Supplies, drugs & other prices at Pascagoula Hospital
Pascagoula, MS · every code in this section with a posted price and a Medicare benchmark.
82 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $33.30 | $111 | 0.8× |
| Admin influenza virus vac (G0008) | $36.90 | $123 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $36.90 | $123 | 0.9× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) | $48.60 | $162 | 0.4× |
| Annual alcohol screen 15 min (G0442) | $21.60 | $72 | 0.6× |
| Autolog prp not diab ulcer (G0460) | $363 | $1,210 | 0.2× |
| Chemo extend iv infus w/pump (G0498) | $336 | $1,120 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $939.30 | $3,131 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $939.30 | $3,131 | 1.1× |
| Comm hlth intg svs sdoh 60mn (G0019) | $75.60 | $252 | 0.8× |
| Depression screen annual (G0444) | $21.60 | $72 | 0.6× |
| Diab manage trn per indiv (G0108) | $30.60 | $102 | 0.5× |
| Diab manage trn ind/group (G0109) | $17.40 | $58 | 1.1× |
| Drug test def 1-7 classes (G0480) | $93.60 | $312 | 0.8× |
| Drug test def 8-14 classes (G0481) | $117.30 | $391 | 0.7× |
| Eia hiv-1/hiv-2 screen (G0432) | $86.70 | $289 | 4.4× |
| Elec stim other than wound (G0283) | $49.50 | $165 | 3.9× |
| Elec stim unattend for press (G0281) | $28.20 | $94 | 2.4× |
| Electromagntic tx for ulcers (G0329) | $16.20 | $54 | 1.5× |
| Extrnl counterpulse, per tx (G0166) | $192.90 | $643 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $285.60 | $952 | 2.3× |
| Hep c screen high risk/other (G0472) | $50.10 | $167 | 1.1× |
| Hepb screen high risk indiv (G0499) | $29.10 | $97 | 1.0× |
| Hospital outpt clinic visit (G0463) | $111 | $370 | 0.9× |
| Initial preventive exam (G0402) | $99.90 | $333 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $598.20 | $1,994 | 0.9× |
| Instlj fecal microbiota ssp (0780T) | $91.50 | $305 | 0.8× |
| Intens behave ther cardio dx (G0446) | $21.90 | $73 | 0.7× |
| Mra w/cont, abd (C8900) | $1,368 | $4,560 | 4.4× |
| Mra w/cont, chest (C8909) | $1,062.60 | $3,542 | 3.4× |
| Mra w/cont, lwr ext (C8912) | $1,298.70 | $4,329 | 4.2× |
| Mra w/cont, pelvis (C8918) | $533.10 | $1,777 | 1.7× |
| Mra w/o cont, abd (C8901) | $1,281.90 | $4,273 | 6.0× |
| Mra w/o cont, chest (C8910) | $980.10 | $3,267 | 4.6× |
| Mra w/o cont, pelvis (C8919) | $485.70 | $1,619 | 2.3× |
| Mra w/o fol w/cont, abd (C8902) | $1,453.20 | $4,844 | 4.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $680.40 | $2,268 | 2.2× |
| Mri w/cont, breast, bi (C8906) | $925.80 | $3,086 | 3.0× |
| Mri w/cont, breast, uni (C8903) | $823.50 | $2,745 | 5.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,025.40 | $3,418 | 3.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $936.60 | $3,122 | 3.0× |
| Nav srv peer sup 60 min pr m (G0140) | $75.60 | $252 | 0.8× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $334.20 | $1,114 | 0.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $2,081.70 | $6,939 | 5.2× |
| Non-ophthalmic fva (C9733) | $359.70 | $1,199 | 1.2× |
| Obtaining screen pap smear (Q0091) | $12.30 | $41 | 0.5× |
| Opps service,sched team conf (G0175) | $211.50 | $705 | 0.6× |
| Oth resp proc, group (G0239) | $64.80 | $216 | 1.9× |
| Oth resp proc, indiv (G0238) | $40.20 | $134 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,619.10 | $25,397 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $7,619.10 | $25,397 | 0.7× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$7,619.10 | $25,397 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $9,861.60 | $32,872 | 1.0× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $7,023 | $23,410 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,894.20 | $6,314 | 0.3× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$1,515.90 | $5,053 | 0.2× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$4,649.70 | $15,499 | 0.4× |
| Pet not otherwise specified (G0235) | $1,917.60 | $6,392 | 5.4× |
| Pin service 60m per month (G0023) | $75.60 | $252 | 0.8× |
| Place device/marker, non pro (C9728) | $1,016.70 | $3,389 | 0.8× |
| Place endorectal app (C9725) | $424.20 | $1,414 | 0.5× |
| Ppps, subseq visit (G0439) | $80.10 | $267 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $214.20 | $714 | 0.7× |
| Psa screening (G0103) | $39 | $130 | 2.0× |
| Revasc intra lithotrip-ather (C9766) | $14,355.90 | $47,853 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $14,355.90 | $47,853 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $8,978.40 | $29,928 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $14,355.90 | $47,853 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) | $14,355.90 | $47,853 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $14,355.90 | $47,853 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $8,978.40 | $29,928 | 0.9× |
| Revasc lithotrip-stent-ather (C9767) | $14,355.90 | $47,853 | 0.9× |
| Screen cerv/vag thin layer (G0123) | $51.85 | $172.84 | 2.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,649.40 | $15,498 | 0.9× |
| Therapeutic procd strg endur (G0237) | $89.40 | $298 | 3.4× |
| Tomosynthesis, mammo (G0279) | $87 | $290 | 6.9× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,590.40 | $11,968 | 0.7× |
| Trauma respons w/hosp criti (G0390) | $2,158.80 | $7,196 | 1.8× |
| Trluml Perip Athrc Renal Art (0234T) likely a partial charge, not the full procedure |
$2,928.30 | $9,761 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) likely a partial charge, not the full procedure |
$2,928.30 | $9,761 | 0.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$2,928.30 | $9,761 | 0.2× |
| Unsched dialysis esrd pt hos (G0257) | $380.70 | $1,269 | 0.6× |