Supplies, drugs & other prices at Prisma Health Blount Memorial Hospital
Maryville, TN · every code in this section with a posted price and a Medicare benchmark.
159 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) | $27.90 | $90 | 0.8× |
| 2d tee w or w/o fol w/con,in (C8925) | $587.45 | $1,895 | 0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $465 | $1,500 | 1.4× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,923.24 | $6,204 | 1.0× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $5,565.12 | $17,952 | 0.7× |
| Adm tocilizu covid-19 1st (M0249) | $348.75 | $1,125 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $39.37 | $127 | 0.9× |
| Admin influenza virus vac (G0008) | $32.86 | $106 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $44.02 | $142 | 1.0× |
| Adrnl cortcl tum bchm asy 25 (0015M) | $1,694.46 | $5,466 | 1.3× |
| Ant resin-based cmpst crown (D2390) | $1,288.67 | $4,157 | 2.1× |
| Autolog prp not diab ulcer (G0460) | $1,417.94 | $4,574 | 0.7× |
| Bitewings four images (D0274) | $78.74 | $254 | 0.3× |
| Ca screen;flexi sigmoidscope (G0104) | $786.16 | $2,536 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $71.61 | $231 | 0.7× |
| Catheterize for urine spec (P9612) | $5.27 | $17 | 0.6× |
| Chemo extend iv infus w/pump (G0498) | $229.71 | $741 | 0.7× |
| Colon ca scrn not hi rsk ind (G0121) | $974.33 | $3,143 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $1,143.90 | $3,690 | 1.3× |
| Comt gene analysis c.472g>a variant (0032U) | $655.03 | $2,113 | 3.7× |
| Crown porcelain/ceramic (D2740) | $602.95 | $1,945 | 1.0× |
| Diab manage trn per indiv (G0108) | $42.78 | $138 | 0.8× |
| Diab manage trn ind/group (G0109) | $30.07 | $97 | 1.9× |
| Direct refer hospital observ (G0379) | $262.72 | $847.50 | 0.5× |
| Drug test def 1-7 classes (G0480) | $109.74 | $354 | 1.0× |
| Drug test def 15-21 classes (G0482) | $1,152.58 | $3,718 | 5.8× |
| Drug test def 22+ classes (G0483) | $317.44 | $1,024 | 1.3× |
| Drug test def 8-14 classes (G0481) | $211.42 | $682 | 1.4× |
| Elec stim other than wound (G0283) | $56.42 | $182 | 4.4× |
| Elec stim unattend for press (G0281) | $56.42 | $182 | 4.8× |
| Endo defect closure gi tract (C9901) | $7,600.89 | $24,519 | 0.7× |
| Endo outlet restrict w/tube (C9785) | $7,613.60 | $24,560 | 0.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$19,766.84 | $63,764 | 0.5× |
| Esd endoscopy or colonoscopy (C9779) | $2,948.41 | $9,511 | 0.8× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,524.07 | $27,497 | 0.8× |
| Extraction coronal remnants (D7111) | $602.95 | $1,945 | 1.0× |
| Extraction erupted tooth/exr (D7140) | $605.74 | $1,954 | 1.0× |
| Fecal blood scrn immunoassay (G0328) | $27.59 | $89 | 1.5× |
| Fern test (Q0114) | $24.80 | $80 | 2.5× |
| Fixed bilat space maint, man (D1517) | $602.95 | $1,945 | 1.0× |
| Gi myoelectrical activity study stmch-colon i&r (0779T) | $342.86 | $1,106 | 1.0× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $31.93 | $103 | 0.9× |
| Gross pulpal debridement (D3221) | $1,288.67 | $4,157 | 2.1× |
| Hbot, full body chamber, 30m (G0277) | $308.45 | $995 | 2.3× |
| Hep c screen high risk/other (G0472) | $56.11 | $181 | 1.2× |
| Hepb screen high risk indiv (G0499) | $62.93 | $203 | 2.2× |
| Hiv combination assay (G0475) | $35.65 | $115 | 1.5× |
| Home sleep test/type 3 porta (G0399) | $366.11 | $1,181 | 1.8× |
| I&d absc intraoral soft tiss (D7510) | $83.70 | $270 | 0.1× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $91.14 | $294 | 2.1× |
| Impact tooth remov comp bony (D7240) | $141.67 | $457 | 0.2× |
| Initial preventive exam (G0402) | $96.10 | $310 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $858.70 | $2,770 | 1.3× |
