Supplies, drugs & other prices at Kootenai Health

Coeur d'Alene, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $54 $72 1.1×
Admin influenza virus vac (G0008) $60.75 $81 1.3×
Admin pneumococcal vaccine (G0009) $60.75 $81 1.3×
Alcohol/sub misuse assess (G2011) $177.75 $237 5.9×
Alcohol/subs interv 15-30mn (G0396) $101.25 $135 2.6×
Alcohol/subs interv >30 min (G0397) $162.75 $217 0.9×
Antibody treponema pallidum total & rpr ia qual (0064U) $46.50 $62 1.5×
Autolog prp not diab ulcer (G0460) $2,277 $3,036 1.1×
Chemo extend iv infus w/pump (G0498) $1,014.75 $1,353 3.0×
Covid-19 lab test non-cdc (U0002) $108 $144 2.1×
Cyp2d6 gen com&slct rar vrnt (0070U) $642 $856 0.9×
Demonstrate use home inr mon (G0248) $246.75 $329 1.8×
Diab manage trn per indiv (G0108) $102 $136 1.8×
Direct refer hospital observ (G0379) $809.25 $1,079 1.3×
Drug test def 1-7 classes (G0480) $85.12 $113.50 0.7×
Elec stim other than wound (G0283) $70.50 $94 5.6×
Fern test (Q0114) $20.25 $27 2.1×
Hbot, full body chamber, 30m (G0277) $312.75 $417 2.2×
Hep c screen high risk/other (G0472) $66.75 $89 1.4×
Hiv combination assay (G0475) $37.50 $50 1.6×
Ig paraprotein qual bld/ur (0077U) $70.50 $94 1.6×
Iliac Atherectomy (0238T) $18,456 $24,608 1.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $327 $436 2.7×
Neuro csf prion prtn qual (0035U) $309.38 $412.50 0.6×
Oth resp proc, group (G0239) $147 $196 3.8×
Oth resp proc, indiv (G0238) $103.50 $138 3.5×
Perc d-e cor revasc chro sin (C9607) $22,194 $29,592 1.2×
Perc d-e cor revasc t cabg s (C9604) $20,605.50 $27,474 1.7×
Perc d-e cor stent ather s (C9602) $16,524.75 $22,033 0.9×
Perc drug-el cor stent sing (C9600) $17,937.75 $23,917 1.5×
Perq Sacral Augmt Bilat Inj (0201T) $5,347.50 $7,130 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $5,347.50 $7,130 0.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $10,776 $14,368 0.9×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $68.25 $91 1.8×
Provide inr test mater/equip (G0249) $270 $360 2.0×
Psa screening (G0103) $81 $108 4.2×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $517.50 $690 0.5×
Quan MRI alys brain with diagnostic MRI (0866T) $588 $784 2.4×
Revasc intra lithotrip-ather (C9766) $31,753.50 $42,338 1.7×
Revasc intra lithotrip-stent (C9765) $31,753.50 $42,338 1.7×
Revasc intravasc lithotripsy (C9764) $16,111.50 $21,482 1.4×
Revasc lith-sten-ath tib/per (C9775) $24,603.75 $32,805 1.3×
Revasc lithotr-ather tib/per (C9774) $31,753.50 $42,338 1.7×
Revasc lithotr-stent tib/per (C9773) $31,753.50 $42,338 1.7×
Revasc lithotrip tibi/perone (C9772) $19,921.50 $26,562 1.7×
Revasc lithotrip-stent-ather (C9767) $31,773.75 $42,365 1.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $34,846.50 $46,462 1.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $35,284.50 $47,046 1.8×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $35,284.50 $47,046 1.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $35,284.50 $47,046 1.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $5,700.75 $7,601 1.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $34,846.50 $46,462 1.8×
Therapeutic procd strg endur (G0237) $103.50 $138 3.5×
Tomosynthesis, mammo (G0279) $61.50 $82 4.8×
Tpmt nudt15 gene analysis common variants (0034U) $442.50 $590 0.9×
Trauma respons w/hosp criti (G0390) $5,486.25 $7,315 4.0×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,321 $4,428 0.9×
Trim nail(s) (G0127) $126.75 $169 2.1×
Unsched dialysis esrd pt hos (G0257) $951 $1,268 1.3×
Ven blood coll snf/hha (G0471) $28.50 $38 2.5×