Supplies, drugs & other prices at PeaceHealth Peace Island Medical Center
Friday Harbor, WA · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $943.15 | $1,451 | 2.4× |
| Admin hepatitis b vaccine (G0010) | $35.75 | $55 | 0.7× |
| Admin influenza virus vac (G0008) | $36.40 | $56 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $36.40 | $56 | 0.7× |
| Catheterize for urine spec (P9612) | $40.30 | $62 | 4.3× |
| Chemo extend iv infus w/pump (G0498) | $484.25 | $745 | 1.3× |
| Colon ca scrn not hi rsk ind (G0121) | $1,415.05 | $2,177 | 1.4× |
| Colorectal scrn; hi risk ind (G0105) | $1,415.05 | $2,177 | 1.4× |
| Diab manage trn per indiv (G0108) | $175.50 | $270 | 3.1× |
| Drug test def 1-7 classes (G0480) | $42.90 | $66 | 0.4× |
| Elec stim other than wound (G0283) | $27.95 | $43 | 2.2× |
| Fecal blood scrn immunoassay (G0328) | $29.25 | $45 | 1.6× |
| Hospital outpt clinic visit (G0463) | $77.68 | $119.50 | 0.5× |
| Initial preventive exam (G0402) | $69.55 | $107 | 0.5× |
| Mra w/cont, pelvis (C8918) | $1,478.75 | $2,275 | 3.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,710.15 | $2,631 | 4.4× |
| Mra w/o fol w/cont, chest (C8911) | $1,589.90 | $2,446 | 4.1× |
| Prolonged iv inf, req pump (C8957) | $983.45 | $1,513 | 4.1× |
| Psa screening (G0103) | $73.78 | $113.50 | 3.8× |
| Tomosynthesis, mammo (G0279) | $111.15 | $171 | 8.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,441.70 | $2,218 | 1.7× |