Supplies, drugs & other prices at Sacred Heart Medical Center Riverbend
Springfield, OR · every code in this section with a posted price and a Medicare benchmark.
104 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) | $1,972.10 | $3,034 | 2.3× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,190.80–$1,226.55 | $1,832–$1,887 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $14,890.85 | $22,909 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $76.05 | $117 | 1.5× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$74.10–$76.05 | $114–$117 | varies |
| Admin pneumococcal vaccine (G0009) | $76.05 | $117 | 1.5× |
| Ant resin-based cmpst crown (D2390) | $871.98 | $1,341.50 | 1.2× |
| Bitewings four images (D0274) | $826.48 | $1,271.50 | 3.1× |
| Ca screen;flexi sigmoidscope (G0104) | $2,046.85 | $3,149 | 2.0× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$41.60–$42.90 | $64–$66 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $2,046.85 | $3,149 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
$1,380.38–$4,141.15 | $2,123.66–$6,371 | varies |
| Covid-19 lab test non-cdc (U0002) | $66.95 | $103 | 1.3× |
| Crown porcelain/ceramic (D2740) | $560.59 | $862.45 | 0.8× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$4,086.76 | $6,287.33 | 0.4× |
| Cysto, litho, vacuum kidney (C9761) range across 3 matching MRF lines |
$10,882.08–$28,400.45 | $16,741.66–$43,693 | varies |
| Cystoscopy prostatic imp 1-3 (C9739) | $3,670.76 | $5,647.33 | 0.6× |
| Dental bitewings two images (D0272) | $605.01 | $930.78 | 6.2× |
| Dental prophylaxis adult (D1110) | $826.48 | $1,271.50 | 5.6× |
| Direct refer hospital observ (G0379) range across 3 matching MRF lines |
$1,415.70–$1,457.95 | $2,178–$2,243 | varies |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$57.85–$131.30 | $89–$202 | varies |
| Drug test def 8-14 classes (G0481) | $445.90 | $686 | 2.8× |
| Elec stim other than wound (G0283) | $55.90 | $86 | 4.4× |
| End thxpy, anterior tooth (D3310) | $422.83 | $650.50 | 0.6× |
| Extraction erupted tooth/exr (D7140) | $521.40 | $802.16 | 0.7× |
| Facility svs dental rehab (G0330) | $4,859.08 | $7,475.51 | 1.3× |
| Fixed bilat space maint, man (D1517) | $623.10 | $958.61 | 0.9× |
| Fixed bilat space maint, max (D1516) | $380.65 | $585.62 | 0.5× |
| Full mouth debridement (D4355) | $339.05 | $521.62 | 0.5× |
| Gross pulpal debridement (D3221) | $1,619.69 | $2,491.83 | 2.2× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$533.65–$2,072.20 | $821–$3,188 | varies |
| Home sleep test/type 2 porta (G0398) | $632.45 | $973 | 2.6× |
| Home sleep test/type 3 porta (G0399) | $560.30 | $862 | 2.3× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$87.75–$140.40 | $135–$216 | varies |
| Impact tooth remov comp bony (D7240) | $2,178.15 | $3,351 | 3.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $57,157.75 | $87,935 | 2.3× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) | $13,757.90 | $21,166 | 2.3× |
| Insj Wcs Lv Eltrd Only (0516T) | $23,201.10 | $35,694 | 2.0× |
| Insj Wcs Lv Pg Compnt (0517T) | $23,201.10 | $35,694 | 2.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $64,661.35 | $99,479 | 1.8× |
| Intens cardiac rehab no exer (G0423) | $276.25 | $425 | 1.9× |
| Intraoral occlusal film (D0240) | $605.01 | $930.78 | 6.2× |
| Intraoral periapical first (D0220) | $605.01 | $930.78 | 6.2× |
| Mra w/cont, abd (C8900) | $1,547.65 | $2,381 | 4.0× |
| Mra w/cont, chest (C8909) | $1,528.80 | $2,352 | 3.9× |
| Mra w/cont, lwr ext (C8912) | $2,928.25 | $4,505 | 7.5× |
| Mra w/o cont, abd (C8901) | $1,632.80 | $2,512 | 6.1× |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$1,779.70–$1,972.75 | $2,738–$3,035 | varies |
| Mra w/o cont, lwr ext (C8913) | $744.90 | $1,146 | 2.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,641.25 | $2,525 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $3,817.45 | $5,873 | 9.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,767.05 | $4,257 | 7.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,494.05 | $3,837 | 6.4× |
