Supplies, drugs & other prices at Mayo Clinic Health System In Sparta
Sparta, WI · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$41.40–$51.30 | $46–$57 | varies |
| Admin influenza virus vac (G0008) | $20.70 | $23 | 0.5× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$41.40–$51.30 | $46–$57 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $1,955.70 | $2,173 | 2.2× |
| Ca screen;pelvic/breast exam (G0101) | $158.40 | $176 | 1.6× |
| Catheterize for urine spec (P9612) | $263.70 | $293 | 28.2× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,290.50–$2,342.70 | $2,545–$2,603 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,290.50–$2,342.70 | $2,545–$2,603 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $540 | $600 | 3.1× |
| Cyp1a2 gene analysis common variants (0031U) | $540 | $600 | 3.1× |
| Cyp2d6 3' gene dup/mlt (0076U) | $540 | $600 | 1.2× |
| Cyp2d6 full gene sequence (0071U) | $540 | $600 | 0.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $540 | $600 | 0.8× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $540 | $600 | 1.2× |
| Depression screen annual (G0444) | $72.90 | $81 | 2.0× |
| Diab manage trn per indiv (G0108) | $90.90 | $101 | 1.6× |
| Diab manage trn ind/group (G0109) | $67.50 | $75 | 4.2× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$189.90–$243.90 | $211–$271 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$329.40–$423.90 | $366–$471 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$260.10–$297 | $289–$330 | varies |
| Ekg tracing for initial prev (G0404) | $169.20 | $188 | 6.0× |
| Elec stim other than wound (G0283) | $61.20 | $68 | 4.8× |
| Extrnl counterpulse, per tx (G0166) | $244.80 | $272 | 1.9× |
| Fern test (Q0114) | $30.60 | $34 | 3.1× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $162 | $180 | 3.7× |
| Intens behave ther cardio dx (G0446) | $46.80 | $52 | 1.3× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $160.20 | $178 | 4.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $360 | $400 | 3.0× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,112.40 | $1,236 | 2.2× |
| Nfct ds strn typ whl gen seq (0010U) | $480.60 | $534 | 1.1× |
| Njx platelet plasma (0232T) | $2,687.40 | $2,986 | 6.2× |
| Obtaining screen pap smear (Q0091) | $79.20 | $88 | 2.8× |
| Oth resp proc, group (G0239) | $309.60 | $344 | 8.5× |
| Pemivibart infusion (M0224) | $589.50 | $655 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $29,861.10 | $33,179 | 1.7× |
| Perc d-e cor revasc t cabg s (C9604) | $19,663.20 | $21,848 | 1.8× |
| Perc d-e cor stent ather s (C9602) | $28,314.90 | $31,461 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $19,663.20 | $21,848 | 1.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $10,832.40 | $12,036 | 1.0× |
| Ppps, initial visit (G0438) | $471.60 | $524 | 2.7× |
| Ppps, subseq visit (G0439) | $313.20 | $348 | 2.3× |
| Prostate biopsy, any mthd (G0416) | $297 | $330 | 0.9× |
| Psa screening (G0103) | $215.10 | $239 | 11.1× |
| Revasc intra lithotrip-ather (C9766) | $26,639.10 | $29,599 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $32,413.50 | $36,015 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $16,028.10 | $17,809 | 1.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $34,316.10 | $38,129 | 1.6× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $540 | $600 | 0.7× |
| Rx metab warfarin rx response trgt seq alys (0030U) | $630 | $700 | 4.7× |
| Screen cerv/vag thin layer (G0123) | $113.40 | $126 | 5.6× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $61.20 | $68 | 3.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $34,981.20 | $38,868 | 1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $32,935.50 | $36,595 | 1.8× |
| Tpmt and Nudt15 Genotype (0034U) | $540 | $600 | 1.2× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$2,767.50–$5,078.70 | $3,075–$5,643 | varies |
| Trim nail(s) (G0127) | $102.60 | $114 | 1.8× |
| Unsched dialysis esrd pt hos (G0257) | $2,952 | $3,280 | 4.4× |
| Visit to determ ldct elig (G0296) | $190.80 | $212 | 1.9× |
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.