Supplies, drugs & other prices at Kaweah Health Medical Center

Visalia, CA · every code in this section with a posted price and a Medicare benchmark.

61 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) $2,203 $2,203 2.2×
2d tte w or w/o fol w/con,fu (C8924) $2,203 $2,203 4.9×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
range across 2 matching MRF lines
$699–$17,795 $699–$17,795 varies
Admin pneumococcal vaccine (G0009) $93 $93 1.5×
Alcohol/subs interv 15-30mn (G0396) $63 $63 1.3×
Alcohol/subs interv >30 min (G0397) $128 $128 0.6×
Annual alcohol screen 15 min (G0442) $18 $18 0.4×
Autolog prp not diab ulcer (G0460)
range across 2 matching MRF lines
$857–$4,573 $857–$4,573 varies
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines
$59–$231 $59–$231 varies
Brief alcohol misuse counsel (G0443) $45 $45 0.3×
Brief chkin by md/qhp, 11-20 (G2252) $49 $49 1.7×
Ca screen;pelvic/breast exam (G0101) $231 $231 1.8×
Covid-19 lab test non-cdc (U0002) $95 $95 1.9×
Depression screen annual (G0444) $18 $18 0.4×
Diab manage trn per indiv (G0108) $148 $148 2.7×
Diab manage trn ind/group (G0109) $77 $77 4.8×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$1,942 $1,942 0.0×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T)
range across 2 matching MRF lines
$937–$40,785 $937–$40,785 varies
Fecal microbiota prep instil (G0455) $5,065 $5,065 4.2×
Group mnt 2 or more 30 mins (G0271) $22 $22 1.3×
Hbot, full body chamber, 30m (G0277) $345 $345 1.9×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$298–$322 $298–$322 varies
Mnt subs tx for change dx (G0270) $64 $64 2.0×
Mra w/cont, chest (C8909) $2,918 $2,918 6.5×
Mra w/cont, lwr ext (C8912) $2,834 $2,834 6.3×
Mra w/cont, pelvis (C8918) $1,771 $1,771 3.9×
Mra w/o cont, chest (C8910) $2,468 $2,468 8.0×
Mra w/o cont, lwr ext (C8913) $2,773 $2,773 9.0×
Mra w/o cont, pelvis (C8919) $1,615 $1,615 5.3×
Mra w/o fol w/cont, chest (C8911) $4,061 $4,061 9.1×
Mra w/o fol w/cont, lwr ext (C8914) $2,985 $2,985 6.7×
Mra w/o fol w/cont, pelvis (C8920) $2,751 $2,751 6.1×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$36–$71 $36–$71 varies
Oth resp proc, group (G0239) $98 $98 2.0×
Oth resp proc, indiv (G0238) $78 $78 2.1×
Perq Sacral Augmt Unilat Inj (0200T)
range across 2 matching MRF lines
$714–$19,051 $714–$19,051 varies
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $18,654 $18,654 1.3×
Ppps, initial visit (G0438)
range across 2 matching MRF lines
$350–$378 $350–$378 varies
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$296–$350 $296–$350 varies
Prgrmg dev eval scrms phys/qhp remote (0650T) $94 $94 2.0×
Prostate biopsy, any mthd (G0416) $174 $174 0.4×
Provide inr test mater/equip (G0249) $133 $133 0.8×
Revasc intra lithotrip-ather (C9766) $58,751 $58,751 2.5×
Revasc intra lithotrip-stent (C9765) $44,892 $44,892 1.9×
Revasc intravasc lithotripsy (C9764) $28,351 $28,351 1.9×
Revasc lith-sten-ath tib/per (C9775) $58,950 $58,950 2.5×
Revasc lithotr-ather tib/per (C9774) $58,950 $58,950 2.5×
Revasc lithotr-stent tib/per (C9773) $58,950 $58,950 2.5×
Revasc lithotrip tibi/perone (C9772) $37,150 $37,150 2.5×
Revasc lithotrip-stent-ather (C9767) $50,517 $50,517 2.1×
Therapeutic procd strg endur (G0237) $115 $115 3.1×
Tomosynthesis, mammo (G0279)
range across 15 matching MRF lines
$56–$540 $56–$540 varies
Transcatheter Renal Sympath Denervation Bilat (0339T)
range across 2 matching MRF lines
$879–$18,301 $879–$18,301 varies
Transcatheter renal sympath denervation unilat (0338T)
range across 2 matching MRF lines
$879–$18,301 $879–$18,301 varies
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$4,222–$11,926 $4,222–$11,926 varies
Trluml Perip Athrc Brchiocph (0237T)
likely a partial charge, not the full procedure
$732 $732 0.0×
Trluml Perip Athrc Iliac Art (0238T) $58,950 $58,950 2.5×
Tte w or w/o contr, cont ecg (C8930) $2,203 $2,203 2.2×
Tte w or w/o fol w/con,stres (C8928) $2,203 $2,203 2.2×
Tte w or wo fol wcon,doppler (C8929) $2,203 $2,203 2.2×
Unsched dialysis esrd pt hos (G0257) $1,749 $1,749 2.0×

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.