Supplies, drugs & other prices at Reston Hospital Center

Reston, VA · every code in this section with a posted price and a Medicare benchmark.

18 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,fu (C8924) $3,147.72 $3,147.72 8.5×
Adm tocilizu covid-19 1st (M0249) $612.22 $612.22 1.3×
Admin influenza virus vac (G0008) $377.98 $377.98 7.6×
Admin pneumococcal vaccine (G0009) $376.23 $376.23 7.6×
Diab manage trn per indiv (G0108) $212.58 $212.58 3.8×
Diab manage trn ind/group (G0109) $157.17 $157.17 9.8×
Direct refer hospital observ (G0379) $1,528.52 $1,528.52 2.4×
Drug test def 1-7 classes (G0480) $1,581.36 $1,581.36 13.8×
Elec stim other than wound (G0283) $189.92 $189.92 15.0×
Mra w/o fol w/cont, abd (C8902) $7,585.58 $7,585.58 20.5×
Mra w/o fol w/cont, chest (C8911) $6,898.37 $6,898.37 18.7×
Mra, w/o&w/dye, upper extr (C8936) $5,409.32 $5,409.32 14.6×
Pathogen test for platelets (P9100) $186.45 $186.45 3.0×
Psa screening (G0103) $728.54 $728.54 37.7×
Tomosynthesis, mammo (G0279) $71.18 $71.18 5.6×
Trauma respons w/hosp criti (G0390) $25,228.89 $25,228.89 17.9×
Tte w or wo fol wcon,doppler (C8929) $7,143.14 $7,143.14 8.6×
Unsched dialysis esrd pt hos (G0257) $3,021.88 $3,021.88 4.2×