Supplies, drugs & other prices at Mt Sinai Hospital Medical Center
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
145 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $2,582.22 | $3,688.89 | 1.5× |
| Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) | $15,648.33 | $22,354.76 | 1.4× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$40.80–$87.79 | $58.29–$125.41 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$40.80–$87.79 | $58.29–$125.41 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$40.80–$87.79 | $58.29–$125.41 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $76.85 | $109.78 | 1.9× |
| Alcohol/subs interv >30 min (G0397) | $146.01 | $208.58 | 0.8× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) | $98.99 | $141.41 | 0.7× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) range across 2 matching MRF lines |
$40.24–$98.99 | $57.48–$141.41 | varies |
| Annual alcohol screen 15 min (G0442) | $26.35 | $37.64 | 0.7× |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$42.64–$108.84 | $60.91–$155.49 | varies |
| Blood mucoprotein (P2038) | $3.84 | $5.49 | 0.8× |
| Brief alcohol misuse counsel (G0443) | $39.01 | $55.73 | 0.4× |
| Brief chkin by md/qhp, 11-20 (G2252) | $62.94 | $89.91 | 2.2× |
| Brief chkin, 5-10, non-e/m (G2251) | $24.85 | $35.50 | 1.8× |
| Ca screen;flexi sigmoidscope (G0104) | $176.74 | $252.49 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$58.37–$108.84 | $83.38–$155.49 | varies |
| Cardiokymography (Q0035) | $39.89 | $56.98 | 1.0× |
| Catheterize for urine spec (P9612) | $147.81 | $211.15 | 15.8× |
| Chemo extend iv infus w/pump (G0498) | $667.63 | $953.76 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) | $667.63 | $953.76 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $650.07 | $928.67 | 0.7× |
| Demonstrate use home inr mon (G0248) | $630.13 | $900.18 | 4.4× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$27.01–$42.59 | $38.58–$60.84 | varies |
| Dermal filler injection(s) (G0429) | $96.06 | $137.23 | 0.0× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$87.79–$114.31 | $125.41–$163.30 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$33.23–$77.27 | $47.47–$110.39 | varies |
| Direct refer hospital observ (G0379) | $943.86 | $1,348.37 | 1.5× |
| Ed svc ckd grp per session (G0421) | $38.06 | $54.37 | 1.4× |
| Ed svc ckd ind per session (G0420) | $166.86 | $238.37 | 1.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $144.94 | $207.05 | 7.4× |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$12.19–$42.99 | $17.41–$61.42 | varies |
| Elec stim other than wound (G0283) | $30.74 | $43.91 | 2.4× |
| Elec stim unattend for press (G0281) | $30.74 | $43.91 | 2.6× |
| Electromagntic tx for ulcers (G0329) | $23.05 | $32.93 | 2.2× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $5,129.80 | $7,328.28 | 1.5× |
| Extrnl counterpulse, per tx (G0166) | $258.90 | $369.85 | 1.8× |
| Fecal blood scrn immunoassay (G0328) | $19.22 | $27.45 | 1.1× |
| Fern test (Q0114) range across 2 matching MRF lines |
$3.84–$17.05 | $5.49–$24.35 | varies |
| Followup eval of foot pt lop (G0246) | $99.90 | $142.71 | 0.7× |
| Glaucoma scrn hgh risk direc (G0118) | $62.21 | $88.87 | 1.6× |
| Glaucoma scrn hgh risk direc (G0117) | $86.72 | $123.89 | 2.8× |
| Group behave couns 2-10 (G0473) | $42.59 | $60.84 | 1.1× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$23.33–$35.89 | $33.33–$51.27 | varies |
| Hbot, full body chamber, 30m (G0277) | $270.07 | $385.81 | 1.8× |
| Hep c screen high risk/other (G0472) | $132.74 | $189.63 | 2.9× |
| Hepb screen high risk indiv (G0499) | $107.63 | $153.75 | 3.8× |
| High inten beh couns std 30m (G0445) | $42.01 | $60.01 | 0.4× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$115.63–$250.44 | $165.19–$357.77 | varies |
