Supplies, drugs & other prices at Southern Ohio Medical Center
Portsmouth, OH · every code in this section with a posted price and a Medicare benchmark.
69 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$1,687.50–$1,812.50 | $3,375–$3,625 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$1,683–$1,725.50 | $3,366–$3,451 | varies |
| Adm of soc dtr assess 5-15 m (G0136) | $25 | $50 | 0.7× |
| Admin hepatitis b vaccine (G0010) | $38 | $76 | 0.9× |
| Admin influenza virus vac (G0008) | $42 | $84 | 0.9× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$12.50–$38 | $25–$76 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $50 | $100 | 1.4× |
| Alcohol/subs interv >30 min (G0397) | $80 | $160 | 0.5× |
| Annual alcohol screen 15 min (G0442) | $22.50 | $45 | 0.6× |
| Behavior counsel obesity 15m (G0447) | $80 | $160 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $77.50 | $155 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$25–$48 | $50–$96 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $277 | $554 | 0.3× |
| Colorectal scrn; hi risk ind (G0105) | $300 | $600 | 0.3× |
| Covid-19 lab test non-cdc (U0002) | $72.50 | $145 | 1.4× |
| Depression screen annual (G0444) | $22.50 | $45 | 0.6× |
| Diab manage trn per indiv (G0108) | $58 | $116 | 1.0× |
| Diab manage trn ind/group (G0109) | $27.50 | $55 | 1.7× |
| Direct refer hospital observ (G0379) | $338 | $676 | 0.6× |
| Drug test def 1-7 classes (G0480) range across 105 matching MRF lines |
$9–$217 | $18–$434 | varies |
| Drug test def 15-21 classes (G0482) | $183 | $366 | 0.9× |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$299.50–$364 | $599–$728 | varies |
| Drug test def 8-14 classes (G0481) | $146 | $292 | 0.9× |
| Ekg tracing for initial prev (G0404) | $25 | $50 | 0.9× |
| Elec stim other than wound (G0283) | $69 | $138 | 5.4× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $1,984.50 | $3,969 | 0.7× |
| Extrnl counterpulse, per tx (G0166) | $46 | $92 | 0.4× |
| Fecal blood scrn immunoassay (G0328) | $53 | $106 | 2.9× |
| Fecal microbiota prep instil (G0455) | $93.50 | $187 | 0.1× |
| Followup eval of foot pt lop (G0246) range across 2 matching MRF lines |
$87.50–$117.50 | $175–$235 | varies |
| Hbot, full body chamber, 30m (G0277) | $252 | $504 | 1.9× |
| Home sleep test/type 3 porta (G0399) | $221.50 | $443 | 1.1× |
| Hospital outpt clinic visit (G0463) range across 20 matching MRF lines |
$122–$405.50 | $244–$811 | varies |
| Hpv combo assay ca screen (G0476) | $45.50 | $91 | 1.3× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $42.50 | $85 | 1.0× |
| Initial foot exam pt lops (G0245) range across 2 matching MRF lines |
$120–$162.50 | $240–$325 | varies |
| Inj for sacroiliac jt anesth (G0260) | $643 | $1,286 | 1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $240.66 | $481.33 | 2.0× |
| Mra w/cont, abd (C8900) | $1,239.50 | $2,479 | 3.8× |
| Mra w/o cont, abd (C8901) range across 3 matching MRF lines |
$1,294–$1,469 | $2,588–$2,938 | varies |
| Mra w/o fol w/cont, abd (C8902) | $1,239.50 | $2,479 | 3.8× |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$2,057.50–$2,207.50 | $4,115–$4,415 | varies |
| Mri w/o fol w/cont, breast, (C8908) | $2,129.50 | $4,259 | 6.5× |
| Njx platelet plasma (0232T) | $1,250 | $2,500 | 3.0× |
| Obtaining screen pap smear (Q0091) | $52 | $104 | 1.9× |
| Oth resp proc, group (G0239) range across 3 matching MRF lines |
$37.50–$38.50 | $75–$77 | varies |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$13,747.50–$15,446.50 | $27,495–$30,893 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$9,019.50–$10,570.50 | $18,039–$21,141 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$13,747.50–$15,446.50 | $27,495–$30,893 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$9,709–$10,380 | $19,418–$20,760 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 2 matching MRF lines |
$5,207.50–$6,770 | $10,415–$13,540 | varies |
| Post op service lvrs min 6 (G0305) | $27.75 | $55.50 | 0.1× |
| Ppps, initial visit (G0438) | $149.50 | $299 | 0.9× |
| Pre-op service lvrs 1-9 dos (G0304) | $27.75 | $55.50 | 0.1× |
| Pre-op service lvrs 10-15dos (G0303) | $27.75 | $55.50 | 0.1× |
| Pre-op service lvrs complete (G0302) | $27.75 | $55.50 | 0.1× |
| Prolonged iv inf, req pump (C8957) | $254.50 | $509 | 1.3× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$453.50–$1,613.50 | $907–$3,227 | varies |
| Psa screening (G0103) | $50.50 | $101 | 2.6× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $412 | $824 | 0.6× |
| Screen cerv/vag thin layer (G0123) | $126 | $252 | 6.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$800 | $1,600 | 0.0× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$61–$62.50 | $122–$125 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$7,398.50–$8,498.50 | $14,797–$16,997 | varies |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,281–$1,416 | $2,562–$2,832 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,578.50–$1,703.50 | $3,157–$3,407 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$200.50–$247 | $401–$494 | varies |
| Visit to determ ldct elig (G0296) | $50 | $100 | 0.5× |
| Wet mounts/ w preparations (Q0111) | $10.50 | $21 | 0.6× |
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.