Supplies, drugs & other prices at PeaceHealth St. Joseph Medical Center
Bellingham, WA · every code in this section with a posted price and a Medicare benchmark.
76 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) | $2,569.12 | $3,952.50 | 2.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,270.75 | $1,955 | 3.3× |
| Admin hepatitis b vaccine (G0010) | $75.08 | $115.50 | 1.4× |
| Admin influenza virus vac (G0008) | $76.05 | $117 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $81.25 | $125 | 1.6× |
| Ca screen;flexi sigmoidscope (G0104) | $2,742.35 | $4,219 | 2.6× |
| Catheterize for urine spec (P9612) | $110.82 | $170.50 | 11.9× |
| Chemo extend iv infus w/pump (G0498) | $878.80 | $1,352 | 2.4× |
| Colon ca scrn not hi rsk ind (G0121) | $2,623.97 | $4,036.88 | 2.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,815.45 | $2,793 | 1.8× |
| Covid-19 lab test non-cdc (U0002) | $66.95 | $103 | 1.3× |
| Cysto, litho, vacuum kidney (C9761) | $9,810.45 | $15,093 | 0.9× |
| Dental bitewings two images (D0272) | $673.63 | $1,036.35 | 6.9× |
| Direct refer hospital observ (G0379) | $429 | $660 | 0.6× |
| Drug test def 1-7 classes (G0480) | $328.58 | $505.50 | 2.9× |
| Drug test def 22+ classes (G0483) | $2,823.60 | $4,344 | 11.4× |
| Drug test def 8-14 classes (G0481) | $1,668.55 | $2,567 | 10.7× |
| Elec stim other than wound (G0283) | $58.82 | $90.50 | 4.6× |
| End thxpy, molar tooth (D3330) | $1,102.78 | $1,696.58 | 1.5× |
| Esd endoscopy or colonoscopy (C9779) | $4,802.85 | $7,389 | 1.1× |
| Extraction erupted tooth/exr (D7140) | $1,086.53 | $1,671.58 | 1.5× |
| Facility svs dental rehab (G0330) | $967.24 | $1,488.06 | 0.3× |
| Gross pulpal debridement (D3221) | $1,086.53 | $1,671.58 | 1.5× |
| Hospital outpt clinic visit (G0463) | $121.88 | $187.50 | 0.8× |
| Iliac Atherectomy (0238T) | $23,830.30 | $36,662 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) | $995.48 | $1,531.50 | 1.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $49,888.15 | $76,751 | 1.4× |
| Intraor comprehensive series (D0210) | $5,690.44 | $8,754.52 | 21.4× |
| Mra w/cont, abd (C8900) | $1,547.65 | $2,381 | 4.0× |
| Mra w/cont, chest (C8909) | $1,669.20 | $2,568 | 4.3× |
| Mra w/cont, lwr ext (C8912) | $3,099.20 | $4,768 | 8.0× |
| Mra w/o cont, abd (C8901) | $1,913.60 | $2,944 | 7.2× |
| Mra w/o cont, chest (C8910) | $1,632.80 | $2,512 | 6.1× |
| Mra w/o cont, lwr ext (C8913) | $1,426.10 | $2,194 | 5.4× |
| Mra w/o cont, pelvis (C8919) | $1,426.10 | $2,194 | 5.4× |
| Mra w/o fol w/cont, abd (C8902) | $2,069.60 | $3,184 | 5.3× |
| Mra w/o fol w/cont, chest (C8911) | $2,566.85 | $3,949 | 6.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,617.55 | $4,027 | 6.7× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,847.30 | $2,842 | 4.8× |
| Mri w/cont, breast, bi (C8906) | $3,556.80 | $5,472 | 9.1× |
| Perc d-e cor revasc chro sin (C9607) | $42,617.90 | $65,566 | 2.1× |
| Perc d-e cor revasc t cabg s (C9604) | $26,837.85 | $41,289 | 2.1× |
| Perc d-e cor stent ather s (C9602) | $42,617.90 | $65,566 | 2.1× |
| Perc drug-el cor stent sing (C9600) | $26,446.88 | $40,687.50 | 2.1× |
| Place direct restoration (D2940) | $1,086.53 | $1,671.58 | 1.5× |
| Post 1 srfc resinbased cmpst (D2391) | $812.92 | $1,250.64 | 1.1× |
| Post 2 srfc resinbased cmpst (D2392) | $812.92 | $1,250.64 | 1.1× |
| Prefab stnlss steel crwn pri (D2930) | $1,086.53 | $1,671.58 | 1.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $71.50 | $110 | 1.7× |
| Prolonged iv inf, req pump (C8957) | $1,313 | $2,020 | 5.5× |
| Psa screening (G0103) | $115.05 | $177 | 6.0× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) | $3,476.20 | $5,348 | 1.5× |
| Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) | $3,476.20 | $5,348 | 1.5× |
| Removal Pg Wcs Lv Pacing Both Components (0861T) | $7,485.40 | $11,516 | 1.8× |
| Resin one surface-anterior (D2330) | $643.10 | $989.38 | 0.9× |
| Resin two surfaces-anterior (D2331) | $1,102.78 | $1,696.58 | 1.5× |
| Revasc intra lithotrip-ather (C9766) | $30,475.90 | $46,886 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $30,031.95 | $46,203 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $20,664.15 | $31,791 | 1.6× |
| Revasc lith-sten-ath tib/per (C9775) | $54,427.10 | $83,734 | 2.7× |
| Revasc lithotr-ather tib/per (C9774) | $54,427.10 | $83,734 | 2.7× |
| Revasc lithotr-stent tib/per (C9773) | $54,427.10 | $83,734 | 2.7× |
| Revasc lithotrip tibi/perone (C9772) | $15,740.40 | $24,216 | 1.2× |
| Revasc lithotrip-stent-ather (C9767) | $54,427.10 | $83,734 | 2.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $37,140.35 | $57,139 | 1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $30,019.60 | $46,184 | 1.4× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,075.55 | $9,347 | 1.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $14,715.35 | $22,639 | 0.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,763 | $15,020 | 1.5× |
| Therapeutic pulpotomy (D3220) | $643.10 | $989.38 | 0.9× |
| Trauma respons w/hosp criti (G0390) | $6,057.35 | $9,319 | 4.1× |
| Tte w or w/o contr, cont ecg (C8930) | $2,369.90 | $3,646 | 2.7× |
| Tte w or w/o fol w/con,stres (C8928) | $2,150.85 | $3,309 | 2.5× |
| Tte w or w/o fol w/cont, com (C8921) | $2,786.55 | $4,287 | 3.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,426.45 | $3,733 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,851.20 | $2,848 | 2.4× |