Supplies, drugs & other prices at Person Memorial Hospital
Roxboro, NC · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $913.60 | $2,284 | 2.1× |
| Adm tocilizu covid-19 2nd (M0250) | $913.60 | $2,284 | 2.1× |
| Admin influenza virus vac (G0008) | $100.40 | $251 | 2.2× |
| Admin pneumococcal vaccine (G0009) | $100.40 | $251 | 2.2× |
| Catheterize for urine spec (P9612) | $246.40 | $616 | 26.4× |
| Colon ca scrn not hi rsk ind (G0121) | $4,600.40 | $11,501 | 5.0× |
| Colorectal scrn; hi risk ind (G0105) | $4,442.80 | $11,107 | 4.8× |
| Covid-19 lab test non-cdc (U0002) | $121.20 | $303 | 2.4× |
| Direct refer hospital observ (G0379) | $1,027.20 | $2,568 | 1.7× |
| Drug test def 1-7 classes (G0480) | $166.80 | $417 | 1.5× |
| Elec stim other than wound (G0283) | $81.20 | $203 | 6.4× |
| Hospital outpt clinic visit (G0463) | $106.80 | $267 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $2,230 | $5,575 | 3.2× |
| Mra w/o cont, chest (C8910) | $705.20 | $1,763 | 3.0× |
| Ocular blood flow measure (0198T) | $335.20 | $838 | 2.5× |
| Psa screening (G0103) | $232 | $580 | 12.0× |
| Tomosynthesis, mammo (G0279) | $260.80 | $652 | 20.6× |