Supplies, drugs & other prices at Monroe Regional Hospital
Aberdeen, MS · every code in this section with a posted price and a Medicare benchmark.
100 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $35 | $35 | 1.1× |
| Admin influenza virus vac (G0008) | $91 | $91 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $90 | $90 | 2.2× |
| Alveoloplasty w/extract 1-3 (D7311) | $1,695 | $1,695 | 1.3× |
| Alveoplasty w/ extraction (D7310) | $1,695 | $1,695 | 1.3× |
| Alveoplasty w/o extraction (D7320) | $683.10 | $683.10 | 0.5× |
| Amalgam 4 or > surfaces perm (D2161) | $978.50 | $978.50 | 1.8× |
| Amalgam one surface permanen (D2140) | $978.50 | $978.50 | 1.8× |
| Amalgam three surfaces perma (D2160) | $978.50 | $978.50 | 1.8× |
| Amalgam two surfaces permane (D2150) | $978.50 | $978.50 | 1.8× |
| Annual alcohol screen 15 min (G0442) | $46 | $46 | 1.4× |
| Ant resin-based cmpst crown (D2390) | $978.50 | $978.50 | 1.8× |
| Behavior counsel obesity 15m (G0447) | $62.25 | $62.25 | 0.7× |
| Brief chkin by md/qhp, 11-20 (G2252) | $34.50 | $34.50 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) | $146.05 | $146.05 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $69 | $69 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $590 | $590 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $590 | $590 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $205.25 | $205.25 | 4.0× |
| Crown porcelain/ceramic (D2740) | $4,968.52 | $4,968.52 | 8.9× |
| Dental prophylaxis adult (D1110) | $199 | $199 | 1.7× |
| Depression screen annual (G0444) | $73.02 | $73.02 | 2.3× |
| Direct refer hospital observ (G0379) | $2,018 | $2,018 | 3.9× |
| Drug test def 1-7 classes (G0480) | $203 | $203 | 1.8× |
| Ekg tracing for initial prev (G0404) | $98 | $98 | 3.9× |
| Elec stim other than wound (G0283) | $130.75 | $130.75 | 10.3× |
| End thxpy, anterior tooth (D3310) | $1,192.55 | $1,192.55 | 2.1× |
| End thxpy, molar tooth (D3330) | $1,811.25 | $1,811.25 | 3.2× |
| End thxpy, premolar tooth (D3320) | $978.50 | $978.50 | 1.8× |
| Excision benign lesion>1.25c (D7411) | $1,427.50 | $1,427.50 | 1.1× |
| Exposure of unerupted tooth (D7280) | $745.20 | $745.20 | 1.3× |
| Extraction coronal remnants (D7111) | $230 | $230 | 0.4× |
| Extraction erupted tooth/exr (D7140) | $978.50 | $978.50 | 1.8× |
| Fixed bilat space maint, max (D1516) | $921.15 | $921.15 | 1.7× |
| Followup eval of foot pt lop (G0246) | $304 | $304 | 2.6× |
| Gingivectomy/plasty 1 to 3 (D4211) | $3,578.25 | $3,578.25 | 1.3× |
| Gingivectomy/plasty 4 or mor (D4210) | $4,771 | $4,771 | 1.7× |
| Gingivectomy/plasty rest (D4212) | $100 | $100 | 0.0× |
| Home sleep test/type 3 porta (G0399) | $317.40 | $317.40 | 1.7× |
| Hospital outpt clinic visit (G0463) | $50 | $50 | 0.4× |
| I&d absc intraoral soft tiss (D7510) | $782 | $782 | 1.3× |
| I&d abscess extraoral (D7520) | $1,834.25 | $1,834.25 | 3.0× |
| Impact tooth rem bony w/comp (D7241) | $941.85 | $941.85 | 1.7× |
| Impact tooth remov comp bony (D7240) | $748.65 | $748.65 | 1.3× |
| Impact tooth remov part bony (D7230) | $978.50 | $978.50 | 1.8× |
| Impact tooth remov soft tiss (D7220) | $978.50 | $978.50 | 1.8× |
| Initial foot exam pt lops (G0245) | $304 | $304 | 2.6× |
| Initial preventive exam (G0402) | $191 | $191 | 1.7× |
