Supplies, drugs & other prices at PeaceHealth St. John Medical Center
Longview, WA · every code in this section with a posted price and a Medicare benchmark.
50 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,157.35 | $3,319 | 2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,698.78 | $2,613.50 | 4.4× |
| Admin hepatitis b vaccine (G0010) | $54.60 | $84 | 1.0× |
| Admin influenza virus vac (G0008) | $55.90 | $86 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $54.60 | $84 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $1,776.45 | $2,733 | 1.7× |
| Catheterize for urine spec (P9612) | $53.62 | $82.50 | 5.7× |
| Chemo extend iv infus w/pump (G0498) | $1,087.12 | $1,672.50 | 2.9× |
| Colon ca scrn not hi rsk ind (G0121) | $1,776.45 | $2,733 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,776.45 | $2,733 | 1.7× |
| Covid-19 lab test non-cdc (U0002) | $66.95 | $103 | 1.3× |
| Diab manage trn per indiv (G0108) | $109.20 | $168 | 2.0× |
| Direct refer hospital observ (G0379) | $1,274 | $1,960 | 1.9× |
| Drug test def 1-7 classes (G0480) | $140.08 | $215.50 | 1.2× |
| Elec stim other than wound (G0283) | $65 | $100 | 5.1× |
| Home sleep test/type 3 porta (G0399) | $907.40 | $1,396 | 3.8× |
| Hospital outpt clinic visit (G0463) | $308.75 | $475 | 2.1× |
| Initial preventive exam (G0402) | $87.10 | $134 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $2,210.65 | $3,401 | 2.8× |
| Mra w/cont, abd (C8900) | $1,713.40 | $2,636 | 4.4× |
| Mra w/cont, chest (C8909) | $1,151.80 | $1,772 | 3.0× |
| Mra w/cont, lwr ext (C8912) | $2,011.75 | $3,095 | 5.2× |
| Mra w/cont, pelvis (C8918) | $2,845.70 | $4,378 | 7.3× |
| Mra w/o cont, abd (C8901) | $1,840.15 | $2,831 | 6.9× |
| Mra w/o cont, chest (C8910) | $2,280.85 | $3,509 | 8.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,798.55 | $2,767 | 4.6× |
| Mra w/o fol w/cont, chest (C8911) | $2,648.10 | $4,074 | 6.8× |
| Mri w/o fol w/cont, breast, (C8908) | $4,328.35 | $6,659 | 11.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,916.85 | $2,949 | 4.9× |
| Oth resp proc, group (G0239) | $211.25 | $325 | 5.1× |
| Perc d-e cor revasc chro sin (C9607) | $42,566.55 | $65,487 | 2.1× |
| Perc d-e cor revasc t cabg s (C9604) | $32,581.25 | $50,125 | 2.5× |
| Perc drug-el cor stent sing (C9600) | $43,192.50 | $66,450 | 3.4× |
| Potassium hydroxide preps (Q0112) | $9.55 | $14.69 | 1.6× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $73.45 | $113 | 1.8× |
| Prolonged iv inf, req pump (C8957) | $1,941.22 | $2,986.50 | 8.2× |
| Psa screening (G0103) | $87.75 | $135 | 4.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) | $3,565.25 | $5,485 | 1.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) | $3,565.25 | $5,485 | 1.5× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) | $7,676.50 | $11,810 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $18,524.35 | $28,499 | 1.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $34,414.90 | $52,946 | 1.6× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $29,118.70 | $44,798 | 1.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,230.90 | $9,586 | 1.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $38,090.65 | $58,601 | 1.8× |
| Tomosynthesis, mammo (G0279) | $102.38 | $157.50 | 8.1× |
| Trauma respons w/hosp criti (G0390) | $8,078.20 | $12,428 | 5.4× |
| Tte w or w/o contr, cont ecg (C8930) | $3,045.25 | $4,685 | 3.5× |
| Tte w or wo fol wcon,doppler (C8929) | $3,045.25 | $4,685 | 3.5× |
| Unsched dialysis esrd pt hos (G0257) | $2,158.32 | $3,320.50 | 2.8× |