Supplies, drugs & other prices at Mayo Clinic Health System - St. James

St. James, 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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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$31.68–$41.36 $36–$47 varies
Admin influenza virus vac (G0008) $13.20 $15 0.3×
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$31.68–$41.36 $36–$47 varies
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×
Asstv alg ECG rsk asmt cncrt (0764T) $45.76 $52 0.3×
Behavior counsel obesity 15m (G0447) $103.84 $118 1.0×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$616–$1,984.40 $700–$2,255 varies
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)
range across 2 matching MRF lines
$1,563.76–$2,049.52 $1,777–$2,329 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$1,563.76–$2,049.52 $1,777–$2,329 varies
Comt gene analysis c.472g>a variant (0032U) $528 $600 3.0×
Cyp1a2 gene analysis common variants (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)
range across 2 matching MRF lines
$75.68–$93.28 $86–$106 varies
Drug test def 1-7 classes (G0480)
range across 3 matching MRF lines
$176.88–$223.52 $201–$254 varies
Drug test def 15-21 classes (G0482)
range across 2 matching MRF lines
$303.60–$389.84 $345–$443 varies
Drug test def 8-14 classes (G0481)
range across 2 matching MRF lines
$239.36–$273.68 $272–$311 varies
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 imprcip&ms bld/ur w/isotype (0077U) $161.04 $183 3.7×
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 Serum Algorithm W/Nash (0003M) $1,144.88 $1,301 2.3×
Njx platelet plasma (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 and Nudt15 Genotype (0034U) $528 $600 1.1×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$2,146.32–$3,848.24 $2,439–$4,373 varies
Trim nail(s) (G0127) $98.56 $112 1.6×
Trluml Perip Athrc Brchiocph (0237T) $9,097.44 $10,338 0.8×
Trluml Perip Athrc Iliac Art (0238T)
unusually low: confirm this is the full procedure
$9,353.52 $10,629 0.5×
Visit to determ ldct elig (G0296) $121.44 $138 1.2×

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.