Supplies, drugs & other prices at Hoopeston Community Memorial Hospital

Hoopeston, IL · 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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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,951 $2,951 3.5×
Admin hepatitis b vaccine (G0010) $168 $168 3.3×
Catheterize for urine spec (P9612) $210 $210 22.5×
Complex simulation w/pet-ct (G0562) $914 $914 0.4×
Drug test def 1-7 classes (G0480)
range across 14 matching MRF lines
$365–$485 $365–$485 varies
Drug test def 15-21 classes (G0482) $894 $894 4.5×
Drug test def 22+ classes (G0483) $1,111 $1,111 4.5×
Drug test def 8-14 classes (G0481)
range across 3 matching MRF lines
$495–$660 $495–$660 varies
Drug test def simple all cl (G0659) $280 $280 4.5×
Eia hiv-1/hiv-2 screen (G0432) $389 $389 19.9×
Ekg tracing for initial prev (G0404) $257 $257 8.3×
Elec stim other than wound (G0283) $142 $142 11.2×
Elec stim unattend for press (G0281)
range across 2 matching MRF lines
$85–$147 $85–$147 varies
Esw integumentary wound healing initial wound (0512T) $142 $142 0.7×
Group train w/o patient (G0543) $139 $139 4.5×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $45 $45 1.0×
Insertion perm ccm-d system pulse generator only (0916T) $73,700 $73,700 3.1×
Insj perm ccm-d sys 1 transvns lead only (0917T) $27,174 $27,174 3.1×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $27,174 $27,174 3.1×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $105,273 $105,273 3.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
range across 2 matching MRF lines
$390–$520 $390–$520 varies
Mra, w/dye, upper extremity (C8934) $3,276 $3,276 8.8×
Mra, w/o&w/dye, upper extr (C8936) $3,276 $3,276 8.8×
Mri w/cont, breast, bi (C8906) $2,594 $2,594 6.9×
Mri w/cont, breast, uni (C8903) $1,386 $1,386 7.4×
Mri w/o fol w/cont, breast, (C8908) $2,762 $2,762 7.4×
Mri w/o fol w/cont, brst, un (C8905) $2,258 $2,258 6.0×
Neuro csf prion prtn qual (0035U) $1,710 $1,710 3.2×
No pt prsnt train initial 30 (G0541) $75 $75 2.4×
Ocular blood flow measure (0198T) $315 $315 2.2×
Onc Merkel Cll Carc Srm Quan (0058U) $1,350 $1,350 4.2×
Ortho impl mvmt alys pair CT (0946T) $352 $352 3.1×
Pathogen test for platelets (P9100) $110 $110 1.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $18,722 $18,722 1.5×
Prostate biopsy, any mthd (G0416) $378 $378 1.0×
Psa screening (G0103) $221 $221 11.4×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $2,142 $2,142 3.1×
Quan CT tiss charac w/o CT (0721T) $2,142 $2,142 3.1×
Relocation skin pocket implanted ccm-d pg (0925T) $6,006 $6,006 2.7×
Removal perm ccm-d system pulse generator only (0919T) $11,949 $11,949 3.0×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $2,037 $2,037 3.0×
Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) $11,949 $11,949 3.0×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $11,949 $11,949 3.0×
Rmvl perm ccm-d sys dual transvns leads only (0922T) $11,949 $11,949 3.0×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $73,700 $73,700 3.1×
Sbrt w/positron emission del (G0563) $452 $452 0.1×
Scr c/v cyto,thinlayer,rescr (G0145) $310 $310 11.7×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $10,563 $10,563 3.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $11,885 $11,885 1.9×
Transcatheter renal sympath denervation unilat (0338T) $11,885 $11,885 1.9×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U)
range across 2 matching MRF lines
$10,970–$14,630 $10,970–$14,630 varies
Tte w or w/o contr, cont ecg (C8930) $1,292 $1,292 1.5×
Tte w or wo fol wcon,doppler (C8929) $2,846 $2,846 3.4×

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.