Supplies, drugs & other prices at Memorial Hospital West
Pembroke Pines, FL · every code in this section with a posted price and a Medicare benchmark.
84 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $28.35 | $40.50 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $27.30 | $39 | 0.6× |
| Admin influenza virus vac (G0008) | $42.70 | $61 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $58.80 | $84 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) | $58.10 | $83 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $38.50 | $55 | 0.8× |
| Crown porcelain w/ h noble m (D2750) | $10,972.50 | $15,675 | 16.3× |
| Crown porcelain/ceramic (D2740) | $10.50 | $15 | 0.0× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$1,390.20 | $1,986 | 0.2× |
| Diab manage trn per indiv (G0108) | $259.70 | $371 | 4.7× |
| Diab manage trn ind/group (G0109) | $137.90 | $197 | 8.6× |
| Direct refer hospital observ (G0379) | $312.20 | $446 | 0.5× |
| Drug test def 1-7 classes (G0480) | $44.20 | $63.14 | 0.4× |
| Elec stim other than wound (G0283) | $200.90 | $287 | 15.8× |
| Fecal blood scrn immunoassay (G0328) | $212.80 | $304 | 11.8× |
| Fecal microbiota prep instil (G0455) | $3,409.70 | $4,871 | 3.5× |
| Flt3 gene itd variants quan (0046U) | $1,557.50 | $2,225 | 3.8× |
| Hbot, full body chamber, 30m (G0277) | $951.30 | $1,359 | 6.6× |
| Hopd mntl hlt, 15-29 min (C7900) | $99.40 | $142 | 2.5× |
| Hopd mntl hlt, 30-60 min (C7901) | $254.10 | $363 | 2.4× |
| Iliac Atherectomy (0238T) likely a partial charge, not the full procedure |
$2,689.40 | $3,842 | 0.1× |
| Inj for sacroiliac jt anesth (G0260) | $2,681.70 | $3,831 | 3.6× |
| Liver Dis 10 Assays W/Nash (0003M) | $291.55 | $416.50 | 0.6× |
| Mnt subs tx for change dx (G0270) | $140.70 | $201 | 4.4× |
| Mra w/cont, abd (C8900) | $9,629.20 | $13,756 | 26.4× |
| Mra w/cont, chest (C8909) | $7,704.20 | $11,006 | 21.1× |
| Mra w/cont, lwr ext (C8912) | $11,715.20 | $16,736 | 32.2× |
| Mra w/cont, pelvis (C8918) | $9,629.20 | $13,756 | 26.4× |
| Mra w/o cont, abd (C8901) | $6,815.90 | $9,737 | 27.4× |
| Mra w/o cont, chest (C8910) | $6,026.30 | $8,609 | 24.2× |
| Mra w/o cont, lwr ext (C8913) | $9,542.05 | $13,631.50 | 38.3× |
| Mra w/o cont, pelvis (C8919) | $6,815.90 | $9,737 | 27.4× |
| Mra w/o fol w/cont, abd (C8902) | $9,445.10 | $13,493 | 25.9× |
| Mra w/o fol w/cont, chest (C8911) | $9,445.10 | $13,493 | 25.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $14,764.40 | $21,092 | 40.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $11,805.85 | $16,865.50 | 32.4× |
| Mra, w/dye, spinal canal (C8931) | $9,207.45 | $13,153.50 | 25.3× |
| Mra, w/dye, upper extremity (C8934) | $14,242.90 | $20,347 | 39.1× |
| Mra, w/o dye, spinal canal (C8932) | $6,815.90 | $9,737 | 27.4× |
| Mra, w/o dye, upper extr (C8935) | $8,508.85 | $12,155.50 | 34.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $11,602.15 | $16,574.50 | 31.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $18,191.95 | $25,988.50 | 49.9× |
| Mri w/cont, breast, bi (C8906) | $9,824.15 | $14,034.50 | 27.0× |
| Mri w/cont, breast, uni (C8903) | $10,844.40 | $15,492 | 59.2× |
| Mri w/o fol w/cont, breast, (C8908) | $12,063.45 | $17,233.50 | 33.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $11,431.35 | $16,330.50 | 31.4× |
| Neuro csf prion prtn qual (0035U) | $378.69 | $540.99 | 0.7× |
| Non-auto graft 1st tooth (D4275) | $2,419.20 | $3,456 | 1.5× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Non-Facility Physician (0049U) | $1,557.50 | $2,225 | 3.8× |
| Obtaining screen pap smear (Q0091) | $98 | $140 | 3.2× |
| Oth resp proc, group (G0239) | $332.50 | $475 | 8.5× |
| Oth resp proc, indiv (G0238) | $321.65 | $459.50 | 10.7× |
| Pathogen test for platelets (P9100) | $72.10 | $103 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $35,006.30 | $50,009 | 1.8× |
| Perc d-e cor revasc t cabg s (C9604) | $25,506.60 | $36,438 | 2.1× |
| Perc d-e cor stent ather s (C9602) | $35,919.80 | $51,314 | 1.9× |
| Perc drug-el cor stent sing (C9600) | $14,334.60 | $20,478 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $15,467.90 | $22,097 | 2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $7,735 | $11,050 | 1.0× |
| Place device/marker, non pro (C9728) | $5,121.90 | $7,317 | 3.5× |
| Pne flu hepb cov home admin (M0201) | $35.70 | $51 | 0.9× |
| Psa screening (G0103) | $191.10 | $273 | 9.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $242.30 | $346.14 | 0.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $168 | $240 | 0.2× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) | $219.80 | $314 | 3.6× |
| Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) | $134.40 | $192 | 3.4× |
| Revasc intra lithotrip-ather (C9766) | $41,706 | $59,580 | 2.2× |
| Revasc intra lithotrip-stent (C9765) | $44,625.70 | $63,751 | 2.3× |
| Revasc lith-sten-ath tib/per (C9775) | $71,790.60 | $102,558 | 3.8× |
| Revasc lithotr-ather tib/per (C9774) | $71,790.60 | $102,558 | 3.8× |
| Revasc lithotr-stent tib/per (C9773) | $71,790.60 | $102,558 | 3.8× |
| Revasc lithotrip tibi/perone (C9772) | $44,625.70 | $63,751 | 3.7× |
| Revasc lithotrip-stent-ather (C9767) | $67,093.60 | $95,848 | 3.5× |
| Therapeutic procd strg endur (G0237) | $133.70 | $191 | 4.4× |
| Therapeutic ultrafiltration (0692T) | $2,269.40 | $3,242 | 1.4× |
| Tomosynthesis, mammo (G0279) | $175.70 | $251 | 13.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $7,364 | $10,520 | 1.2× |
| Transcatheter renal sympath denervation unilat (0338T) | $7,364 | $10,520 | 1.2× |
| Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) | $1,129.10 | $1,613 | 5.0× |
| Trauma respons w/hosp criti (G0390) | $6,716.50 | $9,595 | 4.8× |
| Tte w or wo fol wcon,doppler (C8929) | $8,900.50 | $12,715 | 10.9× |
| Unsched dialysis esrd pt hos (G0257) | $2,333.10 | $3,333 | 3.3× |
| Visit esketamine 56m or less (G2082) | $2,108.40 | $3,012 | 2.0× |
| Visit esketamine, > 56m (G2083) | $3,080 | $4,400 | 1.8× |