Supplies, drugs & other prices at Northwest Mississippi Regional Medical Center

Clarksdale, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $27.06 $108.25 0.7×
Admin pneumococcal vaccine (G0009) $44.50 $178 1.1×
Ca screen;pelvic/breast exam (G0101) $20.70 $82.80 0.2×
Catheterize for urine spec (P9612) $48.78 $195.12 5.2×
Diab manage trn per indiv (G0108) $27.43 $109.75 0.5×
Direct refer hospital observ (G0379) $307.81 $1,231.25 0.6×
Drug test def 1-7 classes (G0480) $91.40 $365.62 0.8×
Elec stim other than wound (G0283) $14.75 $59 1.2×
Hospital outpt clinic visit (G0463) $160.50 $642 1.4×
Initial preventive exam (G0402) $87.60 $350.40 0.8×
Mra w/cont, abd (C8900) $667.56 $2,670.25 2.2×
Mra w/cont, chest (C8909) $887.75 $3,551 2.9×
Mra w/cont, lwr ext (C8912) $887.75 $3,551 2.9×
Mra w/o cont, abd (C8901) $834.43 $3,337.75 4.0×
Mra w/o cont, lwr ext (C8913) $887.75 $3,551 4.3×
Mra w/o fol w/cont, abd (C8902) $941 $3,764 3.1×
Mra w/o fol w/cont, chest (C8911) $710.18 $2,840.75 2.3×
Mra w/o fol w/cont, lwr ext (C8914) $887.75 $3,551 2.9×
Mra w/o fol w/cont, pelvis (C8920) $1,065.25 $4,261 3.5×
Mra, w/dye, upper extremity (C8934) $1,157.25 $4,629 3.8×
Mra, w/o dye, upper extr (C8935) $237.18 $948.75 1.1×
Place device/marker, non pro (C9728) $681.25 $2,725 0.6×
Ppps, initial visit (G0438) $93 $372 0.5×
Ppps, subseq visit (G0439) $61.80 $247.20 0.4×
Psa screening (G0103) $128.12 $512.50 6.6×
Unsched dialysis esrd pt hos (G0257) $534.84 $2,139.38 0.9×