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 | Posted cash | Posted gross | × 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) range across 2 matching MRF lines |
$11.59–$11.94 | $28.97–$29.84 | varies |
| 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) range across 2 matching MRF lines |
$388.12–$399.76 | $970.30–$999.41 | varies |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$52.83–$65.42 | $132.08–$163.56 | varies |
| 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) range across 2 matching MRF lines |
$131.82–$511.90 | $329.54–$1,279.76 | varies |
| Home sleep test/type 3 porta (G0399) | $162.27 | $405.68 | 0.8× |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
$9.91–$150.70 | $24.77–$376.75 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
$743.48–$1,668 | $1,858.70–$4,170 | varies |
| Insj Wcs Lv Pg Compnt (0517T) | $7,699.36 | $19,248.39 | 0.8× |
| Liver Dis 10 Assays Serum Algorithm 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) range across 2 matching MRF lines |
$41.34–$42.58 | $103.34–$106.44 | varies |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$18,526–$19,081.78 | $46,315–$47,704.45 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 3 matching MRF lines |
$11,666.19–$12,016.18 | $29,165.48–$30,040.44 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$18,526–$19,081.78 | $46,315–$47,704.45 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$11,666.19–$12,016.18 | $29,165.48–$30,040.44 | varies |
| 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) range across 2 matching MRF lines |
$1,445.16–$1,488.52 | $3,612.91–$3,721.30 | varies |
| 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) range across 2 matching MRF lines |
$979.02–$1,008.39 | $2,447.54–$2,520.97 | varies |
| 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) range across 2 matching MRF lines |
$25.50–$26.27 | $63.76–$65.67 | varies |
| 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) range across 2 matching MRF lines |
$1,204.01–$1,240.13 | $3,010.02–$3,100.32 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,713.15 | $9,282.88 | 1.1× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$12,016.53–$19,177.35 | $30,041.32–$47,943.38 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$746.42–$768.81 | $1,866.05–$1,922.03 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$746.42–$768.81 | $1,866.05–$1,922.03 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$865.74–$891.72 | $2,164.36–$2,229.29 | varies |
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.