Supplies, drugs & other prices at Midwestern Region Med Center, Inc

Zion, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $67.50 $150 0.1×
2d tte w or w/o fol w/con,fu (C8924) $1,437.30 $3,194 3.8×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $12,688.20 $28,196 1.1×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $4,935.15 $10,967 1.2×
Admin hepatitis b vaccine (G0010) $37.80 $84 0.7×
Admin influenza virus vac (G0008) $37.80 $84 0.7×
Admin pneumococcal vaccine (G0009) $37.80 $84 0.7×
Bia whole body composition assessment w/i&r (0358T) $231.75 $515 7.4×
Chemo extend iv infus w/pump (G0498) $695.25 $1,545 1.9×
Diab manage trn per indiv (G0108) $106.65 $237 1.9×
Drug test def 1-7 classes (G0480) $231.30 $514 2.0×
Elec stim other than wound (G0283) $25.20 $56 2.0×
Fecal blood scrn immunoassay (G0328) $70.65 $157 3.9×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,262.70 $2,806 1.3×
Ire Abltj 1+Tum Organ Perq (0600T) $12,688.20 $28,196 1.1×
Mra w/cont, abd (C8900) $1,928.25 $4,285 5.1×
Mra w/cont, chest (C8909) $1,739.70 $3,866 4.6×
Mra w/cont, pelvis (C8918) $1,799.10 $3,998 4.8×
Mra w/o cont, abd (C8901) $1,489.50 $3,310 5.8×
Mra w/o cont, chest (C8910) $2,051.10 $4,558 8.0×
Mra w/o cont, pelvis (C8919) $1,460.70 $3,246 5.7×
Mra w/o fol w/cont, abd (C8902) $1,944.45 $4,321 5.2×
Mra w/o fol w/cont, chest (C8911) $2,131.65 $4,737 5.7×
Mra w/o fol w/cont, lwr ext (C8914) $2,503.80 $5,564 6.6×
Mra w/o fol w/cont, pelvis (C8920) $1,721.25 $3,825 4.6×
Mra, w/dye, upper extremity (C8934) $1,206.45 $2,681 3.2×
Mri w/o fol w/cont, breast, (C8908) $2,947.95 $6,551 7.8×
Mri w/o fol w/cont, brst, un (C8905) $2,499.30 $5,554 6.6×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $2,263.50 $5,030 2.4×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $2,450.25 $5,445 0.7×
Pemivibart infusion (M0224) $210.15 $467 0.4×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,334.95 $7,411 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,349.45 $5,221 0.3×
Prolonged iv inf, req pump (C8957) $298.35 $663 1.3×
Psa screening (G0103) $121.95 $271 6.3×
Screen cerv/vag thin layer (G0123) $81.45 $181 4.0×
Tomosynthesis, mammo (G0279) $8.75 $19.43 0.7×
Tte w or w/o contr, cont ecg (C8930) $2,286.90 $5,082 2.7×
Vasc emb/occ w/prs cath (C9797) $11,558.25 $25,685 0.6×
Visit to determ ldct elig (G0296) $94.50 $210 0.9×