Supplies, drugs & other prices at Onslow Memorial Hospital

Jacksonville, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $2,567 $2,567 3.4×
2d tte w or w/o fol w/con,fu (C8924) $1,233 $1,233 3.7×
Admin influenza virus vac (G0008) $85 $85 1.9×
Autolog prp not diab ulcer (G0460) $1,900 $1,900 1.0×
Ca screen;flexi sigmoidscope (G0104) $958 $958 1.1×
Catheterize for urine spec (P9612) $102 $102 10.9×
Colon ca scrn not hi rsk ind (G0121) $2,397 $2,397 2.7×
Colorectal scrn; hi risk ind (G0105) $2,217 $2,217 2.5×
Direct refer hospital observ (G0379) $612 $612 1.1×
Drug test def 1-7 classes (G0480) $184 $184 1.6×
Ekg tracing for initial prev (G0404) $139.73 $139.73 5.0×
Fern test (Q0114) $77.63 $77.63 8.0×
Hbot, full body chamber, 30m (G0277) $703.80 $703.80 5.3×
Hospital outpt clinic visit (G0463) $257 $257 2.0×
Inj for sacroiliac jt anesth (G0260) $3,326.49 $3,326.49 4.9×
Mra w/cont, chest (C8909) $1,457.28 $1,457.28 4.3×
Mra w/cont, lwr ext (C8912) $1,449 $1,449 4.3×
Mra w/cont, pelvis (C8918) $1,410.71 $1,410.71 4.2×
Mra w/o cont, abd (C8901) $2,905 $2,905 12.6×
Mra w/o cont, chest (C8910) $1,948 $1,948 8.5×
Mra w/o cont, lwr ext (C8913) $1,076.40 $1,076.40 4.7×
Mra w/o cont, pelvis (C8919) $1,164.38 $1,164.38 5.1×
Mra w/o fol w/cont, abd (C8902) $5,614 $5,614 16.7×
Mra w/o fol w/cont, chest (C8911) $5,463 $5,463 16.3×
Mra w/o fol w/cont, lwr ext (C8914) $2,060.69 $2,060.69 6.1×
Mra w/o fol w/cont, pelvis (C8920) $5,463 $5,463 16.3×
Mra, w/dye, spinal canal (C8931) $1,603 $1,603 4.8×
Mra, w/dye, upper extremity (C8934) $2,324 $2,324 6.9×
Mra, w/o dye, spinal canal (C8932) $533.03 $533.03 2.3×
Mra, w/o dye, upper extr (C8935) $533.03 $533.03 2.3×
Mra, w/o&w/dye, spinal canal (C8933) $828 $828 2.5×
Mra, w/o&w/dye, upper extr (C8936) $828 $828 2.5×
Pathogen test for platelets (P9100) $83.27 $83.27 1.5×
Perq Sacral Augmt Bilat Inj (0201T) $6,885 $6,885 1.0×
Perq Sacral Augmt Unilat Inj (0200T) $6,885 $6,885 1.0×
Prostate biopsy, any mthd (G0416) $1,525 $1,525 4.4×
Psa screening (G0103) $194 $194 10.0×
Screen cerv/vag thin layer (G0123) $140 $140 6.9×
Screen pap by tech w md supv (P3000) $16.56 $16.56 0.9×
Tomosynthesis, mammo (G0279) $26.89 $26.89 2.1×
Unsched dialysis esrd pt hos (G0257) $1,348 $1,348 2.0×