Supplies, drugs & other prices at ProMedica Memorial Hospital

Fremont, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) $271.05 $417 2.1×
Comt gene analysis c.472g>a variant (0032U) $477.10 $734 2.7×
Covid-19 lab test non-cdc (U0002) $159.25 $245 3.1×
Diab manage trn per indiv (G0108) $91.65 $141 1.6×
Diab manage trn ind/group (G0109) $72.80 $112 4.5×
Direct refer hospital observ (G0379) $438.75 $675 0.8×
Group train w/o patient (G0543) $88.40 $136 3.2×
Instill pharm renal pelvis (C9789) $4,022.85 $6,189 3.5×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $367.90 $566 3.0×
Neuro csf prion prtn qual (0035U) $1,506.05 $2,317 2.8×
No pt prsnt train initial 30 (G0541) $149.50 $230 5.5×
Onc Merkel Cll Carc Srm Quan (0058U) $917.15 $1,411 2.8×
Pathogen test for platelets (P9100) $100.10 $154 1.8×
Prolonged iv inf, req pump (C8957) $717.60 $1,104 3.6×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,107.60 $1,704 1.8×
Quan MRI alys brain with diagnostic MRI (0866T) $326.30 $502 1.4×
Rx metab warfarin rx response trgt seq alys (0030U) $527.15 $811 3.9×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $52.65 $81 2.9×
Tpmt and Nudt15 Genotype (0034U) $1,298.05 $1,997 2.8×