Supplies, drugs & other prices at Eisenhower Medical Center
Rancho Mirage, CA · every code in this section with a posted price and a Medicare benchmark.
103 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $499.09 | $3,593 | 0.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,246.05 | $1,917 | 2.8× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) unusually low: confirm this is the full procedure |
$6,767.51 | $24,989 | 0.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $911.79 | $2,763 | 0.4× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) unusually low: confirm this is the full procedure |
$4,097.28 | $12,416 | 0.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $911.79 | $2,763 | 0.4× |
| Adm tocilizu covid-19 1st (M0249) | $280.73 | $1,125 | 0.5× |
| Adm tocilizu covid-19 2nd (M0250) | $280.73 | $1,125 | 0.5× |
| Admin hepatitis b vaccine (G0010) | $14.52 | $44 | 0.2× |
| Admin influenza virus vac (G0008) | $22.77 | $69 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $22.77 | $69 | 0.4× |
| Alcohol/subs interv 15-30mn (G0396) range across 3 matching MRF lines |
— | $55.99–$117 | — |
| Ascvd rsk mng clin stf pr mo (G0538) | — | $23 | — |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
— | $30.61–$135 | — |
| Ca screen;flexi sigmoidscope (G0104) | $592.06 | $2,773 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) | $42.24 | $128 | 0.3× |
| Catheterize for urine spec (P9612) | $4.62 | $233 | 0.5× |
| Chemo extend iv infus w/pump (G0498) | $194.70 | $590 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $592.06 | $3,534 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $592.06 | $3,493 | 0.5× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$22.77–$25.40 | $69–$120 | varies |
| Demonstrate use home inr mon (G0248) range across 2 matching MRF lines |
— | $216.61–$374 | — |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$39.65 | $13.36–$61 | 0.8× |
| Diab manage trn per indiv (G0108) | $28.94 | $252 | 0.5× |
| Diab manage trn ind/group (G0109) | $8.34 | $100 | 0.5× |
| Direct refer hospital observ (G0379) | $379.15 | $1,567 | 0.5× |
| Drug test def 22+ classes (G0483) | $44.73 | $135.55 | 0.2× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$15,713.61 | $47,617 | 0.3× |
| Fecal blood scrn immunoassay (G0328) | $8.94 | $203 | 0.5× |
| Group mnt 2 or more 30 mins (G0271) | $6.34 | $157 | 0.4× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
— | $264.02–$623 | — |
| Home sleep test/type 3 porta (G0399) | $137.47 | $1,129 | 0.5× |
| Hospital outpt clinic visit (G0463) | $84.76 | $375 | 0.5× |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
— | $231.77–$464 | — |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $563.10 | $3,245 | 0.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | — | $2,593 | — |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$14,161.43 | $65,794 | 0.5× |
| Intens cardiac rehab no exer (G0423) | $82.07 | $474 | 0.5× |
| Intens cardiac rehab w/exerc (G0422) | $82.07 | $489 | 0.5× |
| Ire Abltj 1+Tum Organ Perq (0600T) unusually low: confirm this is the full procedure |
$6,767.51 | $24,989 | 0.5× |
| Mnt subs tx for change dx (G0270) | $11.34 | $174 | 0.4× |
| Mra w/cont, abd (C8900) | $222.11 | $2,271 | 0.5× |
| Mra w/cont, lwr ext (C8912) | $222.11 | $2,960 | 0.5× |
| Mra w/cont, pelvis (C8918) | $222.11 | $2,753 | 0.5× |
| Mra w/o cont, abd (C8901) | $151.91 | $2,163 | 0.5× |
| Mra w/o cont, chest (C8910) | $151.91 | $2,686 | 0.5× |
| Mra w/o cont, lwr ext (C8913) | $151.91 | $2,710 | 0.5× |
| Mra w/o cont, pelvis (C8919) | $151.91 | $2,503 | 0.5× |
| Mra w/o fol w/cont, chest (C8911) | $222.11 | $3,186 | 0.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $222.11 | $3,210 | 0.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $222.11 | $3,003 | 0.5× |
| Mra, w/o dye, upper extr (C8935) | $151.91 | $3,676 | 0.5× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $563.10 | $3,245 | 0.5× |
| Njx platelet plasma (0232T) | $284.41 | $1,305 | 0.5× |
| Obtaining screen pap smear (Q0091) | $18.41 | $67 | 0.5× |
| Oth resp proc, group (G0239) | $23.78 | $818 | 0.5× |
| Oth resp proc, indiv (G0238) | $18.41 | $452 | 0.5× |
| Pathogen test for platelets (P9100) | $37.56 | $204 | 0.5× |
| Pef bronch ablt 3d nav ebus (C8005) unusually low: confirm this is the full procedure |
$10,905.53 | $55,590 | 0.5× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$9,788.79 | $29,663 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$7,349.64 | $27,426 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$9,937.29 | $30,113 | 0.4× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$7,349.64 | $22,513 | 0.5× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,512.19 | $10,643 | 0.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$7,349.64 | $44,543.28 | 0.5× |
| Ppps, initial visit (G0438) | — | $451 | — |
| Ppps, subseq visit (G0439) | — | $307 | — |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) range across 3 matching MRF lines |
$149.50 | $84.46–$230 | 3.1× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $23.76 | $118 | 0.5× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) range across 3 matching MRF lines |
$97.50 | $69.71–$150 | 2.0× |
| Psa screening (G0103) | $9.56 | $235 | 0.5× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$9,906.93 | $30,021 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$10,842.15 | $32,855 | 0.5× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$6,492.42 | $19,674 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$11,670.89 | $47,617 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$11,670.89 | $47,617 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$11,670.89 | $47,617 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$7,349.64 | $29,780 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$11,670.89 | $40,248 | 0.5× |
| Risk ascvd tst once pr 12 mo (G0537) | — | $23 | — |
| Sim ang w/prs cath rad emb (C8004) unusually low: confirm this is the full procedure |
$7,349.64 | $36,022 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | — | $1,272 | — |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $2,010.22 | $9,967 | 0.5× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $2,010.22 | $9,967 | 0.5× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $2,010.22 | $9,967 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$12,263.01 | $60,927 | 0.5× |
| Tee w or w/o fol w/cont,cong (C8926) | $499.09 | $2,189 | 0.5× |
| Therapeutic procd strg endur (G0237) | $18.41 | $818 | 0.5× |
| Tomosynthesis, mammo (G0279) | $6.89 | $207 | 0.5× |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$128.70–$148.01 | $390–$448.50 | varies |
| Trauma respons w/hosp criti (G0390) | $848.60 | $5,000 | 0.5× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$55.90 | $76.57–$86 | 0.7× |
| Tte w or w/o fol w/con,stres (C8928) | $499.09 | $2,181 | 0.5× |
| Tte w or w/o fol w/cont, com (C8921) | $499.09 | $2,539 | 0.5× |
| Tte w or w/o fol w/cont, f/u (C8922) | $499.09 | $2,034 | 0.5× |
| Tte w or wo fol wcon,doppler (C8929) | $499.09 | $2,181 | 0.5× |
| Unsched dialysis esrd pt hos (G0257) | $436.94 | $2,931 | 0.5× |
| Vasc emb/occ w/prs cath (C9797) unusually low: confirm this is the full procedure |
$11,670.89 | $54,772 | 0.5× |
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.