Supplies, drugs & other prices at Hannibal Regional Hospital
Hannibal, MO · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $165 | $275 | 4.6× |
| Admin influenza virus vac (G0008) | $84.60 | $141 | 1.8× |
| Admin pneumococcal vaccine (G0009) | $84.60 | $141 | 1.8× |
| Behavior counsel obesity 15m (G0447) | $90 | $150 | 0.9× |
| Chemo extend iv infus w/pump (G0498) | $729 | $1,215 | 2.2× |
| Diab manage trn per indiv (G0108) | $86.40 | $144 | 1.5× |
| Diab manage trn ind/group (G0109) | $24 | $40 | 1.5× |
| Direct refer hospital observ (G0379) | $809.40 | $1,349 | 1.4× |
| Elec stim unattend for press (G0281) | $39 | $65 | 3.3× |
| Group mnt 2 or more 30 mins (G0271) | $42.60 | $71 | 2.5× |
| Hbot, full body chamber, 30m (G0277) | $451.80 | $753 | 3.3× |
| Mnt subs tx for change dx (G0270) | $30 | $50 | 0.9× |
| Mri w/cont, breast, bi (C8906) | $3,107.40 | $5,179 | 8.9× |
| No pt prsnt train initial 30 (G0541) | $63 | $105 | 2.2× |
| Oth resp proc, group (G0239) | $114.60 | $191 | 3.1× |
| Oth resp proc, indiv (G0238) | $26.40 | $44 | 0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) | $13,584 | $22,640 | 1.9× |
| Pet not otherwise specified (G0235) | $5,835.60 | $9,726 | 14.6× |
| Prolonged iv inf, req pump (C8957) | $800.40 | $1,334 | 3.8× |
| Psa screening (G0103) | $52.80 | $88 | 2.7× |
| Revasc intra lithotrip-ather (C9766) | $31,081.80 | $51,803 | 1.7× |
| Revasc intra lithotrip-stent (C9765) | $29,740.80 | $49,568 | 1.6× |
| Revasc intravasc lithotripsy (C9764) | $17,604 | $29,340 | 1.5× |
| Revasc lith-sten-ath tib/per (C9775) | $31,100.40 | $51,834 | 1.7× |
| Revasc lithotr-ather tib/per (C9774) | $35,380.80 | $58,968 | 1.9× |
| Revasc lithotr-stent tib/per (C9773) | $32,886 | $54,810 | 1.8× |
| Revasc lithotrip tibi/perone (C9772) | $22,161 | $36,935 | 1.9× |
| Revasc lithotrip-stent-ather (C9767) | $37,533.60 | $62,556 | 2.0× |
| Tomosynthesis, mammo (G0279) | $61.20 | $102 | 4.8× |
| Trim nail(s) (G0127) | $76.20 | $127 | 1.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $27,028.80 | $45,048 | 1.5× |
| Ven blood coll snf/hha (G0471) | $12 | $20 | 1.1× |