Supplies, drugs & other prices at Riverview Regional Medical Center

Gadsden, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $699 $5,811.16 1.0×
2d tte w or w/o fol w/con,co (C8923) $699 $3,036.41 1.0×
2d tte w or w/o fol w/con,fu (C8924) $311 $1,063.67 1.0×
Admin hepatitis b vaccine (G0010) $41 $221.32 1.0×
Admin influenza virus vac (G0008) $41 $375.01 1.0×
Admin pneumococcal vaccine (G0009) $41 $340.12 1.0×
Arthro/shoul surg; w/spacer (C9781) $11,458 $13,547.30 1.0×
Ca screen;flexi sigmoidscope (G0104) $830 $3,850.35 1.0×
Chemo extend iv infus w/pump (G0498) $294 $840.81 1.0×
Colon ca scrn not hi rsk ind (G0121) $830 $3,850.35 1.0×
Colorectal scrn; hi risk ind (G0105) $830 $3,850.35 1.0×
Devlopment test interpt&rep (G0451) $90 $329.12 1.0×
Diab manage trn per indiv (G0108) $52 $327.14 0.9×
Diab manage trn ind/group (G0109) $14 $85.64 0.9×
Direct refer hospital observ (G0379) $531 $2,705.95 1.0×
Drug test def 1-7 classes (G0480) $114 $245.41 1.0×
Drug test def 15-21 classes (G0482) $198 $592.59 1.0×
Drug test def 22+ classes (G0483) $246 $736.22 1.0×
Drug test def 8-14 classes (G0481) $156 $353.68 1.0×
Elec stim other than wound (G0283) $11 $283.39 0.9×
Elec stim unattend for press (G0281) $10 $215.99 0.9×
Fecal blood scrn immunoassay (G0328) $18 $92 1.0×
Fecal microbiota prep instil (G0455) $830 $2,235.82 1.0×
Fern test (Q0114) $9 $470.98 0.9×
Hbot, full body chamber, 30m (G0277) $122 $1,309.24 1.0×
Heart symp image plnr (0331T) $1,155 $3,325.38 1.0×
Heart symp image plnr spect (0332T) $1,155 $3,325.38 1.0×
Hepb screen high risk indiv (G0499) $28 $175.33 1.0×
Home sleep test/type 4 porta (G0400) $192 $454 1.0×
Hospital outpt clinic visit (G0463) $118 $1,023.45 1.0×
Initial foot exam pt lops (G0245) $118 $568.45 1.0×
Inj for sacroiliac jt anesth (G0260) $630 $1,383.20 1.0×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $2,920 $18,618.99 1.0×
Liver dis 10 assays w/nash (0003M) $503 $2,517 1.0×
Mra w/cont, abd (C8900) $311 $6,565.41 1.0×
Mra w/cont, chest (C8909) $311 $3,016 1.0×
Mra w/cont, lwr ext (C8912) $311 $3,086.18 1.0×
Mra w/cont, pelvis (C8918) $311 $9,769.62 1.0×
Mra w/o cont, abd (C8901) $212 $5,413.59 1.0×
Mra w/o cont, chest (C8910) $212 $3,016 1.0×
Mra w/o cont, lwr ext (C8913) $212 $3,086.18 1.0×
Mra w/o cont, pelvis (C8919) $212 $8,013.07 1.0×
Mra w/o fol w/cont, abd (C8902) $311 $8,874.82 1.0×
Mra w/o fol w/cont, chest (C8911) $311 $3,016 1.0×
Mra w/o fol w/cont, lwr ext (C8914) $311 $19,552.30 1.0×
Mra w/o fol w/cont, pelvis (C8920) $311 $12,109.90 1.0×
Mra, w/dye, spinal canal (C8931) $311 $3,638 1.0×
Mra, w/dye, upper extremity (C8934) $311 $3,482 1.0×
Mra, w/o dye, spinal canal (C8932) $212 $3,638 1.0×
Mra, w/o dye, upper extr (C8935) $212 $3,482 1.0×
Mra, w/o&w/dye, spinal canal (C8933) $311 $3,638 1.0×
Mra, w/o&w/dye, upper extr (C8936) $311 $7,216.19 1.0×
Mri w/cont, breast, bi (C8906) $311 $6,509.70 1.0×
Mri w/cont, breast, uni (C8903) $156 $3,346.40 1.0×
Mri w/o fol w/cont, breast, (C8908) $311 $4,103 1.0×
Mri w/o fol w/cont, brst, un (C8905) $311 $3,346.40 1.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $398 $18,643.61 1.0×
Oral hiv-1/hiv-2 screen (G0435) $11 $202.55 0.9×
Oth resp proc, group (G0239) $33 $794.18 1.0×
Perc d-e cor revasc chro sin (C9607) $16,361 $52,552.30 1.0×
Perc d-e cor revasc t cabg s (C9604) $10,303 $49,711.45 1.0×
Perc d-e cor stent ather s (C9602) $16,361 $66,768.20 1.0×
Perc drug-el cor stent sing (C9600) $10,303 $46,346.30 1.0×
Potassium hydroxide preps (Q0112) $5 $86.50 0.9×
Psa screening (G0103) $19 $269.20 1.0×
Revasc intra lithotrip-ather (C9766) $16,361 $50,214.70 1.0×
Revasc intra lithotrip-stent (C9765) $16,361 $73,873 1.0×
Revasc intravasc lithotripsy (C9764) $10,303 $46,346.30 1.0×
Revasc lith-sten-ath tib/per (C9775) $16,361 $80,320 1.0×
Revasc lithotr-ather tib/per (C9774) $16,361 $80,320 1.0×
Revasc lithotr-stent tib/per (C9773) $16,361 $80,320 1.0×
Revasc lithotrip tibi/perone (C9772) $10,303 $50,214.70 1.0×
Revasc lithotrip-stent-ather (C9767) $16,361 $80,320 1.0×
Routine footcare pt w lops (G0247) $179 $844.75 1.0×
Screen cerv/vag thin layer (G0123) $20 $215.98 1.0×
Screen pap by tech w md supv (P3000) $18 $126.72 1.0×
Therapeutic procd strg endur (G0237) $25 $467.30 1.0×
Tomosynthesis, mammo (G0279) $11 $505.53 0.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $10,303 $47,711.80 1.0×
Trim nail(s) (G0127) $52 $119.55 1.0×
Trluml Perip Athrc Renal Art (0234T) $10,303 $9,612.11 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $10,303 $38,627.10 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $16,361 $53,836.50 1.0×
Tte w or wo fol wcon,doppler (C8929) $699 $2,698.08 1.0×
Unsched dialysis esrd pt hos (G0257) $612 $3,674.36 1.0×
Wet mounts/ w preparations (Q0111) $18 $470.98 1.0×