Supplies, drugs & other prices at Princeton Community Hospital
Princeton, WV · every code in this section with a posted price and a Medicare benchmark.
80 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) | $1,599 | $3,198 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $857 | $1,714 | 2.6× |
| Admin hepatitis b vaccine (G0010) | $28.50 | $57 | 0.6× |
| Admin influenza virus vac (G0008) | $28.50 | $57 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $28.50 | $57 | 0.6× |
| Alcohol/subs interv 15-30mn (G0396) | $33.50 | $67 | 0.9× |
| Annual alcohol screen 15 min (G0442) | $34.50 | $69 | 1.0× |
| Ascvd rsk mng clin stf pr mo (G0538) | $104 | $208 | 1.1× |
| Autolog prp not diab ulcer (G0460) | $2,229 | $4,458 | 1.1× |
| Behavior counsel obesity 15m (G0447) | $108 | $216 | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $1,682.50 | $3,365 | 1.9× |
| Ca screen;pelvic/breast exam (G0101) | $49.25 | $98.50 | 0.5× |
| Catheterize for urine spec (P9612) | $239.75 | $479.50 | 25.7× |
| Chemo extend iv infus w/pump (G0498) | $209.25 | $418.50 | 0.7× |
| Colon ca scrn not hi rsk ind (G0121) | $1,804.50 | $3,609 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,433.16 | $4,866.33 | 2.7× |
| Covid-19 lab test non-cdc (U0002) | $77.75 | $155.50 | 1.5× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,014.50 | $6,029 | 0.3× |
| Cystoscopy prostatic imp 1-3 (C9739) | $3,270.50 | $6,541 | 0.6× |
| Diab manage trn per indiv (G0108) | $53 | $106 | 1.0× |
| Direct refer hospital observ (G0379) | $303 | $606 | 0.5× |
| Drug test def 1-7 classes (G0480) | $108.78 | $217.56 | 1.0× |
| Drug test def 15-21 classes (G0482) | $160 | $320 | 0.8× |
| Drug test def 22+ classes (G0483) | $247.75 | $495.50 | 1.0× |
| Drug test def 8-14 classes (G0481) | $127.75 | $255.50 | 0.8× |
| Egd flexible transnasal w/insj intral tube/cath (0654T) | $1,833.34 | $3,666.67 | 0.5× |
| Elec stim other than wound (G0283) | $54.50 | $109 | 4.3× |
| Hiv combination assay (G0475) | $46 | $92 | 1.9× |
| Hospital outpt clinic visit (G0463) | $63 | $126 | 0.5× |
| Hpv combo assay ca screen (G0476) | $76.50 | $153 | 2.2× |
| Ig paraprotein qual bld/ur (0077U) | $160.80 | $321.60 | 3.7× |
| Initial preventive exam (G0402) | $68 | $136 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,445.50 | $2,891 | 2.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$9,979.50 | $19,959 | 0.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) unusually low: confirm this is the full procedure |
$2,880.50 | $5,761 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) unusually low: confirm this is the full procedure |
$2,880.50 | $5,761 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$7,666 | $15,332 | 0.4× |
| Intens behave ther cardio dx (G0446) | $34.50 | $69 | 1.0× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $45 | $90 | 1.3× |
| Lev 1 hosp type b ed visit (G0380) | $230.75 | $461.50 | 3.2× |
| Lev 2 hosp type b ed visit (G0381) | $416.75 | $833.50 | 4.7× |
| Lev 3 hosp type b ed visit (G0382) | $627.50 | $1,255 | 3.8× |
| Lev 4 hosp type b ed visit (G0383) | $1,091 | $2,182 | 4.3× |
| Lev 5 hosp type b ed visit (G0384) | $1,515.25 | $3,030.50 | 3.8× |
| Mra w/cont, abd (C8900) | $1,358 | $2,716 | 4.1× |
| Mra w/cont, chest (C8909) | $980.50 | $1,961 | 2.9× |
| Mra w/cont, pelvis (C8918) | $1,361.50 | $2,723 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $2,783.50 | $5,567 | 8.3× |
| Mra w/o fol w/cont, chest (C8911) | $980.50 | $1,961 | 2.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,783.50 | $5,567 | 8.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $879 | $1,758 | 2.6× |
| Mri w/o fol w/cont, breast, (C8908) | $2,888 | $5,776 | 8.6× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $513.50 | $1,027 | 1.2× |
| Obtaining screen pap smear (Q0091) | $17.50 | $35 | 0.6× |
| Oth resp proc, group (G0239) | $64 | $128 | 1.8× |
| Oth resp proc, indiv (G0238) | $36.50 | $73 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) | $59,635.50 | $119,271 | 3.4× |
| Perc d-e cor revasc t cabg s (C9604) | $25,036 | $50,072 | 2.3× |
| Perc drug-el cor stent sing (C9600) | $25,975 | $51,950 | 2.3× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $7,592 | $15,184 | 0.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,313.50 | $8,627 | 0.4× |
| Ppps, initial visit (G0438) | $180 | $360 | 1.0× |
| Ppps, subseq visit (G0439) | $114.50 | $229 | 0.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $40.50 | $81 | 1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $45 | $90 | 1.3× |
| Psa screening (G0103) | $53.30 | $106.60 | 2.8× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,344 | $4,688 | 1.2× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $3,040 | $6,080 | 0.8× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $3,040 | $6,080 | 0.8× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $807 | $1,614 | 1.3× |
| Risk ascvd tst once pr 12 mo (G0537) | $33.50 | $67 | 0.9× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$7,666 | $15,332 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $32.50 | $65 | 1.2× |
| Screen cerv/vag thin layer (G0123) | $94 | $188 | 4.6× |
| Tomosynthesis, mammo (G0279) | $31.50 | $63 | 2.5× |
| Trauma respons w/hosp criti (G0390) | $1,443.25 | $2,886.50 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,603.50 | $3,207 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $607.75 | $1,215.50 | 0.9× |
| Vasc emb/occ w/prs cath (C9797) | $9,903 | $19,806 | 0.6× |