Supplies, drugs & other prices at Monroe County Hospital

Monroeville, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $709.80 $1,774.50 1.1×
2d tte w or w/o fol w/con,fu (C8924) $303 $757.50 1.0×
Admin influenza virus vac (G0008) $33.20 $83 0.8×
Admin pneumococcal vaccine (G0009) $33.20 $83 0.8×
Ca screen;flexi sigmoidscope (G0104) $308 $770 0.4×
Ca screen;pelvic/breast exam (G0101) $20 $50 0.2×
Chemo extend iv infus w/pump (G0498) $260.40 $651 0.9×
Colon ca scrn not hi rsk ind (G0121) $303.40 $758.50 0.4×
Colorectal scrn; hi risk ind (G0105) $440 $1,100 0.5×
Covid-19 lab test non-cdc (U0002) $29.60 $74 0.6×
Diab manage trn per indiv (G0108) $22 $55 0.4×
Diab manage trn ind/group (G0109) $6 $15 0.4×
Direct refer hospital observ (G0379) $120 $300 0.2×
Drug test def 1-7 classes (G0480) $17.60 $44 0.2×
Drug test def 15-21 classes (G0482) $9 $22.50 0.0×
Dstry eye lesn,fdr vssl tech (G0186) $22 $55 0.0×
Group mnt 2 or more 30 mins (G0271) $10 $25 0.6×
Home sleep test/type 3 porta (G0399) $152.40 $381 0.8×
Hospital outpt clinic visit (G0463) $82 $205 0.7×
Initial preventive exam (G0402) $60 $150 0.5×
Mnt subs tx for change dx (G0270) $14 $35 0.4×
Obtaining screen pap smear (Q0091) $16 $40 0.6×
Ppps, initial visit (G0438) $70 $175 0.4×
Ppps, subseq visit (G0439) $48 $120 0.3×
Prolonged iv inf, req pump (C8957) $186.40 $466 1.0×
Psa screening (G0103) $29.28 $73.20 1.5×
Tte w or w/o contr, cont ecg (C8930) $812.80 $2,032 1.2×
Tte w or w/o fol w/con,stres (C8928) $702.20 $1,755.50 1.0×
Tte w or w/o fol w/cont, f/u (C8922) $259 $647.50 0.4×
Tte w or wo fol wcon,doppler (C8929) $665.80 $1,664.50 1.0×