Supplies, drugs & other prices at Forrest General Hospital

Hattiesburg, MS · every code in this section with a posted price and a Medicare benchmark.

61 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) $692.17 $2,472.03 1.0×
Admin hepatitis b vaccine (G0010) $39.64 $141.57 1.0×
Admin influenza virus vac (G0008) $39.98 $142.78 1.0×
Admin pneumococcal vaccine (G0009) $39.98 $142.78 1.0×
Autolog prp not diab ulcer (G0460) $454.34 $1,622.61 0.3×
Catheterize for urine spec (P9612) $107.74 $384.78 11.5×
Diab manage trn per indiv (G0108) $31.51 $112.53 0.6×
Diab manage trn ind/group (G0109) $12.20 $43.56 0.8×
Direct refer hospital observ (G0379) $257.83 $920.81 0.5×
Elec stim other than wound (G0283) $32.87 $117.37 2.6×
Fecal microbiota prep instil (G0455) $115.54 $412.61 0.1×
Hbot, full body chamber, 30m (G0277) $193.12 $689.70 1.6×
Hospital outpt clinic visit (G0463) $100.97 $360.58 0.9×
Inj for sacroiliac jt anesth (G0260) $317.46 $1,133.77 0.5×
Instlj fecal microbiota ssp (0780T) $98.26 $350.90 0.9×
Mnt subs tx for change dx (G0270) $22.03 $78.65 0.7×
Mra w/cont, abd (C8900) $910.02 $3,250.06 3.0×
Mra w/cont, lwr ext (C8912) $974.05 $3,478.75 3.2×
Mra w/cont, pelvis (C8918) $828.71 $2,959.66 2.7×
Mra w/o cont, abd (C8901) $877.16 $3,132.69 4.2×
Mra w/o cont, chest (C8910) $460.77 $1,645.60 2.2×
Mra w/o cont, lwr ext (C8913) $925.27 $3,304.51 4.5×
Mra w/o cont, pelvis (C8919) $849.72 $3,034.68 4.1×
Mra w/o fol w/cont, abd (C8902) $1,007.60 $3,598.54 3.3×
Mra w/o fol w/cont, chest (C8911) $622.38 $2,222.77 2.1×
Mra w/o fol w/cont, lwr ext (C8914) $1,026.91 $3,667.51 3.4×
Mra w/o fol w/cont, pelvis (C8920) $1,016.07 $3,628.79 3.4×
Mra, w/dye, upper extremity (C8934) $1,016.40 $3,630 3.4×
Mra, w/o dye, upper extr (C8935) $916.12 $3,271.84 4.4×
Mra, w/o&w/dye, upper extr (C8936) $1,118.04 $3,993 3.7×
Mri w/cont, breast, bi (C8906) $462.13 $1,650.44 1.5×
Mri w/cont, breast, uni (C8903) $462.13 $1,650.44 3.0×
Mri w/o fol w/cont, breast, (C8908) $1,199.02 $4,282.19 4.0×
Mri w/o fol w/cont, brst, un (C8905) $558.35 $1,994.08 1.8×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $332.03 $1,185.80 0.4×
Obtaining screen pap smear (Q0091) $53.54 $191.18 2.1×
Oth resp proc, group (G0239) $56.98 $203.50 1.8×
Oth resp proc, indiv (G0238) $39.64 $141.57 1.6×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,010.24 $10,750.85 0.5×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,316.38 $8,272.77 0.4×
Pinworm examinations (Q0113) $12.88 $45.98 3.0×
Place device/marker, non pro (C9728) $1,111.95 $3,971.22 0.9×
Potassium hydroxide preps (Q0112) $15.59 $55.66 2.7×
Prolonged iv inf, req pump (C8957) $115.54 $412.61 0.6×
Prostate biopsy, any mthd (G0416) $701.82 $2,506.52 2.3×
Psa screening (G0103) $43.03 $153.67 2.2×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$7,058.56 $25,209.14 0.4×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$6,071.30 $21,683.20 0.4×
Revasc intravasc lithotripsy (C9764)
likely a partial charge, not the full procedure
$2,941.47 $10,505.22 0.3×
Revasc lithotrip-stent-ather (C9767) $9,601.26 $34,290.19 0.6×
Therapeutic procd strg endur (G0237) $39.64 $141.57 1.6×
Tomosynthesis, mammo (G0279) $27.11 $96.80 2.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,215.15 $18,625.53 1.1×
Transcatheter renal sympath denervation unilat (0338T) $3,521.83 $12,577.95 0.7×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$4,546.36 $16,236.99 0.5×
Trauma respons w/hosp criti (G0390) $2,212.20 $7,900.70 1.9×
Trluml Perip Athrc Renal Art (0234T)
unusually low: confirm this is the full procedure
$4,546.36 $16,236.99 0.5×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$4,546.36 $16,236.99 0.5×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$5,827.36 $20,812 0.4×
Tte w or wo fol wcon,doppler (C8929) $692.17 $2,472.03 1.0×
Unsched dialysis esrd pt hos (G0257) $400.12 $1,429.01 0.7×