Supplies, drugs & other prices at Sleepy Eye Medical Center

Sleepy Eye, MN · every code in this section with a posted price and a Medicare benchmark.

18 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,068.63 $1,689 3.0×
Admin influenza virus vac (G0008) $22.78 $36 0.5×
Admin pneumococcal vaccine (G0009) $42.39 $67 0.9×
Catheterize for urine spec (P9612) $37.33 $59 4.0×
Direct refer hospital observ (G0379) $305.59 $483 0.5×
Drug test def 1-7 classes (G0480) $60.74 $96 0.5×
Ekg tracing for initial prev (G0404) $270.80 $428 9.1×
Hiv combination assay (G0475) $60.11 $95 2.5×
Ig paraprotein qual bld/ur (0077U) $331.53 $524 7.6×
Inj for sacroiliac jt anesth (G0260) $1,243.26 $1,965 1.7×
Liver Dis 10 Assays W/Nash (0003M) $685.21 $1,083 1.4×
Njx pltlt plasma w/img harvest/preparation (0232T) $360.64 $570 0.8×
Psa screening (G0103) $210.69 $333 10.9×
Screen cerv/vag thin layer (G0123) $34.80 $55 1.7×
Screen pap by tech w md supv (P3000) $34.80 $55 1.9×
Trauma respons w/hosp criti (G0390) $650.42 $1,028 0.5×
Tte w or w/o contr, cont ecg (C8930) $1,496.97 $2,366 1.9×
Tte w or wo fol wcon,doppler (C8929) $2,041.72 $3,227 2.5×