Supplies, drugs & other prices at Marshfield Medical Center Dickinson Hospital
Iron Mountain, MI · every code in this section with a posted price and a Medicare benchmark.
57 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,644.96 | $1,935.25 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,177.25 | $1,385 | 3.4× |
| Admin hepatitis b vaccine (G0010) range across 7 matching MRF lines |
$50.15–$90.52 | $59–$106.50 | varies |
| Admin influenza virus vac (G0008) range across 17 matching MRF lines |
$23.38–$58.65 | $27.50–$69 | varies |
| Admin pneumococcal vaccine (G0009) range across 18 matching MRF lines |
$47.39–$58.65 | $55.75–$69 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $549.52 | $646.50 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) range across 4 matching MRF lines |
$89.89–$145.99 | $105.75–$171.75 | varies |
| Catheterize for urine spec (P9612) range across 7 matching MRF lines |
$5.95–$28.05 | $7–$33 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$1,209.12–$2,835.17 | $1,422.50–$3,335.50 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,209.12–$1,568.46 | $1,422.50–$1,845.25 | varies |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$109.86–$116.66 | $129.25–$137.25 | varies |
| Diab manage trn ind/group (G0109) | $97.54 | $114.75 | 6.1× |
| Direct refer hospital observ (G0379) | $1,654.31 | $1,946.25 | 2.8× |
| Drug test def 1-7 classes (G0480) range across 21 matching MRF lines |
$125.59–$452.62 | $147.75–$532.50 | varies |
| Ekg tracing for initial prev (G0404) range across 10 matching MRF lines |
$30.39–$66.51 | $35.75–$78.25 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$91.16–$102 | $107.25–$120 | varies |
| Elec stim unattend for press (G0281) | $94.77 | $111.50 | 8.1× |
| Hbot, full body chamber, 30m (G0277) | $289.21 | $340.25 | 2.1× |
| Home sleep test/type 3 porta (G0399) | $248.62 | $292.50 | 1.2× |
| Hospital outpt clinic visit (G0463) range across 536 matching MRF lines |
$29.96–$457.30 | $35.25–$538 | varies |
| Initial preventive exam (G0402) | $600.31 | $706.25 | 4.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,454.35 | $1,711 | 2.1× |
| Mnt subs tx for change dx (G0270) | $93.71 | $110.25 | 3.0× |
| Mra w/cont, abd (C8900) | $2,029.38 | $2,387.50 | 5.8× |
| Mra w/cont, lwr ext (C8912) | $2,029.38 | $2,387.50 | 5.8× |
| Mra w/cont, pelvis (C8918) | $2,065.50 | $2,430 | 5.9× |
| Mra w/o cont, abd (C8901) | $2,029.38 | $2,387.50 | 8.5× |
| Mra w/o cont, lwr ext (C8913) | $2,029.38 | $2,387.50 | 8.5× |
| Mra w/o cont, pelvis (C8919) | $2,029.38 | $2,387.50 | 8.5× |
| Mra w/o fol w/cont, chest (C8911) | $2,029.38 | $2,387.50 | 5.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,422.71 | $2,850.25 | 7.0× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$313.44–$2,438.86 | $368.75–$2,869.25 | varies |
| Mri w/o fol w/cont, brst, un (C8905) | $2,438.86 | $2,869.25 | 7.0× |
| Njx platelet plasma (0232T) range across 4 matching MRF lines |
$169.36–$562.91 | $199.25–$662.25 | varies |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$107.95–$124.74 | $127–$146.75 | varies |
| Oth resp proc, group (G0239) | $56.74 | $66.75 | 1.5× |
| Oth resp proc, indiv (G0238) | $56.74 | $66.75 | 2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,162.50 | $7,250 | 0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,162.50 | $7,250 | 0.9× |
| Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) likely a partial charge, not the full procedure |
$878.05 | $1,033 | 0.1× |
| Ppps, initial visit (G0438) | $615.61 | $724.25 | 3.5× |
| Ppps, subseq visit (G0439) | $417.99 | $491.75 | 3.0× |
| Psa screening (G0103) | $143.22 | $168.50 | 7.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $115.81 | $136.25 | 4.4× |
| Screen cerv/vag thin layer (G0123) | $115.81 | $136.25 | 5.7× |
| Screen pap by tech w md supv (P3000) | $99.02 | $116.50 | 5.3× |
| Therapeutic procd strg endur (G0237) | $56.74 | $66.75 | 2.0× |
| Tomosynthesis, mammo (G0279) | $73.10 | $86 | 5.8× |
| Trauma respons w/hosp criti (G0390) | $5,845.88 | $6,877.50 | 4.4× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$77.35–$86.91 | $91–$102.25 | varies |
| Trluml perip athrc abd aorta (0236T) | $20,914.46 | $24,605.25 | 1.8× |
| Trluml Perip Athrc Brchiocph (0237T) | $20,914.46 | $24,605.25 | 1.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $20,914.46 | $24,605.25 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,373.39 | $1,615.75 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $2,104.17 | $2,475.50 | 2.7× |
| Visit to determ ldct elig (G0296) range across 3 matching MRF lines |
$72.04–$108.16 | $84.75–$127.25 | varies |
| Wet mounts/ w preparations (Q0111) | $17.42 | $20.50 | 0.9× |
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.