Supplies, drugs & other prices at Johnson Memorial Hospital
Stafford Springs, CT · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $81.40 | $148 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $94.60 | $172 | 1.7× |
| Colon ca scrn not hi rsk ind (G0121) | $2,427.97 | — | 2.2× |
| Colorectal scrn; hi risk ind (G0105) | $2,509.40 | — | 2.3× |
| Direct refer hospital observ (G0379) | $1,650 | $3,000 | 2.3× |
| Elec stim other than wound (G0283) | $41.25 | $75 | 3.3× |
| Fern test (Q0114) | $20.35 | $37 | 2.1× |
| Hbot, full body chamber, 30m (G0277) | $2,028.40 | — | 12.3× |
| Hep c screen high risk/other (G0472) | $81.95 | $149 | 1.8× |
| Hepb screen high risk indiv (G0499) | $50.60 | $92 | 1.8× |
| Hiv combination assay (G0475) | $42.35 | $77 | 1.8× |
| Home sleep test/type 3 porta (G0399) | $300.85 | $547 | 1.2× |
| Hospital outpt clinic visit (G0463) | $157.30 | — | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $2,460.61 | — | 2.9× |
| Oth resp proc, group (G0239) | $59.95 | $109 | 1.3× |
| Pathogen test for platelets (P9100) | $117.70 | $214 | 1.7× |
| Prostate biopsy, any mthd (G0416) | $576.40 | $1,048 | 1.3× |
| Psa screening (G0103) | $86.35 | $157 | 4.5× |
| Tomosynthesis, mammo (G0279) | $308.55 | $561 | 24.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,396.45 | $2,539 | 1.5× |
| Unsched dialysis esrd pt hos (G0257) | $790.35 | $1,437 | 1.0× |