Supplies, drugs & other prices at St. Charles Medical Center Prineville
Prineville, OR · every code in this section with a posted price and a Medicare benchmark.
94 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) | $1,732.30 | $2,165.37 | 2.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $526.43 | $658.04 | 1.4× |
| Adm tocilizu covid-19 1st (M0249) | $1,201.78 | $1,502.23 | 2.5× |
| Adm tocilizu covid-19 2nd (M0250) | $1,201.78 | $1,502.23 | 2.5× |
| Admin hepatitis b vaccine (G0010) | $131.05 | $163.81 | 2.5× |
| Admin influenza virus vac (G0008) | $131.05 | $163.81 | 2.5× |
| Admin pneumococcal vaccine (G0009) | $131.05 | $163.81 | 2.5× |
| Alcohol/subs interv 15-30mn (G0396) | $115.20 | $144 | 2.8× |
| Covid-19 lab test non-cdc (U0002) | $131.93 | $164.91 | 2.6× |
| Diab manage trn per indiv (G0108) | $116.30 | $145.37 | 2.1× |
| Diab manage trn ind/group (G0109) | $68.19 | $85.24 | 4.3× |
| Direct refer hospital observ (G0379) | $601.92 | $752.40 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
$105.27–$111.69 | $131.59–$139.61 | varies |
| Drug test def 15-21 classes (G0482) range across 3 matching MRF lines |
$159–$193.98 | $198.75–$242.47 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$241–$449.29 | $301.25–$561.61 | varies |
| Drug test def 8-14 classes (G0481) | $152.83 | $191.04 | 1.0× |
| Eia hiv-1/hiv-2 screen (G0432) | $71.74 | $89.67 | 3.7× |
| Ekg tracing for initial prev (G0404) | $26.05 | $32.56 | 0.8× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $73.50 | $91.87 | 0.1× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $73.50 | $91.87 | 0.1× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $21,875.98 | $27,344.97 | 1.7× |
| Followup eval of foot pt lop (G0246) | $137.66 | $172.07 | 0.9× |
| Group mnt 2 or more 30 mins (G0271) | $61.53 | $76.91 | 3.6× |
| Group train w/o patient (G0543) | $31.90 | $39.87 | 1.0× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $2,537 | $3,171.25 | 3.3× |
| Hep c screen high risk/other (G0472) | $80.45 | $100.56 | 1.7× |
| Hiv combination assay (G0475) | $55.52 | $69.40 | 2.3× |
| Hospital outpt clinic visit (G0463) | $269.79 | $337.24 | 1.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $154.51 | $193.14 | 3.6× |
| Initial foot exam pt lops (G0245) | $137.32 | $171.65 | 0.9× |
| Insertion perm ccm-d system pulse generator only (0916T) likely a partial charge, not the full procedure |
$1,452.70 | $1,815.87 | 0.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) likely a partial charge, not the full procedure |
$1,649.90 | $2,062.37 | 0.2× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) likely a partial charge, not the full procedure |
$1,735.64 | $2,169.55 | 0.2× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) likely a partial charge, not the full procedure |
$1,874.05 | $2,342.56 | 0.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $59,144.47 | $73,930.59 | 1.7× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) range across 2 matching MRF lines |
$280.24–$395.78 | $350.30–$494.73 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $478.50 | $598.12 | 1.0× |
| Mnt subs tx for change dx (G0270) | $66.18 | $82.72 | 2.1× |
| Mra w/o cont, abd (C8901) | $2,474.30 | $3,092.87 | 9.3× |
| Mra w/o cont, chest (C8910) | $2,460.34 | $3,075.43 | 9.3× |
| Mra w/o fol w/cont, abd (C8902) | $3,600.07 | $4,500.09 | 9.3× |
| Mra w/o fol w/cont, chest (C8911) | $3,057.41 | $3,821.76 | 7.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,905.30 | $3,631.62 | 7.5× |
| N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) | $448.58 | $560.72 | 1.7× |
| N-invas assmt car rsk augmnt sw alys fat w/o CT (0992T) | $448.58 | $560.72 | 1.7× |
| Neuro csf prion prtn qual (0035U) | $671.34 | $839.18 | 1.2× |
| No pt prsnt train initial 30 (G0541) | $138.66 | $173.33 | 4.3× |
| Oth resp proc, group (G0239) | $132.95 | $166.19 | 3.2× |
| Oth resp proc, indiv (G0238) | $153.38 | $191.72 | 4.8× |
| Perc d-e cor revasc chro sin (C9607) | $23,055.35 | $28,819.19 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $23,055.35 | $28,819.19 | 1.8× |
| Perc d-e cor stent ather s (C9602) | $23,055.35 | $28,819.19 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $23,055.35 | $28,819.19 | 1.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $10,286.92 | $12,858.65 | 1.3× |
| Perq Sacral Augmt Unilat Inj (0200T) | $10,286.92 | $12,858.65 | 1.3× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$2,108.01 | $2,635.01 | 0.2× |
| Programming device eval impl ccm-d sys in person (0926T) | $188.63 | $235.79 | 4.5× |
| Prostate biopsy, any mthd (G0416) | $300.82 | $376.03 | 0.8× |
| Psa screening (G0103) | $67.02 | $83.77 | 3.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $753.05 | $941.31 | 1.0× |
| Relocation pg wcs lv pacg battery component only (0862T) | $3,626.30 | $4,532.87 | 1.6× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $3,626.30 | $4,532.87 | 1.6× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,484.54 | $1,855.68 | 0.6× |
| Removal perm ccm-d system pulse generator only (0919T) | $783.90 | $979.88 | 0.2× |
| Removal pg wcs lv pacing both components (0861T) | $7,808.91 | $9,761.14 | 1.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $1,457.60 | $1,822 | 2.1× |
| Revasc intra lithotrip-ather (C9766) | $23,179.14 | $28,973.93 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $23,179.14 | $28,973.93 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $11,588.81 | $14,486.01 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) | $36,052.06 | $45,065.08 | 1.8× |
| Revasc lithotrip tibi/perone (C9772) | $27,638.02 | $34,547.53 | 2.2× |
| Revasc lithotrip-stent-ather (C9767) | $37,288.73 | $46,610.91 | 1.8× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $1,266.51 | $1,583.14 | 0.3× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $1,349.81 | $1,687.26 | 0.3× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $1,266.51 | $1,583.14 | 0.3× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) likely a partial charge, not the full procedure |
$1,349.81 | $1,687.26 | 0.1× |
| Screening hep c detect (G0567) | $190.34 | $237.92 | 5.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $38,746.66 | $48,433.32 | 1.8× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $38,965.53 | $48,706.91 | 1.8× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $38,110.65 | $47,638.31 | 1.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $38,110.65 | $47,638.31 | 1.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,338.37 | $7,922.96 | 1.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $38,746.66 | $48,433.32 | 1.8× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,568.14 | $1,960.18 | 1.8× |
| Therapeutic procd strg endur (G0237) | $153.38 | $191.72 | 4.8× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,786.63–$3,590.62 | $2,233.29–$4,488.27 | varies |
| Trim nail(s) (G0127) | $124.50 | $155.62 | 1.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $30,397.22 | $37,996.53 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $1,456.26 | $1,820.32 | 1.7× |
| Tte w or w/o fol w/cont, com (C8921) | $742.32 | $927.90 | 0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $873.58 | $1,091.98 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,867.29 | $2,334.11 | 2.1× |
| Vasc emb/occ w/prs cath (C9797) | $34,868.85 | $43,586.06 | 1.7× |
| Ven blood coll snf/hha (G0471) | $5.81 | $7.26 | 0.5× |
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.