Supplies, drugs & other prices at F F Thompson Hospital

Canandaigua, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $733 — 1.3×
Admin hepatitis b vaccine (G0010) $75 — 1.3×
Admin influenza virus vac (G0008) $75 — 1.3×
Admin pneumococcal vaccine (G0009) $75 — 1.3×
Alcohol/subs interv 15-30mn (G0396) — $90 —
Alcohol/subs interv >30 min (G0397) — $175 —
Annual alcohol screen 15 min (G0442) $48 — 1.0×
Behavior counsel obesity 15m (G0447) $150 — 1.2×
Brief alcohol misuse counsel (G0443) $150 — 1.2×
Ca screen;flexi sigmoidscope (G0104) $94.22 $158 0.1×
Ca screen;pelvic/breast exam (G0101) $150 — 1.2×
Catheterize for urine spec (P9612) $9 — 1.0×
Colon ca scrn not hi rsk ind (G0121) $355.99 $597 0.3×
Colorectal scrn; hi risk ind (G0105) $355.39 $596 0.3×
Depression screen annual (G0444) $48 — 1.0×
Direct refer hospital observ (G0379) $998 — 1.3×
Drug test def 1-7 classes (G0480) $113 — 1.0×
Ekg tracing for initial prev (G0404) — $42 —
Elisa hiv-1/hiv-2 screen (G0433) $26 — 1.4×
Fecal blood scrn immunoassay (G0328) $28 — 1.6×
Home sleep test/type 3 porta (G0399) $254 — 0.9×
Initial preventive exam (G0402) — $368 —
Inj for sacroiliac jt anesth (G0260) $1,210 — 1.4×
Intens behave ther cardio dx (G0446) $48 — 1.0×
Mra, w/dye, upper extremity (C8934) $718 — 1.6×
Mra, w/o dye, upper extr (C8935) $592 — 2.0×
Mra, w/o&w/dye, upper extr (C8936) $907 — 2.1×
Mri w/cont, breast, bi (C8906) $1,197 — 2.7×
Mri w/cont, breast, uni (C8903) $1,197 — 5.5×
Neuro csf prion prtn qual (0035U) $774 — 1.4×
Obtaining screen pap smear (Q0091) $40 — 1.1×
Oth resp proc, group (G0239) $64 — 1.4×
Oth resp proc, indiv (G0238) $40 — 1.1×
Pathogen test for platelets (P9100) $96 — 1.3×
Ppps, initial visit (G0438) — $466 —
Ppps, subseq visit (G0439) — $367 —
Prostate biopsy, any mthd (G0416) $586 — 1.3×
Psa screening (G0103) $56 — 2.9×
Scr c/v cyto,thinlayer,rescr (G0145) $72 — 2.7×
Screen cerv/vag thin layer (G0123) $60 — 3.0×
Therapeutic procd strg endur (G0237) $40 — 1.1×
Unsched dialysis esrd pt hos (G0257) $1,138 — 1.3×
Visit to determ ldct elig (G0296) $150 — 1.2×