| Insert cv cath inf & sup app (C9780) | $6,394.06 | $20,626 | 0.8× |
| Insertion/Replacement Complete Iims (0525T) | $10,075 | $32,500 | 0.5× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $6,109.17 | $19,707 | 0.8× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $24,847.74 | $80,154 | 0.8× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $24,847.74 | $80,154 | 0.8× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $6,413.28 | $20,688 | 0.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $23,657.34 | $76,314 | 0.8× |
| Instlj fecal microbiota ssp (0780T) | $968.44 | $3,124 | 7.6× |
| Intraor comprehensive series (D0210) | $167.71 | $541 | 0.7× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $6,767.92 | $21,832 | 0.7× |
| Mra w/cont, abd (C8900) | $282.72 | $912 | 0.8× |
| Mra w/cont, chest (C8909) | $662.47 | $2,137 | 2.0× |
| Mra w/cont, lwr ext (C8912) | $263.50 | $850 | 0.8× |
| Mra w/cont, pelvis (C8918) | $298.22 | $962 | 0.9× |
| Mra w/o cont, abd (C8901) | $1,101.43 | $3,553 | 4.8× |
| Mra w/o cont, chest (C8910) | $350.30 | $1,130 | 1.5× |
| Mra w/o cont, lwr ext (C8913) | $461.90 | $1,490 | 2.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,164.98 | $3,758 | 3.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,114.76 | $3,596 | 3.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $296.98 | $958 | 0.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $283.34 | $914 | 0.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,513.73 | $4,883 | 4.5× |
| Mri w/cont, breast, bi (C8906) | $1,501.64 | $4,844 | 4.5× |
| Mri w/o fol w/cont, breast, (C8908) | $969.99 | $3,129 | 2.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,052.14 | $3,394 | 3.2× |
| Neuro csf prion prtn qual (0035U) | $210.49 | $679 | 0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $220.41 | $711 | 1.1× |
| Njx platelet plasma (0232T) | $1,737.86 | $5,606 | 4.1× |
| Non-ophthalmic fva (C9733) | $356.19 | $1,149 | 1.1× |
| Obtaining screen pap smear (Q0091) | $11.16 | $36 | 0.4× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $308.14 | $994 | 1.0× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $317.44 | $1,024 | 1.0× |
| Oth resp proc, group (G0239) | $82.15 | $265 | 2.3× |
| Oth resp proc, indiv (G0238) | $69.44 | $224 | 2.5× |
| Pef bronch ablt 3d nav ebus (C8005) unusually low: confirm this is the full procedure |
$5,425 | $17,500 | 0.3× |
| Perc d-e cor revasc chro sin (C9607) | $13,842.74 | $44,654 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $12,847.02 | $41,442 | 1.2× |
| Perc d-e cor stent ather s (C9602) | $10,215.43 | $32,953 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $8,168.50 | $26,350 | 0.7× |
| Periodic oral evaluation (D0120) | $99.82 | $322 | 0.8× |
| Periodontal scaling 1-3teeth (D4342) | $602.95 | $1,945 | 1.0× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $10,895.26 | $35,146 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,555.82 | $17,922 | 0.8× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,536.29 | $17,859 | 0.8× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,276.14 | $13,794 | 0.4× |
| Place direct restoration (D2940) | $1,288.67 | $4,157 | 2.1× |
| Post 1 srfc resinbased cmpst (D2391) | $1,288.67 | $4,157 | 2.1× |
| Post 2 srfc resinbased cmpst (D2392) | $1,288.67 | $4,157 | 2.1× |
| Post 3 srfc resinbased cmpst (D2393) | $1,288.67 | $4,157 | 2.1× |
| Post >=4srfc resinbase cmpst (D2394) | $1,288.67 | $4,157 | 2.1× |
| Ppps, initial visit (G0438) | $61.38 | $198 | 0.4× |
| Ppps, subseq visit (G0439) | $43.40 | $140 | 0.3× |
| Prefab porc/ceram crown pri (D2929) | $1,288.67 | $4,157 | 2.1× |
| Prefab steel crown primary (D2934) | $602.95 | $1,945 | 1.0× |
| Prefab stnlss steel crown pe (D2931) | $1,288.67 | $4,157 | 2.1× |
