Supplies, drugs & other prices at Southcoast Hospitals Group

Fall River, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $55 $110 1.5×
Admin hepatitis b vaccine (G0010) $114.50 $229 2.0×
Admin influenza virus vac (G0008) $114.50 $229 2.0×
Admin pneumococcal vaccine (G0009) $114.50 $229 2.0×
Ca screen;pelvic/breast exam (G0101) $144.50 $289 1.2×
Chemo extend iv infus w/pump (G0498) $562 $1,124 1.4×
Direct refer hospital observ (G0379) $787.50 $1,575 1.1×
Drug test def 1-7 classes (G0480) $205 $410 1.8×
Drug test def 15-21 classes (G0482) $287 $574 1.4×
Drug test def 22+ classes (G0483) $373.50 $747 1.5×
Drug test def 8-14 classes (G0481) $202 $404 1.3×
Eia hiv-1/hiv-2 screen (G0432) $38 $76 1.9×
Elec stim other than wound (G0283) $67 $134 5.3×
Elisa hiv-1/hiv-2 screen (G0433) $30.50 $61 1.7×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $20,996.50 $41,993 1.5×
Extraction erupted tooth/exr (D7140) $1,807 $3,614 2.3×
Hepb screen high risk indiv (G0499) $40 $80 1.4×
Iliac Atherectomy (0238T) $28,460.50 $56,921 1.3×
Inj for sacroiliac jt anesth (G0260) $940.50 $1,881 1.1×
Mra, w/dye, upper extremity (C8934) $1,110.50 $2,221 2.7×
Mra, w/o dye, upper extr (C8935) $953 $1,906 3.3×
Mra, w/o&w/dye, upper extr (C8936) $1,657.50 $3,315 4.0×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $5,264 $10,528 1.5×
Opps service,sched team conf (G0175) $313.50 $627 0.6×
Oth resp proc, group (G0239) $74 $148 1.7×
Oth resp proc, indiv (G0238) $45.50 $91 1.3×
Pathogen test for platelets (P9100) $49 $98 0.7×
Perc d-e cor revasc chro sin (C9607) $18,502 $37,004 0.8×
Perc d-e cor revasc t cabg s (C9604) $18,502 $37,004 1.3×
Perc d-e cor stent ather s (C9602) $18,502 $37,004 0.8×
Perc drug-el cor stent sing (C9600) $17,790.50 $35,581 1.3×
Perq Sacral Augmt Bilat Inj (0201T) $10,959.50 $21,919 1.3×
Perq Sacral Augmt Unilat Inj (0200T) $10,959.50 $21,919 1.3×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $8,886.50 $17,773 0.6×
Pre 3d mdl w/ccta and/or mri (C9793) $1,559.50 $3,119 1.5×
Prostate biopsy, any mthd (G0416) $328 $656 0.8×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $983 $1,966 1.4×
Rem imp tooth w mucoper flp (D7210) $909 $1,818 0.5×
Revasc intra lithotrip-ather (C9766) $17,039.50 $34,079 0.8×
Revasc intra lithotrip-stent (C9765) $17,039.50 $34,079 0.8×
Revasc intravasc lithotripsy (C9764) $11,031.50 $22,063 0.8×
Revasc lith-sten-ath tib/per (C9775) $28,074.50 $56,149 1.3×
Revasc lithotr-ather tib/per (C9774) $28,074.50 $56,149 1.3×
Revasc lithotr-stent tib/per (C9773) $28,074.50 $56,149 1.3×
Revasc lithotrip tibi/perone (C9772) $17,558.50 $35,117 1.3×
Revasc lithotrip-stent-ather (C9767) $23,060.50 $46,121 1.0×
Sim ang w/prs cath rad emb (C8004) $17,676 $35,352 1.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $29,029.50 $58,059 1.3×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $29,029.50 $58,059 1.3×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $29,029.50 $58,059 1.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $29,029.50 $58,059 1.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,748.50 $9,497 1.3×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,748.50 $9,497 1.3×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,748.50 $9,497 1.3×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $4,748.50 $9,497 1.3×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $29,029.50 $58,059 1.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $29,029.50 $58,059 1.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $29,029.50 $58,059 1.3×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $29,029.50 $58,059 1.3×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $8,515.50 $17,031 1.2×
Therapeutic procd strg endur (G0237) $45.50 $91 1.3×
Tooth reimplantation (D7270) $2,494 $4,988 3.2×
Trauma respons w/hosp criti (G0390) $5,662 $11,324 3.5×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $14,423 $28,846 1.0×
Vasc emb/occ w/prs cath (C9797) $27,989 $55,978 1.3×