Supplies, drugs & other prices at Osf Saint Katharine Medical Center
Dixon, IL · every code in this section with a posted price and a Medicare benchmark.
42 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $558.60 | $798 | 1.5× |
| Direct refer hospital observ (G0379) | $521.50 | $745 | 0.8× |
| Drug test def 1-7 classes (G0480) range across 62 matching MRF lines |
$70–$245 | $100–$350 | varies |
| Elec stim other than wound (G0283) | $100.80 | $144 | 7.9× |
| Hbot, full body chamber, 30m (G0277) | $138.60 | $198 | 0.9× |
| Hiv combination assay (G0475) | $200.90 | $287 | 8.3× |
| Home sleep test/type 3 porta (G0399) | $766.50 | $1,095 | 3.3× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$93.80–$429.80 | $134–$614 | varies |
| Hpv combo assay ca screen (G0476) | $172.20 | $246 | 4.9× |
| Mra w/cont, abd (C8900) | $3,159.10 | $4,513 | 8.4× |
| Mra w/cont, chest (C8909) | $3,159.10 | $4,513 | 8.4× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$3,159.10–$6,318.20 | $4,513–$9,026 | varies |
| Mra w/cont, pelvis (C8918) | $3,159.10 | $4,513 | 8.4× |
| Mra w/o cont, abd (C8901) | $2,124.50 | $3,035 | 8.3× |
| Mra w/o cont, chest (C8910) | $2,124.50 | $3,035 | 8.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$2,124.50–$4,249 | $3,035–$6,070 | varies |
| Mra w/o cont, pelvis (C8919) | $2,124.50 | $3,035 | 8.3× |
| Mra w/o fol w/cont, abd (C8902) | $3,334.10 | $4,763 | 8.9× |
| Mra w/o fol w/cont, chest (C8911) | $3,334.10 | $4,763 | 8.9× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$3,334.10–$6,668.20 | $4,763–$9,526 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $3,334.10 | $4,763 | 8.9× |
| Mra, w/dye, spinal canal (C8931) | $2,876.30 | $4,109 | 7.7× |
| Mra, w/o dye, spinal canal (C8932) | $2,876.30 | $4,109 | 11.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,876.30 | $4,109 | 7.7× |
| Mri w/o fol w/cont, breast, (C8908) | $5,685.40 | $8,122 | 15.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,686.20 | $5,266 | 9.9× |
| Oral hiv-1/hiv-2 screen (G0435) | $140.70 | $201 | 11.7× |
| Oth resp proc, group (G0239) | $39.90 | $57 | 1.0× |
| Oth resp proc, indiv (G0238) | $30.10 | $43 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) | $23,815.40 | $34,022 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $23,815.40 | $34,022 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $37,709 | $53,870 | 1.9× |
| Perc drug-el cor stent sing (C9600) | $23,815.40 | $34,022 | 1.9× |
| Prolonged iv inf, req pump (C8957) | $1,180.20 | $1,686 | 5.2× |
| Psa screening (G0103) | $187.60 | $268 | 9.7× |
| Revasc intravasc lithotripsy (C9764) | $14,861 | $21,230 | 1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $141.40 | $202 | 5.3× |
| Therapeutic procd strg endur (G0237) | $30.10 | $43 | 1.0× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$102.90–$548.10 | $147–$783 | varies |
| Trim nail(s) (G0127) | $122.50 | $175 | 1.9× |
| Tte w or w/o contr, cont ecg (C8930) | $2,112.60 | $3,018 | 2.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,151.50 | $1,645 | 1.4× |
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.