Supplies, drugs & other prices at HCA Florida West Hospital
Pensacola, 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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $8,719.40 | $8,719.40 | 10.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $16,247.95 | $16,247.95 | 19.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $8,137.10 | $8,137.10 | 22.3× |
| Adm tocilizu covid-19 1st (M0249) | $460.75 | $460.75 | 1.0× |
| Admin influenza virus vac (G0008) | $38.50 | $38.50 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $38.50 | $38.50 | 0.8× |
| Catheterize for urine spec (P9612) | $371.15 | $371.15 | 39.7× |
| Covid-19 lab test non-cdc (U0002) | $72 | $72 | 1.4× |
| Diab manage trn per indiv (G0108) | $179.85 | $179.85 | 3.2× |
| Diab manage trn ind/group (G0109) | $121 | $121 | 7.5× |
| Direct refer hospital observ (G0379) | $162.75 | $162.75 | 0.3× |
| Drug test def 1-7 classes (G0480) | $1.10 | $1.10 | 0.0× |
| Drug test def 15-21 classes (G0482) | $23.10 | $23.10 | 0.1× |
| Drug test def 22+ classes (G0483) | $34.95 | $34.95 | 0.1× |
| Drug test def 8-14 classes (G0481) | $11.55 | $11.55 | 0.1× |
| Elec stim other than wound (G0283) | $96.55 | $96.55 | 7.6× |
| Home sleep test/type 3 porta (G0399) | $661.20 | $661.20 | 2.9× |
| Lev 1 hosp type b ed visit (G0380) | $8,478.70 | $8,478.70 | 109.2× |
| Lev 2 hosp type b ed visit (G0381) | $10,160.35 | $10,160.35 | 104.7× |
| Lev 3 hosp type b ed visit (G0382) | $12,698.85 | $12,698.85 | 70.7× |
| Lev 4 hosp type b ed visit (G0383) | $12,872.15 | $12,872.15 | 46.6× |
| Lev 5 hosp type b ed visit (G0384) | $10,801 | $10,801 | 25.2× |
| Mra w/o fol w/cont, abd (C8902) | $5,371.65 | $5,371.65 | 14.7× |
| Mra w/o fol w/cont, chest (C8911) | $5,371.65 | $5,371.65 | 14.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,158.55 | $4,158.55 | 11.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $5,165.15 | $5,165.15 | 14.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $4,550.20 | $4,550.20 | 12.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $4,550.20 | $4,550.20 | 12.5× |
| Mri w/o fol w/cont, breast, (C8908) | $7,588.45 | $7,588.45 | 20.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,743.05 | $4,743.05 | 13.0× |
| Pathogen test for platelets (P9100) | $1,139.50 | $1,139.50 | 18.5× |
| Psa screening (G0103) | $717 | $717 | 37.1× |
| Screen pap by tech w md supv (P3000) | $151.40 | $151.40 | 8.2× |
| Tomosynthesis, mammo (G0279) | $311.65 | $311.65 | 24.6× |
| Tte w or wo fol wcon,doppler (C8929) | $16,247.95 | $16,247.95 | 19.8× |
| Unsched dialysis esrd pt hos (G0257) | $5,790.55 | $5,790.55 | 8.1× |