Supplies, drugs & other prices at Northern Dutchess Hospital

Rhinebeck, NY · every code in this section with a posted price and a Medicare benchmark.

44 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $1,051 $1,051 1.9×
Adm tocilizu covid-19 2nd (M0250) $1,104 $1,104 2.0×
Admin hepatitis b vaccine (G0010) $147 $147 2.5×
Admin influenza virus vac (G0008)
range across 3 matching MRF lines		 $147–$165 $147–$165 varies
Admin pneumococcal vaccine (G0009) $147 $147 2.5×
Anatomic guide 3d printed 1st anatomic guide (0561T) $296 $296 1.8×
Autolog prp not diab ulcer (G0460) $5,162 $5,162 2.0×
Drug test def 8-14 classes (G0481) $814 $814 5.2×
Elec stim other than wound (G0283) $52 $52 4.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $36,234 $36,234 2.5×
Hbot, full body chamber, 30m (G0277) $578 $578 3.4×
Home sleep test/type 3 porta (G0399) $903 $903 3.4×
Hospital outpt clinic visit (G0463)
range across 2 matching MRF lines		 $298–$573 $298–$573 varies
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $82,929 $82,929 2.1×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $21,103 $21,103 2.0×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $21,103 $21,103 2.0×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $58,993 $58,993 2.1×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $183,030 $183,030 4.7×
Mnt subs tx for change dx (G0270) $106 $106 3.3×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $196 $196 4.2×
Neuro csf prion prtn qual (0035U) $2,421 $2,421 4.5×
Oth resp proc, group (G0239) $135 $135 2.9×
Oth resp proc, indiv (G0238) $105 $105 2.9×
Pemivibart infusion (M0224) $1,270 $1,270 2.3×
Perq Sacral Augmt Unilat Inj (0200T) $8,136 $8,136 0.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
range across 2 matching MRF lines		 $19,492–$28,540 $19,492–$28,540 varies
Pre 3d mdl w/ccta and/or mri (C9793) $5,058 $5,058 4.7×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $264 $264 5.7×
Psa screening (G0103) $83 $83 4.3×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $7,302 $7,302 2.8×
Relocation pg wcs lv pacg battery component only (0862T) $10,156 $10,156 3.9×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $10,156 $10,156 3.9×
Removal pg wcs lv pacing both components (0861T) $21,871 $21,871 4.7×
Repos Cardiac Modulj Transvenous Electrode (0415T) $2,447 $2,447 3.1×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $58,993 $58,993 2.1×
Rmvl Car Modulj Tranvns Elt (0413T) $10,501 $10,501 2.3×
Rmvl Cardiac Modulj Pls Gen (0412T) $10,501 $10,501 2.3×
Screen cerv/vag thin layer (G0123) $91 $91 4.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $108,517 $108,517 4.5×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $17,752 $17,752 4.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $108,517 $108,517 4.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $31,798 $31,798 4.5×
Tomosynthesis, mammo (G0279) $112 $112 8.8×
Trluml Perip Athrc Iliac Art (0238T) $21,720 $21,720 0.9×

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.