Supplies, drugs & other prices at Memorial Medical Center
Modesto, CA · every code in this section with a posted price and a Medicare benchmark.
64 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $3,387 | $3,387 | 3.4× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,112 | $2,112 | 4.7× |
| Adm tocilizu covid-19 1st (M0249) | $1,093 | $1,093 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,189 | $1,189 | 2.1× |
| Admin hepatitis b vaccine (G0010) | $139 | $139 | 2.3× |
| Admin influenza virus vac (G0008) | $182 | $182 | 3.0× |
| Admin pneumococcal vaccine (G0009) | $170 | $170 | 2.8× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$135–$140 | $135–$140 | varies |
| Chemo extend iv infus w/pump (G0498) | $1,306 | $1,306 | 3.1× |
| Diab manage trn per indiv (G0108) | $50 | $50 | 0.9× |
| Diab manage trn ind/group (G0109) | $50 | $50 | 3.1× |
| Direct refer hospital observ (G0379) | $1,035 | $1,035 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $114 | $114 | 6.3× |
| Fern test (Q0114) | $202 | $202 | 20.7× |
| Hep c screen high risk/other (G0472) | $158 | $158 | 3.4× |
| Hepb screen high risk indiv (G0499) | $169 | $169 | 6.0× |
| Home sleep test/type 3 porta (G0399) | $1,739 | $1,739 | 6.3× |
| Hospital outpt clinic visit (G0463) range across 24 matching MRF lines |
$122–$995 | $122–$995 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$4,829–$7,244 | $4,829–$7,244 | varies |
| Mra w/cont, abd (C8900) | $4,158 | $4,158 | 9.3× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$4,956–$7,434 | $4,956–$7,434 | varies |
| Mra w/cont, pelvis (C8918) | $3,893 | $3,893 | 8.7× |
| Mra w/o cont, abd (C8901) | $4,726 | $4,726 | 15.4× |
| Mra w/o cont, chest (C8910) | $5,604 | $5,604 | 18.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$3,957–$5,936 | $3,957–$5,936 | varies |
| Mra w/o cont, pelvis (C8919) | $3,193 | $3,193 | 10.4× |
| Mra w/o fol w/cont, abd (C8902) | $6,548 | $6,548 | 14.6× |
| Mra w/o fol w/cont, chest (C8911) | $7,230 | $7,230 | 16.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $6,897 | $6,897 | 15.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $8,358 | $8,358 | 18.6× |
| Mra, w/o dye, upper extr (C8935) | $5,569 | $5,569 | 18.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $5,785 | $5,785 | 12.9× |
| Oth resp proc, group (G0239) | $294 | $294 | 6.1× |
| Pemivibart infusion (M0224) | $1,178 | $1,178 | 2.1× |
| Perc d-e cor revasc chro sin (C9607) | $46,867 | $46,867 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $40,477 | $40,477 | 2.7× |
| Perc d-e cor stent ather s (C9602) | $50,853 | $50,853 | 2.2× |
| Perc drug-el cor stent sing (C9600) | $43,696 | $43,696 | 2.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $15,108 | $15,108 | 1.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $12,757 | $12,757 | 1.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $28,206 | $28,206 | 1.9× |
| Prolonged iv inf, req pump (C8957) | $697 | $697 | 2.5× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$387–$505.06 | $387–$505.06 | varies |
| Psa screening (G0103) | $239 | $239 | 12.4× |
| Revasc intra lithotrip-ather (C9766) | $35,514 | $35,514 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $41,442 | $41,442 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $25,717 | $25,717 | 1.7× |
| Revasc lith-sten-ath tib/per (C9775) | $35,706 | $35,706 | 1.5× |
| Revasc lithotr-ather tib/per (C9774) | $40,541 | $40,541 | 1.7× |
| Revasc lithotr-stent tib/per (C9773) | $23,803 | $23,803 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $30,083 | $30,083 | 2.0× |
| Revasc lithotrip-stent-ather (C9767) | $45,220 | $45,220 | 1.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $66,220 | $66,220 | 2.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $99,304 | $99,304 | 4.0× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $89,822 | $89,822 | 3.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $18,788 | $18,788 | 2.6× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$15,099–$24,710 | $15,099–$24,710 | varies |
| Trluml perip athrc abd aorta (0236T) | $68,171 | $68,171 | 4.6× |
| Trluml Perip Athrc Brchiocph (0237T) | $66,197 | $66,197 | 4.5× |
| Trluml Perip Athrc Iliac Art (0238T) | $37,748 | $37,748 | 1.6× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $64,885 | $64,885 | 4.4× |
| Tte w or w/o contr, cont ecg (C8930) | $6,498 | $6,498 | 6.4× |
| Tte w or wo fol wcon,doppler (C8929) | $5,589 | $5,589 | 5.5× |
| Unsched dialysis esrd pt hos (G0257) | $2,368 | $2,368 | 2.7× |
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.