Supplies, drugs & other prices at Selby General Hospital
Marietta, OH · every code in this section with a posted price and a Medicare benchmark.
82 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) range across 2 matching MRF lines |
$1,154.20–$1,442.74 | $1,923.66–$2,404.57 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 4 matching MRF lines |
$362.53–$995.33 | $604.22–$1,658.89 | varies |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $4,429.92 | $7,383.20 | 2.4× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $15,283.81 | $25,473.01 | 1.8× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $4,429.92 | $7,383.20 | 2.4× |
| Admin hepatitis b vaccine (G0010) range across 5 matching MRF lines |
$21.99–$141.89 | $36.65–$236.49 | varies |
| Admin influenza virus vac (G0008) range across 16 matching MRF lines |
$17.40–$141.89 | $29–$236.49 | varies |
| Admin pneumococcal vaccine (G0009) range across 15 matching MRF lines |
$17.40–$141.89 | $29–$236.49 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$43.20–$73.98 | $72–$123.30 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$12.92–$17.23 | $21.54–$28.72 | varies |
| Chemo extend iv infus w/pump (G0498) | $972.94 | $1,621.57 | 3.1× |
| Comt gene analysis c.472g>a variant (0032U) | $414.53 | $690.89 | 2.4× |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$19.38–$34.46 | $32.30–$57.43 | varies |
| Direct refer hospital observ (G0379) range across 4 matching MRF lines |
$1,549.83–$1,627.31 | $2,583.05–$2,712.18 | varies |
| Drug test def 1-7 classes (G0480) range across 70 matching MRF lines |
$71.40–$400.16 | $119–$666.94 | varies |
| Drug test def 22+ classes (G0483) | $624.15 | $1,040.25 | 2.5× |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$182.40–$289.45 | $304–$482.42 | varies |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$9.97–$10.93 | $16.61–$18.21 | varies |
| Elec stim other than wound (G0283) | $166.62 | $277.70 | 13.1× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$27–$32.54 | $45–$54.24 | varies |
| Group mnt 2 or more 30 mins (G0271) | $35.09 | $58.48 | 2.1× |
| Hbot, full body chamber, 30m (G0277) | $824.03 | $1,373.39 | 6.3× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $3,177.94 | $5,296.57 | 4.8× |
| Home sleep test/type 2 porta (G0398) | $1,397.56 | $2,329.26 | 6.8× |
| Home sleep test/type 3 porta (G0399) | $1,397.56 | $2,329.26 | 6.8× |
| Hospital outpt clinic visit (G0463) range across 156 matching MRF lines |
$37.80–$379.84 | $63–$633.07 | varies |
| Hpv combo assay ca screen (G0476) range across 6 matching MRF lines |
$133–$177.33 | $221.67–$295.55 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $102.99 | $171.65 | 2.4× |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
$67.25–$209.78 | $112.09–$349.64 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$382.80–$715.61 | $638–$1,192.68 | varies |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) | $3,066.29 | $5,110.48 | 1.7× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $61,898.86 | $103,164.77 | 2.1× |
| Mnt subs tx for change dx (G0270) | $64.57 | $107.61 | 2.0× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,881–$1,920 | $3,135–$3,200 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 4 matching MRF lines |
$1,881–$2,162.40 | $3,135–$3,604 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra, w/dye, upper extremity (C8934) range across 4 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra, w/o dye, upper extr (C8935) range across 6 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 6 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$9.97–$65.01 | $16.61–$108.35 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) range across 2 matching MRF lines |
$574.39–$864.46 | $957.32–$1,440.76 | varies |
| Oth resp proc, group (G0239) | $220.58 | $367.63 | 6.2× |
| Oth resp proc, indiv (G0238) | $220.58 | $367.63 | 8.1× |
| Perc d-e cor revasc chro sin (C9607) | $18,454.30 | $30,757.16 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $18,454.30 | $30,757.16 | 1.7× |
| Perc d-e cor stent ather s (C9602) | $18,454.30 | $30,757.16 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $18,454.30 | $30,757.16 | 1.7× |
| Perq Sacral Augmt Unilat Inj (0200T) range across 2 matching MRF lines |
$143.48–$717.43 | $239.14–$1,195.71 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,248.60 | $18,747.66 | 1.0× |
| Potassium hydroxide preps (Q0112) | $8.75 | $14.59 | 1.5× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$190.66–$193.22 | $317.76–$322.04 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$126.14–$130.40 | $210.24–$217.34 | varies |
| Prolonged iv inf, req pump (C8957) | $1,159.23 | $1,932.05 | 5.8× |
| Prostate biopsy, any mthd (G0416) | $672.05 | $1,120.09 | 2.0× |
| Psa screening (G0103) range across 3 matching MRF lines |
$52.30–$69.73 | $87.16–$116.21 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$2,068.90–$3,113.69 | $3,448.17–$5,189.48 | varies |
| Revasc intra lithotrip-stent (C9765) | $21,001.44 | $35,002.40 | 1.2× |
| Revasc intravasc lithotripsy (C9764) | $10,365.57 | $17,275.95 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $33,592.45 | $55,987.41 | 1.9× |
| Revasc lithotr-ather tib/per (C9774) | $33,592.45 | $55,987.41 | 1.9× |
| Revasc lithotr-stent tib/per (C9773) | $33,592.45 | $55,987.41 | 1.9× |
| Revasc lithotrip tibi/perone (C9772) | $21,001.44 | $35,002.40 | 1.9× |
| Revasc lithotrip-stent-ather (C9767) | $33,592.45 | $55,987.41 | 1.9× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$135.77–$204.34 | $226.29–$340.56 | varies |
| Spine device implant surgery (C9757) | $30,196.46 | $50,327.44 | 2.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $34,205.20 | $57,008.66 | 1.9× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $34,205.20 | $57,008.66 | 1.9× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $34,205.20 | $57,008.66 | 1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) range across 2 matching MRF lines |
$35,978.47–$41,046.23 | $59,964.12–$68,410.39 | varies |
| Tee w or w/o fol w/cont,cong (C8926) range across 2 matching MRF lines |
$1,235.17–$1,543.97 | $2,058.62–$2,573.28 | varies |
| Therapeutic procd strg endur (G0237) | $220.58 | $367.63 | 8.1× |
| Tomosynthesis, mammo (G0279) range across 6 matching MRF lines |
$37.40–$46.75 | $62.33–$77.91 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,452.52–$5,230.76 | $5,754.20–$8,717.94 | varies |
| Trim nail(s) (G0127) | $187.72 | $312.86 | 3.4× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,235.17–$1,543.97 | $2,058.62–$2,573.28 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,334.17–$1,667.72 | $2,223.62–$2,779.53 | varies |
| Unsched dialysis esrd pt hos (G0257) | $3,663.07 | $6,105.12 | 5.6× |
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.