| Hpv combo assay ca screen (G0476) | $160.01 | $228.58 | 4.6× |
| Initial foot exam pt lops (G0245) | $161.37 | $230.53 | 1.1× |
| Initial preventive exam (G0402) | $272.98 | $389.97 | 1.9× |
| Insert cv cath inf & sup app (C9780) | $14,207.36 | $20,296.23 | 1.6× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $39,293.16 | $56,133.08 | 1.6× |
| Insertion/Replacement Complete Iims (0525T) | $17,786.15 | $25,408.79 | 0.9× |
| Insertion/Replacement Iims Electrode Only (0526T) | $14,056.30 | $20,080.43 | 1.6× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $14,056.30 | $20,080.43 | 1.6× |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$1,602.21 | $2,288.87 | 0.1× |
| Insj Wcs Lv Eltrd Only (0516T) | $14,056.30 | $20,080.43 | 1.3× |
| Insj Wcs Lv Pg Compnt (0517T) | $14,056.30 | $20,080.43 | 1.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $55,235.45 | $78,907.78 | 1.6× |
| Intens behave ther cardio dx (G0446) range across 2 matching MRF lines |
$42.01–$42.59 | $60.01–$60.84 | varies |
| Intens cardiac rehab no exer (G0423) | $161.01 | $230.01 | 1.2× |
| Intens cardiac rehab w/exerc (G0422) | $161.01 | $230.01 | 1.2× |
| Interrog dev eval iims ip (0529T) | $60.27 | $86.10 | 1.5× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $42.99 | $61.42 | 1.4× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $15,648.33 | $22,354.76 | 1.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $340.82 | $486.88 | 2.8× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $648.62 | $926.60 | 1.3× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$42.08–$70.49 | $60.11–$100.70 | varies |
| Mri w/cont, breast, bi (C8906) | $634.45 | $906.35 | 1.7× |
| Mri w/cont, breast, uni (C8903) | $310.55 | $443.64 | 1.7× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $524.83 | $749.76 | 1.6× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $482.27 | $688.96 | 2.1× |
| Neuro csf prion prtn qual (0035U) | $502.25 | $717.50 | 0.9× |
| Nfct ds strn typ whl gen seq (0010U) | $1,142.26 | $1,631.80 | 2.7× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$649.73–$784 | $928.18–$1,120 | varies |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$35.82–$70.62 | $51.17–$100.89 | varies |
| Oct middle ear with i&r bilateral (0486T) | $58.49 | $83.56 | 1.5× |
| Oct middle ear with i&r unilateral (0485T) | $58.49 | $83.56 | 1.5× |
| Open tx post pelvic fxcture (G0415) | $1,821.21 | $2,601.73 | 0.5× |
| Opps service,sched team conf (G0175) range across 2 matching MRF lines |
$115.27–$657.15 | $164.67–$938.78 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$38.42–$57.34 | $54.89–$81.92 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$42.99–$53.79 | $61.42–$76.84 | varies |
| Pelvic ring fracture uni/bil (G0413) likely a partial charge, not the full procedure |
$1,921.84 | $2,745.48 | 0.2× |
| Pelvic ring fx treat int fix (G0414) likely a partial charge, not the full procedure |
$1,321.72 | $1,888.17 | 0.2× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $22,468.80 | $32,098.29 | 1.6× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $22,468.80 | $32,098.29 | 1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $11,390.40 | $16,272 | 1.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $11,390.40 | $16,272 | 1.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,977.66 | $14,253.80 | 0.8× |
| Pet not otherwise specified (G0235) | $669.31 | $956.16 | 1.6× |
| Pinworm examinations (Q0113) | $7.69 | $10.98 | 1.8× |
| Place device/marker, non pro (C9728) | $2,308.64 | $3,298.06 | 1.6× |
| Post-coital mucous exam (Q0115) | $7.69 | $10.98 | 0.3× |
| Potassium hydroxide preps (Q0112) range across 2 matching MRF lines |
$3.84–$68.17 | $5.49–$97.38 | varies |
| Ppps, initial visit (G0438) | $153.69 | $219.56 | 0.9× |
