Supplies, drugs & other prices at Fairview Range Hospital
Hibbing, MN · every code in this section with a posted price and a Medicare benchmark.
40 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,fu (C8924) | $566.53 | $1,333 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $13.01 | $30.61 | 0.3× |
| Admin influenza virus vac (G0008) | $17 | $40 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $17 | $40 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $52.28 | $123 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $870.74 | $2,048.78 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $926.38 | $2,179.71 | 1.0× |
| Diab manage trn per indiv (G0108) | $130.90 | $307.98 | 2.3× |
| Diab manage trn ind/group (G0109) | $88.40 | $208 | 5.5× |
| Drug test def 1-7 classes (G0480) | $3.40 | $8 | 0.0× |
| Drug test def 15-21 classes (G0482) | $3.40 | $8 | 0.0× |
| Ekg tracing for initial prev (G0404) | $14.03 | $33 | 0.5× |
| Fern test (Q0114) | $41.23 | $97 | 4.2× |
| Hep c screen high risk/other (G0472) | $56.10 | $132 | 1.2× |
| Hiv combination assay (G0475) | $57.80 | $136 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $329.80 | $776 | 1.5× |
| Hospital outpt clinic visit (G0463) | $59.90 | $140.94 | 0.4× |
| Hpv combo assay ca screen (G0476) | $46.75 | $110 | 1.3× |
| Ig paraprotein qual bld/ur (0077U) | $171.07 | $402.50 | 3.9× |
| Initial preventive exam (G0402) | $137.65 | $11 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $794.12 | $1,868.50 | 1.1× |
| Mri w/o fol w/cont, breast, (C8908) | $1,033.80 | $2,432.46 | 2.9× |
| Obtaining screen pap smear (Q0091) | $83.30 | $196 | 2.8× |
| Oth resp proc, group (G0239) | $99.03 | $233 | 2.6× |
| Oth resp proc, indiv (G0238) | $65.03 | $153 | 2.2× |
| Pemivibart infusion (M0224) | $375.28 | $883 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $120.84 | $284.32 | 0.3× |
| Psa screening (G0103) | $26.35 | $62 | 1.4× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $93.50 | $220 | 0.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $320.88 | $755 | 0.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $264.78 | $623 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $37.83 | $89 | 1.4× |
| Screen cerv/vag thin layer (G0123) | $29.04 | $68.33 | 1.4× |
| Therapeutic procd strg endur (G0237) | $73.86 | $173.78 | 2.5× |
| Tomosynthesis, mammo (G0279) | $33.15 | $78 | 2.6× |
| Trauma respons w/hosp criti (G0390) | $2,271.49 | $5,344.67 | 1.7× |
| Trim nail(s) (G0127) | $32.30 | $76 | 0.5× |
| Tte w or w/o fol w/con,stres (C8928) | $813.45 | $1,914 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $814.36 | $1,916.15 | 1.0× |
| Visit to determ ldct elig (G0296) | $41.23 | $97 | 0.4× |