Supplies, drugs & other prices at ECU Health Chowan Hospital

Edenton, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,457.12 $2,602 1.9×
2d tte w or w/o fol w/con,co (C8923) $1,209.60 $2,160 1.6×
2d tte w or w/o fol w/con,fu (C8924) $576.24 $1,029 1.7×
Adm tocilizu covid-19 1st (M0249) $474.88 $848 1.1×
Adm tocilizu covid-19 2nd (M0250) $474.88 $848 1.1×
Ca screen;pelvic/breast exam (G0101) $229.04 $409 2.4×
Catheterize for urine spec (P9612) $10.08 $18 1.1×
Cbc without platelet (G0307) $10.08 $18 1.6×
Cbc/diffwbc w/o platelet (G0306) $26.32 $47 3.4×
Chemo extend iv infus w/pump (G0498) $299.04 $534 0.9×
Covid-19 lab test non-cdc (U0002) $146.72 $262 2.9×
Cysto, litho, vacuum kidney (C9761) $11,119.08 $19,855.50 1.2×
Diab manage trn per indiv (G0108) $73.36 $131 1.3×
Diab manage trn ind/group (G0109) $74.48 $133 4.6×
Direct refer hospital observ (G0379) $540.96 $966 1.0×
Drug test def 15-21 classes (G0482) $379.68 $678 1.9×
Elec stim other than wound (G0283) $207.76 $371 16.4×
Hbot, full body chamber, 30m (G0277) $854.56 $1,526 6.5×
Hospital outpt clinic visit (G0463) $2,175.04 $3,884 17.1×
Ig paraprotein qual bld/ur (0077U) $271.60 $485 6.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $232.96 $416 1.9×
Liver dis 10 assays w/nash (0003M) $769.44 $1,374 1.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $332.64 $594 0.6×
Obtaining screen pap smear (Q0091) $65.52 $117 2.4×
Oth resp proc, group (G0239) $40.88 $73 1.1×
Oth resp proc, indiv (G0238) $24.08 $43 0.9×
Ppps, initial visit (G0438) $114.24 $204 0.7×
Ppps, subseq visit (G0439) $81.76 $146 0.6×
Prolonged iv inf, req pump (C8957) $285.04 $509 1.4×
Prostate biopsy, any mthd (G0416) $627.76 $1,121 1.8×
Screen cerv/vag thin layer (G0123) $151.20 $270 7.5×
Therapeutic procd strg endur (G0237) $28 $50 1.0×
Tomosynthesis, mammo (G0279) $66.08 $118 5.2×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $890.40 $1,590 1.9×
Trim nail(s) (G0127) $53.20 $95 0.9×
Tte w or w/o fol w/con,stres (C8928) $1,010.24 $1,804 1.3×
Tte w or w/o fol w/cont, com (C8921) $1,002.96 $1,791 1.3×
Tte w or w/o fol w/cont, f/u (C8922) $882.56 $1,576 1.2×
Tte w or wo fol wcon,doppler (C8929) $1,134 $2,025 1.5×
Visit to determ ldct elig (G0296) $131.60 $235 1.4×