Supplies, drugs & other prices at Havasu Regional Medical Center

Lake Havasu City, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $102.09 $170.15 2.8×
2d tee w or w/o fol w/con,in (C8925) $2,266.82 $3,778.03 2.6×
2d tte w or w/o fol w/con,fu (C8924) $1,127.46 $1,879.10 3.0×
Adm tocilizu covid-19 1st (M0249) $1,270.36 $2,117.26 2.6×
Adm tocilizu covid-19 2nd (M0250) $1,270.36 $2,117.26 2.6×
Admin hepatitis b vaccine (G0010) $84.42 $140.70 1.7×
Admin influenza virus vac (G0008) $136.01 $226.68 2.7×
Admin pneumococcal vaccine (G0009) $136.01 $226.68 2.7×
Ca screen;flexi sigmoidscope (G0104) $5,683.47 $9,472.45 5.6×
Catheterize for urine spec (P9612) $26.39 $43.99 2.8×
Colon ca scrn not hi rsk ind (G0121) $6,315.28 $10,525.47 6.2×
Colorectal scrn; hi risk ind (G0105) $6,315.28 $10,525.47 6.2×
Covid-19 lab test non-cdc (U0002) $76.54 $127.57 1.5×
Direct refer hospital observ (G0379) $768.30 $1,280.50 1.2×
Drug test def 1-7 classes (G0480) $113.61 $189.35 1.0×
Drug test def 15-21 classes (G0482) $451.54 $752.57 2.3×
Drug test def 8-14 classes (G0481) $355.78 $592.96 2.3×
Ekg tracing for initial prev (G0404) $574.46 $957.43 18.2×
Elec stim other than wound (G0283) $181.72 $302.86 14.3×
Elisa hiv-1/hiv-2 screen (G0433) $111.65 $186.08 6.1×
Extrnl counterpulse, per tx (G0166) $469.91 $783.18 3.2×
Hbot, full body chamber, 30m (G0277) $972.29 $1,620.49 6.5×
Home sleep test/type 3 porta (G0399) $455.14 $758.57 1.9×
Hospital outpt clinic visit (G0463) $322.44 $537.40 2.2×
Inj for sacroiliac jt anesth (G0260) $1,242.34 $2,070.56 1.6×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $43,009.14 $71,681.90 1.3×
Mra w/cont, abd (C8900) $4,508.30 $7,513.83 11.8×
Mra w/cont, chest (C8909) $4,829.02 $8,048.36 12.7×
Mra w/cont, lwr ext (C8912) $1,770.02 $2,950.02 4.6×
Mra w/o cont, abd (C8901) $1,338.68 $2,231.14 5.1×
Mra w/o cont, chest (C8910) $1,338.68 $2,231.14 5.1×
Mra w/o cont, lwr ext (C8913) $1,385.54 $2,309.23 5.3×
Mra w/o fol w/cont, abd (C8902) $5,256.29 $8,760.49 13.8×
Mra w/o fol w/cont, chest (C8911) $6,136.24 $10,227.06 16.1×
Mra w/o fol w/cont, lwr ext (C8914) $3,123.94 $5,206.57 8.2×
Mri w/cont, breast, bi (C8906) $1,523.77 $2,539.61 4.0×
Mri w/cont, breast, uni (C8903) $1,577.10 $2,628.50 8.2×
Mri w/o fol w/cont, breast, (C8908) $1,552.65 $2,587.75 4.1×
Mri w/o fol w/cont, brst, un (C8905) $1,421.90 $2,369.84 3.7×
Oth resp proc, group (G0239) $182.69 $304.48 4.5×
Oth resp proc, indiv (G0238) $130.93 $218.21 4.1×
Perc d-e cor revasc chro sin (C9607) $46,250.91 $77,084.85 2.3×
Perc d-e cor revasc t cabg s (C9604) $32,842.51 $54,737.51 2.6×
Perc d-e cor stent ather s (C9602) $28,506.08 $47,510.14 1.4×
Perc drug-el cor stent sing (C9600) $37,295.51 $62,159.19 3.0×
Psa screening (G0103) $130.93 $218.21 6.8×
Revasc intra lithotrip-stent (C9765) $60,127.64 $100,212.73 3.0×
Revasc intravasc lithotripsy (C9764) $25,737.54 $42,895.91 2.0×
Therapeutic procd strg endur (G0237) $130.93 $218.21 4.1×
Tomosynthesis, mammo (G0279) $197.06 $328.43 15.5×
Transcatheter Renal Sympath Denervation Bilat (0339T)
unusually low: confirm this is the full procedure
$1,879.29 $3,132.15 0.3×
Transcatheter renal sympath denervation unilat (0338T)
unusually low: confirm this is the full procedure
$1,879.29 $3,132.15 0.3×
Trauma respons w/hosp criti (G0390) $13,427.44 $22,379.06 9.2×
Trim nail(s) (G0127) $535.30 $892.17 8.3×
Tte w or w/o contr, cont ecg (C8930) $2,266.82 $3,778.03 2.6×
Unsched dialysis esrd pt hos (G0257) $1,415.61 $2,359.35 1.9×