Supplies, drugs & other prices at CHI St. Gabriel's Hospital
Little Falls, MN · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,225.54 | $2,113 | 3.4× |
| Admin influenza virus vac (G0008) | $11.60 | $20 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $11.60 | $20 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $64.38 | $111 | 0.6× |
| Cbc without platelet (G0307) | $20.88 | $36 | 3.2× |
| Cbc/diffwbc w/o platelet (G0306) | $21.46 | $37 | 2.8× |
| Colon ca scrn not hi rsk ind (G0121) | $558.54 | $963 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $558.54 | $963 | 0.6× |
| Depression screen annual (G0444) | $22.62 | $39 | 0.6× |
| Diab manage trn per indiv (G0108) | $105.56 | $182 | 1.9× |
| Diab manage trn ind/group (G0109) | $74.82 | $129 | 4.7× |
| Direct refer hospital observ (G0379) | $138.04 | $238 | 0.2× |
| Ekg tracing for initial prev (G0404) | $10.44 | $18 | 0.3× |
| Hep c screen high risk/other (G0472) | $23.20 | $40 | 0.5× |
| Hopd mntl hlt, 15-29 min (C7900) | $147.90 | $255 | 3.8× |
| Hopd mntl hlt, 30-60 min (C7901) | $196.04 | $338 | 1.9× |
| Hopd mntl hlt, grp (C7903) | $646.70 | $1,115 | 16.7× |
| Hospital outpt clinic visit (G0463) | $385.12 | $664 | 2.8× |
| Ig paraprotein qual bld/ur (0077U) | $267.38 | $461 | 6.2× |
| Initial preventive exam (G0402) | $181.54 | $313 | 1.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $442.54 | $763 | 1.0× |
| Obtaining screen pap smear (Q0091) | $74.82 | $129 | 2.5× |
| Oth resp proc, group (G0239) | $60.32 | $104 | 1.6× |
| Oth resp proc, indiv (G0238) | $55.10 | $95 | 1.8× |
| Ppps, initial visit (G0438) | $274.92 | $474 | 1.6× |
| Ppps, subseq visit (G0439) | $216.34 | $373 | 1.6× |
| Prostate biopsy, any mthd (G0416) | $228.52 | $394 | 0.6× |
| Therapeutic procd strg endur (G0237) | $55.10 | $95 | 1.8× |
| Trauma respons w/hosp criti (G0390) | $4,417.86 | $7,617 | 3.2× |
| Tte w or w/o fol w/con,stres (C8928) | $2,383.80 | $4,110 | 2.9× |
| Tte w or w/o fol w/cont, com (C8921) | $1,125.78 | $1,941 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,972 | $3,400 | 2.4× |
| Ven blood coll snf/hha (G0471) | $26.68 | $46 | 2.4× |
| Visit to determ ldct elig (G0296) | $45.82 | $79 | 0.4× |