Supplies, drugs & other prices at Franciscan Health Michigan City
Michigan City, IN · every code in this section with a posted price and a Medicare benchmark.
117 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $803.71 | $3,864 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $401.86 | $1,932 | 1.1× |
| Adm tocilizu covid-19 1st (M0249) | $160.99 | $774 | 0.3× |
| Adm tocilizu covid-19 2nd (M0250) | $160.99 | $774 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $8.94 | $43 | 0.2× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$6.03–$24.34 | $29–$117 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$6.03–$42.02 | $29–$202 | varies |
| Behavior counsel obesity 15m (G0447) | $39.73 | $191 | 0.4× |
| Catheterize for urine spec (P9612) | $4.58 | $22 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$1,283.72–$1,430.39 | $6,171.72–$6,876.87 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,427.45–$1,428.49 | $6,862.72–$6,867.73 | varies |
| Demonstrate use home inr mon (G0248) | $61.36 | $295 | 0.4× |
| Depression screen annual (G0444) | $21.63 | $104 | 0.5× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$37.44–$39.73 | $180–$191 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$12.69–$17.06 | $61–$82 | varies |
| Direct refer hospital observ (G0379) | $132.29 | $636 | 0.2× |
| Ekg tracing for initial prev (G0404) | $92.35 | $444 | 3.0× |
| Elec stim other than wound (G0283) | $41.39 | $199 | 3.3× |
| Elec stim unattend for press (G0281) | $75.09 | $361 | 6.4× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $520.21 | $2,501 | 0.4× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $520.21 | $2,501 | 0.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$8,301.90 | $39,913 | 0.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,464.98 | $40,697 | 0.7× |
| Fecal blood scrn immunoassay (G0328) | $17.06 | $82 | 0.9× |
| Group mnt 2 or more 30 mins (G0271) | $12.69 | $61 | 0.7× |
| Hbot, full body chamber, 30m (G0277) | $143.73 | $691 | 1.0× |
| Hep c screen high risk/other (G0472) | $49.09 | $236 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $1,555.38 | $7,477.78 | 2.1× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$9,617.92 | $46,240 | 0.4× |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$1,786.72 | $8,590 | 0.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) unusually low: confirm this is the full procedure |
$3,546.19 | $17,049 | 0.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure |
$3,546.19 | $17,049 | 0.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$13,737.98 | $66,048 | 0.4× |
| Interrog dev eval impl ccm-d system in person (0927T) | $16.02 | $77 | 0.4× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$15.39–$23.09 | $74–$111 | varies |
| Mra w/cont, abd (C8900) | $1,148.16 | $5,520 | 3.1× |
| Mra w/cont, chest (C8909) | $1,004.64 | $4,830 | 2.7× |
| Mra w/cont, lwr ext (C8912) | $1,148.16 | $5,520 | 3.1× |
| Mra w/cont, pelvis (C8918) | $1,148.16 | $5,520 | 3.1× |
| Mra w/o cont, abd (C8901) | $1,004.64 | $4,830 | 4.0× |
| Mra w/o cont, chest (C8910) | $1,004.64 | $4,830 | 4.0× |
| Mra w/o cont, lwr ext (C8913) | $1,004.64 | $4,830 | 4.0× |
| Mra w/o cont, pelvis (C8919) | $1,004.64 | $4,830 | 4.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,291.47 | $6,209 | 3.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,291.47 | $6,209 | 3.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,004.64 | $4,830 | 2.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,291.47 | $6,209 | 3.5× |
| Mra, w/dye, upper extremity (C8934) | $1,148.16 | $5,520 | 3.1× |
| Mra, w/o dye, upper extr (C8935) | $1,004.64 | $4,830 | 4.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $755.66 | $3,633 | 2.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,291.47 | $6,209 | 3.5× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $128.54 | $618 | 0.4× |
| Neuro csf prion prtn qual (0035U) | $271.65 | $1,306 | 0.5× |
| Oth resp proc, group (G0239) | $57.62 | $277 | 1.5× |
| Oth resp proc, indiv (G0238) | $37.44 | $180 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $10,330.32 | $49,665 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $9,469.20 | $45,525 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $10,330.32 | $49,665 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $8,321.25 | $40,006 | 0.7× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) unusually low: confirm this is the full procedure |
