Supplies, drugs & other prices at HCA Florida Memorial Hospital

Jacksonville, FL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $831 $831 1.8×
Adm tocilizu covid-19 2nd (M0250) $831 $831 1.8×
Admin influenza virus vac (G0008) $201 $201 4.1×
Admin pneumococcal vaccine (G0009) $322 $322 6.6×
Catheterize for urine spec (P9612) $171 $171 18.3×
Covid-19 lab test non-cdc (U0002) $83 $83 1.6×
Direct refer hospital observ (G0379) $1,629 $1,629 2.6×
Drug test def 1-7 classes (G0480) $847 $847 7.4×
Lev 1 hosp type b ed visit (G0380) $1,554 $1,554 20.0×
Lev 2 hosp type b ed visit (G0381) $2,790 $2,790 28.8×
Lev 3 hosp type b ed visit (G0382) $5,928 $5,928 33.0×
Lev 4 hosp type b ed visit (G0383) $8,267 $8,267 30.0×
Lev 5 hosp type b ed visit (G0384) $14,639 $14,639 34.1×
Mra w/cont, abd (C8900) $12,277 $12,277 33.7×
Mra w/cont, chest (C8909) $12,305 $12,305 33.8×
Mra w/cont, lwr ext (C8912) $10,479 $10,479 28.8×
Mra w/o cont, abd (C8901) $10,998 $10,998 44.1×
Mra w/o cont, chest (C8910) $9,392 $9,392 37.7×
Mra w/o cont, lwr ext (C8913) $11,024 $11,024 44.2×
Mra w/o fol w/cont, abd (C8902) $10,183 $10,183 28.0×
Mra w/o fol w/cont, chest (C8911) $11,024 $11,024 30.3×
Mra w/o fol w/cont, lwr ext (C8914) $11,024 $11,024 30.3×
Mra w/o fol w/cont, pelvis (C8920) $10,998 $10,998 30.2×
Mra, w/o&w/dye, upper extr (C8936) $10,998 $10,998 30.2×
Mri w/cont, breast, bi (C8906) $12,396 $12,396 34.0×
Mri w/cont, breast, uni (C8903) $10,372 $10,372 56.6×
Mri w/o fol w/cont, breast, (C8908) $10,557 $10,557 29.0×
Mri w/o fol w/cont, brst, un (C8905) $10,372 $10,372 28.5×
Oth resp proc, group (G0239) $375 $375 9.6×
Oth resp proc, indiv (G0238) $375 $375 12.4×
Place device/marker, non pro (C9728) $11,359 $11,359 7.9×
Psa screening (G0103) $535 $535 27.7×
Therapeutic procd strg endur (G0237) $375 $375 12.4×
Tomosynthesis, mammo (G0279) $457 $457 36.0×
Trauma respons w/hosp criti (G0390) $27,500 $27,500 19.8×
Unsched dialysis esrd pt hos (G0257) $1,948 $1,948 2.7×