Supplies, drugs & other prices at St. Clare Hospital

Lakewood, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $933.94 $3,240.12 1.0×
2d tte w or w/o fol w/con,co (C8923) $1,050.71 $3,645.25 1.1×
2d tte w or w/o fol w/con,fu (C8924) $671.14 $2,328.38 1.6×
Adm tocilizu covid-19 1st (M0249) $227.56 $789.47 0.4×
Adm tocilizu covid-19 2nd (M0250) $227.56 $789.47 0.4×
Admin hepatitis b vaccine (G0010) $22.89 $79.40 0.4×
Admin influenza virus vac (G0008) $38.25 $132.68 0.7×
Admin pneumococcal vaccine (G0009) $38.25 $132.68 0.7×
Alcohol/subs interv 15-30mn (G0396) $44.70 $155.05 1.0×
Alcohol/subs interv >30 min (G0397) $89.38 $310.08 0.4×
Catheterize for urine spec (P9612) $62.22 $215.86 6.7×
Diab manage trn per indiv (G0108) $69.76 $242.01 1.3×
Diab manage trn ind/group (G0109) $44.56 $154.58 2.8×
Direct refer hospital observ (G0379) $246.91 $856.59 0.4×
Drug test def 1-7 classes (G0480) $112.94 $391.80 1.0×
Drug test def 22+ classes (G0483) $225 $780.59 0.9×
Drug test def 8-14 classes (G0481) $107.97 $374.56 0.7×
Ekg tracing for initial prev (G0404) $38.82 $134.66 1.1×
Group mnt 2 or more 30 mins (G0271) $19.18 $66.53 1.1×
Hbot, full body chamber, 30m (G0277) $272.61 $945.75 1.7×
Home sleep test/type 3 porta (G0399) $284.44 $986.79 1.1×
Iliac Atherectomy (0238T)
likely a partial charge, not the full procedure
$5,807.89 $20,149.41 0.3×
Inj for sacroiliac jt anesth (G0260) $763.33 $2,648.21 0.9×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$3,055.59 $10,600.80 0.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure
$5,592.36 $19,401.69 0.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
likely a partial charge, not the full procedure
$7,383.22 $25,614.75 0.2×
Lev 1 hosp type b ed visit (G0380) $166.33 $577.04 1.9×
Lev 2 hosp type b ed visit (G0381) $272.17 $944.24 2.5×
Lev 3 hosp type b ed visit (G0382) $559.46 $1,940.94 2.8×
Lev 4 hosp type b ed visit (G0383) $861.87 $2,990.10 2.8×
Lev 5 hosp type b ed visit (G0384) $1,508.63 $5,233.89 3.1×
Mnt subs tx for change dx (G0270) $33.67 $116.81 1.1×
Mra w/cont, abd (C8900) $1,323.32 $4,591 3.3×
Mra w/cont, chest (C8909) $1,343.46 $4,660.86 3.3×
Mra w/cont, pelvis (C8918) $1,449.03 $5,027.12 3.6×
Mra w/o cont, abd (C8901) $1,197.33 $4,153.89 4.3×
Mra w/o cont, chest (C8910) $1,314.87 $4,561.69 4.7×
Mra w/o cont, pelvis (C8919) $1,317.29 $4,570.10 4.7×
Mra w/o fol w/cont, abd (C8902) $1,696.37 $5,885.23 4.2×
Mra w/o fol w/cont, chest (C8911) $1,715.05 $5,950.03 4.2×
Mra w/o fol w/cont, pelvis (C8920) $1,514.89 $5,255.63 3.7×
Mra, w/dye, spinal canal (C8931) $1,242.79 $4,311.62 3.1×
Mra, w/dye, upper extremity (C8934) $1,416.99 $4,915.98 3.5×
Mra, w/o dye, spinal canal (C8932) $1,182.54 $4,102.58 4.2×
Mra, w/o dye, upper extr (C8935) $1,286.07 $4,461.78 4.6×
Mra, w/o&w/dye, spinal canal (C8933) $1,346.88 $4,672.73 3.3×
Mra, w/o&w/dye, upper extr (C8936) $1,561.61 $5,417.71 3.8×
Mri w/cont, breast, bi (C8906) $1,535.07 $5,325.62 3.8×
Mri w/o fol w/cont, breast, (C8908) $1,788.42 $6,204.60 4.4×
Neuro csf prion prtn qual (0035U) $196.73 $682.50 0.4×
Njx pltlt plasma w/img harvest/preparation (0232T) $308.76 $1,071.17 0.6×
Onc brst ca erbb2 amp/nonamp (0009U) $38.66 $134.11 0.4×
Onc hmtlmf neo jak2 mut DNA (0017U) $87.50 $303.54 1.0×
Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) $156.49 $542.89 1.0×
Oth resp proc, group (G0239) $55.23 $191.58 1.3×
Oth resp proc, indiv (G0238) $47.20 $163.74 1.4×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$9,416.93 $32,670.33 0.4×
Perc d-e cor revasc t cabg s (C9604) $8,800.87 $30,533.02 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$9,416.93 $32,670.33 0.4×
Perc drug-el cor stent sing (C9600) $8,800.87 $30,533.02 0.7×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,802.01 $13,190.39 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$3,556.04 $12,337.03 0.4×
Place device/marker, non pro (C9728) $1,729.78 $6,001.13 1.1×
Prostate biopsy, any mthd (G0416) $314.64 $1,091.57 0.8×
Removal of substernal implantable defibrillator electrode (0573T) $2,831.03 $9,821.75 0.6×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,831.03 $9,821.75 0.6×
Revasc lith-sten-ath tib/per (C9775)
unusually low: confirm this is the full procedure
$6,609.10 $22,929.06 0.3×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$6,609.10 $22,929.06 0.3×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$6,609.10 $22,929.06 0.3×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$5,114.58 $17,744.11 0.4×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,831.03 $9,821.75 0.6×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
likely a partial charge, not the full procedure
$5,111.48 $17,733.35 0.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$7,826.72 $27,153.39 0.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$7,607.26 $26,392 0.3×
Tee w or w/o fol w/cont,cong (C8926) $1,097.97 $3,809.18 1.2×
Therapeutic procd strg endur (G0237) $47.20 $163.74 1.4×
Tomosynthesis, mammo (G0279) $76.07 $263.89 6.0×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$4,814.33 $16,702.43 0.4×
Trauma respons w/hosp criti (G0390) $3,446.50 $11,957 2.2×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$5,260.31 $18,249.68 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$4,622.38 $16,036.50 0.3×
Tte w or w/o contr, cont ecg (C8930) $727.58 $2,524.20 0.8×
Tte w or w/o fol w/con,stres (C8928) $612.38 $2,124.54 0.7×
Tte w or w/o fol w/cont, com (C8921) $827.48 $2,870.77 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $614.59 $2,132.18 0.7×
Tte w or wo fol wcon,doppler (C8929) $1,778.85 $6,171.39 1.9×
Unsched dialysis esrd pt hos (G0257) $918.82 $3,187.65 1.1×