Supplies, drugs & other prices at Marshall Medical Center
Lewisburg, TN · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $906.51 | $2,211 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $278.39 | $679 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $27.06 | $66 | 0.6× |
| Admin influenza virus vac (G0008) | $28.29 | $69 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $28.29 | $69 | 0.7× |
| Chemo extend iv infus w/pump (G0498) | $244.36 | $596 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $738 | $1,800 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $738 | $1,800 | 0.9× |
| Drug test def 1-7 classes (G0480) | $63.14 | $154 | 0.6× |
| Elec stim other than wound (G0283) | $34.64 | $84.50 | 2.7× |
| Group mnt 2 or more 30 mins (G0271) | $18.86 | $46 | 1.1× |
| Home sleep test/type 3 porta (G0399) | $241.49 | $589 | 1.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $161.95 | $395 | 4.8× |
| Hopd mntl hlt, 30-60 min (C7901) | $473.55 | $1,155 | 5.1× |
| Hopd mntl hlt, grp (C7903) | $473.55 | $1,155 | 13.9× |
| Hospital outpt clinic visit (G0463) | $82 | $200 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) | $753.38 | $1,837.50 | 1.2× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) | $1,785.96 | $4,356 | 0.5× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) | $1,785.96 | $4,356 | 0.4× |
| Instlj fecal microbiota ssp (0780T) | $132.43 | $323 | 1.1× |
| Mnt subs tx for change dx (G0270) | $11.89 | $29 | 0.4× |
| Mra w/cont, abd (C8900) | $1,005.32 | $2,452 | 3.2× |
| Mra w/cont, chest (C8909) | $907.74 | $2,214 | 2.9× |
| Mra w/cont, lwr ext (C8912) | $1,298.88 | $3,168 | 4.1× |
| Mra w/cont, pelvis (C8918) | $1,026.64 | $2,504 | 3.2× |
| Mra w/o cont, abd (C8901) | $1,011.88 | $2,468 | 4.7× |
| Mra w/o cont, chest (C8910) | $970.88 | $2,368 | 4.5× |
| Mra w/o cont, lwr ext (C8913) | $1,059.03 | $2,583 | 4.9× |
| Mra w/o cont, pelvis (C8919) | $859.77 | $2,097 | 4.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,293.96 | $3,156 | 4.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,241.48 | $3,028 | 3.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,452.22 | $3,542 | 4.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,099.62 | $2,682 | 3.5× |
| Mra, w/dye, upper extremity (C8934) | $968.83 | $2,363 | 3.1× |
| Mra, w/o dye, upper extr (C8935) | $921.68 | $2,248 | 4.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,015.57 | $2,477 | 3.2× |
| Mri w/cont, breast, bi (C8906) | $1,164.81 | $2,841 | 3.7× |
| Mri w/cont, breast, uni (C8903) | $1,128.32 | $2,752 | 7.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,312 | $3,200 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,135.29 | $2,769 | 3.6× |
| Prolonged iv inf, req pump (C8957) | $176.30 | $430 | 0.9× |
| Psa screening (G0103) | $53.30 | $130 | 2.8× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $717.50 | $1,750 | 1.0× |
| Tomosynthesis, mammo (G0279) | $45.92 | $112 | 3.6× |
| Tte w or w/o fol w/con,stres (C8928) | $477.65 | $1,165 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) | $777.77 | $1,897 | 1.1× |