Supplies, drugs & other prices at Southeast Health Medical Center
Dothan, AL · every code in this section with a posted price and a Medicare benchmark.
44 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,702.52 | $4,256.31 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $208.66 | $521.66 | 0.5× |
| Adm tocilizu covid-19 2nd (M0250) | $208.66 | $521.66 | 0.5× |
| Admin hepatitis b vaccine (G0010) | $63.04 | $157.61 | 1.4× |
| Admin influenza virus vac (G0008) | $63.04 | $157.61 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $63.04 | $157.61 | 1.4× |
| Catheterize for urine spec (P9612) | $11.76 | $29.40 | 1.3× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,477.73 | $3,694.32 | 0.2× |
| Direct refer hospital observ (G0379) | $393.94 | $984.86 | 0.7× |
| Drug test def 1-7 classes (G0480) | $59.12 | $147.82 | 0.5× |
| Elec stim other than wound (G0283) | $20.50 | $51.25 | 1.6× |
| Facility svs dental rehab (G0330) | $10,673.09 | $26,682.72 | 3.3× |
| Hbot, full body chamber, 30m (G0277) | $321.86 | $804.65 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $162.27 | $405.68 | 0.8× |
| Hospital outpt clinic visit (G0463) | $136.12 | $340.30 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $1,145.86 | $2,864.65 | 1.7× |
| Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) | $7,699.36 | $19,248.39 | 0.8× |
| Liver dis 10 assays w/nash (0003M) | $566.58 | $1,416.45 | 1.1× |
| Mra w/o fol w/cont, abd (C8902) | $543.48 | $1,358.70 | 1.6× |
| Mra, w/dye, spinal canal (C8931) | $386.72 | $966.81 | 1.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $386.72 | $966.81 | 1.2× |
| Mri w/o fol w/cont, breast, (C8908) | $621.19 | $1,552.97 | 1.8× |
| Oral hiv-1/hiv-2 screen (G0435) | $30.79 | $76.98 | 2.6× |
| Oth resp proc, group (G0239) | $41.96 | $104.89 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $19,081.78 | $47,704.45 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $12,016.18 | $30,040.44 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $18,803.89 | $47,009.72 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $11,841.18 | $29,602.96 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,922.05 | $17,305.12 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,926.86 | $14,817.16 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $1,466.84 | $3,667.10 | 4.2× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,008.39 | $2,520.97 | 1.1× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $993.70 | $2,484.26 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $17,395.68 | $43,489.20 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $10,548.45 | $26,371.12 | 0.9× |
| Tomosynthesis, mammo (G0279) | $25.88 | $64.72 | 2.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,128.96 | $12,822.40 | 0.9× |
| Transcatheter renal sympath denervation unilat (0338T) | $5,128.96 | $12,822.40 | 0.9× |
| Trauma respons w/hosp criti (G0390) | $1,222.07 | $3,055.17 | 1.0× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,713.15 | $9,282.88 | 1.1× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $15,596.94 | $38,992.35 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $757.62 | $1,894.04 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $757.62 | $1,894.04 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $878.73 | $2,196.82 | 1.3× |