Supplies, drugs & other prices at Southwest General Health Center
Middleburg Heights, OH · every code in this section with a posted price and a Medicare benchmark.
79 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,271.25 | $1,695 | 3.9× |
| Admin hepatitis b vaccine (G0010) | $92.25 | $123 | 2.1× |
| Admin influenza virus vac (G0008) | $92.25 | $123 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $30 | $40 | 0.7× |
| Behavior counsel obesity 15m (G0447) | $45 | $60 | 0.5× |
| Brief alcohol misuse counsel (G0443) | $30 | $40 | 0.3× |
| Ca screen;flexi sigmoidscope (G0104) | $60 | $80 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $48.75 | $65 | 0.5× |
| Chemo extend iv infus w/pump (G0498) | $732.75 | $977 | 2.3× |
| Colon ca scrn not hi rsk ind (G0121) | $558.75 | $745 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $431.25 | $575 | 0.5× |
| Demonstrate use home inr mon (G0248) | $273.75 | $365 | 2.2× |
| Depression screen annual (G0444) | $30 | $40 | 0.8× |
| Direct refer hospital observ (G0379) | $1,200 | $1,600 | 2.1× |
| Drug test def 1-7 classes (G0480) range across 14 matching MRF lines |
$195–$397.50 | $260–$530 | varies |
| Drug test def 15-21 classes (G0482) | $336.75 | $449 | 1.7× |
| Elec stim other than wound (G0283) | $102 | $136 | 8.0× |
| Fecal blood scrn immunoassay (G0328) | $30 | $40 | 1.7× |
| Fecal microbiota prep instil (G0455) | $150 | $200 | 0.2× |
| Hbot, full body chamber, 30m (G0277) | $359.25 | $479 | 2.8× |
| Hopd mntl hlt, 15-29 min (C7900) | $192 | $256 | 5.4× |
| Hopd mntl hlt, 30-60 min (C7901) | $226.50 | $302 | 2.4× |
| Hopd mntl hlt, grp (C7903) | $225 | $300 | 6.3× |
| Hospital outpt clinic visit (G0463) range across 49 matching MRF lines |
$81–$1,104 | $108–$1,472 | varies |
| Initial preventive exam (G0402) | $168.75 | $225 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,459.50–$1,825.50 | $1,946–$2,434 | varies |
| Intens behave ther cardio dx (G0446) | $33.75 | $45 | 1.0× |
| Mra w/cont, abd (C8900) | $3,181.50 | $4,242 | 9.6× |
| Mra w/cont, chest (C8909) | $1,968.75 | $2,625 | 6.0× |
| Mra w/cont, lwr ext (C8912) | $3,785.25 | $5,047 | 11.5× |
| Mra w/cont, pelvis (C8918) | $1,968.75 | $2,625 | 6.0× |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$3,457.50–$3,841.50 | $4,610–$5,122 | varies |
| Mra w/o cont, chest (C8910) | $1,968.75 | $2,625 | 8.7× |
| Mra w/o cont, lwr ext (C8913) | $3,660.75 | $4,881 | 16.2× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$3,113.25–$3,459 | $4,151–$4,612 | varies |
| Mra w/o fol w/cont, chest (C8911) | $1,968.75 | $2,625 | 6.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,909 | $5,212 | 11.8× |
| Mra, w/dye, upper extremity (C8934) | $2,091.75 | $2,789 | 6.3× |
| Mra, w/o dye, upper extr (C8935) | $1,968.75 | $2,625 | 8.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,216.25 | $2,955 | 6.7× |
| Mri w/cont, breast, bi (C8906) | $4,026.75 | $5,369 | 12.2× |
| Mri w/cont, breast, uni (C8903) | $2,302.50 | $3,070 | 13.9× |
| Mri w/o fol w/cont, breast, (C8908) | $3,443.25 | $4,591 | 10.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,425.50 | $3,234 | 7.3× |
| Njx platelet plasma (0232T) | $375 | $500 | 0.9× |
| Obtaining screen pap smear (Q0091) | $48.75 | $65 | 1.8× |
| Oth resp proc, group (G0239) | $175.50 | $234 | 5.0× |
| Pathogen test for platelets (P9100) | $128.25 | $171 | 2.3× |
| Perc d-e cor revasc chro sin (C9607) | $31,562.25 | $42,083 | 1.8× |
| Perc d-e cor revasc t cabg s (C9604) | $17,197.50 | $22,930 | 1.6× |
| Perc d-e cor stent ather s (C9602) | $25,785.75 | $34,381 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $20,299.50 | $27,066 | 1.9× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,748.50 | $8,998 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,738.50 | $6,318 | 0.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $13,607.25 | $18,143 | 1.2× |
| Ppps, initial visit (G0438) | $187.50 | $250 | 1.1× |
| Ppps, subseq visit (G0439) | $150 | $200 | 1.1× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $2,652.75 | $3,537 | 3.3× |
| Psa screening (G0103) | $111.75 | $149 | 5.8× |
| Revasc intra lithotrip-ather (C9766) | $16,377.75 | $21,837 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $16,377.75 | $21,837 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $10,236.75 | $13,649 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $16,377.75 | $21,837 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) | $16,377.75 | $21,837 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $16,377.75 | $21,837 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $10,236.75 | $13,649 | 0.9× |
| Revasc lithotrip-stent-ather (C9767) | $16,377.75 | $21,837 | 0.9× |
| Routine footcare pt w lops (G0247) | $71.25 | $95 | 0.4× |
| Tomosynthesis, mammo (G0279) | $56.25 | $75 | 4.4× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,835.75–$3,057.75 | $3,781–$4,077 | varies |
| Trim nail(s) (G0127) | $22.50 | $30 | 0.4× |
| Trluml perip athrc abd aorta (0236T) | $23,655 | $31,540 | 2.2× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$29,817–$30,969 | $39,756–$41,292 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $1,644.75 | $2,193 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,511 | $3,348 | 3.4× |
| U/s trtmt, not leiomyomata (C9734) unusually low: confirm this is the full procedure |
$5,412.75 | $7,217 | 0.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,505.25 | $2,007 | 2.3× |
| Visit to determ ldct elig (G0296) | $172.50 | $230 | 1.8× |
| Wet mounts/ w preparations (Q0111) | $63 | $84 | 3.4× |
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.