Supplies, drugs & other prices at Ridgeview Medical Center
Waconia, MN · every code in this section with a posted price and a Medicare benchmark.
47 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,099.56 | $2,244 | 1.3× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,099.56 | $2,244 | 1.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $451.78 | $922 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $43.12 | $88 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $66.64 | $136 | 0.6× |
| Catheterize for urine spec (P9612) | $45.57 | $93 | 4.9× |
| Colon ca scrn not hi rsk ind (G0121) | $1,356.81 | $2,769 | 1.4× |
| Colorectal scrn; hi risk ind (G0105) | $1,356.81 | $2,769 | 1.4× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$628.42 | $1,282.50 | 0.1× |
| Diab manage trn per indiv (G0108) | $92.12 | $188 | 1.7× |
| Diab manage trn ind/group (G0109) | $26.95 | $55 | 1.7× |
| Direct refer hospital observ (G0379) | $586.04 | $1,196 | 0.9× |
| Drug test def 1-7 classes (G0480) | $91.14 | $186 | 0.8× |
| Ekg tracing for initial prev (G0404) | $10.78 | $22 | 0.4× |
| Elec stim other than wound (G0283) | $33.81 | $69 | 2.7× |
| Hbot, full body chamber, 30m (G0277) | $478.73 | $977 | 3.3× |
| Home sleep test/type 3 porta (G0399) | $249.90 | $329.50 | 1.1× |
| Ig paraprotein qual bld/ur (0077U) | $183.75 | $375 | 4.2× |
| Initial preventive exam (G0402) | $280.77 | $348.50 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $808.01 | $1,649 | 1.1× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $235.69 | $501.50 | 1.9× |
| Mra w/cont, lwr ext (C8912) | $1,201.48 | $2,452 | 3.3× |
| Mra w/o fol w/cont, abd (C8902) | $959.91 | $1,959 | 2.6× |
| Mra w/o fol w/cont, chest (C8911) | $1,518.02 | $3,098 | 4.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,274.98 | $2,602 | 3.5× |
| Mra, w/o dye, upper extr (C8935) | $1,337.70 | $2,730 | 5.4× |
| Mri w/o fol w/cont, breast, (C8908) | $1,250.97 | $2,553 | 3.4× |
| Obtaining screen pap smear (Q0091) | $74.97 | $153 | 2.5× |
| Oth resp proc, group (G0239) | $68.11 | $139 | 1.7× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$8,102.64 | $16,536 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $10,928.96 | $22,304 | 0.9× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,408.40 | $17,160 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $10,928.96 | $22,304 | 0.9× |
| Ppps, initial visit (G0438) | $280.28 | $572 | 1.6× |
| Ppps, subseq visit (G0439) | $220.50 | $450 | 1.6× |
| Psa screening (G0103) | — | $78 | — |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $168.56 | $344 | 0.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,067.22 | $2,178 | 1.3× |
| Therapeutic procd strg endur (G0237) | $16.17 | $33 | 0.5× |
| Tpmt nudt15 gene analysis common variants (0034U) | $370.93 | $757 | 0.8× |
| Trauma respons w/hosp criti (G0390) | $2,490.67 | $5,083 | 1.8× |
| Trim nail(s) (G0127) | $40.67 | $83 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,205.40 | $2,460 | 1.5× |
| Tte w or w/o fol w/con,stres (C8928) | $1,099.56 | $2,244 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,542.52 | $3,148 | 1.9× |
| Unsched dialysis esrd pt hos (G0257) | $873.67 | $1,783 | 1.2× |
| Visit to determ ldct elig (G0296) | $47.04 | $91.50 | 0.4× |