Supplies, drugs & other prices at Methodist Hospital

Omaha, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3d anat seg imaging preop (C8001) $480.60 $1,335 3.6×
Adm tocilizu covid-19 1st (M0249) $182.88 $508 0.4×
Adm tocilizu covid-19 2nd (M0250) $182.88 $508 0.4×
Admin influenza virus vac (G0008) $35.28 $98 0.7×
Admin pneumococcal vaccine (G0009) $33.48 $93 0.7×
Ca screen;flexi sigmoidscope (G0104) $546.48 $1,518 0.6×
Colon ca scrn not hi rsk ind (G0121) $939.96 $2,611 1.0×
Colorectal scrn; hi risk ind (G0105) $1,178.82 $3,274.50 1.2×
Colpopexy, min/inv, ex-perit (C9778)
likely a partial charge, not the full procedure
$1,264.68 $3,513 0.2×
Crown porcelain/ceramic (D2740) $83.16 $231 0.1×
Cystoscopy prostatic imp 1-3 (C9739)
likely a partial charge, not the full procedure
$1,590.84 $4,419 0.3×
Diab manage trn per indiv (G0108) $52.92 $147 0.9×
Diab manage trn ind/group (G0109) $20.88 $58 1.3×
Direct refer hospital observ (G0379) $2,579.76 $3,607 4.2×
Drug test def 1-7 classes (G0480) $30.96 $86 0.3×
Drug test def 15-21 classes (G0482) $61.56 $171 0.3×
Egd flexible transnasal w/insj intral tube/cath (0654T) $1,950.48 $5,418 0.5×
Elec stim unattend for press (G0281) $27.36 $76 2.3×
Endo defect closure gi tract (C9901)
likely a partial charge, not the full procedure
$400.68 $1,113 0.0×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$18,814.68 $52,263 0.4×
Esd endoscopy or colonoscopy (C9779) $2,934 $8,150 0.7×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T)
unusually low: confirm this is the full procedure
$3,824.64 $10,624 0.3×
Extraction erupted tooth/exr (D7140) $3,824.64 $10,624 5.7×
Fecal microbiota prep instil (G0455) $931.32 $2,587 1.0×
Hepb screen high risk indiv (G0499) $83.88 $233 3.0×
Hospital outpt clinic visit (G0463) $844.02 $2,344.50 6.1×
Impact tooth remov comp bony (D7240) $1,590.84 $4,419 2.4×
Inj for sacroiliac jt anesth (G0260) $11,121.84 $30,894 15.2×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $9,548.28 $26,523 0.9×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $9,548.28 $26,523 0.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $17,543.88 $48,733 0.8×
Njx pltlt plasma w/img harvest/preparation (0232T) $3,824.64 $10,624 8.2×
Oth resp proc, indiv (G0238) $131.04 $364 4.4×
Pattern erg w/i&r (0509T) $158.40 $440 0.7×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$9,489.24 $26,359 0.5×
Perc d-e cor revasc t cabg s (C9604) $9,489.24 $26,359 0.8×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$9,489.24 $26,359 0.5×
Perc drug-el cor stent sing (C9600) $9,489.24 $26,359 0.8×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,635.20 $7,320 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$2,635.20 $7,320 0.3×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $6,181.20 $17,170 0.5×
Place device/marker, non pro (C9728) $1,369.44 $3,804 1.0×
Prolonged iv inf, req pump (C8957) $237.24 $659 1.1×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $537.84 $1,494 0.8×
Rbc DNA gnotyp 10 bld groups (0084U) $157.68 $438 0.2×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) $3,845.70 $10,682.50 0.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $17,828.64 $49,524 1.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $11,204.28 $31,123 1.0×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,824.64 $10,624 1.0×
Removal Pg Wcs Lv Pacing Both Components (0861T) $2,579.76 $7,166 0.7×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$1,590.84 $4,419 0.1×
Revasc intravasc lithotripsy (C9764) $8,154.72 $22,652 0.7×
Revasc lithotrip-stent-ather (C9767)
likely a partial charge, not the full procedure
$1,590.84 $4,419 0.1×
Therapeutic procd strg endur (G0237) $131.04 $364 4.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $9,040.68 $25,113 0.8×
Trluml Perip Athrc Renal Art (0234T) $9,040.68 $25,113 0.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $9,040.68 $25,113 0.8×
Trluml peripheral atherectomy iliac artery ea (0238T) $9,927.36 $27,576 0.5×
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure
$8,880.12 $24,667 0.5×
Visit esketamine 56m or less (G2082) $753.84 $2,094 0.7×
Visit esketamine, > 56m (G2083) $1,101.96 $3,061 0.7×
Visit to determ ldct elig (G0296) $61.20 $170 0.6×