Supplies, drugs & other prices at OSF St. Francis Hospital

Escanaba, MI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$38.40–$68.80 $48–$86 varies
Admin influenza virus vac (G0008) $64 $80 1.4×
Admin pneumococcal vaccine (G0009) $75.20 $94 1.6×
Ca screen;pelvic/breast exam (G0101) $97.60 $122 1.0×
Chemo extend iv infus w/pump (G0498) $536.80 $671 1.6×
Diab manage trn per indiv (G0108) $126.40 $158 2.3×
Diab manage trn ind/group (G0109) $40.80 $51 2.5×
Direct refer hospital observ (G0379) $515.20 $644 0.9×
Ekg tracing for initial prev (G0404) $476 $595 16.5×
Fern test (Q0114) $45.60 $57 4.7×
Hbot, full body chamber, 30m (G0277) $1,177.60 $1,472 8.6×
Home sleep test/type 3 porta (G0399) $619.20 $774 2.9×
Hpv combo assay ca screen (G0476) $261.60 $327 7.5×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
range across 2 matching MRF lines
$1,236–$1,491.20 $1,545–$1,864 varies
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $1,554.40 $1,943 3.1×
Neuro csf prion prtn qual (0035U) $2,058.40 $2,573 3.8×
Obtaining screen pap smear (Q0091) $200 $250 6.9×
Oth resp proc, group (G0239) $131.20 $164 3.5×
Oth resp proc, indiv (G0238) $99.20 $124 3.4×
Pin service 60m per month (G0023) $186.40 $233 1.8×
Prostate biopsy, any mthd (G0416) $5,275.20 $6,594 14.8×
Psa screening (G0103) $212.80 $266 11.0×
Revasc intra lithotrip-ather (C9766) $17,839.20 $22,299 1.0×
Revasc intra lithotrip-stent (C9765) $27,619.20 $34,524 1.5×
Revasc intravasc lithotripsy (C9764) $28,524 $35,655 2.5×
Revasc lith-sten-ath tib/per (C9775) $27,184.80 $33,981 1.5×
Revasc lithotr-ather tib/per (C9774) $27,184.80 $33,981 1.5×
Revasc lithotr-stent tib/per (C9773) $27,184.80 $33,981 1.5×
Revasc lithotrip tibi/perone (C9772) $15,886.40 $19,858 1.4×
Revasc lithotrip-stent-ather (C9767) $27,619.20 $34,524 1.5×
Scr c/v cyto,thinlayer,rescr (G0145) $206.40 $258 7.8×
Scr c/v cyto,thinlayer,rescr (G0143) $206.40 $258 7.6×
Screen pap by tech w md supv (P3000) $136.80 $171 7.4×
Therapeutic procd strg endur (G0237) $112 $140 3.9×
Tomosynthesis, mammo (G0279)
range across 3 matching MRF lines
$155.20–$234.40 $194–$293 varies
Tpmt and Nudt15 Genotype (0034U)
range across 2 matching MRF lines
$1,281.60–$1,788 $1,602–$2,235 varies
Trauma respons w/hosp criti (G0390) $1,111.20 $1,389 0.8×
Trluml Perip Athrc Iliac Art (0238T) $15,143.20 $18,929 0.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.