Supplies, drugs & other prices at Southwell Medical
Adel, GA · every code in this section with a posted price and a Medicare benchmark.
73 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 |
$1,418.11–$1,721 | $2,836.21–$3,442 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) | $610 | $1,220 | 2.0× |
| Adm tocilizu covid-19 1st (M0249) | $438.50 | $877 | 1.1× |
| Adm tocilizu covid-19 2nd (M0250) | $438.50 | $877 | 1.1× |
| Admin hepatitis b vaccine (G0010) range across 9 matching MRF lines |
$10–$85.50 | $20–$171 | varies |
| Admin influenza virus vac (G0008) range across 9 matching MRF lines |
$11.50–$85.50 | $23–$171 | varies |
| Admin pneumococcal vaccine (G0009) range across 9 matching MRF lines |
$11.50–$85.50 | $23–$171 | varies |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$30–$36.50 | $60–$73 | varies |
| Behavior counsel obesity 15m (G0447) | $17.50 | $35 | 0.2× |
| Brief alcohol misuse counsel (G0443) range across 2 matching MRF lines |
$44.50–$107.50 | $89–$215 | varies |
| Brief chkin by md/qhp, 11-20 (G2252) | $44 | $88 | 1.5× |
| Brief chkin, 5-10, non-e/m (G2251) | $23.50 | $47 | 1.7× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$139–$277 | $278–$554 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$41.50–$61.50 | $83–$123 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$13.89–$17 | $27.77–$34 | varies |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$30–$36.50 | $60–$73 | varies |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$28.50–$29.50 | $57–$59 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$16.50–$17 | $33–$34 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$181.68–$775.50 | $363.35–$1,551 | varies |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$117.66–$130.73 | $235.31–$261.45 | varies |
| Ed svc ckd grp per session (G0421) | $45 | $90 | 1.6× |
| Ed svc ckd ind per session (G0420) | $192.50 | $385 | 1.7× |
| Elec stim other than wound (G0283) range across 5 matching MRF lines |
$37.62–$94.50 | $75.24–$189 | varies |
| Extraction erupted tooth/exr (D7140) range across 2 matching MRF lines |
$50–$472.09 | $100–$944.17 | varies |
| Fern test (Q0114) range across 4 matching MRF lines |
$148.29–$180.50 | $296.58–$361 | varies |
| Followup eval of foot pt lop (G0246) | $64.50 | $129 | 0.6× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$183.17–$211.50 | $366.33–$423 | varies |
| High inten beh couns std 30m (G0445) | $47 | $94 | 0.5× |
| Home sleep test/type 3 porta (G0399) range across 5 matching MRF lines |
$60–$273.50 | $120–$547 | varies |
| Home sleep test/type 4 porta (G0400) range across 2 matching MRF lines |
$275–$334 | $550–$668 | varies |
| Initial foot exam pt lops (G0245) | $111.50 | $223 | 1.0× |
| Initial preventive exam (G0402) | $100 | $200 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$312.50–$1,495 | $625–$2,990 | varies |
| Intens behave ther cardio dx (G0446) range across 2 matching MRF lines |
$36.50–$44.50 | $73–$89 | varies |
| Mra w/cont, lwr ext (C8912) range across 4 matching MRF lines |
$1,675.48–$2,033.50 | $3,350.95–$4,067 | varies |
| Mra w/cont, pelvis (C8918) | $1,978.50 | $3,957 | 6.5× |
| Mra w/o cont, lwr ext (C8913) range across 4 matching MRF lines |
$1,456.72–$1,768 | $2,913.44–$3,536 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 4 matching MRF lines |
$2,049.80–$2,487.50 | $4,099.60–$4,975 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 3 matching MRF lines |
$1,768–$2,487.50 | $3,536–$4,975 | varies |
| Mri w/cont, breast, bi (C8906) | $941 | $1,882 | 3.1× |
| Mri w/o fol w/cont, breast, (C8908) range across 3 matching MRF lines |
$990.15–$1,201 | $1,980.29–$2,402 | varies |
| Mri w/o fol w/cont, brst, un (C8905) | $1,201 | $2,402 | 3.9× |
| Neuro csf prion prtn qual (0035U) | $801 | $1,602 | 1.5× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$29.50–$44.50 | $59–$89 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) range across 2 matching MRF lines |
$406.50–$531.50 | $813–$1,063 | varies |
| Oth resp proc, indiv (G0238) range across 4 matching MRF lines |
$69.44–$85 | $138.88–$170 | varies |
| Pathogen test for platelets (P9100) | $49.50 | $99 | 1.0× |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$8,930.78–$10,838.50 | $17,861.56–$21,677 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$8,930.78–$10,838.50 | $17,861.56–$21,677 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$17,849.85–$21,662.50 | $35,699.69–$43,325 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$8,930.78–$10,838.50 | $17,861.56–$21,677 | varies |
| Place device/marker, non pro (C9728) | $1,671.52 | $3,343.04 | 1.4× |
| Ppps, initial visit (G0438) | $102.50 | $205 | 0.6× |
| Ppps, subseq visit (G0439) | $75 | $150 | 0.5× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $51 | $102 | 1.6× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$230.50–$746.50 | $461–$1,493 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $373.50 | $747 | 0.5× |
| Remot img sub by pt, non e/m (G2250) | $17 | $34 | 1.3× |
| Revasc intra lithotrip-ather (C9766) range across 6 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Revasc intra lithotrip-stent (C9765) range across 6 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Revasc intravasc lithotripsy (C9764) range across 6 matching MRF lines |
$834.50–$13,672 | $1,669–$27,344 | varies |
| Revasc lith-sten-ath tib/per (C9775) range across 4 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Revasc lithotr-ather tib/per (C9774) range across 4 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Revasc lithotr-stent tib/per (C9773) range across 4 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 4 matching MRF lines |
$834.50–$13,672 | $1,669–$27,344 | varies |
| Revasc lithotrip-stent-ather (C9767) range across 6 matching MRF lines |
$1,335–$21,858.50 | $2,670–$43,717 | varies |
| Therapeutic procd strg endur (G0237) range across 4 matching MRF lines |
$69.44–$85 | $138.88–$170 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $13,672 | $27,344 | 1.4× |
| Trluml Perip Athrc Iliac Art (0238T) range across 4 matching MRF lines |
$6,969.83–$21,162.50 | $13,939.65–$42,325 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $13,543.50 | $27,087 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$366.95–$445 | $733.90–$890 | varies |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$49.50–$107 | $99–$214 | varies |
| Xenograft implantation into the articular surface Non-Facility (0737T) range across 2 matching MRF lines |
$7,424–$9,600 | $14,848–$19,200 | 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.