Supplies, drugs & other prices at Mayo Clinic Health System - New Prague
New Prague, 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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$27–$35.25 | $36–$47 | varies |
| Admin influenza virus vac (G0008) | $11.25 | $15 | 0.2× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$27–$35.25 | $36–$47 | varies |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,155.75 | $1,541 | 0.9× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $99.75 | $133 | 3.2× |
| Asstv alg ECG rsk asmt cncrt (0764T) | $39 | $52 | 0.3× |
| Behavior counsel obesity 15m (G0447) | $88.50 | $118 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$525–$1,691.25 | $700–$2,255 | varies |
| Ca screen;pelvic/breast exam (G0101) | $125.25 | $167 | 1.2× |
| Catheterize for urine spec (P9612) | $154.50 | $206 | 16.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,332.75–$1,746.75 | $1,777–$2,329 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,332.75–$1,746.75 | $1,777–$2,329 | varies |
| Comt gene analysis c.472g>a variant (0032U) | $450 | $600 | 2.6× |
| Cyp1a2 gene analysis common variants (0031U) | $450 | $600 | 2.6× |
| Cyp2d6 3' gene dup/mlt (0076U) | $450 | $600 | 1.0× |
| Cyp2d6 full gene sequence (0071U) | $450 | $600 | 0.8× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $450 | $600 | 0.7× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $450 | $600 | 1.0× |
| Demonstrate use home inr mon (G0248) | $575.25 | $767 | 4.1× |
| Diab manage trn per indiv (G0108) | $87.75 | $117 | 1.6× |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$64.50–$79.50 | $86–$106 | varies |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$150.75–$190.50 | $201–$254 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$258.75–$332.25 | $345–$443 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$204–$233.25 | $272–$311 | varies |
| Ekg tracing for initial prev (G0404) | $85.50 | $114 | 2.8× |
| Elec stim other than wound (G0283) | $36 | $48 | 2.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $32,855.25 | $43,807 | 0.7× |
| Fern test (Q0114) | $40.50 | $54 | 4.2× |
| Hbot, full body chamber, 30m (G0277) | $484.50 | $646 | 3.4× |
| Home sleep test/type 3 porta (G0399) | $864.75 | $1,153 | 3.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $137.25 | $183 | 3.2× |
| Init/sub psych care m 1st 30 (G2214) | $233.25 | $311 | 2.2× |
| Initial preventive exam (G0402) | $249.75 | $333 | 1.8× |
| Inj for sacroiliac jt anesth (G0260) | $1,028.25 | $1,371 | 1.4× |
| Intens behave ther cardio dx (G0446) | $36 | $48 | 0.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $300 | $400 | 2.5× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $975.75 | $1,301 | 1.9× |
| Njx platelet plasma (0232T) | $2,301.75 | $3,069 | 4.9× |
| Obtaining screen pap smear (Q0091) | $90.75 | $121 | 3.0× |
| Oth resp proc, group (G0239) | $170.25 | $227 | 4.4× |
| Oth resp proc, indiv (G0238) | $116.25 | $155 | 3.8× |
| Perc d-e cor revasc chro sin (C9607) | $28,065 | $37,420 | 1.5× |
| Perc d-e cor revasc t cabg s (C9604) | $21,288.75 | $28,385 | 1.8× |
| Perc d-e cor stent ather s (C9602) | $27,196.50 | $36,262 | 1.4× |
| Perc drug-el cor stent sing (C9600) | $21,149.25 | $28,199 | 1.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,678.75 | $12,905 | 1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,301 | $11,068 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,084.75 | $12,113 | 0.8× |
| Potassium hydroxide preps (Q0112) | $18.75 | $25 | 3.2× |
| Ppps, initial visit (G0438) | $313.50 | $418 | 1.8× |
| Ppps, subseq visit (G0439) | $142.50 | $190 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $142.50 | $190 | 0.4× |
| Provide inr test mater/equip (G0249) | $247.50 | $330 | 1.8× |
| Psa screening (G0103) | $116.25 | $155 | 6.0× |
| Revasc intra lithotrip-ather (C9766) | $21,844.50 | $29,126 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $17,876.25 | $23,835 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $16,119.75 | $21,493 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $17,790.75 | $23,721 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $28,788.75 | $38,385 | 1.5× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $450 | $600 | 0.6× |
| Rx metab warfarin rx response trgt seq alys (0030U) | $525 | $700 | 3.9× |
| Screen cerv/vag thin layer (G0123) | $81 | $108 | 4.0× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $49.50 | $66 | 2.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,123.75 | $12,165 | 1.5× |
| Therapeutic procd strg endur (G0237) | $106.50 | $142 | 3.5× |
| Tpmt and Nudt15 Genotype (0034U) | $450 | $600 | 1.0× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$1,829.25–$3,279.75 | $2,439–$4,373 | varies |
| Trim nail(s) (G0127) | $84 | $112 | 1.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $7,753.50 | $10,338 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$7,971.75 | $10,629 | 0.4× |
| Visit to determ ldct elig (G0296) | $103.50 | $138 | 1.0× |
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.