Supplies, drugs & other prices at Hopedale Hospital

Hopedale, IL · every code in this section with a posted price and a Medicare benchmark.

38 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) $1,708.49 $2,440.70 2.0×
2d tte w or w/o fol w/con,fu (C8924) $1,287.75 $1,839.64 3.4×
Admin hepatitis b vaccine (G0010) $24.50 $35 0.5×
Admin influenza virus vac (G0008) $24.50 $35 0.5×
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$24.50–$112.78 $35–$161.12 varies
Alcohol/subs interv 15-30mn (G0396) $28 $40 0.7×
Behavior counsel obesity 15m (G0447) $21 $30 0.2×
Ca screen;flexi sigmoidscope (G0104) $341.60 $488 0.3×
Ca screen;pelvic/breast exam (G0101) $31.50 $45 0.3×
Colon ca scrn not hi rsk ind (G0121) $910 $1,300 0.9×
Colorectal scrn; hi risk ind (G0105) $910 $1,300 0.9×
Cysto impl 4 or more (C9740) $21,138.56 $30,197.94 2.1×
Cysto, litho, vacuum kidney (C9761)
range across 4 matching MRF lines
$1,107.23–$1,748.25 $1,581.75–$2,497.50 varies
Cystoscopy prostatic imp 1-3 (C9739) $10,862.09 $15,517.27 1.9×
Depression screen annual (G0444) $17.50 $25 0.4×
Direct refer hospital observ (G0379) $1,349.43 $1,927.75 2.1×
Elec stim other than wound (G0283) $143.50 $205 11.3×
Fecal blood scrn immunoassay (G0328) $12.60 $18 0.7×
Hepb screen high risk indiv (G0499) $120.28 $171.83 4.3×
Hospital outpt clinic visit (G0463) $152.73 $218.18 1.1×
Hpv combo assay ca screen (G0476) $83.32 $119.03 2.4×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $592.14 $845.91 13.6×
Initial preventive exam (G0402) $140 $200 1.0×
Mnt subs tx for change dx (G0270) $41.30 $59 1.3×
Mra w/o cont, abd (C8901) $2,298.62 $3,283.74 9.0×
Obtaining screen pap smear (Q0091) $70 $100 2.3×
Oth resp proc, group (G0239) $83.60 $119.43 2.1×
Oth resp proc, indiv (G0238) $84.64 $120.92 2.7×
Ppps, initial visit (G0438) $157.50 $225 0.9×
Ppps, subseq visit (G0439) $119 $170 0.9×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $536.88 $766.97 0.7×
Scr c/v cyto,thinlayer,rescr (G0144) $76.48 $109.26 1.7×
Scr c/v cyto,thinlayer,rescr (G0145) $74.33 $106.18 2.8×
Scr c/v cyto,thinlayer,rescr (G0143) $74.26 $106.08 2.7×
Tomosynthesis, mammo (G0279) $113.07 $161.53 8.9×
Tte w or w/o fol w/con,stres (C8928) $2,377.91 $3,397.02 2.8×
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$2,268.52–$2,891.70 $3,240.74–$4,131 varies
Visit to determ ldct elig (G0296) $21 $30 0.2×

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.