Supplies, drugs & other prices at Southern Regional Medical Center
Riverdale, GA · every code in this section with a posted price and a Medicare benchmark.
55 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $782 | $3,653.35 | 1.0× |
| 2d tte w or w/o fol w/con,co (C8923) | $782 | $2,046.25 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $348 | $1,175 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $46 | $153.19 | 1.0× |
| Admin influenza virus vac (G0008) | $46 | $204.35 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $46 | $125.19 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $928 | $1,925.75 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $928 | $4,052.40 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $928 | $4,052.40 | 1.0× |
| Diab manage trn per indiv (G0108) | $56 | $172.50 | 1.0× |
| Diab manage trn ind/group (G0109) | $16 | $63 | 1.0× |
| Direct refer hospital observ (G0379) | $594 | $2,054.50 | 1.0× |
| Drug test def 1-7 classes (G0480) | $114 | $343 | 1.0× |
| Drug test def 15-21 classes (G0482) | $198 | $399.70 | 1.0× |
| Drug test def 8-14 classes (G0481) | $156 | $1,076.15 | 1.0× |
| Elec stim other than wound (G0283) | $12 | $189.83 | 0.9× |
| Elec stim unattend for press (G0281) | $11 | $213.90 | 0.9× |
| Endo defect closure gi tract (C9901) | $10,609 | $9,808 | 1.0× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $11,522 | $29,926 | 1.0× |
| Fern test (Q0114) | $9 | $141.08 | 0.9× |
| Hbot, full body chamber, 30m (G0277) | $137 | $609 | 1.0× |
| Hep c screen high risk/other (G0472) | $46 | $276.80 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $215 | $860.40 | 1.0× |
| Home sleep test/type 4 porta (G0400) | $215 | $1,026.90 | 1.0× |
| Hospital outpt clinic visit (G0463) | $132 | $634.50 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $704 | $2,813.61 | 1.0× |
| Intens cardiac rehab no exer (G0423) | $128 | $600.35 | 1.0× |
| Intens cardiac rehab w/exerc (G0422) | $128 | $600.35 | 1.0× |
| Liver dis 10 assays w/nash (0003M) | $503 | $2,517 | 1.0× |
| Mra w/cont, chest (C8909) | $348 | $2,613.71 | 1.0× |
| Mra w/cont, lwr ext (C8912) | $348 | $2,613.71 | 1.0× |
| Mra w/cont, pelvis (C8918) | $348 | $3,197.83 | 1.0× |
| Mra w/o fol w/cont, abd (C8902) | $348 | $4,535 | 1.0× |
| Mra, w/dye, upper extremity (C8934) | $348 | $2,901.15 | 1.0× |
| Mri w/o fol w/cont, breast, (C8908) | $348 | $6,397.06 | 1.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $445 | $63,531.25 | 1.0× |
| Obtaining screen pap smear (Q0091) | $28 | $75.69 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) | $18,296 | $25,669 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $11,522 | $33,726 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $11,522 | $33,726 | 1.0× |
| Psa screening (G0103) | $19 | $284.22 | 1.0× |
| Revasc intra lithotrip-ather (C9766) | $18,296 | $51,406.20 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $18,296 | $51,406.20 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $11,522 | $24,769.50 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $18,296 | $51,406.20 | 1.0× |
| Therapeutic procd strg endur (G0237) | $28 | $126.15 | 1.0× |
| Tomosynthesis, mammo (G0279) | $12 | $278 | 0.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $11,522 | $30,775.50 | 1.0× |
| Trluml Perip Athrc Renal Art (0234T) | $11,522 | $30,775.50 | 1.0× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $11,522 | $30,775.50 | 1.0× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $18,296 | $51,406.20 | 1.0× |
| Tte w or w/o fol w/cont, com (C8921) | $782 | $3,715.48 | 1.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $782 | $2,322.21 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $782 | $2,467.40 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $685 | $4,185.81 | 1.0× |