Supplies, drugs & other prices at Hilo Benioff Medical Center

Hilo, HI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,358 $3,930 2.5×
2d tte w or w/o fol w/con,fu (C8924) $1,065.60 $1,776 2.6×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $15,291.60 $25,486 1.5×
Admin hepatitis b vaccine (G0010) $110.40 $184 2.0×
Chemo extend iv infus w/pump (G0498) $792 $1,320 2.0×
Colon ca scrn not hi rsk ind (G0121) $2,176.80 $3,628 2.0×
Colorectal scrn; hi risk ind (G0105) $2,176.80 $3,628 2.0×
Direct refer hospital observ (G0379) $69.60 $116 0.1×
Drug test def 1-7 classes (G0480) $576 $960 5.0×
Fecal microbiota prep instil (G0455) $2,034 $3,390 1.9×
Hospital outpt clinic visit (G0463) $307.80 $513 2.0×
Inj for sacroiliac jt anesth (G0260) $2,067 $3,445 2.5×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $2,081.40 $3,469 2.0×
Neuro csf prion prtn qual (0035U) $2,723.40 $4,539 5.0×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $2,081.40 $3,469 2.0×
Perc d-e cor revasc chro sin (C9607) $53,595.60 $89,326 2.5×
Perc d-e cor revasc t cabg s (C9604) $33,848.40 $56,414 2.5×
Perc d-e cor stent ather s (C9602) $53,595.60 $89,326 2.5×
Perc drug-el cor stent sing (C9600) $33,848.40 $56,414 2.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,017.80 $28,363 1.2×
Prostate biopsy, any mthd (G0416) $2,138.40 $3,564 5.0×
Psa screening (G0103) $97.20 $162 5.0×
Revasc intra lithotrip-ather (C9766) $53,595.60 $89,326 2.5×
Revasc intra lithotrip-stent (C9765) $53,595.60 $89,326 2.5×
Revasc intravasc lithotripsy (C9764) $33,848.40 $56,414 2.5×
Revasc lithotrip tibi/perone (C9772) $26,514.60 $44,191 1.9×
Trauma respons w/hosp criti (G0390) $4,004.40 $6,674 2.5×
Tte w or w/o contr, cont ecg (C8930) $2,358 $3,930 2.5×