Supplies, drugs & other prices at Mercy Health - St. Elizabeth Boardman Hospital

Boardman, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Alveoplasty w/ extraction (D7310) $10,902.78 $18,171.30 7.4×
Ca screen;flexi sigmoidscope (G0104) $5,277.48 $8,795.80 6.0×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$4,377.42–$4,549.56 $7,295.70–$7,582.60 varies
Colorectal scrn; hi risk ind (G0105)
range across 3 matching MRF lines
$4,320.48–$4,884.96 $7,200.80–$8,141.60 varies
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$100.80–$116.40 $168–$194 varies
Cysto impl 4 or more (C9740) $33,351.88 $55,586.47 3.7×
Cysto, litho, vacuum kidney (C9761)
range across 3 matching MRF lines
$23,227.59–$28,263.09 $38,712.65–$47,105.15 varies
Drug test def 1-7 classes (G0480)
range across 132 matching MRF lines
$9.60–$211.80 $16–$353 varies
Facility svs dental rehab (G0330) $12,340.92 $20,568.20 3.9×
Fecal blood scrn immunoassay (G0328) $12 $20 0.7×
Glyca nuc mr spectroscopy quantitative (0024U) $54.60 $91 1.6×
Hepb screen high risk indiv (G0499) $45 $75 1.6×
Hospital outpt clinic visit (G0463)
range across 2 matching MRF lines
$265.80–$1,592.10 $443–$2,653.50 varies
Inj for sacroiliac jt anesth (G0260)
range across 5 matching MRF lines
$2,553.48–$4,909.80 $4,255.80–$8,183 varies
Neuro csf prion prtn qual (0035U) $463.20 $772 0.9×
Njx platelet plasma (0232T) $11,969.47 $19,949.12 28.3×
Onc Merkel Cll Carc Srm Quan (0058U)
range across 2 matching MRF lines
$348–$542.40 $580–$904 varies
Pathogen test for platelets (P9100) $63 $105 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $11,994 $19,990 1.7×
Perq Sacral Augmt Unilat Inj (0200T) $11,994 $19,990 1.7×
Prolonged iv inf, req pump (C8957) $660.60 $1,101 3.3×
Psa screening (G0103) $70.20 $117 3.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $250.80 $418 0.3×
Scr c/v cyto,thinlayer,rescr (G0145) $76.80 $128 2.9×
Screen cerv/vag thin layer (G0123) $84.60 $141 4.2×
Screen pap by tech w md supv (P3000) $32.40 $54 1.7×
Tomosynthesis, mammo (G0279) $28.80 $48 2.3×

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.