$6,364.18 | $30,597 | 0.5× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) unusually low: confirm this is the full procedure |
$6,364.18 | $30,597 | 0.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,017.52 | $19,315 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,017.52 | $19,315 | 0.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$2,173.18 | $10,448 | 0.2× |
| Perq Tcat Thrm Abltj Nerves Innervating P-Art (0793T) unusually low: confirm this is the full procedure |
$7,396.69 | $35,561 | 0.4× |
| Pne flu hepb cov home admin (M0201) | $8.32 | $40 | 0.2× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $159.33 | $766 | 4.0× |
| Programming device eval impl ccm-d sys in person (0926T) | $16.02 | $77 | 0.4× |
| Prolonged iv inf, req pump (C8957) | $132.29 | $636 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $192.40 | $925 | 0.5× |
| Provide inr test mater/equip (G0249) | $61.36 | $295 | 0.4× |
| Psa screening (G0103) | $63.65 | $306 | 3.3× |
| Pulm tiss vntj alys prev CT (0807T) | $132.50 | $637 | 0.6× |
| Pulm tiss vntj alys w/CT (0808T) | $132.50 | $637 | 0.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $783.95 | $3,769 | 0.4× |
| Removal perm ccm-d system pulse generator only (0919T) | $1,559.38 | $7,497 | 0.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $264.99 | $1,274 | 0.4× |
| Revasc intra lithotrip-ather (C9766) likely a partial charge, not the full procedure |
$5,428.18 | $26,097 | 0.3× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$5,428.18–$10,856.35 | $26,097–$52,194 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$2,713.98–$5,427.97 | $13,048–$26,096 | varies |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$8,299.41 | $39,901 | 0.4× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$8,299.41 | $39,901 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$8,299.41 | $39,901 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$5,188.77 | $24,946 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$8,732.46 | $41,983 | 0.5× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) likely a partial charge, not the full procedure |
$2,726.46 | $13,108 | 0.2× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $1,559.38 | $7,497 | 0.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $1,559.38 | $7,497 | 0.4× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $1,559.38 | $7,497 | 0.4× |
| Rmvl Pg Compnt Wcs (0518T) | $2,726.46 | $13,108 | 0.7× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$9,617.92 | $46,240 | 0.4× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $19,225.65 | $92,431 | 1.7× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $17,790.86 | $85,533 | 0.8× |
| Screen pap by tech w md supv (P3000) | $12.69 | $61 | 0.7× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $1,378.21 | $6,626 | 0.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$8,227.86 | $39,557 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,345.97 | $6,471 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,388.61 | $6,676 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $1,388.61 | $6,676 | 0.4× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $1,388.61 | $6,676 | 0.4× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$8,227.86 | $39,557 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$8,219.12 | $39,515 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,411.14 | $11,592 | 0.4× |
| Therapeutic procd strg endur (G0237) | $60.32 | $290 | 2.0× |
| Trluml perip athrc abd aorta (0236T) likely a partial charge, not the full procedure |
$3,443.65 | $16,556 | 0.3× |
| Trluml Perip Athrc Brchiocph (0237T) likely a partial charge, not the full procedure |
$3,443.65 | $16,556 | 0.3× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$9,469.20 | $45,525 | 0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $6,312.80 | $30,350 | 0.5× |
| Tte w or w/o contr, cont ecg (C8930) | $602.78 | $2,898 | 0.7× |
| Tte w or w/o fol w/con,stres (C8928) | $631.07 | $3,034 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $860.91 | $4,139 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$344.45–$574.08 | $1,656–$2,760 | 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.