| Intens behave ther cardio dx (G0446) | $62.25 | $62.25 | 1.9× |
| Limit oral eval problm focus (D0140) | $121.90 | $121.90 | 1.1× |
| Mra w/cont, abd (C8900) | $2,384 | $2,384 | 7.9× |
| Mra w/cont, chest (C8909) | $2,384 | $2,384 | 7.9× |
| Mra w/cont, lwr ext (C8912) | $2,384 | $2,384 | 7.9× |
| Mra w/o cont, abd (C8901) | $2,384 | $2,384 | 11.6× |
| Mra w/o cont, chest (C8910) | $2,384 | $2,384 | 11.6× |
| Mra w/o cont, lwr ext (C8913) | $2,384 | $2,384 | 11.6× |
| Mra w/o fol w/cont, abd (C8902) | $2,645.50 | $2,645.50 | 8.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,645.50 | $2,645.50 | 8.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,645.50 | $2,645.50 | 8.8× |
| Obtaining screen pap smear (Q0091) | $69 | $69 | 2.8× |
| Oral antral fistula closure (D7260) | $4,128 | $4,128 | 7.4× |
| Oth resp proc, indiv (G0238) | $89 | $89 | 3.6× |
| Part pulp for apexogenesis (D3222) | $270.25 | $270.25 | 0.5× |
| Periodontal scaling & root (D4341) | $745.20 | $745.20 | 1.3× |
| Periodontal scaling 1-3teeth (D4342) | $256 | $256 | 0.5× |
| Place direct restoration (D2940) | $978.50 | $978.50 | 1.8× |
| Post 1 srfc resinbased cmpst (D2391) | $978.50 | $978.50 | 1.8× |
| Post 2 srfc resinbased cmpst (D2392) | $978.50 | $978.50 | 1.8× |
| Post 3 srfc resinbased cmpst (D2393) | $978.50 | $978.50 | 1.8× |
| Post >=4srfc resinbase cmpst (D2394) | $978.50 | $978.50 | 1.8× |
| Ppps, initial visit (G0438) | $203.50 | $203.50 | 1.2× |
| Ppps, subseq visit (G0439) | $154 | $154 | 1.1× |
| Prefab porc/ceram crown pri (D2929) | $1,588 | $1,588 | 2.8× |
| Prefab stainless steel crown (D2933) | $978.50 | $978.50 | 1.8× |
| Prefab steel crown primary (D2934) | $978.50 | $978.50 | 1.8× |
| Prefab stnlss steel crown pe (D2931) | $978.50 | $978.50 | 1.8× |
| Prefab stnlss steel crwn pri (D2930) | $978.50 | $978.50 | 1.8× |
| Prefabricated resin crown (D2932) | $793.50 | $793.50 | 1.4× |
| Psa screening (G0103) | $77.25 | $77.25 | 4.0× |
| Pulpal therapy posterior pri (D3240) | $218.50 | $218.50 | 0.4× |
| Rad exc lesion up to 1.25 cm (D7410) | $1,075.25 | $1,075.25 | 0.8× |
| Rem exostosis any site (D7471) | $887.80 | $887.80 | 0.3× |
| Rem imp tooth w mucoper flp (D7210) | $1,695 | $1,695 | 1.3× |
| Rem nonodonto cyst to 1.25cm (D7460) | $978.50 | $978.50 | 1.8× |
| Rem odontogen cyst > 1.25 cm (D7451) | $3,578.25 | $3,578.25 | 1.3× |
| Rem odontogen cyst to 1.25cm (D7450) | $3,578.25 | $3,578.25 | 1.3× |
| Removal fb skin/areolar tiss (D7530) | $978.50 | $978.50 | 1.8× |
| Remove torus mandibularis (D7473) | $887.80 | $887.80 | 1.6× |
| Resin 4/> surf or w incis an (D2335) | $978.50 | $978.50 | 1.8× |
| Resin one surface-anterior (D2330) | $978.50 | $978.50 | 1.8× |
| Resin three surfaces-anterio (D2332) | $978.50 | $978.50 | 1.8× |
| Resin two surfaces-anterior (D2331) | $978.50 | $978.50 | 1.8× |
| Retreat root canal anterior (D3346) | $497 | $497 | 0.9× |
| Routine footcare pt w lops (G0247) | $458.50 | $458.50 | 2.7× |
| Space maintainer fxd unilat (D1510) | $921.15 | $921.15 | 1.7× |
| Therapeutic procd strg endur (G0237) | $152 | $152 | 6.1× |
| Therapeutic pulpotomy (D3220) | $978.50 | $978.50 | 1.8× |
| Tooth root removal (D7250) | $978.50 | $978.50 | 1.8× |
| Trim nail(s) (G0127) | $52 | $52 | 1.0× |
| Visit to determ ldct elig (G0296) | $50.58 | $50.58 | 0.6× |