Supplies, drugs & other prices at Methodist Olive Branch Hospital
Olive Branch, MS · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $693.22 | $3,151 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $680.02 | $3,091 | 2.1× |
| Admin hepatitis b vaccine (G0010) | $31.90 | $145 | 0.7× |
| Admin influenza virus vac (G0008) | $31.90 | $145 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $31.90 | $145 | 0.7× |
| Annual alcohol screen 15 min (G0442) | $17.16 | $78 | 0.5× |
| Behavior counsel obesity 15m (G0447) | $53.68 | $244 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $554.62 | $2,521 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $734.80 | $3,340 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $554.62 | $2,521 | 0.6× |
| Cysto impl 4 or more (C9740) | $7,297.70 | $33,171.37 | 0.8× |
| Cystoscopy prostatic imp 1-3 (C9739) | $7,297.70 | $33,171.37 | 1.5× |
| Depression screen annual (G0444) | $17.16 | $78 | 0.5× |
| Diab manage trn per indiv (G0108) | $33.22 | $151 | 0.6× |
| Diab manage trn ind/group (G0109) | $19.80 | $90 | 1.2× |
| Drug test def 1-7 classes (G0480) | $176.22 | $801 | 1.5× |
| Ekg tracing for initial prev (G0404) | $18.04 | $82 | 0.7× |
| Elec stim other than wound (G0283) | $30.58 | $139 | 2.4× |
| Fecal microbiota prep instil (G0455) | $563.42 | $2,561 | 0.7× |
| Followup eval of foot pt lop (G0246) | $79.20 | $360 | 0.6× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $2,447.08 | $11,123.09 | 3.6× |
| Hbot, full body chamber, 30m (G0277) | $148.06 | $673 | 1.2× |
| Hospital outpt clinic visit (G0463) | $89.76 | $408 | 0.7× |
| Initial preventive exam (G0402) | $99.22 | $451 | 0.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $47,233.94 | $214,699.75 | 1.6× |
| Mra w/cont, abd (C8900) | $1,858.78 | $8,449 | 5.8× |
| Mra w/cont, chest (C8909) | $1,551.44 | $7,052 | 4.8× |
| Mra w/cont, lwr ext (C8912) | $1,858.78 | $8,449 | 5.8× |
| Mra w/cont, pelvis (C8918) | $1,858.78 | $8,449 | 5.8× |
| Mra w/o cont, abd (C8901) | $1,364.44 | $6,202 | 6.2× |
| Mra w/o cont, lwr ext (C8913) | $1,364.44 | $6,202 | 6.2× |
| Mra w/o cont, pelvis (C8919) | $1,364.44 | $6,202 | 6.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,858.78 | $8,449 | 5.8× |
| Mra w/o fol w/cont, chest (C8911) | $1,858.78 | $8,449 | 5.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,858.78 | $8,449 | 5.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,858.78 | $8,449 | 5.8× |
| Mri w/o fol w/cont, breast, (C8908) | $231 | $1,050 | 0.7× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $130.68 | $594 | 0.2× |
| Obtaining screen pap smear (Q0091) | $18.04 | $82 | 0.7× |
| Pathogen test for platelets (P9100) | $36.30 | $165 | 0.7× |
| Perc d-e cor revasc chro sin (C9607) | $9,324.04 | $42,382 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $9,324.04 | $42,382 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $9,324.04 | $42,382 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $9,324.04 | $42,382 | 0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$3,352.14 | $15,237 | 0.3× |
| Ppps, initial visit (G0438) | $108.68 | $494 | 0.6× |
| Revasc intra lithotrip-ather (C9766) | $10,996.26 | $49,983 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $11,427.46 | $51,943 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $8,063.44 | $36,652 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $12,113.20 | $55,060 | 0.7× |
| Revasc lithotr-ather tib/per (C9774) | $12,113.20 | $55,060 | 0.7× |
| Revasc lithotr-stent tib/per (C9773) | $12,008.26 | $54,583 | 0.7× |
| Revasc lithotrip tibi/perone (C9772) | $7,176.40 | $32,620 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $11,427.46 | $51,943 | 0.7× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $163.24 | $742 | 0.2× |
| Sim ang w/prs cath rad emb (C8004) | $6,834.52 | $31,066 | 0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $11,493.46 | $52,243 | 0.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $11,212.52 | $50,966 | 0.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,896.84 | $8,622 | 0.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,436.18 | $15,619 | 0.7× |
| Tee w or w/o fol w/cont,cong (C8926) | $693.22 | $3,151 | 1.0× |
| Therapeutic ultrafiltration (0692T) | $988.02 | $4,491 | 0.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,433.10 | $15,605 | 0.7× |
| Transcatheter renal sympath denervation unilat (0338T) | $3,433.10 | $15,605 | 0.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,171.88 | $28,054 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $10,821.80 | $49,190 | 0.6× |
| Tte w or w/o fol w/con,stres (C8928) | $502.26 | $2,283 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) | $680.02 | $3,091 | 0.9× |
| Vasc emb/occ w/prs cath (C9797) | $10,821.80 | $49,190 | 0.6× |