Supplies, drugs & other prices at Ohio Valley Surgical Hospital

Springfield, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin influenza virus vac (G0008) $76.80 $128 1.7×
Admin pneumococcal vaccine (G0009) $76.80 $128 1.7×
Bia whole body composition assessment w/i&r (0358T) $51 $85 1.8×
Cysto, litho, vacuum kidney (C9761) $20,260.80 $33,768 2.2×
Direct refer hospital observ (G0379) $243 $2,572.96 0.4×
Elec stim other than wound (G0283) $70.80 $118 5.6×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $36,843.60 $61,406 3.2×
Hbot, full body chamber, 30m (G0277) $237 $395 1.7×
Hospital outpt clinic visit (G0463) $196.80 $328 1.5×
Hpv combo assay ca screen (G0476) $118.80 $198 3.4×
Inj for sacroiliac jt anesth (G0260) $563.47 $1,033.26 0.8×
Mra w/cont, abd (C8900) $573.60 $956 1.7×
Mra w/cont, lwr ext (C8912) $573.60 $956 1.7×
Mra w/cont, pelvis (C8918) $573.60 $956 1.7×
Mra w/o cont, abd (C8901) $2,140.20 $3,567 9.1×
Mri w/o fol w/cont, breast, (C8908) $2,140.20 $3,567 6.2×
Mri w/o fol w/cont, brst, un (C8905) $2,058 $3,430 6.0×
Obtaining screen pap smear (Q0091) $33.60 $56 1.2×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $33,124.20 $55,207 1.7×
Prostate biopsy, any mthd (G0416) $543 $905 1.5×
Psa screening (G0103) $122.40 $204 6.3×
Screen cerv/vag thin layer (G0123) $87 $145 4.3×
Tomosynthesis, mammo (G0279) $63.60 $106 5.0×