Supplies, drugs & other prices at Parkland Health Center – Bonne Terre
Bonne Terre, MO · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,823 | $4,705 | 3.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $558.60 | $931 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $91.80 | $153 | 2.0× |
| Admin influenza virus vac (G0008) | $91.80 | $153 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $91.80 | $153 | 2.0× |
| Chemo extend iv infus w/pump (G0498) | $579.60 | $966 | 1.8× |
| Covid-19 lab test non-cdc (U0002) | $76.80 | $128 | 1.5× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $1,015.20 | $1,692 | 1.5× |
| Diab manage trn per indiv (G0108) | $76.80 | $128 | 1.4× |
| Direct refer hospital observ (G0379) | $510 | $850 | 0.9× |
| Drug test def 1-7 classes (G0480) | $94.20 | $157 | 0.8× |
| Drug test def 8-14 classes (G0481) | $235.20 | $392 | 1.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $61.80 | $103 | 3.2× |
| Elec stim other than wound (G0283) | $83.40 | $139 | 6.6× |
| Fecal blood scrn immunoassay (G0328) | $56.40 | $94 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $557.40 | $929 | 4.0× |
| Hep c screen high risk/other (G0472) | $151.80 | $253 | 3.3× |
| Hiv combination assay (G0475) | $72 | $120 | 3.0× |
| Hospital outpt clinic visit (G0463) | $256.80 | $428 | 1.9× |
| Ig paraprotein qual bld/ur (0077U) | $66 | $110 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) | $896.93 | $1,494.88 | 1.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $218.40 | $364 | 1.8× |
| Mra w/cont, abd (C8900) | $1,957.80 | $3,263 | 5.6× |
| Mra w/cont, chest (C8909) | $1,533 | $2,555 | 4.4× |
| Mra w/cont, pelvis (C8918) | $2,007 | $3,345 | 5.7× |
| Mra w/o cont, abd (C8901) | $1,863.60 | $3,106 | 7.8× |
| Mra w/o cont, chest (C8910) | $1,459.80 | $2,433 | 6.1× |
| Mra w/o fol w/cont, abd (C8902) | $2,668.20 | $4,447 | 7.6× |
| Mra w/o fol w/cont, chest (C8911) | $2,244.60 | $3,741 | 6.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,723.40 | $4,539 | 7.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,912.40 | $4,854 | 8.3× |
| Oth resp proc, group (G0239) | $168 | $280 | 4.5× |
| Pathogen test for platelets (P9100) | $1,221 | $2,035 | 20.7× |
| Perc d-e cor revasc chro sin (C9607) | $45,211.62 | $75,352.70 | 2.5× |
| Perc d-e cor revasc t cabg s (C9604) | $29,829.19 | $49,715.32 | 2.6× |
| Perc d-e cor stent ather s (C9602) | $35,411.24 | $59,018.74 | 1.9× |
| Perc drug-el cor stent sing (C9600) | $28,870.74 | $48,117.89 | 2.5× |
| Psa screening (G0103) | $128.40 | $214 | 6.6× |
| Qmrcp w/dx MRI same anatomy (0724T) | $1,095.60 | $1,826 | 1.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $750 | $1,250 | 1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $1,080.60 | $1,801 | 1.5× |
| Revasc intra lithotrip-ather (C9766) | $32,245.74 | $53,742.90 | 1.8× |
| Revasc intra lithotrip-stent (C9765) | $24,059.41 | $40,099.02 | 1.3× |
| Revasc intravasc lithotripsy (C9764) | $25,769.18 | $42,948.64 | 2.2× |
| Revasc lithotr-ather tib/per (C9774) | $23,380.50 | $38,967.51 | 1.3× |
| Revasc lithotrip-stent-ather (C9767) | $42,406.68 | $70,677.80 | 2.3× |
| Screen cerv/vag thin layer (G0123) | $79.20 | $132 | 3.9× |
| Tomosynthesis, mammo (G0279) | $30 | $50 | 2.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $699.60 | $1,166 | 1.5× |
| Tte w or wo fol wcon,doppler (C8929) | $3,321.60 | $5,536 | 4.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,000.20 | $1,667 | 1.5× |