Supplies, drugs & other prices at Franciscan Health Mooresville
Mooresville, IN · every code in this section with a posted price and a Medicare benchmark.
120 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) | $1,367.03 | $5,382 | 1.6× |
| 2d tte w or w/o fol w/con,co (C8923) | $770.64 | $3,034 | 0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $876.55 | $3,451 | 2.4× |
| Adm tocilizu covid-19 1st (M0249) | $196.60 | $774 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $196.60 | $774 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $40.64 | $160 | 0.8× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$29.72–$40.64 | $117–$160 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$47.50–$51.31 | $187–$202 | varies |
| Behavior counsel obesity 15m (G0447) | $48.51 | $191 | 0.5× |
| Catheterize for urine spec (P9612) | $67.06 | $264 | 7.2× |
| Depression screen annual (G0444) | $26.42 | $104 | 0.7× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$27.43–$48.51 | $108–$191 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$12.19–$15.49 | $48–$61 | varies |
| Direct refer hospital observ (G0379) | $201.68 | $794 | 0.3× |
| Elec stim other than wound (G0283) | $47.24 | $186 | 3.7× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $975.11 | $3,839 | 0.8× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $975.11 | $3,839 | 0.8× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,004.57 | $3,955 | 0.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$12,959.08 | $51,020 | 0.3× |
| Fecal blood scrn immunoassay (G0328) | $20.83 | $82 | 1.2× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$8.89–$15.49 | $35–$61 | varies |
| Hbot, full body chamber, 30m (G0277) | $166.88 | $657 | 1.1× |
| Hep c screen high risk/other (G0472) | $92.71 | $365 | 2.0× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $5,315.20 | $20,926 | 0.6× |
| Insertion perm ccm-d system pulse generator only (0916T) | $18,028.16 | $70,977 | 0.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $23,477.47 | $92,431 | 1.0× |
| Insertion/Replacement Complete Iims (0525T) | $10,547.10 | $41,524 | 0.5× |
| Insertion/Replacement Iims Electrode Only (0526T) | $7,919.47 | $31,179 | 0.9× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $7,919.47 | $31,179 | 0.9× |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$2,181.86 | $8,590 | 0.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $6,647.18 | $26,170 | 0.8× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $6,647.18 | $26,170 | 0.8× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $25,751.28 | $101,383 | 0.8× |
| Insj Wcs Lv Eltrd Only (0516T) | $7,919.47 | $31,179 | 0.7× |
| Insj Wcs Lv Pg Compnt (0517T) | $7,919.47 | $31,179 | 0.7× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $21,050.76 | $82,877 | 0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $20,160.49 | $79,372 | 0.6× |
| Interrog dev eval iims ip (0529T) | $38.86 | $153 | 1.0× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $17.78 | $70 | 0.6× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$18.80–$29.72 | $74–$117 | varies |
| Mra w/cont, abd (C8900) | $892.30 | $3,513 | 2.4× |
| Mra w/cont, chest (C8909) | $892.30 | $3,513 | 2.4× |
| Mra w/cont, lwr ext (C8912) | $892.30 | $3,513 | 2.4× |
| Mra w/cont, pelvis (C8918) | $892.30 | $3,513 | 2.4× |
| Mra w/o cont, abd (C8901) | $833.37 | $3,281 | 3.3× |
| Mra w/o cont, chest (C8910) | $833.37 | $3,281 | 3.3× |
| Mra w/o cont, lwr ext (C8913) | $833.37 | $3,281 | 3.3× |
| Mra w/o cont, pelvis (C8919) | $833.37 | $3,281 | 3.3× |
| Mra w/o fol w/cont, abd (C8902) | $951.99 | $3,748 | 2.6× |
| Mra w/o fol w/cont, chest (C8911) | $951.99 | $3,748 | 2.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $951.99 | $3,748 | 2.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $951.99 | $3,748 | 2.6× |
| Mra, w/dye, spinal canal (C8931) | $386.84 | $1,523 | 1.0× |
| Mra, w/dye, upper extremity (C8934) | $892.30 | $3,513 | 2.4× |
| Mra, w/o dye, spinal canal (C8932) | $297.69 | $1,172 | 1.2× |
| Mra, w/o dye, upper extr (C8935) | $833.37 | $3,281 | 3.3× |
| Mra, w/o&w/dye, spinal canal (C8933) | $476 | $1,874 | 1.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $951.99 | $3,748 | 2.6× |
| Neuro csf prion prtn qual (0035U) | $414.78 | $1,633 | 0.8× |
| Opps service,sched team conf (G0175) | $555.50 | $2,187 | 1.3× |
| Oth resp proc, group (G0239) | $33.27 | $131 | 0.8× |
