Supplies, drugs & other prices at Essentia Health Fargo
Fargo, ND · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,931.25 | $2,575 | 1.0× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $1,931.25 | $2,575 | 1.0× |
| Catheterize for urine spec (P9612) | $85.50 | $114 | 9.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,682.25 | $2,243 | 1.8× |
| Colorectal scrn; hi risk ind (G0105) | $2,151 | $2,868 | 2.3× |
| Diab manage trn per indiv (G0108) | $91.50 | $122 | 1.6× |
| Direct refer hospital observ (G0379) | $531.75 | $709 | 0.9× |
| Drug test def 22+ classes (G0483) | $168.75 | $225 | 0.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $11,250 | $15,000 | 1.0× |
| Fecal blood scrn immunoassay (G0328) | $84.75 | $113 | 4.7× |
| Fecal microbiota prep instil (G0455) | $1,002 | $1,336 | 1.1× |
| Hbot, full body chamber, 30m (G0277) | $543.75 | $725 | 3.9× |
| Home sleep test/type 3 porta (G0399) | $582 | $776 | 2.6× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $196.50 | $262 | 4.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,068 | $1,424 | 1.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $328.50 | $438 | 2.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,453.50 | $1,938 | 4.1× |
| Mri w/o fol w/cont, breast, (C8908) | $2,039.25 | $2,719 | 5.7× |
| Neuro csf prion prtn qual (0035U) | $568.50 | $758 | 1.1× |
| Non-ophthalmic fva (C9733) | $794.25 | $1,059 | 2.2× |
| Perc d-e cor revasc chro sin (C9607) | $21,939 | $29,252 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $16,022.25 | $21,363 | 1.4× |
| Perc d-e cor stent ather s (C9602) | $21,659.25 | $28,879 | 1.2× |
| Perc drug-el cor stent sing (C9600) | $19,100.25 | $25,467 | 1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $7,185 | $9,580 | 1.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$5,561.25 | $7,415 | 0.5× |
| Psa screening (G0103) | $118.50 | $158 | 6.1× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $2,250 | $3,000 | 2.4× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $716.25 | $955 | 8.1× |
| Revasc intra lithotrip-ather (C9766) | $17,250 | $23,000 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $12,417.75 | $16,557 | 0.7× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,486.25 | $7,315 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $16,747.50 | $22,330 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $16,747.50 | $22,330 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $14,709.75 | $19,613 | 1.2× |
| Revasc lithotrip-stent-ather (C9767) | $17,250 | $23,000 | 0.9× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $450 | $600 | 0.6× |
| Therapeutic procd strg endur (G0237) | $33.75 | $45 | 1.1× |
| Tpmt and Nudt15 Genotype (0034U) | $396 | $528 | 0.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,561.25 | $7,415 | 1.0× |
| Transcatheter renal sympath denervation unilat (0338T) | $5,561.25 | $7,415 | 1.0× |
| Trauma respons w/hosp criti (G0390) | $2,310.75 | $3,081 | 1.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $12,087.75 | $16,117 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $17,250.75 | $23,001 | 0.9× |
| Unsched dialysis esrd pt hos (G0257) | $651 | $868 | 0.9× |
| Vasc emb/occ w/prs cath (C9797) | $16,290 | $21,720 | 0.9× |