Supplies, drugs & other prices at Overlake Medical Center & Clinics

Bellevue, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,306 $2,612 1.4×
2d tte w or w/o fol w/con,fu (C8924) $349 $698 0.9×
Admin hepatitis b vaccine (G0010) $47.50 $95 0.9×
Admin influenza virus vac (G0008) $47.50 $95 0.9×
Admin pneumococcal vaccine (G0009) $56 $112 1.0×
Catheterize for urine spec (P9612) $116.50 $233 12.5×
Colon ca scrn not hi rsk ind (G0121) $998.50 $1,997 0.9×
Colorectal scrn; hi risk ind (G0105) $1,125 $2,250 1.0×
Diab manage trn per indiv (G0108) $164 $328 2.9×
Diab manage trn ind/group (G0109) $93 $186 5.8×
Direct refer hospital observ (G0379) $177.98 $355.95 0.3×
Drug test def 1-7 classes (G0480) $93.75 $187.50 0.8×
Drug test def 22+ classes (G0483) $5.02 $10.03 0.0×
Drug test def 8-14 classes (G0481) $25.92 $51.85 0.2×
Hepb screen high risk indiv (G0499) $21 $42 0.7×
Hospital outpt clinic visit (G0463) $77.25 $154.50 0.5×
Iliac Atherectomy (0238T) $11,359.50 $22,719 0.5×
Inj for sacroiliac jt anesth (G0260) $1,282 $2,564 1.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure
$15,672.99 $31,345.98 0.4×
Mra w/o cont, pelvis (C8919) $1,204.58 $2,409.15 4.3×
Mra, w/o&w/dye, spinal canal (C8933) $522.50 $1,045 1.3×
Obtaining screen pap smear (Q0091) $33 $66 1.0×
Perc d-e cor revasc chro sin (C9607) $13,229 $26,458 0.6×
Perc d-e cor revasc t cabg s (C9604) $13,025 $26,050 1.0×
Perc d-e cor stent ather s (C9602) $14,047 $28,094 0.7×
Perc drug-el cor stent sing (C9600) $13,598 $27,196 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $8,926 $17,852 0.7×
Psa screening (G0103) $14.48 $28.97 0.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $35,073.30 $70,146.60 1.6×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $36,080 $72,160 1.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $33,337.50 $66,675 1.5×
Tomosynthesis, mammo (G0279) $33 $66 2.6×
Trauma respons w/hosp criti (G0390) $3,977.75 $7,955.50 2.6×
Tte w or w/o contr, cont ecg (C8930) $762.50 $1,525 0.8×
Tte w or wo fol wcon,doppler (C8929) $983.50 $1,967 1.1×
Unsched dialysis esrd pt hos (G0257) $689.50 $1,379 0.9×