Supplies, drugs & other prices at Poplar Bluff Regional Medical Center
Poplar Bluff, MO · every code in this section with a posted price and a Medicare benchmark.
59 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $31.75 | $151.17 | 0.9× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$47.09–$51.59 | $224.23–$245.65 | varies |
| Admin influenza virus vac (G0008) | $47.09 | $224.23 | 1.0× |
| Admin pneumococcal vaccine (G0009) range across 7 matching MRF lines |
$47.09–$48.94 | $224.23–$233.04 | varies |
| Amalgam one surface permanen (D2140) | $20,884.45 | $99,449.74 | 32.3× |
| Amalgam three surfaces perma (D2160) | $25,199.49 | $119,997.55 | 38.9× |
| Ant resin-based cmpst crown (D2390) | $19,515.81 | $92,932.41 | 30.1× |
| Autolog prp not diab ulcer (G0460) | $726.95 | $3,461.69 | 0.4× |
| Catheterize for urine spec (P9612) | $119.31 | $568.13 | 12.8× |
| Colon ca scrn not hi rsk ind (G0121) | $4,897.70 | $23,322.39 | 5.3× |
| Colorectal scrn; hi risk ind (G0105) | $4,960.61 | $23,621.97 | 5.3× |
| Comprehensve oral evaluation (D0150) | $17,025.07 | $81,071.77 | 127.7× |
| Dental bitewings two images (D0272) | $16,719.71 | $79,617.67 | 191.8× |
| Direct refer hospital observ (G0379) | $495.22 | $2,358.18 | 0.8× |
| Eia hiv-1/hiv-2 screen (G0432) | $25.92 | $123.45 | 1.3× |
| Elec stim other than wound (G0283) | $102.11 | $486.25 | 8.0× |
| Elisa hiv-1/hiv-2 screen (G0433) range across 3 matching MRF lines |
$3.84–$19.31 | $18.29–$91.96 | varies |
| Extraction erupted tooth/exr (D7140) | $20,166.48 | $96,030.85 | 31.1× |
| Hbot, full body chamber, 30m (G0277) | $611.09 | $2,909.93 | 4.4× |
| Hiv combination assay (G0475) | $35.98 | $171.32 | 1.5× |
| Hospital outpt clinic visit (G0463) range across 32 matching MRF lines |
$72.75–$361.89 | $346.42–$1,723.29 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 5 matching MRF lines |
$210.84–$1,829.98 | $1,003.99–$8,714.18 | varies |
| Mra w/o cont, abd (C8901) | $330.67 | $1,574.64 | 1.4× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$48.81–$1,385.13 | $232.43–$6,595.85 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 3 matching MRF lines |
$158.10–$3,531.07 | $752.86–$16,814.64 | varies |
| Oral hiv-1/hiv-2 screen (G0435) | $18.78 | $89.43 | 1.6× |
| Oral/facial photo images (D0350) | $16,541.95 | $78,771.18 | 189.8× |
| Oth resp proc, group (G0239) | $105.81 | $503.88 | 2.8× |
| Oth resp proc, indiv (G0238) | $88.62 | $422 | 3.1× |
| Pathogen test for platelets (P9100) | $72.48 | $345.16 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $19,356.36 | $92,173.13 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $13,221.95 | $62,961.67 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $19,356.36 | $92,173.13 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $13,397.61 | $63,798.12 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$1,236.55–$2,621.06 | $5,888.34–$12,481.23 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) range across 4 matching MRF lines |
$1,236.55–$2,621.32 | $5,888.34–$12,482.49 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$1,686.85 | $8,032.60 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $18,430.52 | $87,764.38 | 28.5× |
| Post 2 srfc resinbased cmpst (D2392) | $18,935.54 | $90,169.26 | 29.2× |
| Post 3 srfc resinbased cmpst (D2393) | $21,201.48 | $100,959.43 | 32.7× |
| Post >=4srfc resinbase cmpst (D2394) | $21,761.86 | $103,627.89 | 33.6× |
| Prefab stnlss steel crown pe (D2931) | $16,801.62 | $80,007.71 | 25.9× |
| Prefab stnlss steel crwn pri (D2930) | $19,103.78 | $90,970.37 | 29.5× |
| Prolonged iv inf, req pump (C8957) | $391.52 | $1,864.37 | 1.8× |
| Psa screening (G0103) range across 2 matching MRF lines |
$43.65–$237.03 | $207.86–$1,128.70 | varies |
| Rem imp tooth w mucoper flp (D7210) | $10,241.24 | $48,767.81 | 6.6× |
| Resin 4/> surf or w incis an (D2335) | $21,845.51 | $104,026.26 | 33.7× |
| Resin one surface-anterior (D2330) | $21,080.54 | $100,383.53 | 32.6× |
| Resin three surfaces-anterio (D2332) | $21,048.71 | $100,231.95 | 32.5× |
| Resin two surfaces-anterior (D2331) | $18,924.20 | $90,115.25 | 29.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $22,701.59 | $108,102.80 | 1.2× |
| Therapeutic procd strg endur (G0237) | $92.85 | $442.16 | 3.2× |
| Therapeutic pulpotomy (D3220) | $22,456.46 | $106,935.50 | 34.7× |
| Tomosynthesis, mammo (G0279) range across 8 matching MRF lines |
$77.25–$198.40 | $367.84–$944.78 | varies |
| Trauma respons w/hosp criti (G0390) | $1,500.48 | $7,145.12 | 1.1× |
| Trluml Perip Athrc Iliac Art (0238T) range across 3 matching MRF lines |
$3,211.22–$76,317.31 | $15,291.50–$363,415.78 | varies |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$470.19–$1,258.68 | $2,239–$5,993.71 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 3 matching MRF lines |
$138.48–$1,258.68 | $659.42–$5,993.71 | varies |
| Unsched dialysis esrd pt hos (G0257) | $783.57 | $3,731.27 | 1.1× |
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.