Supplies, drugs & other prices at Riverview Health
Noblesville, IN · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,717.20 | $2,862 | 2.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,717.20 | $2,862 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $854.40 | $1,424 | 2.3× |
| Adm tocilizu covid-19 1st (M0249) | $1,044.60 | $1,741 | 2.2× |
| Adm tocilizu covid-19 2nd (M0250) | $1,044.60 | $1,741 | 2.2× |
| Admin hepatitis b vaccine (G0010) | $98.40 | $164 | 2.0× |
| Admin influenza virus vac (G0008) | $98.40 | $164 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $98.40 | $164 | 2.0× |
| Catheterize for urine spec (P9612) | $56.40 | $94 | 6.0× |
| Covid-19 lab test non-cdc (U0002) | $314.40 | $524 | 6.1× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $4,143 | $6,905 | 6.1× |
| Demonstrate use home inr mon (G0248) | $234.60 | $391 | 1.7× |
| Diab manage trn per indiv (G0108) | $46.20 | $77 | 0.8× |
| Diab manage trn ind/group (G0109) | $28.80 | $48 | 1.8× |
| Direct refer hospital observ (G0379) | $1,254.60 | $2,091 | 2.0× |
| Elec stim other than wound (G0283) | $37.20 | $62 | 2.9× |
| Hbot, full body chamber, 30m (G0277) | $350.40 | $584 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $337.20 | $562 | 1.5× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$115.80–$252 | $193–$420 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,807.20–$2,357.40 | $3,012–$3,929 | varies |
| Mra w/cont, abd (C8900) | $769.20 | $1,282 | 2.1× |
| Mra w/cont, chest (C8909) | $769.20 | $1,282 | 2.1× |
| Mra w/cont, lwr ext (C8912) | $769.20 | $1,282 | 2.1× |
| Mra w/cont, pelvis (C8918) | $769.20 | $1,282 | 2.1× |
| Mra w/o cont, abd (C8901) | $487.20 | $812 | 1.9× |
| Mra w/o cont, chest (C8910) | $487.20 | $812 | 1.9× |
| Mra w/o cont, lwr ext (C8913) | $487.20 | $812 | 1.9× |
| Mra w/o fol w/cont, abd (C8902) | $769.20 | $1,282 | 2.1× |
| Mra w/o fol w/cont, chest (C8911) | $769.20 | $1,282 | 2.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $769.20 | $1,282 | 2.1× |
| Mri w/cont, breast, bi (C8906) | $769.20 | $1,282 | 2.1× |
| Mri w/cont, breast, uni (C8903) | $376.20 | $627 | 2.0× |
| Mri w/o fol w/cont, breast, (C8908) | $769.20 | $1,282 | 2.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $769.20 | $1,282 | 2.1× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) | $79.80 | $133 | 2.0× |
| Non-ophthalmic fva (C9733) | $854.40 | $1,424 | 2.3× |
| Oth resp proc, indiv (G0238) | $70.20 | $117 | 2.3× |
| Perc d-e cor revasc chro sin (C9607) | $39,825 | $66,375 | 2.1× |
| Perc d-e cor revasc t cabg s (C9604) | $24,610.20 | $41,017 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $39,825 | $66,375 | 2.1× |
| Perc drug-el cor stent sing (C9600) | $24,610.20 | $41,017 | 2.0× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $25,279.80 | $42,133 | 1.9× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $25,279.80 | $42,133 | 1.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $18,548.40 | $30,914 | 2.4× |
| Perq Sacral Augmt Unilat Inj (0200T) | $18,548.40 | $30,914 | 2.4× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,589.20 | $20,982 | 1.0× |
| Psa screening (G0103) | $118.20 | $197 | 6.1× |
| Revasc intra lithotrip-ather (C9766) | $33,717 | $56,195 | 1.7× |
| Revasc intra lithotrip-stent (C9765) | $33,717 | $56,195 | 1.7× |
| Revasc intravasc lithotripsy (C9764) | $21,153.60 | $35,256 | 1.7× |
| Revasc lith-sten-ath tib/per (C9775) | $33,717 | $56,195 | 1.7× |
| Revasc lithotr-ather tib/per (C9774) | $33,717 | $56,195 | 1.7× |
| Revasc lithotr-stent tib/per (C9773) | $33,717 | $56,195 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $21,153.60 | $35,256 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $33,717 | $56,195 | 1.7× |
| Therapeutic procd strg endur (G0237) | $34.20 | $57 | 1.1× |
| Tomosynthesis, mammo (G0279) | $131.40 | $219 | 10.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $14,625.60 | $24,376 | 2.4× |
| Transcatheter renal sympath denervation unilat (0338T) | $14,625.60 | $24,376 | 2.4× |
| Trim nail(s) (G0127) | $162 | $270 | 2.6× |
| Trluml perip athrc abd aorta (0236T) | $29,766.60 | $49,611 | 2.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $29,766.60 | $49,611 | 2.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $48,169.80 | $80,283 | 2.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $29,766.60 | $49,611 | 2.4× |
| Tte w or w/o contr, cont ecg (C8930) | $1,717.20 | $2,862 | 2.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,717.20 | $2,862 | 2.1× |
| Tte w or w/o fol w/cont, com (C8921) | $1,717.20 | $2,862 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,717.20 | $2,862 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$1,593.60–$1,767.60 | $2,656–$2,946 | 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.