Supplies, drugs & other prices at SSM Health St. Mary's Hospital - Janesville

Janesville, WI · every code in this section with a posted price and a Medicare benchmark.

26 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $485.65 $883 1.4×
Admin hepatitis b vaccine (G0010) $90.20 $164 1.9×
Admin influenza virus vac (G0008) $90.20 $164 1.9×
Admin pneumococcal vaccine (G0009) $90.20 $164 1.9×
Catheterize for urine spec (P9612) $94.05 $171 10.1×
Direct refer hospital observ (G0379) $343.75 $625 0.6×
Drug test def 1-7 classes (G0480) $227.70 $414 2.0×
Fecal blood scrn immunoassay (G0328) $59.95 $109 3.3×
Fern test (Q0114) $76.45 $139 7.8×
Inj for sacroiliac jt anesth (G0260) $2,620.75 $4,765 3.7×
Mra w/o cont, lwr ext (C8913) $440 $800 1.8×
Mra w/o fol w/cont, abd (C8902) $2,335.85 $4,247 6.6×
Mra w/o fol w/cont, chest (C8911) $2,784.65 $5,063 7.9×
Mra w/o fol w/cont, lwr ext (C8914) $5,514.30 $10,026 15.7×
Mra, w/o&w/dye, upper extr (C8936) $2,784.65 $5,063 7.9×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $592.08 $1,076.51 1.8×
Onc Merkel Cll Carc Srm Quan (0058U) $1,512.50 $2,750 4.7×
Oth resp proc, group (G0239) $241.45 $439 6.4×
Oth resp proc, indiv (G0238) $99 $180 3.4×
Prostate biopsy, any mthd (G0416) $389.95 $709 1.1×
Psa screening (G0103) $241.45 $439 12.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $2,008.60 $3,652 2.8×
Tte w or w/o fol w/con,stres (C8928) $851.40 $1,548 1.1×
Tte w or w/o fol w/cont, com (C8921) $932.25 $1,695 1.2×
Tte w or wo fol wcon,doppler (C8929) $2,006.40 $3,648 2.5×
Unsched dialysis esrd pt hos (G0257) $1,371.15 $2,493 2.0×