Supplies, drugs & other prices at Saint Francis Hospital

Hartford, CT · every code in this section with a posted price and a Medicare benchmark.

83 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) $2,825.35 $5,137 3.0×
2d tte w or w/o fol w/con,co (C8923) $1,558.70 $2,834 1.7×
2d tte w or w/o fol w/con,fu (C8924) $1,544.40 $2,808 3.7×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $13,011.35 $23,657 1.2×
Admin hepatitis b vaccine (G0010) $81.40 $148 1.4×
Admin influenza virus vac (G0008) $94.05 $171 1.7×
Admin pneumococcal vaccine (G0009) $94.05 $171 1.7×
Ca screen;flexi sigmoidscope (G0104) $6,848.71 6.1×
Chemo extend iv infus w/pump (G0498) $548.35 $997 1.4×
Colon ca scrn not hi rsk ind (G0121) $6,431.32 5.8×
Colorectal scrn; hi risk ind (G0105) $6,421.96 5.8×
Cysto impl 4 or more (C9740) $23,711.72 2.1×
Cystoscopy prostatic imp 1-3 (C9739) $24,629.65 3.8×
Diab manage trn per indiv (G0108) $204.60 3.7×
Diab manage trn ind/group (G0109) $387.20 24.2×
Direct refer hospital observ (G0379) $7,888.14 11.0×
Drug test def 1-7 classes (G0480) $438.35 3.8×
Ekg tracing for initial prev (G0404) $48.40 $88 1.4×
Facility svs dental rehab (G0330) $19,240.62 4.8×
Fecal microbiota prep instil (G0455) $15,808.35 14.2×
Fern test (Q0114) $20.35 $37 2.1×
Hep c screen high risk/other (G0472) $81.95 $149 1.8×
Hepb screen high risk indiv (G0499) $12,726.59 450.2×
Hiv combination assay (G0475) $1,555.40 64.6×
Hospital outpt clinic visit (G0463) $149.05 0.9×
In-person interrogation device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0685T) $73.70 $134 1.6×
In-person programming device evaluation of permanent implantable synchronized diaphragmatic stimulation system for… (0683T) $73.70 $134 1.6×
Initial preventive exam (G0402) $251.35 $457 1.6×
Inj for sacroiliac jt anesth (G0260) $3,945.28 4.7×
Injection of hiv prep drug (G0012) $139.70 $254 1.6×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $77,403.15 $140,733 2.1×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $63,242.85 $114,987 1.7×
Instlj fecal microbiota ssp (0780T) $15,808.35 99.1×
Mra w/cont, abd (C8900) $2,066.35 $3,757 4.9×
Mra w/cont, chest (C8909) $1,295.25 $2,355 3.1×
Mra w/cont, pelvis (C8918) $1,722.05 $3,131 4.1×
Mra w/o cont, abd (C8901) $1,056 $1,920 3.7×
Mra w/o cont, chest (C8910) $1,056 $1,920 3.7×
Mra w/o fol w/cont, abd (C8902) $2,756.05 $5,011 6.6×
Mra w/o fol w/cont, chest (C8911) $1,728.10 $3,142 4.1×
Mra w/o fol w/cont, lwr ext (C8914) $1,728.10 $3,142 4.1×
Mra w/o fol w/cont, pelvis (C8920) $2,479.95 $4,509 5.9×
Mri w/cont, breast, bi (C8906) $2,404.60 $4,372 5.7×
Mri w/o fol w/cont, breast, (C8908) $2,856.15 $5,193 6.8×
Mri w/o fol w/cont, brst, un (C8905) $2,756.05 $5,011 6.6×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $371.80 $676 0.7×
Oth resp proc, group (G0239) $163.35 $297 3.6×
Pathogen test for platelets (P9100) $122.10 $222 1.7×
Perc d-e cor revasc chro sin (C9607) $36,482.60 $66,332 1.7×
Perc d-e cor revasc t cabg s (C9604) $12,400.85 $22,547 0.9×
Perc d-e cor stent ather s (C9602) $36,483.15 $66,333 1.7×
Perc drug-el cor stent sing (C9600) $26,197.60 $47,632 1.9×
Perq Sacral Augmt Unilat Inj (0200T) $13,942.50 $25,350 1.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $11,246.40 $20,448 0.8×
Prostate biopsy, any mthd (G0416) $576.40 $1,048 1.3×
Psa screening (G0103) $69.30 $126 3.6×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,930.50 $3,510 1.7×
Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for… (0681T) $7,207.75 $13,105 1.7×
Removal of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation… (0682T) $7,207.75 $13,105 1.7×
Revasc intra lithotrip-ather (C9766) $41,068.50 $74,670 1.9×
Revasc intra lithotrip-stent (C9765) $41,068.50 $74,670 1.9×
Revasc intravasc lithotripsy (C9764) $22,859.65 $41,563 1.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $39,887.65 $72,523 1.7×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $39,038.45 $70,979 1.7×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $40,183.55 $73,061 1.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $39,038.45 $70,979 1.7×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $6,386.05 $11,611 1.7×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $6,968.50 $12,670 1.8×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $6,386.05 $11,611 1.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $38,100.70 $69,274 1.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $39,038.45 $70,979 1.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $39,038.45 $70,979 1.7×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $40,183.55 $73,061 1.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $12,962.40 $23,568 1.9×
Tomosynthesis, mammo (G0279) $283.25 $515 22.3×
Trauma respons w/hosp criti (G0390) $3,953.40 $7,188 2.5×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $5,775 $10,500 1.7×
Tte w or w/o contr, cont ecg (C8930) $1,588.95 $2,889 1.7×
Tte w or w/o fol w/con,stres (C8928) $1,299.65 $2,363 1.4×
Tte w or wo fol wcon,doppler (C8929) $1,738.55 $3,161 1.8×
Unsched dialysis esrd pt hos (G0257) $1,564.20 $2,844 1.9×
Vasc emb/occ w/prs cath (C9797) $35,420 $64,400 1.6×
Visit to determ ldct elig (G0296) $200.75 $365 1.6×