Supplies, drugs & other prices at Ridgeview Sibley Medical Center
Arlington, MN · every code in this section with a posted price and a Medicare benchmark.
20 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) | $1,019.20 | $1,568 | 2.8× |
| Behavior counsel obesity 15m (G0447) | $50.70 | $78 | 0.5× |
| Catheterize for urine spec (P9612) | $59.80 | $92 | 6.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,775.80 | $2,732 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $1,775.80 | $2,732 | 1.9× |
| Direct refer hospital observ (G0379) | $105.30 | $162 | 0.2× |
| Elec stim other than wound (G0283) | $89.70 | $138 | 7.1× |
| Ig paraprotein qual bld/ur (0077U) | $234 | $360 | 5.4× |
| Initial care training 30 m (G0539) | $103.35 | $159 | 1.9× |
| Initial preventive exam (G0402) | — | $573 | — |
| Obtaining screen pap smear (Q0091) | — | $153 | — |
| Ppps, initial visit (G0438) | — | $572 | — |
| Ppps, subseq visit (G0439) | — | $450 | — |
| Psa screening (G0103) | $104.65 | $161 | 5.4× |
| Safety plan interven (G0560) | $95.55 | $147 | 2.3× |
| Train for caregiver add 15 (G0540) | $55.90 | $86 | 2.1× |
| Trauma respons w/hosp criti (G0390) | $2,405 | $3,700 | 1.7× |
| Trim nail(s) (G0127) | $16.90 | $26 | 0.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,704.30 | $2,622 | 2.1× |
| Visit to determ ldct elig (G0296) | $56.55 | $87 | 0.5× |