Supplies, drugs & other prices at South Shore Hospital
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,802.50 | $2,575 | 0.9× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) likely a partial charge, not the full procedure |
$1,442 | $2,060 | 0.2× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $1,802.50 | $2,575 | 0.9× |
| Alcohol/subs interv 15-30mn (G0396) | $48.31 | $69.01 | 1.2× |
| Alcohol/subs interv >30 min (G0397) | $94.45 | $134.93 | 0.5× |
| Annual alcohol screen 15 min (G0442) | $25.24 | $36.05 | 0.6× |
| Brief alcohol misuse counsel (G0443) | $36.05 | $51.50 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $1,631.73 | $2,331.04 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $2,048.32 | $2,926.17 | 2.1× |
| Covid-19 lab test non-cdc (U0002) | $207.65 | $296.64 | 4.0× |
| Diab manage trn per indiv (G0108) range across 4 matching MRF lines |
$46.87–$66.38 | $66.95–$94.83 | varies |
| Diab manage trn ind/group (G0109) | $50.88 | $72.68 | 3.2× |
| Direct refer hospital observ (G0379) | $187.05 | $267.22 | 0.3× |
| Drug test def 1-7 classes (G0480) range across 14 matching MRF lines |
$31.37–$242 | $44.81–$345.72 | varies |
| Drug test def 22+ classes (G0483) | $155.16 | $221.66 | 0.6× |
| Drug test def 8-14 classes (G0481) | $129.04 | $184.34 | 0.8× |
| Elec stim other than wound (G0283) | $73.23 | $104.61 | 5.8× |
| Elec stim unattend for press (G0281) | $75.03 | $107.19 | 6.4× |
| Hospital outpt clinic visit (G0463) range across 8 matching MRF lines |
$91.03–$288.40 | $130.04–$412 | varies |
| Inj for sacroiliac jt anesth (G0260) | $590.70 | $843.85 | 0.8× |
| Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) | $119.87 | $171.24 | 1.9× |
| Mnt subs tx for change dx (G0270) | $12.26 | $17.51 | 0.4× |
| Mra w/o fol w/cont, abd (C8902) | $2,816.95 | $4,024.21 | 7.5× |
| Mra w/o fol w/cont, chest (C8911) | $2,349.02 | $3,355.74 | 6.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,653.25 | $2,361.79 | 4.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,652.56 | $3,789.37 | 7.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,964.73 | $2,806.75 | 5.3× |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$1,480.93–$1,561.69 | $2,115.62–$2,230.98 | varies |
| Obtaining screen pap smear (Q0091) | $57.64 | $82.34 | 1.9× |
| Oral hiv-1/hiv-2 screen (G0435) | $159.32 | $227.60 | 13.3× |
| Oth resp proc, group (G0239) | $108.10 | $154.43 | 2.7× |
| Perc drug-el cor stent sing (C9600) | $12,905.92 | $18,437.03 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $237.47 | $339.24 | 0.6× |
| Psa screening (G0103) | $130.91 | $187.01 | 6.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $103.33 | $147.61 | 3.9× |
| Tomosynthesis, mammo (G0279) | $68.66 | $98.08 | 5.4× |
| Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative 13,999 or fewer assigned members (0038U) | $238.75 | $341.07 | 8.1× |
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.