Supplies, drugs & other prices at Falmouth Hospital

Falmouth, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,612.24 $3,793.51 1.7×
2d tte w or w/o fol w/con,co (C8923) $1,209.63 $2,846.19 1.3×
2d tte w or w/o fol w/con,fu (C8924) $1,192.02 $2,804.74 2.9×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $13,530.80 $31,837.18 1.1×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $9,928.87 $23,362.05 2.1×
Adm tocilizu covid-19 1st (M0249) $280.51 $660.02 0.5×
Adm tocilizu covid-19 2nd (M0250) $280.51 $660.02 0.5×
Admin hepatitis b vaccine (G0010) $73.19 $172.22 1.3×
Admin influenza virus vac (G0008) $109.22 $256.98 1.9×
Admin pneumococcal vaccine (G0009) $73.19 $172.22 1.3×
Arthro/shoul surg; w/spacer (C9781)
likely a partial charge, not the full procedure
$4,202.23 $9,887.61 0.3×
Ca screen;flexi sigmoidscope (G0104) $283.01 $665.90 0.3×
Ca screen;pelvic/breast exam (G0101) $160.79 $378.34 1.3×
Catheterize for urine spec (P9612) $5.60 $13.18 0.6×
Colon ca scrn not hi rsk ind (G0121) $1,689.40 $3,975.05 1.5×
Colorectal scrn; hi risk ind (G0105) $973.72 $2,291.10 0.9×
Cysto impl 4 or more (C9740) $12,914.01 $30,385.90 1.1×
Cysto, litho, vacuum kidney (C9761) $12,914.01 $30,385.90 1.1×
Cystoscopy prostatic imp 1-3 (C9739) $6,903.59 $16,243.74 1.1×
Drug test def 1-7 classes (G0480) $221.60 $521.42 1.9×
Drug test def 15-21 classes (G0482) $427.65 $1,006.23 2.2×
Drug test def 22+ classes (G0483) $531.65 $1,250.94 2.2×
Drug test def 8-14 classes (G0481) $359.95 $846.95 2.3×
Elec stim other than wound (G0283) $69.75 $164.11 5.5×
Facility svs dental rehab (G0330) $3,615.08 $8,506.06 0.9×
Fecal blood scrn immunoassay (G0328) $56.78 $133.61 3.1×
Home sleep test/type 3 porta (G0399) $337.96 $795.19 1.3×
Home sleep test/type 4 porta (G0400) $337.96 $795.18 1.3×
Hospital outpt clinic visit (G0463) $89.90 $211.54 0.6×
Iliac Atherectomy (0238T) $34,875.33 $82,059.59 1.6×
Inj for sacroiliac jt anesth (G0260) $1,555.70 $3,660.47 1.8×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $13,530.80 $31,837.18 1.1×
Mri w/o fol w/cont, breast, (C8908) $1,384.64 $3,257.97 3.3×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $50.27 $118.28 1.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,853.60 $4,361.41 3.5×
Noncontact r-t fluor wnd img 1st anatomic site (0598T) $398.82 $938.40 1.5×
Obtaining screen pap smear (Q0091) $30.46 $71.66 0.9×
Oth resp proc, group (G0239) $128.63 $302.66 2.9×
Oth resp proc, indiv (G0238) $96.50 $227.05 2.8×
Perc d-e cor revasc chro sin (C9607) $26,816.48 $63,097.59 1.2×
Perc d-e cor revasc t cabg s (C9604) $21,640.74 $50,919.39 1.6×
Perc d-e cor stent ather s (C9602) $26,816.48 $63,097.59 1.2×
Perc drug-el cor stent sing (C9600) $21,640.74 $50,919.39 1.6×
Perq Sacral Augmt Bilat Inj (0201T) $4,478.20 $10,536.94 0.5×
Perq Sacral Augmt Unilat Inj (0200T) $6,863.44 $16,149.27 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $8,735.44 $20,553.98 0.6×
Prostate biopsy, any mthd (G0416) $508.42 $1,196.30 1.2×
Psa screening (G0103) $63.27 $148.88 3.3×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $1,004.79 $2,364.22 1.4×
Revasc intra lithotrip-ather (C9766) $40,478.83 $95,244.30 1.8×
Revasc intra lithotrip-stent (C9765) $40,478.83 $95,244.30 1.8×
Revasc intravasc lithotripsy (C9764) $25,221.71 $59,345.20 1.8×
Revasc lith-sten-ath tib/per (C9775) $44,500.70 $104,707.54 2.0×
Revasc lithotr-ather tib/per (C9774) $44,500.70 $104,707.54 2.0×
Revasc lithotr-stent tib/per (C9773) $44,500.70 $104,707.54 2.0×
Revasc lithotrip tibi/perone (C9772) $40,478.83 $95,244.30 2.9×
Revasc lithotrip-stent-ather (C9767) $44,500.70 $104,707.54 2.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $45,721.79 $107,580.69 2.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $45,721.79 $107,580.69 2.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $45,721.79 $107,580.69 2.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $45,721.79 $107,580.69 2.0×
Therapeutic procd strg endur (G0237) $188.78 $444.18 5.4×
Tomosynthesis, mammo (G0279) $360.43 $848.07 28.4×
Trauma respons w/hosp criti (G0390) $1,203.92 $2,832.76 0.8×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $4,469.91 $10,517.43 1.3×
Tte w or w/o contr, cont ecg (C8930) $1,612.24 $3,793.51 1.7×
Tte w or wo fol wcon,doppler (C8929) $1,588.76 $3,738.26 1.7×
Unsched dialysis esrd pt hos (G0257) $1,364.77 $3,211.23 1.7×