Supplies, drugs & other prices at Holland Hospital

Holland, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925)
range across 3 matching MRF lines
$796.80–$880.20 $1,328–$1,467 varies
Adm of soc dtr assess 5-15 m (G0136)
range across 3 matching MRF lines
$9–$18 $15–$30 varies
Admin hepatitis b vaccine (G0010) $60 $100 1.3×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$27–$60 $45–$100 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$22.80–$60 $38–$100 varies
Annual alcohol screen 15 min (G0442) $18 $30 0.5×
Behavior counsel obesity 15m (G0447) $67.80 $113 0.7×
Brief alcohol misuse counsel (G0443) $27 $45 0.3×
Ca screen;flexi sigmoidscope (G0104) $133.20 $222 0.1×
Ca screen;pelvic/breast exam (G0101)
range across 3 matching MRF lines
$24–$69 $40–$115 varies
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$6.60–$16.20 $11–$27 varies
Colon ca scrn not hi rsk ind (G0121) $195 $325 0.2×
Colorectal scrn; hi risk ind (G0105) $195 $325 0.2×
Depression screen annual (G0444) $16.80 $28 0.5×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$49.80–$80.40 $83–$134 varies
Diab manage trn ind/group (G0109) $40.80 $68 2.5×
Direct refer hospital observ (G0379) $306.60 $511 0.5×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$30–$45 $50–$75 varies
Drug test def 8-14 classes (G0481)
range across 2 matching MRF lines
$30–$45 $50–$75 varies
Ekg tracing for initial prev (G0404)
range across 2 matching MRF lines
$12–$22.80 $20–$38 varies
Fern test (Q0114) $37.20 $62 3.8×
Group mnt 2 or more 30 mins (G0271) $33.60 $56 2.0×
Hbot, full body chamber, 30m (G0277)
range across 2 matching MRF lines
$87–$156 $145–$260 varies
Home sleep test/type 3 porta (G0399) $394.20 $657 1.8×
Hospital outpt clinic visit (G0463) $78 $130 0.6×
Init/sub psych care m 1st 30 (G2214) $85.20 $142 0.8×
Initial foot exam pt lops (G0245) $66 $110 0.5×
Initial preventive exam (G0402) $162 $270 1.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$14,553 $24,255 0.5×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $4,630.80 $7,718 0.6×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $4,630.80 $7,718 0.6×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $14,553 $24,255 0.7×
Intens behave ther cardio dx (G0446) $27 $45 0.7×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $321.42 $535.70 0.6×
Mnt subs tx for change dx (G0270) $33.60 $56 1.1×
Mri w/o fol w/cont, breast, (C8908) $1,554.60 $2,591 4.5×
Mri w/o fol w/cont, brst, un (C8905) $1,480.80 $2,468 4.3×
Obtaining screen pap smear (Q0091)
range across 3 matching MRF lines
$12–$42.60 $20–$71 varies
Oth resp proc, group (G0239) $57.60 $96 1.5×
Oth resp proc, indiv (G0238) $64.80 $108 2.2×
Perc d-e cor revasc chro sin (C9607) $11,126.40 $18,544 0.6×
Perc d-e cor revasc t cabg s (C9604) $7,978.80 $13,298 0.7×
Perc d-e cor stent ather s (C9602) $11,126.40 $18,544 0.6×
Perc drug-el cor stent sing (C9600) $7,978.80 $13,298 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $3,930 $6,550 0.5×
Ppps, initial visit (G0438) $162 $270 0.9×
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$72–$129 $120–$215 varies
Prostate biopsy, any mthd (G0416) $325.80 $543 0.9×
Psa screening (G0103) $49.80 $83 2.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U)
range across 2 matching MRF lines
$228–$228.30 $380–$380.50 varies
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $992.40 $1,654 0.5×
Repos Cardiac Modulj Transvenous Electrode (0415T) $595.20 $992 1.0×
Revasc intra lithotrip-ather (C9766) $14,010 $23,350 0.8×
Revasc intra lithotrip-stent (C9765) $14,010 $23,350 0.8×
Revasc intravasc lithotripsy (C9764) $8,760 $14,600 0.8×
Revasc lith-sten-ath tib/per (C9775) $14,010 $23,350 0.8×
Revasc lithotr-ather tib/per (C9774) $14,010 $23,350 0.8×
Revasc lithotr-stent tib/per (C9773) $14,010 $23,350 0.8×
Revasc lithotrip tibi/perone (C9772) $8,760 $14,600 0.8×
Revasc lithotrip-stent-ather (C9767) $14,010 $23,350 0.8×
Risk ascvd tst once pr 12 mo (G0537) $21 $35 0.6×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $14,553 $24,255 0.7×
Rmvl Car Modulj Tranvns Elt (0413T) $1,653.60 $2,756 0.4×
Rmvl Cardiac Modulj Pls Gen (0412T) $1,653.60 $2,756 0.4×
Scr c/v cyto,thinlayer,rescr (G0145) $76.20 $127 2.9×
Screen cerv/vag thin layer (G0123) $60.60 $101 3.0×
Therapeutic procd strg endur (G0237) $64.80 $108 2.2×
Tomosynthesis, mammo (G0279) $63 $105 5.0×
Trauma respons w/hosp criti (G0390) $1,575 $2,625 1.2×
Trim nail(s) (G0127)
range across 2 matching MRF lines
$15–$48 $25–$80 varies
Trluml Perip Athrc Brchiocph (0237T) $8,607 $14,345 0.7×
Trluml Perip Athrc Iliac Art (0238T) $11,126.40 $18,544 0.6×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $8,607 $14,345 0.7×
Unsched dialysis esrd pt hos (G0257) $766.20 $1,277 1.1×
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$30–$45 $50–$75 varies
Wet mounts/ w preparations (Q0111) $8.40 $14 0.5×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.