Supplies, drugs & other prices at Incline Village Community Hospital
Incline Village, NV · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,154 | $3,154 | 3.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,048 | $2,048 | 5.6× |
| Adm of soc dtr assess 5-15 m (G0136) | $39 | $39 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $138 | $138 | 2.8× |
| Admin influenza virus vac (G0008) | $138 | $138 | 2.8× |
| Admin pneumococcal vaccine (G0009) | $138 | $138 | 2.8× |
| Annual alcohol screen 15 min (G0442) | $39 | $39 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $247 | $247 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $65 | $65 | 0.6× |
| Catheterize for urine spec (P9612) | $221 | $221 | 23.7× |
| Chemo extend iv infus w/pump (G0498) | $3 | $3 | 0.0× |
| Colon ca scrn not hi rsk ind (G0121) | $776.50 | $776.50 | 0.8× |
| Colorectal scrn; hi risk ind (G0105) | $949 | $949 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $349 | $349 | 6.8× |
| Depression screen annual (G0444) | $44 | $44 | 1.1× |
| Direct refer hospital observ (G0379) | $197 | $197 | 0.3× |
| Ekg tracing for initial prev (G0404) | $46 | $46 | 1.5× |
| Elec stim other than wound (G0283) | $59 | $59 | 4.6× |
| Fecal microbiota prep instil (G0455) | $267 | $267 | 0.3× |
| Init/sub psych care m 1st 30 (G2214) | $163 | $163 | 1.5× |
| Initial foot exam pt lops (G0245) | $133.50 | $133.50 | 1.0× |
| Initial preventive exam (G0402) | $398.50 | $398.50 | 2.8× |
| Inj for sacroiliac jt anesth (G0260) | $1,325 | $1,325 | 1.8× |
| Instlj fecal microbiota ssp (0780T) | $258.50 | $258.50 | 1.8× |
| Intens cardiac rehab no exer (G0423) | $387 | $387 | 2.8× |
| Intens cardiac rehab w/exerc (G0422) | $387 | $387 | 2.8× |
| Mra w/cont, abd (C8900) | $7,521 | $7,521 | 20.4× |
| Mra w/cont, chest (C8909) | $7,521 | $7,521 | 20.4× |
| Mra w/o cont, abd (C8901) | $7,521 | $7,521 | 29.9× |
| Mra w/o cont, chest (C8910) | $7,521 | $7,521 | 29.9× |
| Mra w/o fol w/cont, abd (C8902) | $7,521 | $7,521 | 20.4× |
| Mra w/o fol w/cont, chest (C8911) | $7,521 | $7,521 | 20.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $9,686 | $9,686 | 26.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $6,918 | $6,918 | 18.8× |
| Mri w/cont, breast, bi (C8906) | $4,094 | $4,094 | 11.1× |
| Mri w/cont, breast, uni (C8903) | $1,954 | $1,954 | 10.6× |
| Mri w/o fol w/cont, breast, (C8908) | $4,094 | $4,094 | 11.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,094 | $4,094 | 11.1× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $568 | $568 | 0.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $2,482 | $2,482 | 5.3× |
| Obtaining screen pap smear (Q0091) | $102.50 | $102.50 | 3.4× |
| Oth resp proc, group (G0239) | $65 | $65 | 1.6× |
| Oth resp proc, indiv (G0238) | $50 | $50 | 1.6× |
| Ppps, initial visit (G0438) | $687 | $687 | 3.9× |
| Ppps, subseq visit (G0439) | $616 | $616 | 4.5× |
| Tomosynthesis, mammo (G0279) | $276.50 | $276.50 | 21.8× |
| Trauma respons w/hosp criti (G0390) | $6,189.50 | $6,189.50 | 4.4× |
| Trim nail(s) (G0127) | $47 | $47 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $3,154 | $3,154 | 3.8× |
| Visit esketamine 56m or less (G2082) | $1,593 | $1,593 | 1.5× |
| Visit esketamine, > 56m (G2083) | $2,258.50 | $2,258.50 | 1.3× |