Supplies, drugs & other prices at Northern Cochise Community Hospital
Willcox, AZ · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $56.40 | $94 | 1.1× |
| Admin influenza virus vac (G0008) | $66.90 | $111.50 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $66.90 | $111.50 | 1.3× |
| Ca screen;pelvic/breast exam (G0101) | $60.60 | $101 | 0.6× |
| Catheterize for urine spec (P9612) | $6 | $10 | 0.6× |
| Cbc/diffwbc w/o platelet (G0306) | $21.60 | $36 | 2.8× |
| Colon ca scrn not hi rsk ind (G0121) | $927.60 | $1,546 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $927.60 | $1,546 | 0.9× |
| Covid-19 lab test non-cdc (U0002) | $99 | $165 | 1.9× |
| Drug test def 1-7 classes (G0480) | $37.20 | $62 | 0.3× |
| Drug test def 8-14 classes (G0481) | $45.60 | $76 | 0.3× |
| Ekg tracing for initial prev (G0404) | $14.40 | $24 | 0.5× |
| Elec stim other than wound (G0283) | $28.80 | $48 | 2.3× |
| Hopd mntl hlt, 15-29 min (C7900) | $366 | $610 | 9.2× |
| Hopd mntl hlt, 30-60 min (C7901) | $1,185 | $1,975 | 10.9× |
| Hopd mntl hlt, grp (C7903) | $441 | $735 | 11.0× |
| Hospital outpt clinic visit (G0463) | $83.70 | $139.50 | 0.6× |
| Mra w/cont, abd (C8900) | $1,523.40 | $2,539 | 4.1× |
| Mra w/cont, chest (C8909) | $1,963.20 | $3,272 | 5.3× |
| Mra w/o cont, abd (C8901) | $525.60 | $876 | 2.1× |
| Mra w/o cont, chest (C8910) | $525.60 | $876 | 2.1× |
| Mra w/o fol w/cont, abd (C8902) | $874.80 | $1,458 | 2.3× |
| Mra w/o fol w/cont, chest (C8911) | $874.80 | $1,458 | 2.3× |
| Mri w/cont, breast, bi (C8906) | $1,025.79 | $1,709.64 | 2.8× |
| Mri w/cont, breast, uni (C8903) | $1,025.79 | $1,709.64 | 5.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,292.88 | $2,154.80 | 3.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,292.88 | $2,154.80 | 3.5× |
| Oth resp proc, indiv (G0238) | $116.40 | $194 | 3.8× |
| Psa screening (G0103) | $52.20 | $87 | 2.7× |
| Therapeutic procd strg endur (G0237) | $58.80 | $98 | 1.9× |
| Trauma respons w/hosp criti (G0390) | $618.60 | $1,031 | 0.4× |