Supplies, drugs & other prices at St. Dominic Hospital
Jackson, MS · every code in this section with a posted price and a Medicare benchmark.
57 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) | $760 | $1,520 | 2.4× |
| Catheterize for urine spec (P9612) | $34 | $68 | 3.6× |
| Chemo extend iv infus w/pump (G0498) | $599 | $1,198 | 2.0× |
| Diab manage trn ind/group (G0109) | $26.50 | $53 | 1.7× |
| Direct refer hospital observ (G0379) | $320.50 | $641 | 0.6× |
| Drug test def 1-7 classes (G0480) | $49.50 | $99 | 0.4× |
| Elec stim other than wound (G0283) | $55 | $110 | 4.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$14,055.50 | $28,111 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $380 | $760 | 3.1× |
| Inj for sacroiliac jt anesth (G0260) | $2,536 | $5,072 | 4.0× |
| Instlj fecal microbiota ssp (0780T) | $175.50 | $351 | 1.5× |
| Mra w/cont, abd (C8900) | $1,514.50 | $3,029 | 4.8× |
| Mra w/o cont, abd (C8901) | $1,188 | $2,376 | 5.5× |
| Mra w/o cont, lwr ext (C8913) | $1,445 | $2,890 | 6.7× |
| Mra w/o cont, pelvis (C8919) | $1,355.50 | $2,711 | 6.3× |
| Mra w/o fol w/cont, abd (C8902) | $1,847 | $3,694 | 5.9× |
| Mra w/o fol w/cont, chest (C8911) | $2,088 | $4,176 | 6.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,088 | $4,176 | 6.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,766.50 | $3,533 | 5.6× |
| Mra, w/o dye, upper extr (C8935) | $1,468.50 | $2,937 | 6.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,468.50 | $2,937 | 4.7× |
| Njx platelet plasma (0232T) | $1,435 | $2,870 | 3.6× |
| Oth resp proc, group (G0239) | $115.50 | $231 | 3.4× |
| Perc d-e cor revasc chro sin (C9607) | $11,264 | $22,528 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $11,264 | $22,528 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $11,264 | $22,528 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $11,264 | $22,528 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $12,792 | $25,584 | 2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,851.50 | $9,703 | 0.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$5,156.93 | $10,313.85 | 0.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $31 | $62 | 0.9× |
| Psa screening (G0103) | $88.50 | $177 | 4.6× |
| Relocation pg wcs lv pacg battery component only (0862T) | $1,346.50 | $2,693 | 0.7× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $1,346.50 | $2,693 | 0.7× |
| Removal pg wcs lv pacing both components (0861T) | $2,899.50 | $5,799 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $13,812 | $27,624 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $8,342 | $16,684 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $14,055.50 | $28,111 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $14,055.50 | $28,111 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $14,055.50 | $28,111 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $8,786.50 | $17,573 | 0.8× |
| Scr c/v cyto, automated sys (G0147) | $66 | $132 | 3.6× |
| Screen cerv/vag thin layer (G0123) | $61.50 | $123 | 3.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $14,388 | $28,776 | 0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $16,131.30 | $32,262.59 | 0.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $2,353.50 | $4,707 | 0.8× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $14,388 | $28,776 | 0.8× |
| Therapeutic procd strg endur (G0237) | $96 | $192 | 3.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $6,406.50 | $12,813 | 1.2× |
| Transcatheter renal sympath denervation unilat (0338T) | $6,406.50 | $12,813 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $1,970 | $3,940 | 1.6× |
| Trim nail(s) (G0127) | $76.50 | $153 | 1.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $6,526 | $13,052 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) | $13,471.50 | $26,943 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,073.50 | $2,147 | 1.5× |
| Unsched dialysis esrd pt hos (G0257) | $1,449.50 | $2,899 | 2.3× |
| Vasc emb/occ w/prs cath (C9797) | $19,750 | $39,500 | 1.2× |