Supplies, drugs & other prices at Santa Rosa Medical Center
Milton, FL · every code in this section with a posted price and a Medicare benchmark.
29 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $27.07 | $180.48 | 0.6× |
| Admin influenza virus vac (G0008) | $22.32 | $148.78 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $22.36 | $149.04 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $2,875.65 | $19,170.97 | 3.0× |
| Catheterize for urine spec (P9612) | $13.45 | $89.64 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) | $2,762.26 | $18,415.09 | 2.8× |
| Colorectal scrn; hi risk ind (G0105) | $2,847.30 | $18,982.03 | 2.9× |
| Direct refer hospital observ (G0379) | $143.05 | $953.64 | 0.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $4.39 | $29.25 | 0.2× |
| Elec stim other than wound (G0283) | $64.64 | $430.92 | 5.1× |
| Hbot, full body chamber, 30m (G0277) | $652.21 | $4,348.08 | 4.5× |
| Hiv combination assay (G0475) | $12.64 | $84.24 | 0.5× |
| Home sleep test/type 3 porta (G0399) | $253 | $1,686.70 | 1.1× |
| Hospital outpt clinic visit (G0463) | $384.91 | $2,566.08 | 2.8× |
| Inj for sacroiliac jt anesth (G0260) | $780.12 | $5,200.80 | 1.1× |
| Mra w/cont, abd (C8900) | $960.17 | $6,401.16 | 2.6× |
| Mra w/o cont, abd (C8901) | $555.50 | $3,703.32 | 2.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,211.76 | $8,078.40 | 3.3× |
| Oral hiv-1/hiv-2 screen (G0435) | $13.93 | $92.88 | 1.2× |
| Pathogen test for platelets (P9100) | $12.27 | $81.82 | 0.2× |
| Perc d-e cor revasc chro sin (C9607) | $9,636.41 | $64,242.72 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $9,636.41 | $64,242.72 | 0.8× |
| Perc d-e cor stent ather s (C9602) | $9,636.41 | $64,242.72 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $9,636.41 | $64,242.72 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $58.27 | $388.49 | 0.2× |
| Psa screening (G0103) | $136.86 | $912.41 | 7.1× |
| Tomosynthesis, mammo (G0279) | $46.95 | $313 | 3.7× |
| Tte w or wo fol wcon,doppler (C8929) | $308.29 | $2,055.24 | 0.4× |
| Unsched dialysis esrd pt hos (G0257) | $417.64 | $2,784.24 | 0.6× |