Supplies, drugs & other prices at Iredell Memorial Hospital

Statesville, NC · every code in this section with a posted price and a Medicare benchmark.

57 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) $605.30 $2,241.85 0.8×
2d tte w or w/o fol w/con,fu (C8924) $549.45 $2,035 1.6×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$4.88–$5.13 $18.08–$19 varies
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$9.18–$9.99 $34–$37 varies
Admin pneumococcal vaccine (G0009) $44.82 $166 1.0×
Catheterize for urine spec (P9612)
range across 5 matching MRF lines
$4.59–$5.29 $17–$19.60 varies
Chemo extend iv infus w/pump (G0498) $93.09 $344.76 0.3×
Diab manage trn per indiv (G0108) $17.28 $64 0.3×
Diab manage trn ind/group (G0109) $12.69 $47 0.8×
Direct refer hospital observ (G0379) $405 $1,500 0.7×
Drug test def 1-7 classes (G0480) $65.88 $244 0.6×
Elec stim other than wound (G0283)
range across 9 matching MRF lines
$43.50–$55.08 $161.10–$204 varies
Fecal microbiota prep instil (G0455)
range across 3 matching MRF lines
$2,288.25–$2,632.50 $8,475–$9,750 varies
Group mnt 2 or more 30 mins (G0271) $11.23 $41.60 0.7×
Hbot, full body chamber, 30m (G0277) $123.12 $456 0.9×
Hospital outpt clinic visit (G0463)
range across 7 matching MRF lines
$26.96–$94.50 $99.84–$350 varies
Inj for sacroiliac jt anesth (G0260) $643.14 $2,382 0.9×
Mnt subs tx for change dx (G0270) $12.80 $47.40 0.4×
Mra w/cont, abd (C8900)
range across 2 matching MRF lines
$625.28–$647.46 $2,315.85–$2,398 varies
Mra w/cont, chest (C8909) $634.76 $2,350.95 1.9×
Mra w/cont, lwr ext (C8912) $679.19 $2,515.50 2.0×
Mra w/cont, pelvis (C8918) $907.23 $3,360.10 2.7×
Mra w/o cont, abd (C8901)
range across 2 matching MRF lines
$647.46–$761.71 $2,398–$2,821.14 varies
Mra w/o cont, chest (C8910) $738.71 $2,735.95 3.2×
Mra w/o cont, lwr ext (C8913) $634.76 $2,350.95 2.7×
Mra w/o cont, pelvis (C8919) $634.77 $2,351 2.7×
Mra w/o fol w/cont, abd (C8902)
range across 2 matching MRF lines
$683.64–$759.78 $2,532–$2,814 varies
Mra w/o fol w/cont, chest (C8911) $770.53 $2,853.81 2.3×
Mra w/o fol w/cont, lwr ext (C8914) $644.22 $2,386 1.9×
Mra w/o fol w/cont, pelvis (C8920) $726.43 $2,690.49 2.1×
Mra, w/dye, upper extremity (C8934)
range across 2 matching MRF lines
$681.17–$842.31 $2,522.85–$3,119.65 varies
Mra, w/o dye, upper extr (C8935)
range across 2 matching MRF lines
$727.56–$762.90 $2,694.65–$2,825.55 varies
Mra, w/o&w/dye, upper extr (C8936) $842.31 $3,119.65 2.5×
Mri w/cont, breast, bi (C8906) $601.76 $2,228.75 1.8×
Mri w/cont, breast, uni (C8903) $547.29 $2,027 3.2×
Mri w/o fol w/cont, brst, un (C8905) $607.30 $2,249.27 1.8×
Ncntc R-T Fluor Wnd Img 1st (0598T) $287.28 $1,064 1.4×
Oth resp proc, group (G0239) $31.32 $116 0.9×
Oth resp proc, indiv (G0238) $41.67 $154.32 1.5×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$8,848.17 $32,771 0.5×
Perc d-e cor revasc t cabg s (C9604)
unusually low: confirm this is the full procedure
$5,284.98 $19,574 0.5×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$8,674.56 $32,128 0.5×
Perc drug-el cor stent sing (C9600) $7,425 $27,500 0.7×
Place device/marker, non pro (C9728) $1,620 $6,000 1.2×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$160.11–$285.89 $593–$1,058.84 varies
Psa screening (G0103) $63.18 $234 3.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $16,200 $60,000 0.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $18,900 $70,000 1.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $18,900 $70,000 1.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $18,900 $70,000 1.0×
Therapeutic procd strg endur (G0237) $39.42 $146 1.4×
Trluml perip athrc abd aorta (0236T)
unusually low: confirm this is the full procedure
$5,173.20 $19,160 0.5×
Trluml Perip Athrc Brchiocph (0237T)
unusually low: confirm this is the full procedure
$5,173.20 $19,160 0.5×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$5,173.20 $19,160 0.3×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$5,173.20 $19,160 0.5×
Tte w or w/o fol w/con,stres (C8928) $549.45 $2,035 0.7×
Unsched dialysis esrd pt hos (G0257)
range across 3 matching MRF lines
$575.91–$1,151.55 $2,133–$4,265 varies

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.