Supplies, drugs & other prices at Riverside Medical Center
Kankakee, IL · every code in this section with a posted price and a Medicare benchmark.
81 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $549.17 | $2,063 | 0.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $652.19 | $2,450 | 0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$644.20–$645.80 | $2,420–$2,426 | varies |
| Admin hepatitis b vaccine (G0010) | $29.28 | $110 | 0.6× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$14.91–$29.28 | $56–$110 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$5.06–$29.28 | $19–$110 | varies |
| Catheterize for urine spec (P9612) | $26.35 | $99 | 2.8× |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$335.41–$345.53 | $1,260–$1,298 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$798.60–$2,382.49 | $3,000–$8,950 | varies |
| Colorectal scrn; hi risk ind (G0105) | $2,382.49 | $8,950 | 2.4× |
| Covid-19 lab test non-cdc (U0002) | $55.10 | $207 | 1.1× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,121.20 | $11,725 | 0.3× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$53.51–$198.05 | $201–$744 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$29.55–$177.29 | $111–$666 | varies |
| Direct refer hospital observ (G0379) | $388.92 | $1,461 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 5 matching MRF lines |
$58.03–$97.70 | $218–$367 | varies |
| Drug test def 22+ classes (G0483) | $174.36 | $655 | 0.7× |
| Drug test def 8-14 classes (G0481) | $19.97 | $75 | 0.1× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $1,637.13 | $6,150 | 0.8× |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$39.93–$43.92 | $150–$165 | varies |
| Elec stim unattend for press (G0281) range across 3 matching MRF lines |
$34.34–$35.14 | $129–$132 | varies |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $7,064.95 | $26,540 | 0.6× |
| Fecal blood scrn immunoassay (G0328) | $20.23 | $76 | 1.1× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$145.88–$539.85 | $548–$2,028 | varies |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
$71.87–$77.73 | $270–$292 | varies |
| Hepb screen high risk indiv (G0499) range across 3 matching MRF lines |
$24.76–$26.62 | $93–$100 | varies |
| Hiv combination assay (G0475) range across 2 matching MRF lines |
$21.30–$22.89 | $80–$86 | varies |
| Home sleep test/type 3 porta (G0399) | $279.51 | $1,050 | 1.2× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$103.82–$300.01 | $390–$1,127 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$532.40–$931.70 | $2,000–$3,500 | varies |
| Insertion of sinus tarsi implant (0335T) | $5,007.22 | $18,810 | 0.6× |
| Mnt subs tx for change dx (G0270) | $24.76 | $93 | 0.8× |
| Mra w/cont, abd (C8900) | $588.30 | $2,210 | 1.6× |
| Mra w/cont, lwr ext (C8912) | $541.45 | $2,034 | 1.4× |
| Mra w/cont, pelvis (C8918) | $473.84 | $1,780 | 1.3× |
| Mra w/o cont, abd (C8901) | $519.09 | $1,950 | 2.0× |
| Mra w/o cont, chest (C8910) | $490.07 | $1,841 | 1.9× |
| Mra w/o cont, lwr ext (C8913) | $476.50 | $1,790 | 1.9× |
| Mra w/o cont, pelvis (C8919) | $448.01 | $1,683 | 1.8× |
| Mra w/o fol w/cont, abd (C8902) | $836.67 | $3,143 | 2.2× |
| Mra w/o fol w/cont, chest (C8911) | $802.06 | $3,013 | 2.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,080.77 | $4,060 | 2.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $667.10 | $2,506 | 1.8× |
| Mra, w/dye, upper extremity (C8934) | $298.14 | $1,120 | 0.8× |
| Mra, w/o dye, upper extr (C8935) | $171.43 | $644 | 0.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $336.74 | $1,265 | 0.9× |
| Mri w/cont, breast, bi (C8906) | $763.46 | $2,868 | 2.0× |
| Mri w/cont, breast, uni (C8903) | $551.57 | $2,072 | 2.9× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$1,073.05–$1,139.34 | $4,031–$4,280 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 3 matching MRF lines |
$649.53–$710.22 | $2,440–$2,668 | varies |
| Njx bone sub matrl into subchondral bone defect (0707T) range across 2 matching MRF lines |
$2,232.75–$2,681.97 | $8,387.50–$10,075 | varies |
| Oth resp proc, group (G0239) | $69.21 | $260 | 1.7× |
| Oth resp proc, indiv (G0238) range across 3 matching MRF lines |
$21.83–$85.18 | $82–$320 | varies |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$7,479.95 | $28,099 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $7,479.95 | $28,099 | 0.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$7,735.24 | $29,058 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $7,479.95 | $28,099 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$2,751.98–$10,541.52 | $10,338–$39,600 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,536.05 | $17,040 | 0.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $8,233.03 | $30,928 | 0.7× |
| Psa screening (G0103) range across 2 matching MRF lines |
$26.62–$28.75 | $100–$108 | varies |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,484.75 | $28,117 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,083.43 | $30,366 | 0.4× |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$3,742.24–$3,854.58 | $14,058–$14,480 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $10,453.67 | $39,270 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $10,453.67 | $39,270 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $10,453.67 | $39,270 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $7,335.94 | $27,558 | 0.6× |
| Revasc lithotrip-stent-ather (C9767) | $10,248.70 | $38,500 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,989.54 | $14,987 | 0.7× |
| Therapeutic procd strg endur (G0237) range across 4 matching MRF lines |
$19.17–$57.50 | $72–$216 | varies |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$29.28–$31.68 | $110–$119 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$956.72–$1,876.18 | $3,594–$7,048 | varies |
| Trluml perip athrc abd aorta (0236T) unusually low: confirm this is the full procedure |
$5,928.54 | $22,271 | 0.5× |
| Trluml Perip Athrc Brchiocph (0237T) unusually low: confirm this is the full procedure |
$5,928.54 | $22,271 | 0.5× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$6,633.44 | $24,919 | 0.3× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) unusually low: confirm this is the full procedure |
$5,928.54 | $22,271 | 0.5× |
| Tte w or w/o contr, cont ecg (C8930) | $1,173.41 | $4,408 | 1.4× |
| Tte w or w/o fol w/con,stres (C8928) | $503.65 | $1,892 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) range across 3 matching MRF lines |
$958.32–$987.07 | $3,600–$3,708 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$341–$351.12 | $1,281–$1,319 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.