Supplies, drugs & other prices at Holy Cross Hospital - Salt Lake
Salt Lake City, UT · every code in this section with a posted price and a Medicare benchmark.
48 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,152.86 | $2,882.14 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $986.91 | $2,467.26 | 2.8× |
| Adm tocilizu covid-19 1st (M0249) | $651.13 | $1,627.82 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $88.18 | $220.43 | 1.9× |
| Admin influenza virus vac (G0008) | $54.17 | $135.42 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $54.17 | $135.42 | 1.1× |
| Catheterize for urine spec (P9612) | $68.43 | $171.06 | 7.3× |
| Diab manage trn per indiv (G0108) | $48.14 | $120.35 | 0.9× |
| Diab manage trn ind/group (G0109) | $29.58 | $73.93 | 1.8× |
| Direct refer hospital observ (G0379) | $949.68 | $2,374.19 | 1.6× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $135.52 | $338.80 | 2.3× |
| Hbot, full body chamber, 30m (G0277) | $448.18 | $1,120.43 | 3.2× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $117.68 | $294.19 | 0.2× |
| Home sleep test/type 3 porta (G0399) | $212.53 | $531.31 | 1.0× |
| Hospital outpt clinic visit (G0463) range across 11 matching MRF lines |
$109.36–$343.40 | $273.40–$858.49 | varies |
| Mra w/cont, abd (C8900) | $1,686.67 | $4,216.66 | 4.8× |
| Mra w/cont, chest (C8909) | $1,212.31 | $3,030.76 | 3.4× |
| Mra w/o cont, abd (C8901) | $545.89 | $1,364.72 | 2.3× |
| Mra w/o cont, chest (C8910) | $1,447.26 | $3,618.13 | 6.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,761.83 | $4,404.57 | 5.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,890.89 | $4,727.22 | 5.4× |
| Mri w/cont, breast, bi (C8906) | $1,890.89 | $4,727.22 | 5.4× |
| Mri w/cont, breast, uni (C8903) | $1,286.47 | $3,216.16 | 7.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,890.89 | $4,727.22 | 5.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,286.47 | $3,216.16 | 3.6× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $315.32 | $788.29 | 1.0× |
| Neuro csf prion prtn qual (0035U) | $809.28 | $2,023.20 | 1.5× |
| Perc d-e cor revasc chro sin (C9607) | $25,201.74 | $63,004.35 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $17,476.20 | $43,690.48 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $24,516.93 | $61,292.31 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $17,146.48 | $42,866.19 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $128.31 | $320.76 | 0.4× |
| Psa screening (G0103) | $156.22 | $390.53 | 8.1× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $135.52 | $338.80 | 1.0× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,733.02 | $19,332.53 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$7,733.02 | $19,332.53 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,836.46 | $12,091.14 | 0.4× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$7,733.02 | $19,332.53 | 0.4× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $8,633.37 | $21,583.41 | 1.5× |
| Therapeutic procd strg endur (G0237) | $116.57 | $291.42 | 4.0× |
| Tomosynthesis, mammo (G0279) | $55.22 | $138.04 | 4.4× |
| Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines |
$1,068.71–$6,198.51 | $2,671.77–$15,496.26 | varies |
| Trim nail(s) (G0127) | $82.30 | $205.73 | 1.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $15,184.24 | $37,960.59 | 0.8× |
| Tte w or w/o contr, cont ecg (C8930) | $843.68 | $2,109.20 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $683.08 | $1,707.70 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $1,038.78 | $2,596.95 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) | $575.70 | $1,439.24 | 0.8× |
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.