Supplies, drugs & other prices at Saint Mary's Hospital
Waterbury, CT · every code in this section with a posted price and a Medicare benchmark.
48 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) | $1,686.30 | $3,066 | 1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,172.05 | $2,131 | 2.8× |
| Admin hepatitis b vaccine (G0010) | $92.40 | $168 | 1.6× |
| Admin influenza virus vac (G0008) | $93.50 | $170 | 1.7× |
| Admin pneumococcal vaccine (G0009) | $90.75 | $165 | 1.6× |
| Ca screen;flexi sigmoidscope (G0104) | $2,320.45 | — | 2.1× |
| Chemo extend iv infus w/pump (G0498) | $562.10 | $1,022 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,177.42–$2,460.37 | — | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,483.80–$3,422.62 | — | varies |
| Cysto impl 4 or more (C9740) | $17,808.19 | — | 1.6× |
| Direct refer hospital observ (G0379) | $1,786.40 | — | 2.5× |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$74.25–$75.90 | $135–$138 | varies |
| Facility svs dental rehab (G0330) | $14,740.55 | — | 3.7× |
| Fecal blood scrn immunoassay (G0328) | $29.70 | $54 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $1,798.50 | — | 10.9× |
| Hep c screen high risk/other (G0472) | $563.75 | — | 12.2× |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
$46.75–$48.40 | $85–$88 | varies |
| Hiv combination assay (G0475) | $502.15 | — | 20.9× |
| Home sleep test/type 3 porta (G0399) | $330 | $600 | 1.3× |
| Hospital outpt clinic visit (G0463) | $240.90 | — | 1.5× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $65.45 | $119 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$2,655.01–$2,927.90 | — | varies |
| Mra w/o fol w/cont, abd (C8902) | $2,574 | $4,680 | 6.2× |
| Mra w/o fol w/cont, chest (C8911) | $722.15 | $1,313 | 1.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,547.05 | $4,631 | 6.1× |
| Mri w/o fol w/cont, breast, (C8908) | $3,377 | $6,140 | 8.1× |
| Oth resp proc, group (G0239) | $55.55 | $101 | 1.2× |
| Oth resp proc, indiv (G0238) | $460.35 | — | 13.3× |
| Pathogen test for platelets (P9100) | $122.10 | $222 | 1.7× |
| Perc d-e cor revasc chro sin (C9607) | $35,420 | $64,400 | 1.6× |
| Perc d-e cor revasc t cabg s (C9604) | $22,369.60 | $40,672 | 1.6× |
| Perc drug-el cor stent sing (C9600) | $21,619.40 | $39,308 | 1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $14,091.55 | $25,621 | 1.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $22,834.90 | $41,518 | 1.6× |
| Ppps, subseq visit (G0439) | $40.70 | $74 | 0.3× |
| Psa screening (G0103) | $82.50 | $150 | 4.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $445.50 | $810 | 0.6× |
| Revasc intra lithotrip-ather (C9766) | $37,911.50 | $68,930 | 1.7× |
| Revasc intra lithotrip-stent (C9765) | $37,911.50 | $68,930 | 1.7× |
| Revasc intravasc lithotripsy (C9764) | $21,385.10 | $38,882 | 1.5× |
| Screen pap by tech w md supv (P3000) | $44.55 | $81 | 2.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $38,659.50 | $70,290 | 1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $38,659.50 | $70,290 | 1.7× |
| Therapeutic procd strg endur (G0237) | $49.50 | $90 | 1.4× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$221.65–$332.75 | $403–$605 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,514.60–$4,878.50 | $4,572–$8,870 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $2,009.70 | $3,654 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $1,062.05 | $1,931 | 1.3× |
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.