Supplies, drugs & other prices at Santiam Hospital & Clinics
Stayton, OR · every code in this section with a posted price and a Medicare benchmark.
54 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $50 | $50 | 1.2× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$63–$129.25 | $63–$129.25 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$63–$129.25 | $63–$129.25 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$63–$129.25 | $63–$129.25 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $40 | $40 | 1.0× |
| Adv prim care mgmt lvl 2 (G0557) | $120 | $120 | 2.9× |
| Adv prim care mgmt lvl 3 (G0558) | $265 | $265 | 2.3× |
| Alcohol/subs interv 15-30mn (G0396) | $85 | $85 | 2.0× |
| Alcohol/subs interv >30 min (G0397) | $165 | $165 | 0.8× |
| Annual alcohol screen 15 min (G0442) | $45 | $45 | 1.1× |
| Ascvd rsk mng clin stf pr mo (G0538) | $55 | $55 | 0.5× |
| Assessment of a patient (D0191) | $48 | $48 | 0.3× |
| Behavior counsel obesity 15m (G0447) | $65 | $65 | 0.6× |
| Brief alcohol misuse counsel (G0443) | $68 | $68 | 0.6× |
| Brief chkin, 5-10, non-e/m (G2251) | $35 | $35 | 2.5× |
| Ca screen;flexi sigmoidscope (G0104) | $456 | $456 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $95 | $95 | 0.8× |
| Catheterize for urine spec (P9612) | $30 | $30 | 3.2× |
| Colon ca scrn not hi rsk ind (G0121) | $933 | $933 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $933 | $933 | 0.9× |
| Comm hlth intg svs sdoh 60mn (G0019) | $212 | $212 | 1.9× |
| Covid-19 lab test non-cdc (U0002) | $249.19 | $249.19 | 4.9× |
| Depression screen annual (G0444) | $45 | $45 | 1.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$134–$221.52 | $134–$221.52 | varies |
| Diab manage trn ind/group (G0109) | $101.33 | $101.33 | 6.3× |
| Direct refer hospital observ (G0379) | $2,456.50 | $2,456.50 | 3.7× |
| Ekg tracing for initial prev (G0404) | $22 | $22 | 0.7× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) likely a partial charge, not the full procedure |
$1,983 | $1,983 | 0.3× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$43–$74.65 | $43–$74.65 | varies |
| High inten beh couns std 30m (G0445) | $71 | $71 | 0.6× |
| Home sleep test/type 4 porta (G0400) | $175 | $175 | 0.7× |
| Hospital outpt clinic visit (G0463) | $152 | $152 | 1.0× |
| Init/sub psych care m 1st 30 (G2214) | $143 | $143 | 1.3× |
| Initial preventive exam (G0402) | $404 | $404 | 2.7× |
| Intens behave ther cardio dx (G0446) | $63 | $63 | 1.5× |
| Mnt subs tx for change dx (G0270) | $111.30 | $111.30 | 3.5× |
| Mra w/o fol w/cont, abd (C8902) | $1,651.22 | $1,651.22 | 4.2× |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$251–$1,651.22 | $251–$1,651.22 | varies |
| Nav srv peer sup 60 min pr m (G0140) | $212 | $212 | 1.9× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $926.64 | $926.64 | 3.8× |
| Njx platelet plasma (0232T) | $500 | $500 | 1.0× |
| Obtaining screen pap smear (Q0091) | $105 | $105 | 3.2× |
| Pin service 60m per month (G0023) | $212 | $212 | 1.9× |
| Post d/c phone follow up (G0544) | $160 | $160 | 1.4× |
| Ppps, initial visit (G0438) | $404 | $404 | 2.3× |
| Ppps, subseq visit (G0439) | $316 | $316 | 2.3× |
| Psa screening (G0103) | $141.66 | $141.66 | 7.3× |
| Risk ascvd tst once pr 12 mo (G0537) | $55 | $55 | 1.3× |
| Safety plan interven (G0560) | $120 | $120 | 2.8× |
| Therapeutic procd strg endur (G0237) | $125.63 | $125.63 | 3.9× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$90–$97.49 | $90–$97.49 | varies |
| Trim nail(s) (G0127) | $57 | $57 | 0.9× |
| Visit to determ ldct elig (G0296) | $69 | $69 | 0.6× |
| Wet mounts/ w preparations (Q0111) | $22 | $22 | 1.2× |
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.