Supplies, drugs & other prices at Pomerene Hospital
Millersburg, OH · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $640 | $800 | 1.9× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$60–$61.60 | $75–$77 | varies |
| Admin influenza virus vac (G0008) | $61.60 | $77 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $61.60 | $77 | 1.4× |
| Catheterize for urine spec (P9612) | $63.20 | $79 | 6.8× |
| Colon ca scrn not hi rsk ind (G0121) | $2,633.42 | $3,291.78 | 3.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,529.04 | $3,161.30 | 2.9× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$181.60–$187.20 | $227–$234 | varies |
| Diab manage trn per indiv (G0108) | $88.80 | $111 | 1.6× |
| Diab manage trn ind/group (G0109) | $44.80 | $56 | 2.8× |
| Direct refer hospital observ (G0379) | $525.60 | $657 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 34 matching MRF lines |
$63.20–$160 | $79–$200 | varies |
| Drug test def 15-21 classes (G0482) | $264.80 | $331 | 1.3× |
| Drug test def 22+ classes (G0483) | $352.80 | $441 | 1.4× |
| Drug test def 8-14 classes (G0481) | $176 | $220 | 1.1× |
| Eia hiv-1/hiv-2 screen (G0432) | $57.60 | $72 | 2.9× |
| Elec stim other than wound (G0283) | $52.80 | $66 | 4.2× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$60–$504 | $75–$630 | varies |
| Hospital outpt clinic visit (G0463) range across 32 matching MRF lines |
$134.40–$607.20 | $168–$759 | varies |
| Mnt subs tx for change dx (G0270) | $72 | $90 | 2.3× |
| Mra w/cont, abd (C8900) | $1,800 | $2,250 | 5.5× |
| Mra w/cont, chest (C8909) | $1,620 | $2,025 | 4.9× |
| Mra w/cont, lwr ext (C8912) | $1,620 | $2,025 | 4.9× |
| Mra w/cont, pelvis (C8918) | $1,620 | $2,025 | 4.9× |
| Mra w/o cont, abd (C8901) | $1,709.60 | $2,137 | 7.6× |
| Mra w/o cont, chest (C8910) | $1,530.40 | $1,913 | 6.8× |
| Mra w/o cont, lwr ext (C8913) | $1,530.40 | $1,913 | 6.8× |
| Mra w/o cont, pelvis (C8919) | $1,530.40 | $1,913 | 6.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,070.40 | $2,588 | 6.3× |
| Mra w/o fol w/cont, chest (C8911) | $2,249.60 | $2,812 | 6.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,800 | $2,250 | 5.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,249.60 | $2,812 | 6.8× |
| Mra, w/dye, upper extremity (C8934) | $1,620 | $2,025 | 4.9× |
| Mra, w/o dye, upper extr (C8935) | $1,530.40 | $1,913 | 6.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,620 | $2,025 | 4.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,160 | $2,700 | 6.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,980 | $2,475 | 6.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$51.20–$61.60 | $64–$77 | varies |
| Scr c/v cyto,thinlayer,rescr (G0143) | $35.20 | $44 | 1.3× |
| Tomosynthesis, mammo (G0279) | $56 | $70 | 4.4× |
| Tte w or w/o contr, cont ecg (C8930) | $760 | $950 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,400 | $1,750 | 1.9× |
| Visit to determ ldct elig (G0296) | $97.60 | $122 | 1.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.