Supplies, drugs & other prices at Cassia Regional Hospital

Burley, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Antibody treponema pallidum total & rpr ia qual (0064U) $46.54 $62.05 1.5×
Catheterize for urine spec (P9612) $18.46 $24.62 2.0×
Colon ca scrn not hi rsk ind (G0121) $2,154.30 $2,872.40 2.3×
Colorectal scrn; hi risk ind (G0105) $1,714.01 $2,285.35 1.9×
Covid-19 lab test non-cdc (U0002) $159.92 $213.23 3.1×
Diab manage trn per indiv (G0108) $87.81 $117.08 1.6×
Direct refer hospital observ (G0379) $673.59 $898.12 1.1×
Drug test def 1-7 classes (G0480) $100.45 $133.93 0.9×
Drug test def 15-21 classes (G0482) $191.69 $255.59 1.0×
Drug test def 22+ classes (G0483) $242.86 $323.82 1.0×
Drug test def 8-14 classes (G0481) $151.08 $201.44 1.0×
Eia hiv-1/hiv-2 screen (G0432) $123.85 $165.13 6.3×
Elec stim unattend for press (G0281) $107.42 $143.23 9.2×
Esophag muc integ w/eso egd (C9777) $12,051.88 $16,069.17 3.2×
Extracorporeal shock wave involving musculoskeletal system, not otherwise specified (0101T) $65.58 $87.44 0.3×
Fecal microbiota prep instil (G0455) $2,983.60 $3,978.14 3.2×
Hbot, full body chamber, 30m (G0277) $503.33 $671.11 3.7×
Hospital outpt clinic visit (G0463) $489.34 $652.45 3.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $31,075.45 $41,433.93 1.0×
Neuro csf prion prtn qual (0035U) $1,098.56 $1,464.74 2.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $393.68 $524.90 0.9×
Oth resp proc, group (G0239) $109.84 $146.46 3.0×
Pathogen test for platelets (P9100) $728.94 $971.92 12.5×
Perc d-e cor revasc chro sin (C9607) $28,132.88 $37,510.50 1.6×
Perq Sacral Augmt Bilat Inj (0201T) $6,423.56 $8,564.74 0.9×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,599.28 $3,465.70 0.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $12,824.14 $17,098.86 1.1×
Place device/marker, non pro (C9728) $1,820.19 $2,426.92 1.3×
Prolonged iv inf, req pump (C8957) $499.61 $666.15 2.4×
Prostate biopsy, any mthd (G0416) $2,148.28 $2,864.37 6.1×
Psa screening (G0103) $96.10 $128.14 5.0×
Revasc intra lithotrip-stent (C9765) $20,908.13 $27,877.51 1.2×
Revasc intravasc lithotripsy (C9764) $16,732.58 $22,310.12 1.5×
Revasc lith-sten-ath tib/per (C9775) $33,678.47 $44,904.63 1.9×
Revasc lithotr-ather tib/per (C9774) $23,521.64 $31,362.19 1.3×
Revasc lithotr-stent tib/per (C9773) $18,817.32 $25,089.76 1.0×
Revasc lithotrip tibi/perone (C9772) $14,201.47 $18,935.29 1.2×
Revasc lithotrip-stent-ather (C9767) $33,678.46 $44,904.61 1.9×
Screen cerv/vag thin layer (G0123) $251.96 $335.95 12.4×
Sim ang w/prs cath rad emb (C8004) $36,794.93 $49,059.90 3.2×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $26.88 $35.84 1.5×
Tee w or w/o fol w/cont, mon (C8927) $4,093.88 $5,458.50 5.3×
Therapeutic ultrafiltration (0692T) $1,113.96 $1,485.28 0.7×
Trauma respons w/hosp criti (G0390) $3,595 $4,793.34 2.7×
Trim nail(s) (G0127) $93.97 $125.29 1.6×
Unsched dialysis esrd pt hos (G0257) $1,898.06 $2,530.75 2.8×