Supplies, drugs & other prices at Fauquier Hospital
Warrenton, VA · 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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,393.60 | $3,484 | 1.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,149.20 | $2,873 | 1.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $821.20 | $2,053 | 2.3× |
| Adm tocilizu covid-19 1st (M0249) | $913.60 | $2,284 | 2.0× |
| Adm tocilizu covid-19 2nd (M0250) | $913.60 | $2,284 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $95.20 | $238 | 2.0× |
| Admin influenza virus vac (G0008) | $95.20 | $238 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $95.20 | $238 | 2.0× |
| Catheterize for urine spec (P9612) | $13.20 | $33 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) | $3,489.58 | $8,723.95 | 3.6× |
| Colorectal scrn; hi risk ind (G0105) | $3,523.15 | $8,807.87 | 3.7× |
| Cysto impl 4 or more (C9740) | $6,813.20 | $17,033 | 0.7× |
| Cystoscopy prostatic imp 1-3 (C9739) | $3,436.89 | $8,592.22 | 0.6× |
| Diab manage trn per indiv (G0108) | $162.80 | $407 | 2.9× |
| Diab manage trn ind/group (G0109) | $96.80 | $242 | 6.0× |
| Direct refer hospital observ (G0379) | $615.60 | $1,539 | 1.0× |
| Drug test def 1-7 classes (G0480) | $191.20 | $485 | 1.7× |
| Drug test def 15-21 classes (G0482) | $365.80 | $914.50 | 1.8× |
| Drug test def 8-14 classes (G0481) | $320.20 | $800.50 | 2.0× |
| Elec stim other than wound (G0283) | $57.40 | $143.50 | 4.5× |
| Elisa hiv-1/hiv-2 screen (G0433) | $76.80 | $192 | 4.2× |
| Facility svs dental rehab (G0330) | $8,447.52 | $21,118.81 | 2.5× |
| Hbot, full body chamber, 30m (G0277) | $269.20 | $673 | 1.9× |
| Hiv combination assay (G0475) | $76.80 | $192 | 3.2× |
| Home sleep test/type 3 porta (G0399) | $640.80 | $1,602 | 2.9× |
| Hospital outpt clinic visit (G0463) | $181.60 | $454 | 1.3× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) | $5,677.92 | $14,194.81 | 1.7× |
| Intens cardiac rehab no exer (G0423) | $194.40 | $486 | 1.5× |
| Intens cardiac rehab w/exerc (G0422) | $194.40 | $486 | 1.5× |
| Liver Dis 10 Assays W/Nash (0003M) | $908 | $2,270 | 1.8× |
| Mnt subs tx for change dx (G0270) | $39.60 | $99 | 1.2× |
| Mra w/cont, abd (C8900) | $1,996 | $4,990 | 5.5× |
| Mra w/cont, lwr ext (C8912) | $1,699.20 | $4,248 | 4.7× |
| Mra w/cont, pelvis (C8918) | $2,752.80 | $6,882 | 7.6× |
| Mra w/o cont, abd (C8901) | $1,996 | $4,990 | 8.1× |
| Mra w/o cont, chest (C8910) | $1,996 | $4,990 | 8.1× |
| Mra w/o cont, lwr ext (C8913) | $1,699.20 | $4,248 | 6.9× |
| Mra w/o cont, pelvis (C8919) | $1,644.80 | $4,112 | 6.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,996 | $4,990 | 5.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,996 | $4,990 | 5.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,699.20 | $4,248 | 4.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,138.40 | $7,846 | 8.7× |
| Mra, w/dye, upper extremity (C8934) | $1,626 | $4,065 | 4.5× |
| Mra, w/o dye, upper extr (C8935) | $1,626 | $4,065 | 6.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,626 | $4,065 | 4.5× |
| Mri hyperpolarized xenon129 (C9791) | $2,198 | $5,495 | 1.7× |
| Mri w/cont, breast, bi (C8906) | $3,220.80 | $8,052 | 8.9× |
| Mri w/cont, breast, uni (C8903) | $2,669 | $6,672.50 | 14.7× |
| Mri w/o fol w/cont, breast, (C8908) | $3,220.80 | $8,052 | 8.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,669 | $6,672.50 | 7.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $4,713.71 | $11,784.27 | 10.2× |
| No pt prsnt train initial 30 (G0541) | $64.80 | $162 | 2.2× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) | $160.20 | $400.50 | 1.5× |
| Oth resp proc, group (G0239) | $489.60 | $1,224 | 12.7× |
| Oth resp proc, indiv (G0238) | $98 | $245 | 3.3× |
| Perc drug-el cor stent sing (C9600) | $9,596.52 | $23,991.29 | 0.8× |
| Prolonged iv inf, req pump (C8957) | $927.60 | $2,319 | 4.2× |
| Psa screening (G0103) | $93.60 | $234 | 4.8× |
| Screen cerv/vag thin layer (G0123) | $49.40 | $123.50 | 2.4× |
| Semen analysis (G0027) | $83.20 | $208 | 12.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,149.20 | $2,873 | 1.4× |
| Therapeutic procd strg endur (G0237) | $157.60 | $394 | 5.3× |
| Tomosynthesis, mammo (G0279) | $49.40 | $123.50 | 3.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,149.20 | $2,873 | 1.4× |
| Tte w or w/o fol w/cont, com (C8921) | $1,393.60 | $3,484 | 1.7× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,026 | $2,565 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,415.60 | $3,539 | 1.7× |
| Unsched dialysis esrd pt hos (G0257) | $973.20 | $2,433 | 1.4× |