Supplies, drugs & other prices at RiverView Health

Crookston, MN · every code in this section with a posted price and a Medicare benchmark.

34 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $491.40 $546 1.1×
Adm tocilizu covid-19 2nd (M0250) $491.40 $546 1.1×
Admin hepatitis b vaccine (G0010) $80.10 $89 1.7×
Admin influenza virus vac (G0008) $75.60 $84 1.6×
Admin pneumococcal vaccine (G0009) $75.60 $84 1.6×
Arthro/shoul surg; w/spacer (C9781)
unusually low: confirm this is the full procedure
$5,040.90 $5,601 0.4×
Ca screen;pelvic/breast exam (G0101) $121.50 $135 1.2×
Catheterize for urine spec (P9612) $62.10 $69 6.6×
Colon ca scrn not hi rsk ind (G0121) $959.40 $1,066 1.0×
Colorectal scrn; hi risk ind (G0105) $1,329.30 $1,477 1.4×
Diab manage trn per indiv (G0108) $122.40 $136 2.2×
Drug test def 22+ classes (G0483) $225 $250 0.9×
Ekg tracing for initial prev (G0404) $42.30 $47 1.4×
Elec stim other than wound (G0283) $98.55 $109.50 7.8×
Elec stim unattend for press (G0281) $105.30 $117 9.0×
Home sleep test/type 3 porta (G0399) $270 $300 1.2×
Hopd mntl hlt, 15-29 min (C7900) $472.50 $525 12.2×
Hopd mntl hlt, 30-60 min (C7901) $1,737.90 $1,931 16.6×
Hopd mntl hlt, grp (C7903) $681.30 $757 17.6×
Hospital outpt clinic visit (G0463) $88.20 $98 0.6×
Initial preventive exam (G0402) $240.30 $267 1.7×
Njx pltlt plasma w/img harvest/preparation (0232T) $295.20 $328 0.6×
Obtaining screen pap smear (Q0091) $55.80 $62 1.9×
Oth resp proc, group (G0239) $59.40 $66 1.5×
Oth resp proc, indiv (G0238) $55.80 $62 1.9×
Ppps, initial visit (G0438) $390.60 $434 2.2×
Ppps, subseq visit (G0439) $390.60 $434 2.8×
Psa screening (G0103) $109.80 $122 5.7×
Rx Metab Advrs Trgt Seq Alys (0029U) $1,098.90 $1,221 1.5×
Therapeutic procd strg endur (G0237) $223.20 $248 7.5×
Tomosynthesis, mammo (G0279) $72.90 $81 5.7×
Trauma respons w/hosp criti (G0390) $2,532.60 $2,814 1.8×
Tte w or wo fol wcon,doppler (C8929) $2,316.60 $2,574 2.9×
Visit to determ ldct elig (G0296) $68.40 $76 0.7×