| Oth resp proc, indiv (G0238) | $33.27 | $131 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,708.90 | $30,350 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $6,307.33 | $24,832 | 0.5× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$9,460.99 | $37,248 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $11,563.35 | $45,525 | 0.9× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) likely a partial charge, not the full procedure |
$1,123.70 | $4,424 | 0.1× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,504.95 | $13,799 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$3,504.95 | $13,799 | 0.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,579.37 | $18,029 | 0.4× |
| Place device/marker, non pro (C9728) | $1,281.68 | $5,046 | 0.9× |
| Pne flu hepb cov home admin (M0201) | $10.16 | $40 | 0.3× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $666.50 | $2,624 | 0.7× |
| Prgrmg dev eval iims ip (0528T) | $38.86 | $153 | 1.0× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $38.86 | $153 | 1.0× |
| Prolonged iv inf, req pump (C8957) | $814.58 | $3,207 | 3.6× |
| Prostate biopsy, any mthd (G0416) | $302.26 | $1,190 | 0.8× |
| Psa screening (G0103) | $81.03 | $319 | 4.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $426.21 | $1,678 | 0.6× |
| Relocation pg wcs lv pacg battery component only (0862T) | $1,087.63 | $4,282 | 0.5× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $1,087.63 | $4,282 | 0.5× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,469.14 | $5,784 | 0.7× |
| Removal complete iims (0530T) | $3,329.43 | $13,108 | 0.8× |
| Removal iims electrode only (0531T) | $3,329.43 | $13,108 | 0.8× |
| Removal iims implt mntr only (0532T) | $3,329.43 | $13,108 | 0.8× |
| Removal perm ccm-d system pulse generator only (0919T) | $2,923.03 | $11,508 | 0.7× |
| Removal pg wcs lv pacing both components (0861T) | $1,087.63 | $4,282 | 0.3× |
| Removal Ss Dfb Electrode (0573T) | $3,083.05 | $12,138 | 0.8× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,083.05 | $12,138 | 0.8× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $496.82 | $1,956 | 0.7× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$9,110.73 | $35,869 | 0.5× |
| Revasc intra lithotrip-stent (C9765) | $11,563.35 | $45,525 | 0.6× |
| Revasc intravasc lithotripsy (C9764) | $9,110.73 | $35,869 | 0.7× |
| Revasc lith-sten-ath tib/per (C9775) | $22,776.43 | $89,671 | 1.2× |
| Revasc lithotr-ather tib/per (C9774) | $10,161.52 | $40,006 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $10,161.52 | $40,006 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $9,110.73 | $35,869 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $19,973.29 | $78,635 | 1.0× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) unusually low: confirm this is the full procedure |
$3,329.43 | $13,108 | 0.3× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $2,923.03 | $11,508 | 0.7× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $2,923.03 | $11,508 | 0.7× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $2,923.03 | $11,508 | 0.7× |
| Rmvl Pg Compnt Wcs (0518T) | $3,329.43 | $13,108 | 0.8× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,083.05 | $12,138 | 0.8× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $18,028.16 | $70,977 | 0.8× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $23,477.47 | $92,431 | 2.1× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $17,282.41 | $68,041 | 0.7× |
| Screen pap by tech w md supv (P3000) | $15.49 | $61 | 0.8× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $2,583.43 | $10,171 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $6,653.02 | $26,193 | 1.1× |
| Therapeutic procd strg endur (G0237) | $43.43 | $171 | 1.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $6,029.71 | $23,739 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,295.91–$2,962.15 | $5,102–$11,662 | varies |
| Trluml perip athrc abd aorta (0236T) | $7,007.86 | $27,590 | 0.6× |
| Trluml Perip Athrc Brchiocph (0237T) | $7,007.86 | $27,590 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$9,110.73 | $35,869 | 0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $7,007.86 | $27,590 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) | $1,962.40 | $7,726 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,261.36 | $4,966 | 1.5× |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$315.98–$700.02 | $1,244–$2,756 | 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.