| Mra, w/dye, spinal canal (C8931) | $874.25 | $1,345 | 2.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,575.60 | $2,424 | 4.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,051.40 | $3,156 | 5.3× |
| Mri w/cont, breast, bi (C8906) | $3,428.10 | $5,274 | 8.8× |
| Oth resp proc, group (G0239) range across 4 matching MRF lines |
$205.40–$410.80 | $316–$632 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$83.85–$162.50 | $129–$250 | varies |
| Panoramic image (D0330) | $521.40 | $802.16 | 2.0× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$25,737.40–$26,509.60 | $39,596–$40,784 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$16,005.60–$16,485.95 | $24,624–$25,363 | varies |
| Perc d-e cor stent ather s (C9602) range across 3 matching MRF lines |
$24,801.40–$25,545.65 | $38,156–$39,301 | varies |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$33,649.20–$34,658.65 | $51,768–$53,321 | varies |
| Periodontal scaling & root (D4341) | $644.57 | $991.64 | 0.9× |
| Post 1 srfc resinbased cmpst (D2391) | $605.01 | $930.78 | 0.8× |
| Post 2 srfc resinbased cmpst (D2392) | $826.48 | $1,271.50 | 1.1× |
| Post 3 srfc resinbased cmpst (D2393) | $521.40 | $802.16 | 0.7× |
| Prefab porc/ceram crown pri (D2929) | $1,619.69 | $2,491.83 | 2.2× |
| Prefab stnlss steel crown pe (D2931) | $826.48 | $1,271.50 | 1.1× |
| Prefab stnlss steel crwn pri (D2930) | $4,651.08 | $7,155.50 | 6.4× |
| Prefabricated resin crown (D2932) | $456.76 | $702.70 | 0.6× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $72.15 | $111 | 1.7× |
| Psa screening (G0103) | $73.45 | $113 | 3.8× |
| Pulp cap indirect (D3120) | $602.39 | $926.75 | 0.8× |
| Relocation pg wcs lv pacg battery component only (0862T) | $3,472.30 | $5,342 | 1.5× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $3,472.30 | $5,342 | 1.5× |
| Removal pg wcs lv pacing both components (0861T) | $7,477.60 | $11,504 | 1.8× |
| Remove unilat space maintain (D1520) | $521.40 | $802.16 | 0.7× |
| Resin 4/> surf or w incis an (D2335) | $391.64 | $602.53 | 0.5× |
| Resin one surface-anterior (D2330) | $460.64 | $708.68 | 0.6× |
| Resin three surfaces-anterio (D2332) | $460.64 | $708.68 | 0.6× |
| Resin two surfaces-anterior (D2331) | $421.77 | $648.88 | 0.6× |
| Revasc intra lithotrip-stent (C9765) range across 3 matching MRF lines |
$28,962.70–$29,831.75 | $44,558–$45,895 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$15,916.55–$17,643.60 | $24,487–$27,144 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 3 matching MRF lines |
$15,158.65–$15,613.65 | $23,321–$24,021 | varies |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $14,298.05 | $21,997 | 1.2× |
| Rmvl Pg Compnt Wcs (0518T) | $9,477 | $14,580 | 2.3× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $14,298.05 | $21,997 | 1.2× |
| Space maintainer fxd unilat (D1510) | $391.64 | $602.53 | 0.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $37,102 | $57,080 | 1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $26,567.45 | $40,873 | 1.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,069.70 | $9,338 | 1.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $37,102 | $57,080 | 1.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,410.70 | $14,478 | 1.5× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$82.55–$159.90 | $127–$246 | varies |
| Therapeutic pulpotomy (D3220) | $521.40 | $802.16 | 0.7× |
| Tomosynthesis, mammo (G0279) | $105.30 | $162 | 8.3× |
| Tooth root removal (D7250) | $3,294.36 | $5,068.25 | 4.6× |
| Trauma respons w/hosp criti (G0390) | $5,745.35 | $8,839 | 3.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $20,035.60 | $30,824 | 1.0× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$2,407.60–$2,479.75 | $3,704–$3,815 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$2,407.60–$2,479.75 | $3,704–$3,815 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,954.90–$3,043.30 | $4,546–$4,682 | 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.