Supplies, drugs & other prices at Highland Community Hospital

Picayune, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $28.32 $141.57 0.7×
Admin influenza virus vac (G0008) $28.56 $142.78 0.7×
Admin pneumococcal vaccine (G0009) $28.56 $142.78 0.7×
Autolog prp not diab ulcer (G0460) $311.94 $1,559.69 0.2×
Catheterize for urine spec (P9612) $17.43 $87.12 1.9×
Diab manage trn per indiv (G0108) $22.51 $112.53 0.4×
Diab manage trn ind/group (G0109) $8.72 $43.56 0.5×
Direct refer hospital observ (G0379) $15.73 $78.65 0.0×
Elec stim other than wound (G0283) $23.48 $117.37 1.9×
Fecal microbiota prep instil (G0455) $82.53 $412.61 0.1×
Hbot, full body chamber, 30m (G0277) $137.94 $689.70 1.1×
Hospital outpt clinic visit (G0463) $72.12 $360.58 0.6×
Inj for sacroiliac jt anesth (G0260) $226.76 $1,133.77 0.4×
Mnt subs tx for change dx (G0270) $15.73 $78.65 0.5×
Mra w/cont, abd (C8900) $650.02 $3,250.06 2.1×
Mra w/cont, lwr ext (C8912) $695.75 $3,478.75 2.3×
Mra w/cont, pelvis (C8918) $591.94 $2,959.66 1.9×
Mra w/o cont, abd (C8901) $626.54 $3,132.69 3.0×
Mra w/o cont, chest (C8910) $329.12 $1,645.60 1.6×
Mra w/o cont, lwr ext (C8913) $660.91 $3,304.51 3.1×
Mra w/o cont, pelvis (C8919) $606.94 $3,034.68 2.9×
Mra w/o fol w/cont, abd (C8902) $497.07 $2,485.34 1.6×
Mra w/o fol w/cont, chest (C8911) $444.56 $2,222.77 1.4×
Mra w/o fol w/cont, lwr ext (C8914) $733.51 $3,667.51 2.4×
Mra w/o fol w/cont, pelvis (C8920) $725.76 $3,628.79 2.4×
Mra, w/dye, upper extremity (C8934) $726 $3,630 2.4×
Mra, w/o dye, upper extr (C8935) $654.37 $3,271.84 3.1×
Mra, w/o&w/dye, upper extr (C8936) $798.60 $3,993 2.6×
Mri w/cont, breast, bi (C8906) $330.09 $1,650.44 1.1×
Mri w/cont, breast, uni (C8903) $330.09 $1,650.44 2.1×
Mri w/o fol w/cont, breast, (C8908) $398.82 $1,994.08 1.3×
Mri w/o fol w/cont, brst, un (C8905) $398.82 $1,994.08 1.3×
Obtaining screen pap smear (Q0091) $38.24 $191.18 1.5×
Oth resp proc, group (G0239) $26.62 $133.10 0.8×
Oth resp proc, indiv (G0238) $28.32 $141.57 1.1×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,150.17 $10,750.85 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,654.56 $8,272.77 0.3×
Pinworm examinations (Q0113) $8.72 $43.56 2.0×
Place device/marker, non pro (C9728) $794.25 $3,971.22 0.6×
Potassium hydroxide preps (Q0112) $11.14 $55.66 1.9×
Prolonged iv inf, req pump (C8957) $57.84 $289.19 0.3×
Prostate biopsy, any mthd (G0416) $501.31 $2,506.52 1.6×
Psa screening (G0103) $47.44 $237.16 2.5×
Therapeutic procd strg endur (G0237) $28.32 $141.57 1.1×
Tomosynthesis, mammo (G0279) $19.36 $96.80 1.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $3,725.11 $18,625.53 0.7×
Transcatheter renal sympath denervation unilat (0338T)
unusually low: confirm this is the full procedure
$2,515.59 $12,577.95 0.5×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$3,247.40 $16,236.99 0.3×
Trauma respons w/hosp criti (G0390) $1,580.14 $7,900.70 1.3×
Trluml Perip Athrc Renal Art (0234T)
unusually low: confirm this is the full procedure
$3,247.40 $16,236.99 0.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$3,247.40 $16,236.99 0.3×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$3,247.40 $16,236.99 0.2×
Unsched dialysis esrd pt hos (G0257) $285.80 $1,429.01 0.5×