Supplies, drugs & other prices at Northwest Medical Center

Tucson, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $37.44 $156 1.0×
2d tee w or w/o fol w/con,in (C8925) $1,660.08 $6,917 2.0×
2d tte w or w/o fol w/con,co (C8923) $1,228.80 $5,120 1.5×
2d tte w or w/o fol w/con,fu (C8924) $726.96 $3,029 2.0×
Adm tocilizu covid-19 1st (M0249) $389.28 $1,622 0.8×
Adm tocilizu covid-19 2nd (M0250) $389.28 $1,622 0.8×
Admin hepatitis b vaccine (G0010) $77.52 $323 1.6×
Admin influenza virus vac (G0008) $71.28 $297 1.4×
Admin pneumococcal vaccine (G0009) $77.52 $323 1.6×
Ca screen;flexi sigmoidscope (G0104) $3,058.23 $12,742.62 3.1×
Catheterize for urine spec (P9612) $10.80 $45 1.2×
Colon ca scrn not hi rsk ind (G0121) $3,209.34 $13,372.26 3.2×
Colorectal scrn; hi risk ind (G0105) $2,979.74 $12,415.57 3.0×
Covid-19 lab test non-cdc (U0002) $49.68 $207 1.0×
Diab manage trn per indiv (G0108) $138.48 $577 2.5×
Direct refer hospital observ (G0379) $592.68 $2,469.50 0.9×
Eia hiv-1/hiv-2 screen (G0432) $29.52 $123 1.5×
Elec stim other than wound (G0283) $68.40 $285 5.4×
Elisa hiv-1/hiv-2 screen (G0433) $75.12 $313 4.1×
Hbot, full body chamber, 30m (G0277) $245.04 $1,021 1.7×
Hepb screen high risk indiv (G0499) $43.68 $182 1.5×
Hiv combination assay (G0475) $58.56 $244 2.4×
Home sleep test/type 3 porta (G0399) $257.76 $1,074 1.1×
Hospital outpt clinic visit (G0463) $237.84 $991 1.7×
Inj for sacroiliac jt anesth (G0260) $1,082.24 $4,509.33 1.4×
Insertion of sinus tarsi implant (0335T) $8,305.49 $34,606.20 1.1×
Mnt subs tx for change dx (G0270) $50.88 $212 1.6×
Mra w/cont, abd (C8900) $1,717.68 $7,157 4.6×
Mra w/cont, chest (C8909) $1,717.68 $7,157 4.6×
Mra w/cont, lwr ext (C8912) $2,576.52 $10,735.50 6.9×
Mra w/cont, pelvis (C8918) $1,826.88 $7,612 4.9×
Mra w/o cont, abd (C8901) $1,532.88 $6,387 6.0×
Mra w/o cont, chest (C8910) $1,532.88 $6,387 6.0×
Mra w/o cont, lwr ext (C8913) $2,299.32 $9,580.50 9.0×
Mra w/o cont, pelvis (C8919) $1,594.08 $6,642 6.3×
Mra w/o fol w/cont, abd (C8902) $2,048.40 $8,535 5.5×
Mra w/o fol w/cont, chest (C8911) $2,163.12 $9,013 5.8×
Mra w/o fol w/cont, lwr ext (C8914) $3,405.96 $14,191.50 9.1×
Mra w/o fol w/cont, pelvis (C8920) $2,147.04 $8,946 5.8×
Mra, w/dye, upper extremity (C8934) $1,521.84 $6,341 4.1×
Mra, w/o dye, upper extr (C8935) $1,374.48 $5,727 5.4×
Mra, w/o&w/dye, upper extr (C8936) $1,717.68 $7,157 4.6×
Mri w/cont, breast, bi (C8906) $1,132.80 $4,720 3.0×
Mri w/cont, breast, uni (C8903) $1,132.80 $4,720 6.1×
Mri w/o fol w/cont, breast, (C8908) $2,054.64 $8,561 5.5×
Mri w/o fol w/cont, brst, un (C8905) $2,054.64 $8,561 5.5×
Oral hiv-1/hiv-2 screen (G0435) $38.40 $160 3.2×
Oth resp proc, group (G0239) $172.08 $717 4.3×
Oth resp proc, indiv (G0238) $75.12 $313 2.4×
Pathogen test for platelets (P9100) $52.56 $219 0.8×
Perc d-e cor revasc chro sin (C9607) $21,509.28 $89,622 1.1×
Perc d-e cor revasc t cabg s (C9604) $20,628.72 $85,953 1.7×
Perc d-e cor stent ather s (C9602) $21,509.28 $89,622 1.1×
Perc drug-el cor stent sing (C9600) $20,628.72 $85,953 1.7×
Psa screening (G0103) $136.32 $568 7.1×
Tomosynthesis, mammo (G0279) $100.56 $419 7.9×
Trauma respons w/hosp criti (G0390) $1,083.72 $4,515.50 0.8×
Tte w or w/o contr, cont ecg (C8930) $3,098.88 $12,912 3.7×
Tte w or w/o fol w/con,stres (C8928) $2,888.64 $12,036 3.5×
Tte w or wo fol wcon,doppler (C8929) $1,988.64 $8,286 2.4×
Unsched dialysis esrd pt hos (G0257) $688.80 $2,870 0.9×