| Prefab stnlss steel crwn pri (D2930) | $1,288.67 | $4,157 | 2.1× |
| Prefabricated resin crown (D2932) | $85.87 | $277 | 0.1× |
| Prolonged iv inf, req pump (C8957) | $297.91 | $961 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $226.30 | $730 | 0.7× |
| Psa screening (G0103) | $58.90 | $190 | 3.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $1,255.50 | $4,050 | 1.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $721.37 | $2,327 | 1.0× |
| Rem imp tooth w mucoper flp (D7210) | $74.40 | $240 | 0.1× |
| Removal iims implt mntr only (0532T) | $3,390.47 | $10,937 | 1.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $479.26 | $1,546 | 0.8× |
| Resin 4/> surf or w incis an (D2335) | $1,288.67 | $4,157 | 2.1× |
| Resin one surface-anterior (D2330) | $1,288.67 | $4,157 | 2.1× |
| Resin three surfaces-anterio (D2332) | $1,288.67 | $4,157 | 2.1× |
| Resin two surfaces-anterior (D2331) | $1,288.67 | $4,157 | 2.1× |
| Revasc intra lithotrip-ather (C9766) | $10,183.81 | $32,851 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $17,971.94 | $57,974 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $6,029.50 | $19,450 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $14,514.82 | $46,822 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $12,473.16 | $40,236 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $13,916.52 | $44,892 | 0.8× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $690.37 | $2,227 | 0.9× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $39.99 | $129 | 1.5× |
| Sim ang w/prs cath rad emb (C8004) | $8,789.12 | $28,352 | 0.8× |
| Space maintainer fxd unilat (D1510) | $1,288.67 | $4,157 | 2.1× |
| Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) | $13,916.52 | $44,892 | 0.8× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $2,492.71 | $8,041 | 0.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $14,011.69 | $45,199 | 0.8× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $14,780.18 | $47,678 | 0.8× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $14,780.18 | $47,678 | 0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $15,519.22 | $50,062 | 0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $2,356 | $7,600 | 0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $14,388.03 | $46,413 | 0.8× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $14,780.18 | $47,678 | 0.8× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $15,519.22 | $50,062 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,428.66 | $14,286 | 0.8× |
| Therapeutic procd strg endur (G0237) | $69.75 | $225 | 2.5× |
| Therapeutic pulpotomy (D3220) | $1,288.67 | $4,157 | 2.1× |
| Therapeutic ultrafiltration (0692T) | $1,270.38 | $4,098 | 0.9× |
| Tomosynthesis, mammo (G0279) | $28.83 | $93 | 2.3× |
| Tooth root removal (D7250) | $1,288.67 | $4,157 | 2.1× |
| Tpmt and Nudt15 Genotype (0034U) | $147.25 | $475 | 0.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $4,431.76 | $14,296 | 0.8× |
| Transcatheter renal sympath denervation unilat (0338T) | $4,431.76 | $14,296 | 0.8× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,502.26–$4,648.45 | $4,846–$14,995 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $1,269.45 | $4,095 | 0.4× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$45.88–$73.47 | $148–$237 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $12,008.78 | $38,738 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $927.21 | $2,991 | 1.2× |
| Tte w or w/o fol w/con,stres (C8928) | $898.38 | $2,898 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $744.93 | $2,403 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $414.47 | $1,337 | 0.6× |
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.