Supplies, drugs & other prices at Franciscan Health Munster
Munster, IN · every code in this section with a posted price and a Medicare benchmark.
107 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) | $499.70 | $2,346 | 0.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $440.91 | $2,070 | 1.2× |
| Adm tocilizu covid-19 1st (M0249) | $164.86 | $774 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $164.86 | $774 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $9.16 | $43 | 0.2× |
| Admin influenza virus vac (G0008) | $6.39 | $30 | 0.1× |
| Admin pneumococcal vaccine (G0009) | $6.39 | $30 | 0.1× |
| Catheterize for urine spec (P9612) | $4.69 | $22 | 0.5× |
| Cbc/diffwbc w/o platelet (G0306) | $8.73 | $41 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$1,372.18–$1,642.90 | $6,442.15–$7,713.15 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,406.12–$1,646.18 | $6,601.50–$7,728.55 | varies |
| Diab manage trn per indiv (G0108) | $23.64 | $111 | 0.4× |
| Diab manage trn ind/group (G0109) | $26.63 | $125 | 1.7× |
| Direct refer hospital observ (G0379) | $226.63 | $1,064 | 0.4× |
| Ekg tracing for initial prev (G0404) | $97.13 | $456 | 3.2× |
| Elec stim other than wound (G0283) | $41.11 | $193 | 3.2× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $532.71 | $2,501 | 0.4× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $532.71 | $2,501 | 0.4× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$8,501.47 | $39,913 | 0.2× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $2,380.49 | $11,176 | 0.7× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,668.46 | $40,697 | 0.7× |
| Fecal blood scrn immunoassay (G0328) | $24.50 | $115 | 1.4× |
| Hbot, full body chamber, 30m (G0277) | $147.18 | $691 | 1.0× |
| Hep c screen high risk/other (G0472) | $50.27 | $236 | 1.1× |
| Home sleep test/type 2 porta (G0398) | $382.12 | $1,794 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,797.52 | $8,439.07 | 2.4× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$9,849.12 | $46,240 | 0.4× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $19,687.80 | $92,431 | 0.8× |
| Insertion/Replacement Complete Iims (0525T) unusually low: confirm this is the full procedure |
$8,844.61 | $41,524 | 0.4× |
| Insertion/Replacement Iims Electrode Only (0526T) | $6,641.13 | $31,179 | 0.8× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $6,641.13 | $31,179 | 0.8× |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$1,829.67 | $8,590 | 0.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) unusually low: confirm this is the full procedure |
$3,631.44 | $17,049 | 0.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure |
$3,631.44 | $17,049 | 0.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$14,068.22 | $66,048 | 0.4× |
| Insj Wcs Lv Eltrd Only (0516T) | $6,641.13 | $31,179 | 0.6× |
| Insj Wcs Lv Pg Compnt (0517T) | $6,641.13 | $31,179 | 0.6× |
| Interrog dev eval iims ip (0529T) | $32.59 | $153 | 0.8× |
| Interrog dev eval impl ccm-d system in person (0927T) | $16.40 | $77 | 0.4× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $14.91 | $70 | 0.5× |
| Mnt subs tx for change dx (G0270) | $44.30 | $208 | 1.4× |
| Mra w/cont, abd (C8900) | $1,175.76 | $5,520 | 3.2× |
| Mra w/cont, chest (C8909) | $1,175.76 | $5,520 | 3.2× |
| Mra w/cont, lwr ext (C8912) | $1,175.76 | $5,520 | 3.2× |
| Mra w/cont, pelvis (C8918) | $1,175.76 | $5,520 | 3.2× |
| Mra w/o cont, abd (C8901) | $1,028.79 | $4,830 | 4.1× |
| Mra w/o cont, chest (C8910) | $1,028.79 | $4,830 | 4.1× |
| Mra w/o cont, lwr ext (C8913) | $1,028.79 | $4,830 | 4.1× |
| Mra w/o cont, pelvis (C8919) | $1,028.79 | $4,830 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,322.52 | $6,209 | 3.6× |
| Mra w/o fol w/cont, chest (C8911) | $1,322.52 | $6,209 | 3.6× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$1,322.52–$2,645.03 | $6,209–$12,418 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $773.83 | $3,633 | 2.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $773.83 | $3,633 | 2.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $773.83 | $3,633 | 2.1× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $44.52 | $209 | 0.2× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $131.63 | $618 | 0.4× |
