/breast exam (G0101)
range across 4 matching MRF lines
$24–$44.50 $48–$89 varies
Catheterize for urine spec (P9612) $7.50 $15 0.8×
Colon ca scrn not hi rsk ind (G0121)
range across 10 matching MRF lines
$207–$6,517.02 $414–$13,034.03 varies
Colorectal scrn; hi risk ind (G0105)
range across 13 matching MRF lines
$253.50–$6,680.85 $507–$13,361.69 varies
Depression screen annual (G0444)
range across 3 matching MRF lines
$11–$21 $22–$42 varies
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$60–$68 $120–$136 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$18.50–$20.50 $37–$41 varies
Direct refer hospital observ (G0379) $343 $686 0.5×
Eia hiv-1/hiv-2 screen (G0432) $89 $178 4.5×
Ekg tracing for initial prev (G0404) $18.50 $37 0.6×
Elec stim other than wound (G0283)
range across 14 matching MRF lines
$18–$136.50 $36–$273 varies
Elec stim unattend for press (G0281)
range across 6 matching MRF lines
$18–$130 $36–$260 varies
Extrnl counterpulse, per tx (G0166) $192.50 $385 1.4×
Fecal blood scrn immunoassay (G0328)
range across 7 matching MRF lines
$27–$38 $54–$76 varies
Fecal microbiota prep instil (G0455) $250 $500 0.3×
High inten beh couns std 30m (G0445) $30.50 $61 0.3×
Hiv combination assay (G0475)
range across 5 matching MRF lines
$93–$94 $186–$188 varies
Home sleep test/type 2 porta (G0398) $81 $162 0.4×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$81–$600.50 $162–$1,201 varies
Hopd mntl hlt, 15-29 min (C7900) $314 $628 7.9×
Hopd mntl hlt, 30-60 min (C7901) $389 $778 3.6×
Hospital outpt clinic visit (G0463)
range across 10 matching MRF lines
$89.50–$268 $179–$536 varies
Initial preventive exam (G0402)
range across 3 matching MRF lines
$138–$179.50 $276–$359 varies
Intens behave ther cardio dx (G0446) $30 $60 0.8×
Mra w/cont, chest (C8909) $1,684.50 $3,369 4.6×
Mra w/o cont, chest (C8910) $2,416.50 $4,833 9.6×
Mra w/o fol w/cont, chest (C8911) $514.50 $1,029 1.4×
Mri w/cont, breast, bi (C8906) $2,400.50 $4,801 6.5×
Mri w/cont, breast, uni (C8903) $1,145.50 $2,291 6.2×
Mri w/o fol w/cont, breast, (C8908) $3,143.50 $6,287 8.5×
Mri w/o fol w/cont, brst, un (C8905) $1,500 $3,000 4.1×
Neuro csf prion prtn qual (0035U) $1,352.50 $2,705 2.5×
Njx platelet plasma (0232T) $28.50 $57 0.1×
Obtaining screen pap smear (Q0091)
range across 8 matching MRF lines
$22.50–$52.50 $45–$105 varies
Oth resp proc, group (G0239) $173 $346 4.4×
Oth resp proc, indiv (G0238)
range across 3 matching MRF lines
$13–$70.50 $26–$141 varies
Pathogen test for platelets (P9100) $70 $140 1.1×
Ppps, initial visit (G0438)
range across 4 matching MRF lines
$176–$218.50 $352–$437 varies
Ppps, subseq visit (G0439)
range across 5 matching MRF lines
$117.50–$147.50 $235–$295 varies
Prolonged iv inf, req pump (C8957) $598 $1,196 2.7×
Prostate biopsy, any mthd (G0416) $175 $350 0.5×
Psa screening (G0103)
range across 2 matching MRF lines
$33.50–$118.50 $67–$237 varies
Scr c/v cyto,thinlayer,rescr (G0145) $76 $152 2.9×
Screen cerv/vag thin layer (G0123) $42.50 $85 2.1×
Screen pap by tech w md supv (P3000) $18 $36 1.0×
Therapeutic procd strg endur (G0237) $13 $26 0.4×
Tomosynthesis, mammo (G0279)
range across 9 matching MRF lines
$41–$42 $82–$84 varies
Trim nail(s) (G0127) $10.50 $21 0.2×
Trluml Perip Athrc Brchiocph (0237T)
likely a partial charge, not the full procedure
$593 $1,186 0.0×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$3,375 $6,750 0.2×
Tte w or w/o contr, cont ecg (C8930) $1,967.50 $3,935 2.4×
Tte w or w/o fol w/con,stres (C8928) $1,430 $2,860 1.7×
Tte w or w/o fol w/cont, com (C8921) $1,586 $3,172 1.9×
Tte w or w/o fol w/cont, f/u (C8922) $878.50 $1,757 1.1×
Tte w or wo fol wcon,doppler (C8929)
range across 3 matching MRF lines
$1,201–$2,362.50 $2,402–$4,725 varies
Wet mounts/ w preparations (Q0111) $7.50 $15 0.4×

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.