Supplies, drugs & other prices at Mille Lacs Health System

Onamia, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $15.40 $22 0.3×
Admin pneumococcal vaccine (G0009) $15.40 $22 0.3×
Behavior counsel obesity 15m (G0447) $71.40 $102 0.7×
Bia whole body composition assessment w/i&r (0358T) $91 $130 3.0×
Colon ca scrn not hi rsk ind (G0121) $984.20 $1,406 1.0×
Colorectal scrn; hi risk ind (G0105) $1,176 $1,680 1.2×
Depression screen annual (G0444) $26.60 $38 0.7×
Diab manage trn per indiv (G0108) $88.20 $126 1.6×
Diab manage trn ind/group (G0109) $51.80 $74 3.2×
Drug test def 1-7 classes (G0480) $59.50 $85 0.5×
Drug test def 15-21 classes (G0482) $226.10 $323 1.1×
Drug test def 22+ classes (G0483) $282.80 $404 1.1×
Drug test def 8-14 classes (G0481) $189 $270 1.2×
Ekg tracing for initial prev (G0404) $165.90 $237 5.5×
Elec stim other than wound (G0283) $18.20 $26 1.4×
Fecal blood scrn immunoassay (G0328) $71.40 $102 4.0×
Group mnt 2 or more 30 mins (G0271) $47.60 $68 2.8×
Ig paraprotein qual bld/ur (0077U) $869.40 $1,242 20.0×
Initial preventive exam (G0402) $275.80 $394 2.0×
Inj for sacroiliac jt anesth (G0260) $3,404.80 $4,864 4.6×
Mnt subs tx for change dx (G0270) $72.10 $103 2.3×
Mra w/cont, abd (C8900) $1,656.20 $2,366 4.5×
Mra w/cont, chest (C8909) $1,656.20 $2,366 4.5×
Mra w/cont, pelvis (C8918) $3,110.10 $4,443 8.5×
Mra w/o cont, abd (C8901) $2,518.60 $3,598 10.1×
Mra w/o cont, chest (C8910) $1,343.65 $1,919.50 5.4×
Mra w/o cont, lwr ext (C8913) $3,850 $5,500 15.4×
Mra w/o cont, pelvis (C8919) $2,518.60 $3,598 10.1×
Mra w/o fol w/cont, abd (C8902) $2,029.30 $2,899 5.6×
Mra w/o fol w/cont, chest (C8911) $4,390.40 $6,272 12.0×
Mra w/o fol w/cont, lwr ext (C8914) $3,850 $5,500 10.5×
Mra w/o fol w/cont, pelvis (C8920) $2,299.50 $3,285 6.3×
Obtaining screen pap smear (Q0091) $32.90 $47 1.1×
Ppps, initial visit (G0438) $275.80 $394 1.6×
Ppps, subseq visit (G0439) $240.10 $343 1.7×
Psa screening (G0103) $80.50 $115 4.2×
Scr c/v cyto,thinlayer,rescr (G0145) $73.15 $104.50 2.8×
Screen cerv/vag thin layer (G0123) $72.10 $103 3.6×
Screen pap by tech w md supv (P3000) $41.30 $59 2.2×
Tomosynthesis, mammo (G0279) $56 $80 4.4×
Trauma respons w/hosp criti (G0390) $592.20 $846 0.4×
Trim nail(s) (G0127) $38.85 $55.50 0.6×
Visit to determ ldct elig (G0296) $72.10 $103 0.7×