| Neuro csf prion prtn qual (0035U) | $278.18 | $1,306 | 0.5× |
| Oth resp proc, group (G0239) | $17.47 | $82 | 0.4× |
| Oth resp proc, indiv (G0238) | $21.09 | $99 | 0.7× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$9,696.83 | $45,525 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $8,815.01 | $41,385 | 0.7× |
| Perc d-e cor stent ather s (C9602) | $10,284.49 | $48,284 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $7,052.22 | $33,109 | 0.6× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) unusually low: confirm this is the full procedure |
$6,517.16 | $30,597 | 0.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,114.10 | $19,315 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,114.10 | $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 |
$2,225.42 | $10,448 | 0.2× |
| Prgrmg dev eval iims ip (0528T) | $32.59 | $153 | 0.8× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $32.59 | $153 | 0.8× |
| Programming device eval impl ccm-d sys in person (0926T) | $16.40 | $77 | 0.4× |
| Prolonged iv inf, req pump (C8957) | $234.94 | $1,103 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $287.98 | $1,352 | 0.8× |
| Psa screening (G0103) | $50.27 | $236 | 2.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $802.80 | $3,769 | 0.4× |
| Removal complete iims (0530T) | $2,792 | $13,108 | 0.7× |
| Removal iims electrode only (0531T) | $2,792 | $13,108 | 0.7× |
| Removal iims implt mntr only (0532T) | $2,792 | $13,108 | 0.7× |
| Removal perm ccm-d system pulse generator only (0919T) | $1,596.86 | $7,497 | 0.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $271.36 | $1,274 | 0.4× |
| Revasc intra lithotrip-ather (C9766) likely a partial charge, not the full procedure |
$5,558.66 | $26,097 | 0.3× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$5,558.66–$11,117.32 | $26,097–$52,194 | varies |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$2,779.22 | $13,048 | 0.2× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$8,182.40 | $38,415 | 0.4× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$8,182.40 | $38,415 | 0.4× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$8,182.40 | $38,415 | 0.4× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$5,117.54 | $24,026 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$8,942.38 | $41,983 | 0.5× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) likely a partial charge, not the full procedure |
$2,792 | $13,108 | 0.3× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $1,596.86 | $7,497 | 0.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $1,596.86 | $7,497 | 0.4× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $1,596.86 | $7,497 | 0.4× |
| Rmvl Pg Compnt Wcs (0518T) | $2,792 | $13,108 | 0.7× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$9,849.12 | $46,240 | 0.4× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $19,687.80 | $92,431 | 1.8× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $16,161.38 | $75,875 | 0.7× |
| Screen pap by tech w md supv (P3000) | $12.99 | $61 | 0.7× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $1,411.34 | $6,626 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) unusually low: confirm this is the full procedure |
$2,524.90 | $11,854 | 0.4× |
| Therapeutic procd strg endur (G0237) | $38.34 | $180 | 1.3× |
| Trluml perip athrc abd aorta (0236T) | $7,640.10 | $35,869 | 0.6× |
| Trluml Perip Athrc Brchiocph (0237T) | $7,640.10 | $35,869 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$9,696.83 | $45,525 | 0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $6,464.55 | $30,350 | 0.5× |
| Tte w or w/o contr, cont ecg (C8930) | $969.79 | $4,553 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $852.43 | $4,002 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $352.73 | $1,656 | 0.5× |
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.