Supplies, drugs & other prices at Saint Francis Hospital-evanston
Evanston, IL · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $49 | $87 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $49 | $87 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $991 | $5,895 | 1.0× |
| Chemo extend iv infus w/pump (G0498) | $352 | $1,882 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $991 | $13,712 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $991 | $4,752 | 1.0× |
| Demonstrate use home inr mon (G0248) | $141 | $457 | 1.0× |
| Diab manage trn per indiv (G0108) | $57 | $266 | 1.0× |
| Direct refer hospital observ (G0379) | $635 | $3,195 | 1.0× |
| Drug test def 1-7 classes (G0480) range across 33 matching MRF lines |
$114 | $105–$617 | 1.0× |
| Drug test def 15-21 classes (G0482) | $198 | $228 | 1.0× |
| Eia hiv-1/hiv-2 screen (G0432) | $19 | $91 | 1.0× |
| Fern test (Q0114) | $9 | $38 | 0.9× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $788 | $8,652 | 1.0× |
| Hep c screen high risk/other (G0472) | $46 | $116 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $230 | $586 | 1.0× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$141 | $250–$1,106 | 1.0× |
| Mra w/cont, chest (C8909) | $372 | $5,091 | 1.0× |
| Mri w/o fol w/cont, breast, (C8908) | $372 | $5,335 | 1.0× |
| Njx platelet plasma (0232T) | $476 | $5,421.50 | 1.0× |
| Oth resp proc, indiv (G0238) | $30 | $115 | 1.0× |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$12,310 | $43,760–$56,703 | 1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $7,737 | $10,890 | 1.0× |
| Provide inr test mater/equip (G0249) | $141 | $457 | 1.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$19 | $159–$417 | 1.0× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $678 | $3,253 | 1.0× |
| Therapeutic procd strg endur (G0237) | $30 | $121 | 1.0× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$12 | $123–$186 | 0.9× |
| Trauma respons w/hosp criti (G0390) | — | $5,543 | — |
| Tte w or w/o fol w/con,stres (C8928) | $835 | $3,770 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $835 | $4,786 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $731 | $4,796 | 1.0× |
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.