Supplies, drugs & other prices at Rainy Lake Medical Center
International Falls, MN · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $1,048.13 | $1,361.20 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,048.13 | $1,361.20 | 2.9× |
| Adm of soc dtr assess 5-15 m (G0136) | $45.36 | $58.90 | 1.2× |
| Admin hepatitis b vaccine (G0010) | $35.16 | $45.66 | 0.7× |
| Admin influenza virus vac (G0008) | $35.16 | $45.66 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $35.16 | $45.66 | 0.7× |
| Adv prim care mgmt lvl 1 (G0556) | $29.35 | $38.11 | 0.8× |
| Adv prim care mgmt lvl 2 (G0557) | $95.97 | $124.63 | 2.5× |
| Adv prim care mgmt lvl 3 (G0558) | $209.38 | $271.92 | 2.0× |
| Annual alcohol screen 15 min (G0442) | $31.44 | $40.82 | 0.8× |
| Brief alcohol misuse counsel (G0443) | $43.58 | $56.60 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $74.40 | $96.60 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $192.03 | $249.38 | 3.7× |
| Depression screen annual (G0444) | $30.59 | $39.72 | 0.8× |
| Hep c screen high risk/other (G0472) | $68.39 | $88.81 | 1.5× |
| Initial preventive exam (G0402) | $258.08 | $335.17 | 1.9× |
| Obtaining screen pap smear (Q0091) | $73.62 | $95.60 | 2.5× |
| Oth resp proc, group (G0239) | $66.59 | $86.47 | 1.7× |
| Oth resp proc, indiv (G0238) | $26.65 | $34.60 | 0.9× |
| Post op service lvrs min 6 (G0305) | $240.22 | $311.97 | 0.6× |
| Ppps, initial visit (G0438) | $413.31 | $536.76 | 2.4× |
| Ppps, subseq visit (G0439) | $246.67 | $320.34 | 1.8× |
| Provide inr test mater/equip (G0249) | $406.99 | $528.55 | 3.0× |
| Psa screening (G0103) | $165.98 | $215.55 | 8.6× |
| Therapeutic procd strg endur (G0237) | $111.86 | $145.27 | 3.7× |
| Tomosynthesis, mammo (G0279) | $41.15 | $53.44 | 3.2× |
| Trauma respons w/hosp criti (G0390) | $655.07 | $850.74 | 0.5× |
| Trim nail(s) (G0127) | $34.90 | $45.31 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) | $1,455.22 | $1,889.89 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,048.13 | $1,361.20 | 1.3× |
| Visit to determ ldct elig (G0296) | $73.26 | $95.14 | 0.7× |