Supplies, drugs & other prices at Monroe Hospital

Bloomington, IN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin influenza virus vac (G0008) $49 $29 1.0×
Admin pneumococcal vaccine (G0009) $49 $154.35 1.0×
Diab manage trn per indiv (G0108) $53 $133 1.0×
Direct refer hospital observ (G0379) $626 $1,442.07 1.0×
Drug test def 1-7 classes (G0480) $114 $311.02 1.0×
Facility svs dental rehab (G0330) $3,490 $8,612.15 1.0×
Fecal blood scrn immunoassay (G0328) $18 $49 1.0×
Group mnt 2 or more 30 mins (G0271) $11 $29 0.6×
Hospital outpt clinic visit (G0463) $140 $100 1.0×
Mnt subs tx for change dx (G0270) $21 $75 0.7×
Mra w/cont, abd (C8900) $367 $1,307.52 1.0×
Mra w/cont, chest (C8909) $367 $1,307.52 1.0×
Mra w/cont, lwr ext (C8912) $367 $1,307.52 1.0×
Mra w/o cont, abd (C8901) $251 $1,015.23 1.0×
Mra w/o cont, chest (C8910) $251 $1,015.23 1.0×
Mra w/o cont, lwr ext (C8913) $251 $1,015.23 1.0×
Mra w/o fol w/cont, abd (C8902) $367 $1,602.09 1.0×
Mra w/o fol w/cont, chest (C8911) $367 $1,602.09 1.0×
Mra w/o fol w/cont, lwr ext (C8914) $367 $1,602.09 1.0×
Psa screening (G0103) $19 $206.99 1.0×
Screen pap by tech w md supv (P3000) $18 $19 1.0×
Tomosynthesis, mammo (G0279) $11 $59 0.9×
Trluml Perip Athrc Iliac Art (0238T) $19,300 $15,034 1.0×
Unsched dialysis esrd pt hos (G0257) $722 $1,050 1.0×