Supplies, drugs & other prices at Northeast Regional Medical Center
Kirksville, MO · every code in this section with a posted price and a Medicare benchmark.
52 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) | $38.35 | $159.80 | 1.1× |
| Adm tocilizu covid-19 1st (M0249) | $293.93 | $1,224.72 | 0.7× |
| Adm tocilizu covid-19 2nd (M0250) | $293.93 | $1,224.72 | 0.7× |
| Admin hepatitis b vaccine (G0010) | $12.60 | $52.49 | 0.3× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$18.76–$19.60 | $78.15–$81.65 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$80.06–$84.82 | $333.59–$353.42 | varies |
| Ant resin-based cmpst crown (D2390) | $7,860.51 | $32,752.13 | 12.1× |
| Catheterize for urine spec (P9612) | $68.58 | $285.77 | 7.3× |
| Colon ca scrn not hi rsk ind (G0121) | $5,625.61 | $23,440.04 | 6.0× |
| Colorectal scrn; hi risk ind (G0105) | $4,564.20 | $19,017.49 | 4.9× |
| Crown 3/4 resin-based compos (D2712) | $6,690.22 | $27,875.93 | 10.3× |
| Dental bitewings two images (D0272) | $7,460.06 | $31,083.60 | 85.6× |
| Direct refer hospital observ (G0379) | $424.94 | $1,770.60 | 0.7× |
| Extraction erupted tooth/exr (D7140) | $7,657.88 | $31,907.85 | 11.8× |
| Hepb screen high risk indiv (G0499) | $27.71 | $115.47 | 1.0× |
| Hiv combination assay (G0475) | $481.21 | $2,005.04 | 20.0× |
| Hospital outpt clinic visit (G0463) range across 8 matching MRF lines |
$71.39–$317.17 | $297.46–$1,321.53 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 5 matching MRF lines |
$383.23–$3,228.65 | $1,596.80–$13,452.72 | varies |
| Intraoral periapical first (D0220) | $7,460.06 | $31,083.60 | 85.6× |
| Mra w/cont, abd (C8900) | $2,564.49 | $10,685.39 | 7.3× |
| Mra w/cont, chest (C8909) | $1,943.32 | $8,097.15 | 5.6× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,663.94–$1,943.32 | $6,933.08–$8,097.15 | varies |
| Mra w/cont, pelvis (C8918) | $2,252.93 | $9,387.19 | 6.4× |
| Mra w/o cont, lwr ext (C8913) | $1,943.32 | $8,097.15 | 8.1× |
| Mra w/o fol w/cont, abd (C8902) | $2,564.49 | $10,685.39 | 7.3× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$2,288.76–$2,419.21 | $9,536.49–$10,080.03 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $2,419.21 | $10,080.03 | 6.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,288.76 | $9,536.49 | 6.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,943.32 | $8,097.15 | 5.6× |
| Neuro csf prion prtn qual (0035U) | $374.55 | $1,560.64 | 0.7× |
| Oral hiv-1/hiv-2 screen (G0435) | $259.78 | $1,082.42 | 21.7× |
| Oth resp proc, group (G0239) | $81.18 | $338.26 | 2.2× |
| Perc d-e cor revasc t cabg s (C9604) | $10,368.27 | $43,201.12 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $12,581.72 | $52,423.85 | 1.1× |
| Post 1 srfc resinbased cmpst (D2391) | $7,727.32 | $32,197.17 | 11.9× |
| Post 2 srfc resinbased cmpst (D2392) | $8,255.84 | $34,399.32 | 12.7× |
| Post 3 srfc resinbased cmpst (D2393) | $9,206.83 | $38,361.80 | 14.2× |
| Post >=4srfc resinbase cmpst (D2394) | $9,169.70 | $38,207.10 | 14.2× |
| Prefab stnlss steel crown pe (D2931) | $7,614.95 | $31,728.96 | 11.8× |
| Prefab stnlss steel crwn pri (D2930) | $7,337.92 | $30,574.66 | 11.3× |
| Psa screening (G0103) | $143.89 | $599.53 | 7.5× |
| Resin 4/> surf or w incis an (D2335) | $8,245.96 | $34,358.15 | 12.7× |
| Resin one surface-anterior (D2330) | $8,742.62 | $36,427.57 | 13.5× |
| Resin three surfaces-anterio (D2332) | $8,002.21 | $33,342.55 | 12.4× |
| Resin two surfaces-anterior (D2331) | $7,592.87 | $31,636.95 | 11.7× |
| Therapeutic pulpotomy (D3220) | $8,432.82 | $35,136.77 | 13.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$23.28–$25.20 | $97–$104.98 | varies |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$895.24–$2,009.10 | $3,730.15–$8,371.25 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $629.02 | $2,620.90 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $835.89 | $3,482.87 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,374.21 | $5,725.86 | 1.8× |
| Ven blood coll snf/hha (G0471) | $1.85 | $7.70 | 0.2× |
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.