| Ppps, subseq visit (G0439) | $134.48 | $192.12 | 1.0× |
| Prgrmg dev eval iims ip (0528T) | $60.27 | $86.10 | 1.5× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $60.27 | $86.10 | 1.5× |
| Prolonged iv inf, req pump (C8957) | $558.43 | $797.76 | 2.4× |
| Prostate biopsy, any mthd (G0416) range across 3 matching MRF lines |
$345.80–$605.39 | $494–$864.84 | varies |
| Provide inr test mater/equip (G0249) | $376.54 | $537.91 | 2.6× |
| Psa screening (G0103) range across 2 matching MRF lines |
$15.37–$132.02 | $21.96–$188.60 | varies |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $1,138.38 | $1,626.25 | 1.7× |
| Remot img sub by pt, non e/m (G2250) | $28.18 | $40.25 | 2.2× |
| Removal complete iims (0530T) | $5,770.31 | $8,243.30 | 1.4× |
| Removal iims electrode only (0531T) | $5,770.31 | $8,243.30 | 1.4× |
| Removal iims implt mntr only (0532T) | $5,770.31 | $8,243.30 | 1.4× |
| Revasc intra lithotrip-ather (C9766) | $23,536.87 | $33,624.10 | 1.2× |
| Revasc intra lithotrip-stent (C9765) | $23,536.87 | $33,624.10 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $14,720.23 | $21,028.90 | 1.2× |
| Revasc lith-sten-ath tib/per (C9775) | $23,536.87 | $33,624.10 | 1.2× |
| Revasc lithotr-ather tib/per (C9774) | $23,536.87 | $33,624.10 | 1.2× |
| Revasc lithotr-stent tib/per (C9773) | $23,536.87 | $33,624.10 | 1.2× |
| Revasc lithotrip tibi/perone (C9772) | $14,720.23 | $21,028.90 | 1.2× |
| Revasc lithotrip-stent-ather (C9767) | $23,536.87 | $33,624.10 | 1.2× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $5,770.31 | $8,243.30 | 0.5× |
| Rmvl Pg Compnt Wcs (0518T) | $5,770.31 | $8,243.30 | 1.4× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $39,293.16 | $56,133.08 | 3.5× |
| Routine footcare pt w lops (G0247) | $99.90 | $142.71 | 0.5× |
| Scr c/v cyto, automated sys (G0147) | $2.93 | $4.18 | 0.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $127.72 | $182.45 | 4.8× |
| Scr c/v cyto,thinlayer,rescr (G0143) range across 2 matching MRF lines |
$2.93–$101.17 | $4.18–$144.53 | varies |
| Screen cerv/vag thin layer (G0123) | $32.94 | $47.05 | 1.6× |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$2.93–$84.67 | $4.18–$120.95 | varies |
| Semen analysis (G0027) | $3.84 | $5.49 | 0.6× |
| Single energy x-ray study (G0130) | $73 | $104.29 | 0.7× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) | $7,163.52 | $10,233.60 | 1.5× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$29.83–$42.99 | $42.61–$61.42 | varies |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$91.51–$98.24 | $130.73–$140.34 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $1,003.79 | $1,433.98 | 2.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $7,277.93 | $10,397.04 | 1.2× |
| Transcatheter renal sympath denervation unilat (0338T) | $7,277.93 | $10,397.04 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $6,065.71 | $8,665.30 | 4.2× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$26.90–$98.99 | $38.43–$141.41 | varies |
| Trluml perip athrc abd aorta (0236T) | $19,371.03 | $27,672.90 | 1.6× |
| Trluml Perip Athrc Brchiocph (0237T) | $19,371.03 | $27,672.90 | 1.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $19,371.03 | $27,672.90 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $19,371.03 | $27,672.90 | 1.6× |
| Tte w or w/o contr, cont ecg (C8930) | $1,693.08 | $2,418.69 | 2.0× |
| Visit esketamine 56m or less (G2082) | $2,497.76 | $3,568.23 | 2.3× |
| Visit esketamine, > 56m (G2083) | $2,497.76 | $3,568.23 | 1.4× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$46.84–$109.66 | $66.91–$156.66 | varies |
| Wet mounts/ w preparations (Q0111) range across 2 matching MRF lines |
$3.84–$56.69 | $5.49–$80.98 | varies |
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.