Supplies, drugs & other prices at Highpoint Health – Trousdale with Ascension Saint Thomas

Hartsville, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,081.62 $2,133.37 3.2×
Adm tocilizu covid-19 1st (M0249) $1,156.93 $2,281.91 2.7×
Adm tocilizu covid-19 2nd (M0250) $1,156.93 $2,281.91 2.7×
Catheterize for urine spec (P9612) $95.18 $187.74 10.2×
Cbc without platelet (G0307) $83.60 $164.89 12.9×
Cbc/diffwbc w/o platelet (G0306) $96.15 $189.64 12.4×
Diab manage trn per indiv (G0108) $153.30 $302.37 2.7×
Diab manage trn ind/group (G0109) $73.86 $145.68 4.6×
Direct refer hospital observ (G0379) $1,126.63 $2,222.15 2.0×
Drug test def 1-7 classes (G0480) $305.17 $601.92 2.7×
Elec stim other than wound (G0283) $88.62 $173.76 7.0×
Group mnt 2 or more 30 mins (G0271) $33.46 $66 2.0×
Hbot, full body chamber, 30m (G0277) $588.04 $1,159.85 4.5×
Home sleep test/type 3 porta (G0399) $468.74 $921.69 2.3×
Hopd mntl hlt, 15-29 min (C7900) $73 $143.98 2.0×
Hopd mntl hlt, 30-60 min (C7901) $186.55 $367.95 1.9×
Hopd mntl hlt, grp (C7903) $430.41 $848.93 12.0×
Hospital outpt clinic visit (G0463) $713.46 $1,407.21 5.6×
Mnt subs tx for change dx (G0270) $79.42 $156.64 2.5×
Mra w/cont, abd (C8900) $3,744.24 $7,385.09 11.2×
Mra w/cont, chest (C8909) $3,949.07 $7,789.09 11.8×
Mra w/cont, lwr ext (C8912) $3,924.80 $7,717.42 11.7×
Mra w/o cont, abd (C8901) $3,744.24 $7,385.09 16.4×
Mra w/o cont, chest (C8910) $3,949.07 $7,789.09 17.3×
Mra w/o cont, lwr ext (C8913) $2,964.33 $5,812.42 12.9×
Mra w/o fol w/cont, abd (C8902) $3,744.24 $7,385.09 11.2×
Mra w/o fol w/cont, chest (C8911) $3,949.07 $7,789.09 11.8×
Mra w/o fol w/cont, lwr ext (C8914) $3,924.80 $7,717.42 11.7×
Mra w/o fol w/cont, pelvis (C8920) $5,996.05 $11,826.53 17.9×
Mra, w/o&w/dye, upper extr (C8936) $2,919.60 $5,751.70 8.7×
Mri w/o fol w/cont, breast, (C8908) $2,985.32 $5,888.21 8.9×
Mri w/o fol w/cont, brst, un (C8905) $2,045.14 $4,010.08 6.1×
Oth resp proc, group (G0239) $175.58 $346.31 4.9×
Oth resp proc, indiv (G0238) $66.89 $131.93 2.4×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $11,562.68 $22,806.08 1.0×
Prostate biopsy, any mthd (G0416) $400.20 $786.92 1.2×
Psa screening (G0103) $189.52 $373.81 9.8×
Therapeutic procd strg endur (G0237) $66.89 $131.93 2.4×
Tomosynthesis, mammo (G0279) $425.88 $837.66 33.6×
Transcatheter Renal Sympath Denervation Bilat (0339T) $11,562.68 $22,806.08 2.1×
Transcatheter renal sympath denervation unilat (0338T) $11,562.68 $22,806.08 2.1×
Trauma respons w/hosp criti (G0390) $11,171.89 $22,035.28 8.7×
Tte w or wo fol wcon,doppler (C8929) $2,101.37 $4,144.71 2.8×
Unsched dialysis esrd pt hos (G0257) $1,910.45 $3,768.15 2.9×