Supplies, drugs & other prices at Franciscan Health Crown Point

Crown Point, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $605.27 $2,346 0.7×
2d tte w or w/o fol w/con,fu (C8924) $462.85 $1,794 1.3×
Adm tocilizu covid-19 1st (M0249) $199.69 $774 0.4×
Adm tocilizu covid-19 2nd (M0250) $199.69 $774 0.4×
Admin hepatitis b vaccine (G0010) $11.09 $43 0.2×
Admin influenza virus vac (G0008) $7.48 $29 0.2×
Admin pneumococcal vaccine (G0009) $7.48 $29 0.2×
Ca screen;pelvic/breast exam (G0101) $28.64 $111 0.3×
Catheterize for urine spec (P9612) $3.87 $15 0.4×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$1,771.21–$1,785.40 $6,865.15–$6,920.15 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$1,771.21–$1,791.28 $6,865.15–$6,942.95 varies
Demonstrate use home inr mon (G0248) $76.11 $295 0.5×
Diab manage trn per indiv (G0108) $57.28 $222 1.0×
Diab manage trn ind/group (G0109) $21.16 $82 1.3×
Direct refer hospital observ (G0379) $391.64 $1,518 0.6×
Elec stim other than wound (G0283) $36.89 $143 2.9×
Elec stim unattend for press (G0281) $93.14 $361 8.0×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $645.26 $2,501 0.5×
Electrophysiologic eval ccm-d leads separate (0931T) $645.26 $2,501 0.5×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $665.12 $2,578 0.5×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$10,297.55 $39,913 0.2×
Fecal blood scrn immunoassay (G0328) $21.16 $82 1.2×
Hbot, full body chamber, 30m (G0277) $178.28 $691 1.2×
Hep c screen high risk/other (G0472) $60.89 $236 1.3×
Home sleep test/type 2 porta (G0398) $427.25 $1,656 1.9×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$2,221.70–$2,240.96 $8,611.25–$8,685.90 varies
Insertion of substernal implantable defibrillator electrode (0572T) $4,518.10 $17,512 0.5×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $7,134.47 $27,653 0.6×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $7,134.47 $27,653 0.6×
Insertion perm ccm-d system pulse generator only (0916T) $11,929.92 $46,240 0.5×
Insj ocular telescope prosth (0308T)
likely a partial charge, not the full procedure
$2,216.22 $8,590 0.1×
Insj perm ccm-d sys 1 transvns lead only (0917T) $4,398.64 $17,049 0.5×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $4,398.64 $17,049 0.5×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $17,040.38 $66,048 0.5×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $17,136.36 $66,420 0.5×
Instill pharm renal pelvis (C9789) $1,253.11 $4,857 1.0×
Interrog dev eval impl ccm-d system in person (0927T) $19.87 $77 0.5×
Ire Abltj 1+Tum Organ Perq (0600T)
unusually low: confirm this is the full procedure
$5,496.69 $21,305 0.5×
Mnt subs tx for change dx (G0270) $25.54 $99 0.8×
Mra w/cont, abd (C8900) $1,424.16 $5,520 3.9×
Mra w/cont, chest (C8909) $1,424.16 $5,520 3.9×
Mra w/cont, lwr ext (C8912) $1,424.16 $5,520 3.9×
Mra w/cont, pelvis (C8918) $1,424.16 $5,520 3.9×
Mra w/o cont, abd (C8901) $1,246.14 $4,830 4.9×
Mra w/o cont, chest (C8910) $1,424.16 $5,520 5.6×
Mra w/o cont, lwr ext (C8913) $1,246.14 $4,830 4.9×
Mra w/o cont, pelvis (C8919) $1,246.14 $4,830 4.9×
Mra w/o fol w/cont, abd (C8902) $1,601.92 $6,209 4.3×
Mra w/o fol w/cont, chest (C8911) $1,601.92 $6,209 4.3×
Mra w/o fol w/cont, lwr ext (C8914) $1,601.92 $6,209 4.3×
Mra w/o fol w/cont, pelvis (C8920) $1,601.92 $6,209 4.3×
Mra, w/dye, spinal canal (C8931) $1,424.16 $5,520 3.9×
Mra, w/dye, upper extremity (C8934) $1,246.14 $4,830 3.4×
Mra, w/o dye, spinal canal (C8932) $1,246.14 $4,830 4.9×
Mra, w/o dye, upper extr (C8935) $1,246.14 $4,830 4.9×
Mra, w/o&w/dye, spinal canal (C8933) $1,601.92 $6,209 4.3×
Mra, w/o&w/dye, upper extr (C8936) $1,601.92 $6,209 4.3×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $159.44 $618 0.5×
Neuro csf prion prtn qual (0035U) $336.95 $1,306 0.6×
