Supplies, drugs & other prices at Montgomery General Hospital
Montgomery, WV · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $77.25 | $103 | 2.2× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$19.31–$40.17 | $25.75–$53.56 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$17.19–$40.17 | $22.92–$53.56 | varies |
| Annual alcohol screen 15 min (G0442) | $100.43 | $133.90 | 2.8× |
| Behavior counsel obesity 15m (G0447) | $52.72 | $70.30 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $214.95 | $286.60 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $141.95 | $189.26 | 1.5× |
| Catheterize for urine spec (P9612) | $17.19 | $22.92 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$772.50–$898.03 | $1,030–$1,197.38 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$849.75–$898.03 | $1,133–$1,197.38 | varies |
| Depression screen annual (G0444) | $100.43 | $133.90 | 2.8× |
| Diab manage trn per indiv (G0108) | $69.53 | $92.70 | 1.2× |
| Diab manage trn ind/group (G0109) | $23.18 | $30.90 | 1.4× |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$46.35–$49.25 | $61.80–$65.66 | varies |
| Initial preventive exam (G0402) | $146 | $194.67 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $965.63 | $1,287.50 | 1.4× |
| Mra w/cont, abd (C8900) | $862.69 | $1,150.25 | 2.6× |
| Mra w/cont, chest (C8909) | $1,123.02 | $1,497.36 | 3.4× |
| Mra w/cont, lwr ext (C8912) | $954.81 | $1,273.08 | 2.9× |
| Mra w/cont, pelvis (C8918) | $1,123.02 | $1,497.36 | 3.4× |
| Mra w/o cont, abd (C8901) | $862.69 | $1,150.25 | 3.8× |
| Mra w/o cont, chest (C8910) | $1,123.02 | $1,497.36 | 4.9× |
| Mra w/o cont, lwr ext (C8913) | $954.81 | $1,273.08 | 4.2× |
| Mra w/o cont, pelvis (C8919) | $1,123.02 | $1,497.36 | 4.9× |
| Mra w/o fol w/cont, abd (C8902) | $862.69 | $1,150.25 | 2.6× |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$1,123.02–$1,253.96 | $1,497.36–$1,671.95 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) | $954.81 | $1,273.08 | 2.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,123.02 | $1,497.36 | 3.4× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$40.56–$42.68 | $54.08–$56.91 | varies |
| Ppps, initial visit (G0438) | $146 | $194.67 | 0.8× |
| Ppps, subseq visit (G0439) | $146 | $194.67 | 1.1× |
| Psa screening (G0103) | $64.31 | $85.75 | 3.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.