Supplies, drugs & other prices at OCH Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $48 $75 1.2×
Admin pneumococcal vaccine (G0009) $48 $75 1.2×
Colon ca scrn not hi rsk ind (G0121) $134.40 $210 0.2×
Colorectal scrn; hi risk ind (G0105) $134.40 $210 0.2×
Depression screen annual (G0444) $14.40 $22.50 0.4×
Diab manage trn per indiv (G0108) $35.20 $55 0.6×
Diab manage trn ind/group (G0109) $12.80 $20 0.8×
Direct refer hospital observ (G0379) $371.20 $580 0.7×
Drug test def 1-7 classes (G0480) $70.40 $110 0.6×
Drug test def 15-21 classes (G0482) $54.40 $85 0.3×
Drug test def 8-14 classes (G0481) $410.88 $642 2.6×
Hbot, full body chamber, 30m (G0277) $208.77 $326.20 1.8×
Initial preventive exam (G0402) $130.56 $204 1.1×
Mra w/cont, abd (C8900) $831.42 $1,299.10 2.8×
Mra w/cont, chest (C8909) $831.42 $1,299.10 2.8×
Mra w/cont, lwr ext (C8912) $904.64 $1,413.50 3.0×
Mra w/o cont, abd (C8901) $761.02 $1,189.10 3.7×
Mra w/o cont, chest (C8910) $761.02 $1,189.10 3.7×
Mra w/o cont, lwr ext (C8913) $834.24 $1,303.50 4.1×
Mra w/o fol w/cont, abd (C8902) $1,069.12 $1,670.50 3.6×
Mra w/o fol w/cont, chest (C8911) $1,017.98 $1,590.60 3.4×
Mra w/o fol w/cont, lwr ext (C8914) $971.84 $1,518.50 3.2×
Mra w/o fol w/cont, pelvis (C8920) $873.92 $1,365.50 2.9×
Mri w/o fol w/cont, brst, un (C8905) $1,178.88 $1,842 3.9×
Oth resp proc, group (G0239) $107.52 $168 3.3×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $9,216 $14,400 0.8×
Ppps, initial visit (G0438) $142.40 $222.50 0.8×
Ppps, subseq visit (G0439) $109.60 $171.25 0.8×
Prefab stnlss steel crwn pri (D2930) $16.64 $26 0.0×
Psa screening (G0103) $38.40 $60 2.0×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $480 $750 2.6×
Therapeutic procd strg endur (G0237) $71.98 $112.48 2.9×
Tomosynthesis, mammo (G0279) $32 $50 2.5×
Trauma respons w/hosp criti (G0390) $1,740.80 $2,720 1.5×