Supplies, drugs & other prices at Legacy Mount Hood Medical Center

Gresham, OR · every code in this section with a posted price and a Medicare benchmark.

51 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) $1,799.85 $2,769 2.1×
2d tte w or w/o fol w/con,fu (C8924) $1,041.30 $1,602 2.7×
Adm tocilizu covid-19 1st (M0249) $345.80 $532 0.7×
Adm tocilizu covid-19 2nd (M0250) $345.80 $532 0.7×
Diab manage trn per indiv (G0108) $140.40 $216 2.5×
Diab manage trn ind/group (G0109) $79.30 $122 4.9×
Direct refer hospital observ (G0379) $479.05 $737 0.7×
Drug test def 1-7 classes (G0480)
range across 4 matching MRF lines
$64.35–$178.10 $99–$274 varies
Fern test (Q0114) $22.10 $34 2.3×
Hbot, full body chamber, 30m (G0277) $835.90 $1,286 5.5×
Hospital outpt clinic visit (G0463)
range across 68 matching MRF lines
$100.10–$1,272.70 $154–$1,958 varies
Insertion of substernal implantable defibrillator electrode (0572T) $6,478.55 $9,967 0.7×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $22,111.05 $34,017 0.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $34,856.25 $53,625 1.0×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M)
range across 2 matching MRF lines
$327.21–$413.40 $503.40–$636 varies
Mnt subs tx for change dx (G0270) $64.35 $99 2.0×
Mra w/o fol w/cont, pelvis (C8920) $1,021.80 $1,572 2.6×
Neuro csf prion prtn qual (0035U)
range across 2 matching MRF lines
$369.23–$553.80 $568.04–$852 varies
Njx platelet plasma (0232T) $387.40 $596 0.8×
Non-ophthalmic fva (C9733) $744.25 $1,145 1.9×
Opps service,sched team conf (G0175) $513.50 $790 1.1×
Oth resp proc, group (G0239) $288.60 $444 7.0×
Oth resp proc, indiv (G0238) $144.95 $223 4.5×
Perq Sacral Augmt Bilat Inj (0201T) $7,226.70 $11,118 0.9×
Perq Sacral Augmt Unilat Inj (0200T) $7,226.70 $11,118 0.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $6,658.60 $10,244 0.5×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$143.65–$1,245.40 $221–$1,916 varies
Provide inr test mater/equip (G0249) $282.10 $434 1.9×
Psa screening (G0103)
range across 2 matching MRF lines
$13.65–$35.75 $21–$55 varies
Removal Ss Dfb Electrode (0573T) $2,734.55 $4,207 0.7×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,734.55 $4,207 0.7×
Revasc intra lithotrip-ather (C9766) $20,068.10 $30,874 1.0×
Revasc intra lithotrip-stent (C9765) $17,323.15 $26,651 0.9×
Revasc intravasc lithotripsy (C9764) $8,335.60 $12,824 0.6×
Revasc lith-sten-ath tib/per (C9775) $13,035.10 $20,054 0.6×
Revasc lithotr-ather tib/per (C9774) $13,035.10 $20,054 0.6×
Revasc lithotr-stent tib/per (C9773) $13,035.10 $20,054 0.6×
Revasc lithotrip tibi/perone (C9772) $8,151.65 $12,541 0.6×
Revasc lithotrip-stent-ather (C9767) $27,596.40 $42,456 1.4×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,734.55 $4,207 0.7×
Therapeutic procd strg endur (G0237) $144.95 $223 4.5×
Therapeutic ultrafiltration (0692T) $1,302.60 $2,004 0.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $10,744.50 $16,530 1.7×
Transcatheter renal sympath denervation unilat (0338T) $7,110.35 $10,939 1.1×
Trluml Perip Athrc Brchiocph (0237T) $15,241.20 $23,448 1.2×
Trluml Perip Athrc Iliac Art (0238T) $23,500.75 $36,155 1.2×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $15,241.20 $23,448 1.2×
Tte w or w/o contr, cont ecg (C8930) $2,522 $3,880 2.9×
Tte w or w/o fol w/cont, com (C8921) $1,838.85 $2,829 2.1×
Tte w or w/o fol w/cont, f/u (C8922) $897 $1,380 1.0×
Tte w or wo fol wcon,doppler (C8929) $2,241.20 $3,448 2.6×

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.