Supplies, drugs & other prices at St. Elizabeth Healthcare Florence Hospital

Florence, KY · every code in this section with a posted price and a Medicare benchmark.

112 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) $3,172.41 $3,172.41 4.2×
2d tte w or w/o fol w/con,co (C8923) $3,172.41 $3,172.41 4.2×
2d tte w or w/o fol w/con,fu (C8924) $1,434.04 $1,434.04 4.2×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $7,841.17 $7,841.17 4.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $7,841.17 $7,841.17 4.1×
Admin hepatitis b vaccine (G0010) $185.26 $185.26 4.1×
Admin influenza virus vac (G0008) $185.26 $185.26 4.1×
Admin pneumococcal vaccine (G0009) $102.60 $102.60 2.2×
Autolog prp not diab ulcer (G0460) $7,345.11 $7,345.11 3.7×
Blind interatrial shunt ide (C9758) $70,271.50 $70,271.50 4.2×
Ca screen;flexi sigmoidscope (G0104) $3,660.87 $3,660.87 4.0×
Catheterize for urine spec (P9612) $27.27 $27.27 2.9×
Chemo extend iv infus w/pump (G0498) $1,331.87 $1,331.87 4.1×
Colon ca scrn not hi rsk ind (G0121) $3,660.87 $3,660.87 4.0×
Colorectal scrn; hi risk ind (G0105) $3,660.87 $3,660.87 4.0×
Diab manage trn per indiv (G0108) $150.45 $150.45 2.7×
Diab manage trn ind/group (G0109) $43.02 $43.02 2.7×
Direct refer hospital observ (G0379) $605 $605 1.0×
Drug test def 1-7 classes (G0480) $343.29 $343.29 3.0×
Drug test def 8-14 classes (G0481) $469.77 $469.77 3.0×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $368.56 $368.56 4.0×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $368.56 $368.56 4.0×
Elec stim other than wound (G0283) $34.53 $34.53 2.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $140,541 $140,541 3.3×
Extrnl counterpulse, per tx (G0166) $517.57 $517.57 4.0×
Fecal blood scrn immunoassay (G0328) $54.15 $54.15 3.0×
Fecal microbiota prep instil (G0455) $3,660.87 $3,660.87 4.0×
Group mnt 2 or more 30 mins (G0271) $46.41 $46.41 2.7×
Hbot, full body chamber, 30m (G0277) $553.73 $553.73 4.1×
Hep c screen high risk/other (G0472) $139.05 $139.05 3.0×
Hiv combination assay (G0475) $72.24 $72.24 3.0×
Home sleep test/type 3 porta (G0399) $628.24 $628.24 3.0×
Hospital outpt clinic visit (G0463) $25 $25 0.2×
Inj for sacroiliac jt anesth (G0260) $2,780.73 $2,780.73 4.0×
Insertion of substernal implantable defibrillator electrode (0572T) $33,231.39 $33,231.39 4.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $42,022.47 $42,022.47 4.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $42,022.47 $42,022.47 4.1×
Insertion wrls car stimulator lv pacg compl sys (0515T) $90,130.43 $90,130.43 4.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $128,740.07 $128,740.07 4.2×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $33,231.39 $33,231.39 4.1×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $33,231.39 $33,231.39 4.1×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $90,130.43 $90,130.43 4.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $128,740.07 $128,740.07 4.2×
Instill pharm renal pelvis (C9789) $9,036.65 $9,036.65 7.6×
Interrog dev eval wcs ip (0521T) $98.35 $98.35 3.5×
Mnt subs tx for change dx (G0270) $87.12 $87.12 2.7×
Mra w/cont, abd (C8900) $1,434.04 $1,434.04 4.2×
Mra w/cont, chest (C8909) $1,434.04 $1,434.04 4.2×
Mra w/cont, pelvis (C8918) $1,434.04 $1,434.04 4.2×
Mra w/o cont, abd (C8901) $970.62 $970.62 4.2×
Mra w/o cont, chest (C8910) $970.62 $970.62 4.2×
Mra w/o cont, pelvis (C8919) $970.62 $970.62 4.2×
Mra w/o fol w/cont, abd (C8902) $1,434.04 $1,434.04 4.2×
Mra w/o fol w/cont, chest (C8911) $1,434.04 $1,434.04 4.2×
Mra w/o fol w/cont, pelvis (C8920) $1,434.04 $1,434.04 4.2×
Mri w/cont, breast, bi (C8906) $1,434.04 $1,434.04 4.2×
