Supplies, drugs & other prices at Northwest Medical Center Sahuarita
Sahuarita, AZ · every code in this section with a posted price and a Medicare benchmark.
59 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $28.08 | $156 | 0.8× |
| 2d tee w or w/o fol w/con,in (C8925) | $1,245.06 | $6,917 | 1.5× |
| 2d tte w or w/o fol w/con,co (C8923) | $921.60 | $5,120 | 1.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $545.22 | $3,029 | 1.5× |
| Adm tocilizu covid-19 1st (M0249) | $291.96 | $1,622 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $291.96 | $1,622 | 0.6× |
| Admin hepatitis b vaccine (G0010) | $58.14 | $323 | 1.2× |
| Admin influenza virus vac (G0008) | $53.46 | $297 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $58.14 | $323 | 1.2× |
| Catheterize for urine spec (P9612) | $8.10 | $45 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $1,983.97 | $11,022.03 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,104.88 | $11,693.77 | 2.1× |
| Covid-19 lab test non-cdc (U0002) | $37.26 | $207 | 0.7× |
| Diab manage trn per indiv (G0108) | $103.86 | $577 | 1.9× |
| Direct refer hospital observ (G0379) | $444.51 | $2,469.50 | 0.7× |
| Eia hiv-1/hiv-2 screen (G0432) | $22.14 | $123 | 1.1× |
| Elec stim other than wound (G0283) | $51.30 | $285 | 4.0× |
| Elisa hiv-1/hiv-2 screen (G0433) | $56.34 | $313 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $183.78 | $1,021 | 1.3× |
| Hepb screen high risk indiv (G0499) | $32.76 | $182 | 1.2× |
| Hiv combination assay (G0475) | $43.92 | $244 | 1.8× |
| Home sleep test/type 3 porta (G0399) | $193.32 | $1,074 | 0.8× |
| Hospital outpt clinic visit (G0463) | $178.38 | $991 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) | $501.84 | $2,788 | 0.7× |
| Mnt subs tx for change dx (G0270) | $38.16 | $212 | 1.2× |
| Mra w/cont, abd (C8900) | $1,288.26 | $7,157 | 3.5× |
| Mra w/cont, chest (C8909) | $1,288.26 | $7,157 | 3.5× |
| Mra w/cont, lwr ext (C8912) | $1,932.39 | $10,735.50 | 5.2× |
| Mra w/cont, pelvis (C8918) | $1,370.16 | $7,612 | 3.7× |
| Mra w/o cont, abd (C8901) | $1,149.66 | $6,387 | 4.5× |
| Mra w/o cont, chest (C8910) | $1,149.66 | $6,387 | 4.5× |
| Mra w/o cont, lwr ext (C8913) | $1,724.49 | $9,580.50 | 6.8× |
| Mra w/o cont, pelvis (C8919) | $1,195.56 | $6,642 | 4.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,536.30 | $8,535 | 4.1× |
| Mra w/o fol w/cont, chest (C8911) | $1,622.34 | $9,013 | 4.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,554.47 | $14,191.50 | 6.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,610.28 | $8,946 | 4.3× |
| Mra, w/dye, upper extremity (C8934) | $1,141.38 | $6,341 | 3.1× |
| Mra, w/o dye, upper extr (C8935) | $1,030.86 | $5,727 | 4.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,288.26 | $7,157 | 3.5× |
| Mri w/cont, breast, bi (C8906) | $849.60 | $4,720 | 2.3× |
| Mri w/cont, breast, uni (C8903) | $849.60 | $4,720 | 4.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,540.98 | $8,561 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,540.98 | $8,561 | 4.1× |
| Oral hiv-1/hiv-2 screen (G0435) | $28.80 | $160 | 2.4× |
| Oth resp proc, group (G0239) | $129.06 | $717 | 3.2× |
| Oth resp proc, indiv (G0238) | $56.34 | $313 | 1.8× |
| Pathogen test for platelets (P9100) | $39.42 | $219 | 0.6× |
| Perc d-e cor revasc chro sin (C9607) | $16,131.96 | $89,622 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $15,471.54 | $85,953 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $16,131.96 | $89,622 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $15,471.54 | $85,953 | 1.3× |
| Psa screening (G0103) | $102.24 | $568 | 5.3× |
| Tomosynthesis, mammo (G0279) | $75.42 | $419 | 5.9× |
| Trauma respons w/hosp criti (G0390) | $812.79 | $4,515.50 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) | $2,324.16 | $12,912 | 2.8× |
| Tte w or w/o fol w/con,stres (C8928) | $2,166.48 | $12,036 | 2.6× |
| Tte w or wo fol wcon,doppler (C8929) | $1,491.48 | $8,286 | 1.8× |
| Unsched dialysis esrd pt hos (G0257) | $516.60 | $2,870 | 0.7× |