Supplies, drugs & other prices at Spring View Hospital
Lebanon, KY · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $92.49 | $231.23 | 2.1× |
| Admin influenza virus vac (G0008) | $92.49 | $231.23 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $92.49 | $231.23 | 2.1× |
| Colon ca scrn not hi rsk ind (G0121) | $3,004.77 | $7,511.92 | 3.4× |
| Colorectal scrn; hi risk ind (G0105) | $3,305.25 | $8,263.12 | 3.8× |
| Covid-19 lab test non-cdc (U0002) | $78.20 | $195.49 | 1.5× |
| Cysto, litho, vacuum kidney (C9761) | $9,105.45 | $22,763.64 | 1.0× |
| Direct refer hospital observ (G0379) | $529.40 | $1,323.51 | 0.9× |
| Drug test def 1-7 classes (G0480) | $67.55 | $168.87 | 0.6× |
| Elec stim other than wound (G0283) | $71.86 | $179.64 | 5.7× |
| Elisa hiv-1/hiv-2 screen (G0433) | $132.04 | $330.11 | 7.2× |
| Hbot, full body chamber, 30m (G0277) | $225.15 | $562.88 | 1.7× |
| Hospital outpt clinic visit (G0463) | $218.46 | $546.15 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $2,151.52 | $5,378.80 | 3.2× |
| Mra w/cont, abd (C8900) | $2,061.63 | $5,154.07 | 6.3× |
| Mra w/cont, chest (C8909) | $2,061.63 | $5,154.07 | 6.3× |
| Mra w/cont, lwr ext (C8912) | $2,154.40 | $5,386 | 6.6× |
| Mra w/cont, pelvis (C8918) | $2,883.73 | $7,209.32 | 8.8× |
| Mra w/o cont, abd (C8901) | $2,422.48 | $6,056.19 | 10.8× |
| Mra w/o cont, chest (C8910) | $2,422.48 | $6,056.19 | 10.8× |
| Mra w/o cont, lwr ext (C8913) | $2,154.40 | $5,386 | 9.6× |
| Mra w/o cont, pelvis (C8919) | $2,682.92 | $6,707.29 | 12.0× |
| Mra w/o fol w/cont, abd (C8902) | $2,061.63 | $5,154.07 | 6.3× |
| Mra w/o fol w/cont, chest (C8911) | $2,061.63 | $5,154.07 | 6.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,154.40 | $5,386 | 6.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,977.43 | $7,443.58 | 9.1× |
| Mra, w/o dye, upper extr (C8935) | $2,154.40 | $5,386 | 9.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,154.40 | $5,386 | 6.6× |
| Mri w/cont, breast, bi (C8906) | $2,407.87 | $6,019.67 | 7.4× |
| Mri w/cont, breast, uni (C8903) | $2,548.44 | $6,371.09 | 15.5× |
| Mri w/o fol w/cont, breast, (C8908) | $2,971.96 | $7,429.90 | 9.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,957.54 | $7,393.84 | 9.0× |
| Prostate biopsy, any mthd (G0416) | $45.79 | $114.47 | 0.1× |
| Tomosynthesis, mammo (G0279) | $51.88 | $129.70 | 4.1× |