Supplies, drugs & other prices at Higgins General Hospital
Bremen, GA · every code in this section with a posted price and a Medicare benchmark.
66 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $403.40 | $1,008.50 | 1.1× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,942.80 | $4,857 | 1.0× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) | $6,372 | $15,930 | 0.7× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $1,942.80 | $4,857 | 1.0× |
| Adm tocilizu covid-19 1st (M0249) | $395.80 | $989.50 | 0.9× |
| Admin influenza virus vac (G0008) | $26.80 | $67 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $43.60 | $109 | 0.9× |
| Arthro/shoul surg; w/spacer (C9781) unusually low: confirm this is the full procedure |
$5,582.50 | $13,956.25 | 0.4× |
| Autolog prp not diab ulcer (G0460) | $912 | $2,280 | 0.4× |
| Catheterize for urine spec (P9612) | $56.40 | $141 | 6.0× |
| Chemo extend iv infus w/pump (G0498) | $320.80 | $802 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $535.86 | $1,339.66 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,409.60 | $3,524 | 1.5× |
| Diab manage trn per indiv (G0108) | $50 | $125 | 0.9× |
| Diab manage trn ind/group (G0109) | $33.20 | $83 | 2.1× |
| Direct refer hospital observ (G0379) | $471.20 | $1,178 | 0.8× |
| Drug test def 1-7 classes (G0480) | $102.40 | $256 | 0.9× |
| Drug test def 15-21 classes (G0482) | $84 | $210 | 0.4× |
| Drug test def 8-14 classes (G0481) | $118.80 | $297 | 0.8× |
| Eia hiv-1/hiv-2 screen (G0432) | $64 | $160 | 3.3× |
| Elec stim other than wound (G0283) | $57.80 | $144.50 | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $20 | $50 | 1.1× |
| Group mnt 2 or more 30 mins (G0271) | $14 | $35 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $208.40 | $521 | 1.5× |
| Hepb screen high risk indiv (G0499) | $79.80 | $199.50 | 2.8× |
| Home sleep test/type 3 porta (G0399) | $460 | $1,150 | 2.1× |
| Home sleep test/type 4 porta (G0400) | $330 | $825 | 1.5× |
| Hospital outpt clinic visit (G0463) | $64.40 | $161 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $689.60 | $1,724 | 1.0× |
| Instlj fecal microbiota ssp (0780T) | $140 | $350 | 1.0× |
| Mnt subs tx for change dx (G0270) | $10.80 | $27 | 0.3× |
| Mri w/o fol w/cont, breast, (C8908) | $1,957.20 | $4,893 | 5.5× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) | $28.40 | $71 | 0.7× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $773 | $1,932.50 | 1.4× |
| Oth resp proc, group (G0239) | $16 | $40 | 0.4× |
| Oth resp proc, indiv (G0238) | $24 | $60 | 0.8× |
| Pathogen test for platelets (P9100) | $61.20 | $153 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,481.80 | $16,204.50 | 0.3× |
| Perc d-e cor stent ather s (C9602) | $23,465.20 | $58,663 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $12,976.40 | $32,441 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,747.20 | $16,868 | 0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,747.20 | $16,868 | 0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$5,680 | $14,200 | 0.5× |
| Prostate biopsy, any mthd (G0416) | $296.80 | $742 | 0.8× |
| Psa screening (G0103) | $59 | $147.50 | 3.1× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $517.60 | $1,294 | 0.8× |
| Quan CT tiss charac w/o CT (0721T) | $517.60 | $1,294 | 0.8× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $554.60 | $1,386.50 | 0.8× |
| Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) | $5,480.40 | $13,701 | 0.9× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$5,640 | $14,100 | 0.3× |
| Revasc intra lithotrip-stent (C9765) | $18,999.60 | $47,499 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $11,741.20 | $29,353 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $10,556.40 | $26,391 | 0.9× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $205.60 | $514 | 0.3× |
| Sim ang w/prs cath rad emb (C8004) | $11,283.60 | $28,209 | 1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $18,377.20 | $45,943 | 0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $18,377.20 | $45,943 | 0.9× |
| Therapeutic procd strg endur (G0237) | $24 | $60 | 0.8× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) unusually low: confirm this is the full procedure |
$3,800 | $9,500 | 0.3× |
| Trluml Perip Athrc Renal Art (0234T) likely a partial charge, not the full procedure |
$3,200 | $8,000 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,408.40 | $16,021 | 0.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$6,408.40 | $16,021 | 0.3× |
| Tte w or w/o fol w/con,stres (C8928) | $908 | $2,270 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,437.60 | $3,594 | 1.8× |
| Unsched dialysis esrd pt hos (G0257) | $592.40 | $1,481 | 0.8× |
| Vasc emb/occ w/prs cath (C9797) | $17,866.40 | $44,666 | 1.0× |