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

Osseo, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$40.50–$51.30 $45–$57 varies
Admin influenza virus vac (G0008) $20.70 $23 0.5×
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$40.50–$51.30 $45–$57 varies
Adrnl cortcl tum bchm asy 25 (0015M) $1,090.80 $1,212 0.8×
Antibody treponema pallidum total & rpr ia qual (0064U) $120.60 $134 3.8×
Ca screen;flexi sigmoidscope (G0104) $1,895.40 $2,106 2.1×
Ca screen;pelvic/breast exam (G0101) $155.70 $173 1.6×
Catheterize for urine spec (P9612) $264.60 $294 28.3×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$2,239.20–$2,290.50 $2,488–$2,545 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$2,239.20–$2,290.50 $2,488–$2,545 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×
Demonstrate use home inr mon (G0248) $225.90 $251 1.7×
Diab manage trn per indiv (G0108) $89.10 $99 1.6×
Diab manage trn ind/group (G0109) $65.70 $73 4.1×
Drug test def 1-7 classes (G0480)
range across 3 matching MRF lines
$185.40–$238.50 $206–$265 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$322.20–$414 $358–$460 varies
Drug test def 8-14 classes (G0481)
range across 2 matching MRF lines
$254.70–$290.70 $283–$323 varies
Egd flexible transnasal w/insj intral tube/cath (0654T) $5,515.20 $6,128 1.5×
Ekg tracing for initial prev (G0404) $165.60 $184 5.9×
Elec stim other than wound (G0283) $60.30 $67 4.8×
Fern test (Q0114) $31.50 $35 3.2×
Hbot, full body chamber, 30m (G0277) $626.40 $696 4.7×
Hepb screen high risk indiv (G0499) $95.40 $106 3.4×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $159.30 $177 3.7×
Init/sub psych care m 1st 30 (G2214) $280.80 $312 2.8×
Initial preventive exam (G0402) $314.10 $349 2.4×
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) $1,090.80 $1,212 2.2×
Obtaining screen pap smear (Q0091) $79.20 $88 2.8×
Oth resp proc, group (G0239) $304.20 $338 8.4×
Oth resp proc, indiv (G0238) $159.30 $177 5.7×
Pemivibart infusion (M0224) $572.40 $636 1.3×
Perc d-e cor revasc chro sin (C9607) $28,944 $32,160 1.6×
Perc d-e cor revasc t cabg s (C9604) $19,059.30 $21,177 1.7×
Perc d-e cor stent ather s (C9602) $27,445.50 $30,495 1.5×
Perc drug-el cor stent sing (C9600) $19,059.30 $21,177 1.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $10,795.50 $11,995 1.0×
Ppps, initial visit (G0438) $462.60 $514 2.7×
Ppps, subseq visit (G0439) $307.80 $342 2.2×
Prostate biopsy, any mthd (G0416) $291.60 $324 0.8×
Provide inr test mater/equip (G0249) $170.10 $189 1.3×
Psa screening (G0103) $215.10 $239 11.1×
Rbc DNA gnotyp 10 bld groups (0084U) $1,620 $1,800 2.3×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $197.10 $219 5.4×
Revasc intra lithotrip-ather (C9766) $25,818.30 $28,687 1.4×
Revasc intra lithotrip-stent (C9765) $16,426.80 $18,252 0.9×
Revasc intravasc lithotripsy (C9764) $15,536.70 $17,263 1.4×
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) $60.30 $67 3.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $51,932.70 $57,703 2.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $36,111.60 $40,124 1.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $31,970.70 $35,523 1.7×
Therapeutic procd strg endur (G0237) $191.70 $213 6.8×
Tpmt and Nudt15 Genotype (0034U) $540 $600 1.2×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$2,767.50–$8,464.50 $3,075–$9,405 varies
Trim nail(s) (G0127) $100.80 $112 1.8×
Trluml Perip Athrc Iliac Art (0238T) $18,635.40 $20,706 1.0×
Unsched dialysis esrd pt hos (G0257) $2,962.80 $3,292 4.4×
Visit to determ ldct elig (G0296) $186.30 $207 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.