Supplies, drugs & other prices at Providence St. Joseph's Hospital

Chewelah, WA · every code in this section with a posted price and a Medicare benchmark.

29 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $752.50 $1,075 0.9×
2d tte w or w/o fol w/con,fu (C8924) $752.50 $1,075 1.9×
Adm tocilizu covid-19 1st (M0249) $387.80 $554 0.8×
Catheterize for urine spec (P9612) $65.80 $94 7.0×
Colon ca scrn not hi rsk ind (G0121) $443.10 $633 0.4×
Colorectal scrn; hi risk ind (G0105) $443.10 $633 0.4×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $1,117.90 $1,597 1.4×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $1,117.90 $1,597 1.4×
Direct refer hospital observ (G0379) $153.30 $219 0.2×
Elec stim other than wound (G0283) $24.50 $35 1.9×
Hospital outpt clinic visit (G0463) $447.30 $639 3.0×
Inj for sacroiliac jt anesth (G0260) $142.80 $204 0.2×
Lev 1 hosp type b ed visit (G0380) $101.50 $145 1.2×
Lev 2 hosp type b ed visit (G0381) $185.50 $265 1.8×
Lev 3 hosp type b ed visit (G0382) $324.10 $463 1.7×
Lev 4 hosp type b ed visit (G0383) $465.50 $665 1.6×
Lev 5 hosp type b ed visit (G0384) $574 $820 1.3×
Oth resp proc, group (G0239) $42.70 $61 1.0×
Oth resp proc, indiv (G0238) $29.40 $42 0.9×
Prostate biopsy, any mthd (G0416) $224 $320 0.6×
Psa screening (G0103) $105.70 $151 5.5×
Scr c/v cyto,thinlayer,rescr (G0145) $68.60 $98 2.6×
Screen cerv/vag thin layer (G0123) $52.50 $75 2.6×
Screen pap by tech w md supv (P3000) $30.80 $44 1.7×
Therapeutic procd strg endur (G0237) $29.40 $42 0.9×
Tomosynthesis, mammo (G0279) $46.20 $66 3.6×
Trauma respons w/hosp criti (G0390) $1,905.75 $2,722.50 1.3×
Tte w or w/o fol w/con,stres (C8928) $983.50 $1,405 1.1×
Tte w or wo fol wcon,doppler (C8929) $983.50 $1,405 1.1×