Supplies, drugs & other prices at Merit Health Wesley

Hattiesburg, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $32.43 $154.44 0.9×
2d tee w or w/o fol w/con,in (C8925) $1,168.02 $5,562 1.7×
2d tte w or w/o fol w/con,fu (C8924) $299.88 $1,428 1.0×
Adm tocilizu covid-19 1st (M0249) $283.92 $1,352 0.7×
Adm tocilizu covid-19 2nd (M0250) $283.92 $1,352 0.7×
Admin hepatitis b vaccine (G0010) $49.14 $234 1.2×
Admin influenza virus vac (G0008) $59.64 $284 1.4×
Admin pneumococcal vaccine (G0009) $51.14 $243.50 1.2×
Amalgam one surface permanen (D2140) $5,203.93 $24,780.60 9.1×
Ant resin-based cmpst crown (D2390) $5,146.16 $24,505.52 9.0×
Ca screen;flexi sigmoidscope (G0104) $4,115.86 $19,599.34 5.0×
Catheterize for urine spec (P9612) $5.88 $28 0.6×
Colon ca scrn not hi rsk ind (G0121) $4,166.04 $19,838.28 5.0×
Colorectal scrn; hi risk ind (G0105) $3,798.63 $18,088.72 4.6×
Covid-19 lab test non-cdc (U0002) $32.43 $154.44 0.6×
Crown porcelain/ceramic (D2740) $4,643.10 $22,110 8.1×
Dental bitewings two images (D0272) $4,654.64 $22,164.95 60.2×
Diab manage trn per indiv (G0108) $105.21 $501 1.9×
Diab manage trn ind/group (G0109) $105.21 $501 6.6×
Direct refer hospital observ (G0379) $422.52 $2,012 0.8×
Eia hiv-1/hiv-2 screen (G0432) $25.40 $120.96 1.3×
Elec stim other than wound (G0283) $30.03 $143 2.4×
Elec stim unattend for press (G0281) $30.03 $143 2.6×
Elisa hiv-1/hiv-2 screen (G0433) $39.17 $186.50 2.1×
End thxpy, premolar tooth (D3320) $5,766.69 $27,460.45 10.0×
Extraction erupted tooth/exr (D7140) $5,136.41 $24,459.08 8.9×
Hbot, full body chamber, 30m (G0277) $196.77 $937 1.6×
Hiv combination assay (G0475) $43.68 $208 1.8×
Home sleep test/type 3 porta (G0399) $230.16 $1,096 1.2×
Hospital outpt clinic visit (G0463) $156.14 $743.50 1.3×
Inj for sacroiliac jt anesth (G0260) $2,463.90 $11,732.83 3.9×
Intraor comprehensive series (D0210) $5,143.53 $24,493.02 24.3×
Intraoral occlusal film (D0240) $4,672.40 $22,249.54 60.5×
Liver dis 10 assays w/nash (0003M) $317.31 $1,511 0.6×
Mnt subs tx for change dx (G0270) $19.32 $92 0.6×
Mra w/cont, abd (C8900) $1,669.71 $7,951 5.4×
Mra w/cont, chest (C8909) $1,753.29 $8,349 5.7×
Mra w/cont, lwr ext (C8912) $1,669.71 $7,951 5.4×
Mra w/o cont, abd (C8901) $1,708.98 $8,138 8.1×
Mra w/o cont, chest (C8910) $1,708.98 $8,138 8.1×
Mra w/o cont, lwr ext (C8913) $1,708.98 $8,138 8.1×
Mra w/o fol w/cont, abd (C8902) $1,719.06 $8,186 5.5×
Mra w/o fol w/cont, chest (C8911) $1,804.95 $8,595 5.8×
Mra w/o fol w/cont, lwr ext (C8914) $1,804.95 $8,595 5.8×
Oral hiv-1/hiv-2 screen (G0435) $45.78 $218 3.8×
Oth resp proc, group (G0239) $304.92 $1,452 9.2×
Oth resp proc, indiv (G0238) $67.41 $321 2.6×
Perc d-e cor revasc chro sin (C9607) $17,038.14 $81,134 1.0×
Perc d-e cor revasc t cabg s (C9604) $17,038.14 $81,134 1.7×
Perc d-e cor stent ather s (C9602) $17,038.14 $81,134 1.0×
Perc drug-el cor stent sing (C9600) $17,038.14 $81,134 1.7×
Periodontal scaling & root (D4341) $5,618.13 $26,753 9.8×
Post 1 srfc resinbased cmpst (D2391) $5,335.53 $25,407.29 9.3×
Post >=4srfc resinbase cmpst (D2394) $6,655.84 $31,694.46 11.6×
Prefab porc/ceram crown pri (D2929) $5,706.32 $27,172.97 9.9×
Prefab stainless steel crown (D2933) $5,009.73 $23,855.86 8.7×
Prefab steel crown primary (D2934) $5,101.63 $24,293.47 8.9×
Prefab stnlss steel crwn pri (D2930) $5,128.40 $24,420.93 8.9×
Prefabricated resin crown (D2932) $5,560.17 $26,477 9.7×
Prostate biopsy, any mthd (G0416) $248.27 $1,182.22 0.8×
Psa screening (G0103) $52.29 $249 2.7×
Pulpal therapy anterior prim (D3230) $6,768.32 $32,230.09 11.8×
Pulpal therapy posterior pri (D3240) $6,768.32 $32,230.09 11.8×
Re-cement or re-bond crown (D2920) $3,558.77 $16,946.50 6.2×
Rem imp tooth w mucoper flp (D7210) $6,310.28 $30,048.95 4.6×
Resin one surface-anterior (D2330) $5,229.63 $24,903 9.1×
Space maintainer fxd unilat (D1510) $4,952.01 $23,581 8.6×
Therapeutic pulpotomy (D3220) $5,103.16 $24,300.74 8.9×
Tomosynthesis, mammo (G0279) $27.51 $131 2.2×
Trauma respons w/hosp criti (G0390) $833.70 $3,970 0.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $40,237.55 $191,607.40 2.5×
Tte w or wo fol wcon,doppler (C8929) $1,222.41 $5,821 1.8×
Unsched dialysis esrd pt hos (G0257) $1,117.62 $5,322 1.8×