Supplies, drugs & other prices at Elkhart General Hospital
Elkhart, IN · every code in this section with a posted price and a Medicare benchmark.
66 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $3,645.85 | $5,609 | 1.8× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $12,530.05 | $19,277 | 1.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $3,645.85 | $5,609 | 1.8× |
| Adm tocilizu covid-19 1st (M0249) | $886.60 | $1,364 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $886.60 | $1,364 | 1.9× |
| Admin hepatitis b vaccine (G0010) | $87.10 | $134 | 1.8× |
| Admin influenza virus vac (G0008) | $48.75 | $75 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $89.70 | $138 | 1.8× |
| Alcohol/subs interv 15-30mn (G0396) | $28.60 | $44 | 0.7× |
| Alcohol/subs interv >30 min (G0397) | $148.85 | $229 | 0.8× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $146.25 | $225 | 4.7× |
| Autolog prp not diab ulcer (G0460) | $3,270.15 | $5,031 | 1.5× |
| Catheterize for urine spec (P9612) | $53.95 | $83 | 5.8× |
| Chemo extend iv infus w/pump (G0498) | $619.45 | $953 | 1.8× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$35.10–$70.85 | $54–$109 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$23.40–$46.80 | $36–$72 | varies |
| Direct refer hospital observ (G0379) | $406.90 | $626 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 9 matching MRF lines |
$128.70–$242.45 | $198–$373 | varies |
| Drug test def 15-21 classes (G0482) | $430.95 | $663 | 2.2× |
| Drug test def 22+ classes (G0483) | $552.50 | $850 | 2.2× |
| Drug test def 8-14 classes (G0481) | $332.80 | $512 | 2.1× |
| Elec stim other than wound (G0283) | $29.25 | $45 | 2.3× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $5,985.20 | $9,208 | 1.8× |
| Group mnt 2 or more 30 mins (G0271) | $34.45 | $53 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $557.70 | $858 | 3.8× |
| Hospital outpt clinic visit (G0463) | $95.55 | $147 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,267.50 | $1,950 | 1.7× |
| Mnt subs tx for change dx (G0270) | $34.45 | $53 | 1.1× |
| Mra w/cont, lwr ext (C8912) | $1,573 | $2,420 | 4.3× |
| Mra w/o cont, abd (C8901) | $1,257.75 | $1,935 | 5.0× |
| Mra w/o cont, chest (C8910) | $1,257.75 | $1,935 | 5.0× |
| Mra w/o cont, lwr ext (C8913) | $1,257.75 | $1,935 | 5.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,651.65 | $2,541 | 4.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,573–$3,147.30 | $2,420–$4,842 | varies |
| Mri w/o fol w/cont, breast, (C8908) | $1,746.55 | $2,687 | 4.7× |
| Opps service,sched team conf (G0175) | $332.15 | $511 | 0.8× |
| Oth resp proc, group (G0239) | $72.15 | $111 | 1.8× |
| Oth resp proc, indiv (G0238) | $57.85 | $89 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $22,854.65 | $35,161 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $15,377.05 | $23,657 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $20,756.45 | $31,933 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $17,353.05 | $26,697 | 1.4× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,011.85 | $9,249 | 0.8× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$3,242.20 | $4,988 | 0.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,118.25 | $17,105 | 0.9× |
| Prolonged iv inf, req pump (C8957) | $369.20 | $568 | 1.6× |
| Prostate biopsy, any mthd (G0416) | $641.55 | $987 | 1.7× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $3,534.05 | $5,437 | 3.6× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $491.40 | $756 | 0.5× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,767.35 | $2,719 | 1.8× |
| Revasc intra lithotrip-ather (C9766) range across 2 matching MRF lines |
$24,336–$26,206.70 | $37,440–$40,318 | varies |
| Revasc intra lithotrip-stent (C9765) | $23,660 | $36,400 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $12,118.60 | $18,644 | 1.0× |
| Revasc lith-sten-ath tib/per (C9775) | $24,628.50 | $37,890 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $24,628.50 | $37,890 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $24,628.50 | $37,890 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $15,343.25 | $23,605 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $17,369.30 | $26,722 | 0.9× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $73.45 | $113 | 4.1× |
| Therapeutic procd strg endur (G0237) | $77.35 | $119 | 2.5× |
| Tomosynthesis, mammo (G0279) | $41.60 | $64 | 3.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $11,118.25 | $17,105 | 1.8× |
| Transcatheter renal sympath denervation unilat (0338T) | $11,118.25 | $17,105 | 1.8× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,781.35–$6,410.30 | $4,279–$9,862 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $19,704.75 | $30,315 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $16,420.30 | $25,262 | 1.3× |
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.