Mri w/o fol w/cont, breast, (C8908) $1,434.04 $1,434.04 4.2×
Mri w/o fol w/cont, brst, un (C8905) $1,434.04 $1,434.04 4.2×
Nav srv peer sup 60 min pr m (G0140) $371.41 $371.41 3.8×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,622.97 $1,622.97 3.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,602.29 $1,602.29 3.7×
Obtaining screen pap smear (Q0091) $98.35 $98.35 3.5×
Oth resp proc, group (G0239) $157.59 $157.59 4.3×
Oth resp proc, indiv (G0238) $98.35 $98.35 3.5×
Pef bronch ablt 3d nav ebus (C8005) $70,945.38 $70,945.38 4.3×
Pemivibart infusion (M0224) $1,808.93 $1,808.93 4.2×
Perc d-e cor revasc chro sin (C9607) $72,103.42 $72,103.42 4.0×
Perc d-e cor revasc t cabg s (C9604) $45,536.92 $45,536.92 4.0×
Perc d-e cor stent ather s (C9602) $72,103.42 $72,103.42 4.0×
Perc drug-el cor stent sing (C9600) $45,536.92 $45,536.92 4.0×
Perq Sacral Augmt Bilat Inj (0201T) $28,684.95 $28,684.95 4.1×
Perq Sacral Augmt Unilat Inj (0200T) $28,684.95 $28,684.95 4.1×
Pin service 60m per month (G0023) $371.41 $371.41 3.8×
Prgrmg dev eval wcs ip (0522T) $149.73 $149.73 4.1×
Prostate biopsy, any mthd (G0416) $1,444.41 $1,444.41 4.1×
Psa screening (G0103) $57.93 $57.93 3.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $2,160 $2,160 3.0×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $7,345.11 $7,345.11 3.7×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $42,022.47 $42,022.47 4.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $42,022.47 $42,022.47 4.1×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $14,613.24 $14,613.24 4.0×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $14,613.24 $14,613.24 4.0×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $14,613.24 $14,613.24 4.0×
Repos Cardiac Modulj Transvenous Electrode (0415T) $2,482.55 $2,482.55 4.1×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $14,613.24 $14,613.24 4.0×
Revasc intra lithotrip-ather (C9766) $72,103.42 $72,103.42 4.0×
Revasc intra lithotrip-stent (C9765) $72,103.42 $72,103.42 4.0×
Revasc intravasc lithotripsy (C9764) $45,536.92 $45,536.92 4.0×
Revasc lith-sten-ath tib/per (C9775) $72,103.42 $72,103.42 4.0×
Revasc lithotr-ather tib/per (C9774) $72,103.42 $72,103.42 4.0×
Revasc lithotr-stent tib/per (C9773) $72,103.42 $72,103.42 4.0×
Revasc lithotrip tibi/perone (C9772) $45,536.92 $45,536.92 4.0×
Revasc lithotrip-stent-ather (C9767) $72,103.42 $72,103.42 4.0×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $90,130.43 $90,130.43 4.2×
Rmvl substernal implantable defibrillator eltrd (0573T) $14,613.24 $14,613.24 4.0×
Scr c/v cyto,thinlayer,rescr (G0145) $79.47 $79.47 3.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $76,578.33 $76,578.33 4.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $76,578.33 $76,578.33 4.1×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $76,578.33 $76,578.33 4.1×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $76,578.33 $76,578.33 4.1×
Tee w or w/o fol w/cont, mon (C8927) $3,172.41 $3,172.41 4.2×
Therapeutic procd strg endur (G0237) $98.35 $98.35 3.5×
Tomosynthesis, mammo (G0279) $39.99 $39.99 3.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $45,536.92 $45,536.92 4.0×
Trim nail(s) (G0127) $238.51 $238.51 4.1×
Trluml Perip Athrc Renal Art (0234T) $45,536.92 $45,536.92 4.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $45,536.92 $45,536.92 4.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $72,103.42 $72,103.42 4.0×
Tte w or w/o contr, cont ecg (C8930) $3,172.41 $3,172.41 4.2×
Tte w or w/o fol w/con,stres (C8928) $3,172.41 $3,172.41 4.2×
Tte w or wo fol wcon,doppler (C8929) $3,172.41 $3,172.41 4.2×
Unsched dialysis esrd pt hos (G0257) $2,809.68 $2,809.68 4.2×