Supplies, drugs & other prices at Mayo Clinic Health System - Lake City

Lake City, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $36.52 $41.50 0.8×
Admin influenza virus vac (G0008) $13.20 $15 0.3×
Admin pneumococcal vaccine (G0009) $36.52 $41.50 0.8×
Adrnl Cortcl Tum Bchm Asy 25 (0015M) $1,356.08 $1,541 1.0×
Antibody treponema pallidum total & rpr ia qual (0064U) $117.04 $133 3.7×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) $45.76 $52 0.3×
Behavior counsel obesity 15m (G0447) $103.84 $118 1.0×
Ca screen;flexi sigmoidscope (G0104) $1,300.20 $1,477.50 1.4×
Ca screen;pelvic/breast exam (G0101) $146.96 $167 1.4×
Catheterize for urine spec (P9612) $181.28 $206 19.4×
Colon ca scrn not hi rsk ind (G0121) $2,000.24 $2,273 2.1×
Colorectal scrn; hi risk ind (G0105) $2,000.24 $2,273 2.1×
Comt gene analysis c.472g>a variant (0032U) $528 $600 3.0×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $528 $600 3.0×
Cyp2d6 3' gene dup/mlt (0076U) $528 $600 1.2×
Cyp2d6 full gene sequence (0071U) $528 $600 0.9×
Cyp2d6 gen com&slct rar vrnt (0070U) $528 $600 0.8×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $528 $600 1.2×
Demonstrate use home inr mon (G0248) $674.96 $767 4.9×
Diab manage trn per indiv (G0108) $102.96 $117 1.8×
Direct refer hospital observ (G0379) $84.48 $96 0.1×
Drug test def 1-7 classes (G0480) $203.28 $231 1.8×
Drug test def 15-21 classes (G0482) $346.72 $394 1.7×
Drug test def 8-14 classes (G0481) $256.52 $291.50 1.6×
Ekg tracing for initial prev (G0404) $100.32 $114 3.4×
Elec stim other than wound (G0283) $42.24 $48 3.3×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $38,550.16 $43,807 0.8×
Fern test (Q0114) $47.52 $54 4.9×
Hbot, full body chamber, 30m (G0277) $568.48 $646 4.0×
Home sleep test/type 3 porta (G0399) $1,014.64 $1,153 4.6×
Ig paraprotein qual bld/ur (0077U) $161.04 $183 3.7×
Iliac Atherectomy (0238T)
unusually low: confirm this is the full procedure
$9,353.52 $10,629 0.5×
Init/sub psych care m 1st 30 (G2214) $273.68 $311 2.6×
Initial preventive exam (G0402) $293.04 $333 2.1×
Inj for sacroiliac jt anesth (G0260) $1,206.48 $1,371 1.7×
Intens behave ther cardio dx (G0446) $42.24 $48 1.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $352 $400 2.9×
Liver Dis 10 Assays W/Nash (0003M) $1,144.88 $1,301 2.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $2,700.72 $3,069 5.9×
Obtaining screen pap smear (Q0091) $106.48 $121 3.6×
Oth resp proc, group (G0239) $199.76 $227 5.2×
Oth resp proc, indiv (G0238) $136.40 $155 4.6×
Perc d-e cor revasc chro sin (C9607) $32,929.60 $37,420 1.7×
Perc d-e cor revasc t cabg s (C9604) $24,978.80 $28,385 2.1×
Perc d-e cor stent ather s (C9602) $31,910.56 $36,262 1.7×
Perc drug-el cor stent sing (C9600) $24,815.12 $28,199 2.1×
Perq Sacral Augmt Bilat Inj (0201T) $11,356.40 $12,905 1.5×
Perq Sacral Augmt Unilat Inj (0200T) $9,739.84 $11,068 1.3×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $10,659.44 $12,113 0.9×
Potassium hydroxide preps (Q0112) $22 $25 3.8×
Ppps, initial visit (G0438) $367.84 $418 2.1×
Ppps, subseq visit (G0439) $167.20 $190 1.2×
Prostate biopsy, any mthd (G0416) $167.20 $190 0.5×
Provide inr test mater/equip (G0249) $290.40 $330 2.1×
Psa screening (G0103) $136.40 $155 7.1×
Revasc intra lithotrip-ather (C9766) $25,630.88 $29,126 1.4×
Revasc intra lithotrip-stent (C9765) $20,974.80 $23,835 1.1×
Revasc intravasc lithotripsy (C9764) $18,913.84 $21,493 1.6×
Revasc lithotrip tibi/perone (C9772) $20,874.48 $23,721 1.8×
Revasc lithotrip-stent-ather (C9767) $33,778.80 $38,385 1.8×
Rx Metab Advrs Trgt Seq Alys (0029U) $528 $600 0.7×
Rx metab warfarin rx response trgt seq alys (0030U) $616 $700 4.6×
Screen cerv/vag thin layer (G0123) $95.04 $108 4.7×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $58.08 $66 3.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $10,705.20 $12,165 1.8×
Therapeutic procd strg endur (G0237) $124.96 $142 4.2×
Tpmt nudt15 gene analysis common variants (0034U) $528 $600 1.1×
Trauma respons w/hosp criti (G0390) $3,070.76 $3,489.50 2.2×
Trim nail(s) (G0127) $98.56 $112 1.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $9,097.44 $10,338 0.8×
Visit to determ ldct elig (G0296) $121.44 $138 1.2×