Supplies, drugs & other prices at Essentia Health St. Mary's Hospital - Superior
Superior, WI · every code in this section with a posted price and a Medicare benchmark.
23 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $332.55 | $450 | 0.8× |
| Adm tocilizu covid-19 2nd (M0250) | $332.55 | $450 | 0.8× |
| Catheterize for urine spec (P9612) | $113.81 | $154 | 12.2× |
| Colon ca scrn not hi rsk ind (G0121) | $2,098.02 | $2,839 | 2.3× |
| Colorectal scrn; hi risk ind (G0105) | $2,119.45 | $2,868 | 2.3× |
| Direct refer hospital observ (G0379) | $523.95 | $709 | 0.9× |
| Drug test def 22+ classes (G0483) | $166.28 | $225 | 0.7× |
| Fecal blood scrn immunoassay (G0328) | $83.51 | $113 | 4.6× |
| Hep c screen high risk/other (G0472) | $81.29 | $110 | 1.8× |
| Home sleep test/type 3 porta (G0399) | $665.10 | $900 | 3.2× |
| Initial preventive exam (G0402) | $232.78 | $315 | 1.8× |
| Inj for sacroiliac jt anesth (G0260) | $1,052.34 | $1,424 | 1.5× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $323.68 | $438 | 2.7× |
| Neuro csf prion prtn qual (0035U) | $560.16 | $758 | 1.0× |
| Obtaining screen pap smear (Q0091) | $79.81 | $108 | 2.8× |
| Oth resp proc, group (G0239) | $128.59 | $174 | 3.5× |
| Oth resp proc, indiv (G0238) | $109.37 | $148 | 3.9× |
| Prostate biopsy, any mthd (G0416) | $1,016.86 | $1,376 | 2.9× |
| Psa screening (G0103) | $116.76 | $158 | 6.0× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $443.40 | $600 | 0.6× |
| Therapeutic procd strg endur (G0237) | $105.68 | $143 | 3.7× |
| Tpmt and Nudt15 Genotype (0034U) | $337.72 | $457 | 0.7× |
| Trauma respons w/hosp criti (G0390) | $2,276.86 | $3,081 | 1.7× |