Supplies, drugs & other prices at Rome Memorial Hospital, Inc

Rome, NY · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $10,158.30 $25,163 23.3×
Admin hepatitis b vaccine (G0010) $82.76 $205 1.4×
Admin influenza virus vac (G0008) $19.38 $48 0.3×
Admin pneumococcal vaccine (G0009) $19.38 $48 0.3×
Alcohol/subs interv 15-30mn (G0396) $132.01 $327 2.8×
Alcohol/subs interv >30 min (G0397) $194.18 $481 0.9×
Ca screen;flexi sigmoidscope (G0104) $583.35 $1,445 0.5×
Ca screen;pelvic/breast exam (G0101) $112.23 $278 0.9×
Colon ca scrn not hi rsk ind (G0121) $1,880.06 $4,657.06 1.6×
Colorectal scrn; hi risk ind (G0105) $1,879.56 $4,655.83 1.6×
Cysto impl 4 or more (C9740) $12,094.85 $29,960 1.0×
Direct refer hospital observ (G0379) $51.27 $127 0.1×
Glyca nuc mr spectroscopy quantitative (0024U) $159.06 $394 4.7×
Hbot, full body chamber, 30m (G0277) $241.82 $599 1.4×
Hospital outpt clinic visit (G0463) $394.41 $977 2.4×
Initial preventive exam (G0402) $156.23 $387 0.9×
Mra w/o cont, chest (C8910) $471.12 $1,167 1.6×
Mri w/o fol w/cont, breast, (C8908) $2,583.68 $6,400 5.9×
Mri w/o fol w/cont, brst, un (C8905) $2,583.68 $6,400 5.9×
Obtaining screen pap smear (Q0091) $21.40 $53 0.6×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $5,721.64 $14,173 1.9×
Ppps, initial visit (G0438) $176.42 $437 1.0×
Ppps, subseq visit (G0439) $153.41 $380 1.1×
Spine device implant surgery (C9757) $12,599.29 $31,209.53 0.8×
Tomosynthesis, mammo (G0279) $56.52 $140 4.5×
Trauma respons w/hosp criti (G0390) $1,368.14 $3,389 0.8×
Tte w or w/o fol w/con,stres (C8928) $1,712.11 $4,241.05 1.7×
Tte w or wo fol wcon,doppler (C8929) $3,237.24 $8,018.92 3.3×