Oth resp proc, group (G0239) $49.79 $193 1.3×
Oth resp proc, indiv (G0238) $28.64 $111 0.9×
Perc d-e cor revasc chro sin (C9607) $11,745.45 $45,525 0.6×
Perc d-e cor revasc t cabg s (C9604) $8,186.34 $31,730 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$9,254.20 $35,869 0.5×
Perc drug-el cor stent sing (C9600) $8,542.12 $33,109 0.7×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $7,894.03 $30,597 0.6×
Perq Sacral Augmt Bilat Inj (0201T) $5,338.79 $20,693 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $5,338.79 $20,693 0.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure
$2,695.58 $10,448 0.2×
Place device/marker, non pro (C9728) $712.08 $2,760 0.5×
Pre 3d mdl w/ccta and/or mri (C9793) $566.57 $2,196 0.6×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $19.87 $77 0.5×
Programming device eval impl ccm-d sys in person (0926T) $19.87 $77 0.5×
Prolonged iv inf, req pump (C8957) $178.28 $691 0.8×
Prostate biopsy, any mthd (G0416) $164.09 $636 0.4×
Provide inr test mater/equip (G0249) $76.11 $295 0.5×
Psa screening (G0103) $89.01 $345 4.6×
Relocation pg wcs lv pacg battery component only (0862T) $955.37 $3,703 0.4×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $955.37 $3,703 0.4×
Relocation skin pocket implanted ccm-d pg (0925T) $972.40 $3,769 0.4×
Removal perm ccm-d system pulse generator only (0919T) $1,934.23 $7,497 0.5×
Removal pg wcs lv pacing both components (0861T) $2,056.78 $7,972 0.5×
Removal Ss Dfb Electrode (0573T) $2,040.26 $7,908 0.5×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,040.26 $7,908 0.5×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $328.69 $1,274 0.5×
Revasc intra lithotrip-ather (C9766) $9,911.07 $38,415 0.5×
Revasc intra lithotrip-stent (C9765) $9,911.07 $38,415 0.5×
Revasc intravasc lithotripsy (C9764)
range across 2 matching MRF lines
$6,198.97–$12,397.93 $24,027–$48,054 varies
Revasc lithotrip tibi/perone (C9772) $6,198.97 $24,027 0.5×
Revasc lithotrip-stent-ather (C9767) $10,831.61 $41,983 0.6×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $1,782.01 $6,907 0.5×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $1,782.01 $6,907 0.5×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $1,934.23 $7,497 0.5×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $1,934.23 $7,497 0.5×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $1,934.23 $7,497 0.5×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,040.26 $7,908 0.5×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $11,929.92 $46,240 0.5×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $19,575.75 $75,875 0.8×
Screen pap by tech w md supv (P3000) $15.74 $61 0.8×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $1,709.51 $6,626 0.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $10,205.71 $39,557 0.5×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $1,669.52 $6,471 0.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $10,205.71 $39,557 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,058.33 $11,854 0.5×
Therapeutic procd strg endur (G0237) $57.28 $222 1.9×
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$1,246.14–$2,847.29 $4,830–$11,036 varies
Trluml perip athrc abd aorta (0236T) $6,406.66 $24,832 0.5×
Trluml Perip Athrc Brchiocph (0237T) $6,406.66 $24,832 0.5×
Trluml Perip Athrc Iliac Art (0238T) $11,745.45 $45,525 0.6×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $7,830.30 $30,350 0.6×
Tte w or w/o contr, cont ecg (C8930) $712.08 $2,760 0.9×
Tte w or w/o fol w/con,stres (C8928) $676.22 $2,621 0.8×
Tte w or wo fol wcon,doppler (C8929) $925.19 $3,586 1.1×
Unsched dialysis esrd pt hos (G0257)
range across 3 matching MRF lines
$676.22–$691.44 $2,621–$2,680 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.