Supplies, drugs & other prices at Hartford Hospital

Hartford, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $58.85 $58.85 1.0×
Admin influenza virus vac (G0008) $58.85 $58.85 1.0×
Admin pneumococcal vaccine (G0009) $58.85 $58.85 1.0×
Brief chkin by md/qhp, 11-20 (G2252) $95 $95 3.3×
Ca screen;flexi sigmoidscope (G0104) $2,620 $2,620 2.4×
Ca screen;pelvic/breast exam (G0101) $153 $153 1.3×
Catheterize for urine spec (P9612) $64.99 $64.99 7.0×
Chemo extend iv infus w/pump (G0498) $524 $524 1.3×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $4,744.59 $4,744.59 1.7×
Colon ca scrn not hi rsk ind (G0121) $3,686 $3,686 3.3×
Colorectal scrn; hi risk ind (G0105) $3,686 $3,686 3.3×
Depression screen annual (G0444) $35 $35 0.8×
Diab manage trn per indiv (G0108) $164 $164 2.9×
Diab manage trn ind/group (G0109) $119 $119 7.4×
Direct refer hospital observ (G0379) $784 $784 1.1×
Elec stim other than wound (G0283) $76.68 $76.68 6.0×
Esd endoscopy or colonoscopy (C9779) $3,642 $3,642 0.8×
Hbot, full body chamber, 30m (G0277) $735 $735 4.5×
Hospital outpt clinic visit (G0463) $347.50 $347.50 2.2×
Impltj ant sgm io nbiodegradable rx eluting sys (0660T) $8,066 $8,066 1.6×
Initial preventive exam (G0402) $482.50 $482.50 3.0×
Inj for sacroiliac jt anesth (G0260) $2,724 $2,724 3.2×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $5,838.50 $5,838.50 0.9×
Insertion of substernal implantable defibrillator electrode (0572T) $17,419 $17,419 1.8×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $4,607.76 $4,607.76 0.7×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $54,679 $54,679 1.5×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $68,450 $68,450 1.8×
Instlj fecal microbiota ssp (0780T) $1,985 $1,985 12.4×
Mnt subs tx for change dx (G0270) $57 $57 1.8×
Obtaining screen pap smear (Q0091) $25 $25 0.7×
Oth resp proc, group (G0239) $128 $128 2.9×
Oth resp proc, indiv (G0238) $84 $84 2.4×
Pelvic ring fx treat int fix (G0414) $5,288 $5,288 0.6×
Pemivibart infusion (M0224) $938 $938 1.8×
Perq Sacral Augmt Bilat Inj (0201T) $9,944.51 $9,944.51 1.1×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$5,706.52 $5,706.52 0.4×
Place device/marker, non pro (C9728) $2,451 $2,451 1.5×
Ppps, initial visit (G0438) $280 $280 1.6×
Ppps, subseq visit (G0439) $188 $188 1.4×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $69 $69 1.5×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $89 $89 2.0×
Prostate biopsy, any mthd (G0416) $982 $982 2.3×
Revasc intra lithotrip-ather (C9766) $22,467 $22,467 1.0×
Revasc intra lithotrip-stent (C9765) $22,467 $22,467 1.0×
Revasc lithotrip-stent-ather (C9767) $35,936 $35,936 1.6×
Rmvl substernal implantable defibrillator eltrd (0573T) $7,151 $7,151 1.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $35,613 $35,613 1.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $9,864.36 $9,864.36 1.4×
Trauma respons w/hosp criti (G0390) $4,906 $4,906 3.1×
Visit esketamine 56m or less (G2082) $189 $189 0.2×
Visit esketamine, > 56m (G2083) $189 $189 0.1×