Supplies, drugs & other prices at Dignity Health - St. Rose Dominican, Siena Campus
Henderson, NV · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $214.52 | $945 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $214.52 | $945 | 0.4× |
| Catheterize for urine spec (P9612) | $16.35 | $72 | 1.8× |
| Covid-19 lab test non-cdc (U0002) | $22.70 | $100 | 0.4× |
| Cysto, litho, vacuum kidney (C9761) | $6,828.16 | $30,080 | 0.7× |
| Diab manage trn per indiv (G0108) | $36.78 | $162 | 0.7× |
| Diab manage trn ind/group (G0109) | $22.25 | $98 | 1.4× |
| Direct refer hospital observ (G0379) | $411.10 | $1,811 | 0.6× |
| Drug test def 1-7 classes (G0480) | $43.59 | $192 | 0.4× |
| Drug test def 15-21 classes (G0482) | $106.69 | $470 | 0.5× |
| Drug test def 22+ classes (G0483) | $61.98 | $273 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $390.44 | $1,720 | 2.6× |
| Iliac Atherectomy (0238T) likely a partial charge, not the full procedure |
$5,939.01 | $26,163 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$16,664.98 | $73,414 | 0.5× |
| Mnt subs tx for change dx (G0270) | $22.93 | $101 | 0.7× |
| Neuro csf prion prtn qual (0035U) | $146.87 | $647 | 0.3× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$9,288.16 | $40,917 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $9,288.16 | $40,917 | 0.7× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$9,288.16 | $40,917 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $9,288.16 | $40,917 | 0.7× |
| Prostate biopsy, any mthd (G0416) | $661.94 | $2,916 | 1.7× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$9,357.40 | $41,222 | 0.5× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,689.90 | $38,281.50 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$3,930.06 | $17,313 | 0.3× |
| Revasc lith-sten-ath tib/per (C9775) | $15,244.64 | $67,157 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $12,537.21 | $55,230 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $9,534.46 | $42,002 | 0.8× |
| Revasc lithotrip-stent-ather (C9767) | $15,252.59 | $67,192 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,762.98 | $16,577 | 0.6× |
| Unsched dialysis esrd pt hos (G0257) | $749.79 | $3,303 | 1.0× |
| Vasc emb/occ w/prs cath (C9797) | $11,959.05 | $52,683 | 0.6× |