Supplies, drugs & other prices at Pikeville Medical Center
Pikeville, KY · every code in this section with a posted price and a Medicare benchmark.
70 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) | $870.60 | $2,902 | 1.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $712.80 | $2,376 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $712.80 | $2,376 | 2.2× |
| Adapt Bhv Tx Ea 15 Min (0373T) | $113.40 | $378 | 3.2× |
| Admin hepatitis b vaccine (G0010) | $64.50 | $215 | 1.5× |
| Admin influenza virus vac (G0008) | $44.70 | $149 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $57.30 | $191 | 1.3× |
| Ca screen;pelvic/breast exam (G0101) | $63.90 | $213 | 0.7× |
| Catheterize for urine spec (P9612) | $3.30 | $11 | 0.4× |
| Chemo extend iv infus w/pump (G0498) | $316.20 | $1,054 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $90 | $300 | 1.8× |
| Depression screen annual (G0444) | $23.70 | $79 | 0.7× |
| Diab manage trn per indiv (G0108) | $39 | $130 | 0.7× |
| Diab manage trn ind/group (G0109) | $23.40 | $78 | 1.5× |
| Direct refer hospital observ (G0379) | $214.20 | $714 | 0.4× |
| Drug test def 1-7 classes (G0480) | $60.30 | $201 | 0.5× |
| Drug test def 15-21 classes (G0482) | $90 | $300 | 0.5× |
| Drug test def 22+ classes (G0483) | $85.35 | $284.50 | 0.3× |
| Drug test def 8-14 classes (G0481) | $75 | $250 | 0.5× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $3,435.90 | $11,453 | 0.9× |
| Ekg tracing for initial prev (G0404) | $101.40 | $338 | 3.7× |
| Elec stim other than wound (G0283) | $130.80 | $436 | 10.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,341.50 | $27,805 | 0.8× |
| Fecal blood scrn immunoassay (G0328) | $15 | $50 | 0.8× |
| Followup eval of foot pt lop (G0246) | $106.50 | $355 | 0.9× |
| Group train w/o patient (G0543) | $8.70 | $29 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $297.60 | $992 | 2.3× |
| Hospital outpt clinic visit (G0463) | $112.80 | $376 | 0.9× |
| Initial foot exam pt lops (G0245) | $106.50 | $355 | 0.9× |
| Initial preventive exam (G0402) | $113.40 | $378 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $915.90 | $3,053 | 1.4× |
| Instlj fecal microbiota ssp (0780T) | $114.90 | $383 | 0.9× |
| Mra w/cont, abd (C8900) | $439.50 | $1,465 | 1.3× |
| Mra w/cont, chest (C8909) | $1,395.30 | $4,651 | 4.3× |
| Mra w/o cont, abd (C8901) | $327.30 | $1,091 | 1.5× |
| Mra w/o cont, chest (C8910) | $1,213.20 | $4,044 | 5.4× |
| Mra w/o fol w/cont, abd (C8902) | $650.70 | $2,169 | 2.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,604.40 | $5,348 | 4.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $650.70 | $2,169 | 2.0× |
| Mri w/o fol w/cont, breast, (C8908) | $1,062.60 | $3,542 | 3.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $531.30 | $1,771 | 1.6× |
| No pt prsnt train initial 30 (G0541) | $37.80 | $126 | 1.4× |
| Obtaining screen pap smear (Q0091) | $151.80 | $506 | 5.6× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $276 | $920 | 1.1× |
| Oth resp proc, indiv (G0238) | $63.60 | $212 | 2.3× |
| Perc d-e cor revasc chro sin (C9607) | $12,450.90 | $41,503 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $11,013.30 | $36,711 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $12,450.90 | $41,503 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $11,013.30 | $36,711 | 1.0× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$5,073.90 | $16,913 | 0.5× |
| Psa screening (G0103) | $62.40 | $208 | 3.2× |
| Revasc intra lithotrip-ather (C9766) | $14,396.70 | $47,989 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $14,369.70 | $47,899 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $9,004.20 | $30,014 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $14,396.70 | $47,989 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $9,004.20 | $30,014 | 0.8× |
| Revasc lithotrip-stent-ather (C9767) | $14,369.70 | $47,899 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,344.60 | $14,482 | 0.8× |
| Therapeutic procd strg endur (G0237) | $63.60 | $212 | 2.3× |
| Tomosynthesis, mammo (G0279) | $21.30 | $71 | 1.7× |
| Trauma respons w/hosp criti (G0390) | $3,305.85 | $11,019.50 | 2.6× |
| Trim nail(s) (G0127) | $105.60 | $352 | 1.9× |
| Trluml Perip Athrc Renal Art (0234T) | $12,030.90 | $40,103 | 1.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $12,030.90 | $40,103 | 1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $21,730.20 | $72,434 | 1.3× |
| Tte w or w/o contr, cont ecg (C8930) | $772.50 | $2,575 | 1.1× |
| Tte w or w/o fol w/con,stres (C8928) | $792 | $2,640 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,444.80 | $4,816 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,912.20 | $6,374 | 3.0× |
| Visit to determ ldct elig (G0296) | $74.10 | $247 | 0.8× |