Supplies, drugs & other prices at St. Joseph's Hospital Health Center
Syracuse, NY · every code in this section with a posted price and a Medicare benchmark.
96 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) | $2,397.85 | $3,689 | 2.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,045.85 | $1,609 | 2.4× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$11.70–$59.80 | $18–$92 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$11.70–$66.30 | $18–$102 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$11.70–$66.30 | $18–$102 | varies |
| Behavior counsel obesity 15m (G0447) | $142.35 | $219 | 1.1× |
| Bitewings - three images (D0273) | $39 | $60 | 0.1× |
| Bitewings four images (D0274) | $48.10 | $74 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $3,049.38 | — | 2.6× |
| Ca screen;pelvic/breast exam (G0101) | $270.40 | $416 | 2.1× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,704.23–$3,094.39 | — | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$3,090.33–$4,806.33 | — | varies |
| Comprehensve oral evaluation (D0150) | $48.10 | $74 | 0.3× |
| Core build-up incl any pins (D2950) | $197.60 | $304 | 0.2× |
| Crown porcelain/ceramic (D2740) | $783.25 | $1,205 | 1.0× |
| Cysto impl 4 or more (C9740) | $19,255.94 | — | 1.6× |
| Dental bitewing single image (D0270) | $18.85 | $29 | 0.2× |
| Dental bitewings two images (D0272) | $24.05 | $37 | 0.2× |
| Dental prophylaxis adult (D1110) | $71.50 | $110 | 0.4× |
| Diab manage trn per indiv (G0108) | $141.70 | $218 | 2.5× |
| Direct refer hospital observ (G0379) | $7,350.10 | — | 9.9× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$330.85–$653.90 | — | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$15.60–$83.20 | $24–$128 | varies |
| End thxpy, anterior tooth (D3310) | $465.40 | $716 | 0.6× |
| Extraction erupted tooth/exr (D7140) | $91.65 | $141 | 0.1× |
| Facility svs dental rehab (G0330) | $12,021.20 | — | 2.9× |
| Fecal blood scrn immunoassay (G0328) | $61.75 | $95 | 3.4× |
| Fecal microbiota prep instil (G0455) | $1,296.10 | $1,994 | 1.1× |
| Fern test (Q0114) | $33.80 | $52 | 3.5× |
| Hbot, full body chamber, 30m (G0277) | $40,654.90 | — | 236.7× |
| Hep c screen high risk/other (G0472) | $174.20 | $268 | 3.8× |
| Hiv combination assay (G0475) | $876.85 | — | 36.4× |
| Hopd mntl hlt, 15-29 min (C7900) | $125.45 | $193 | 2.7× |
| Hopd mntl hlt, 30-60 min (C7901) | $187.85 | $289 | 1.5× |
| Hopd mntl hlt, grp (C7903) | $177.45 | $273 | 3.8× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$246.35–$315.25 | — | varies |
| Initial preventive exam (G0402) | $196.30 | $302 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,840.57–$2,777.64 | — | varies |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $30,931.55 | $47,587 | 1.1× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $44,180.50 | $67,970 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $53,860.30 | $82,862 | 1.4× |
| Instill pharm renal pelvis (C9789) | $60,689.49 | — | 39.7× |
| Intraor comprehensive series (D0210) | $99.45 | $153 | 0.3× |
| Intraoral periapical first (D0220) | $18.85 | $29 | 0.2× |
| Limit oral eval problm focus (D0140) | $50.70 | $78 | 0.3× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $425.10 | $654 | 0.8× |
| Mra w/cont, chest (C8909) | $1,977.30 | $3,042 | 4.5× |
| Mra w/o cont, abd (C8901) | $2,969.85 | $4,569 | 10.0× |
| Mra w/o cont, chest (C8910) | $2,185.30 | $3,362 | 7.3× |
| Mra w/o fol w/cont, abd (C8902) | $2,969.85 | $4,569 | 6.8× |
| Mra w/o fol w/cont, chest (C8911) | $3,443.70 | $5,298 | 7.9× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 6 matching MRF lines |
$1,662.70–$2,494.05 | $2,558–$3,837 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,385.80 | $2,132 | 3.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,662.70 | $2,558 | 3.8× |
| Mri w/o fol w/cont, breast, (C8908) | $1,418.95 | $2,183 | 3.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $947.70 | $1,458 | 2.2× |
| Obtaining screen pap smear (Q0091) | $44.20 | $68 | 1.2× |
| Occ guard, hard, full arch (D9944) | $177.45 | $273 | 0.2× |
| Panoramic image (D0330) | $89.70 | $138 | 0.3× |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$33.80–$206.70 | $52–$318 | varies |
| Perc d-e cor revasc chro sin (C9607) | $22,768.20 | $35,028 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $15,273.05 | $23,497 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $22,768.20 | $35,028 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $15,273.05 | $23,497 | 1.1× |
| Periodic oral evaluation (D0120) | $41.60 | $64 | 0.3× |
| Periodontal scaling & root (D4341) | $119.60 | $184 | 0.1× |
| Periodontal scaling 1-3teeth (D4342) | $100.75 | $155 | 0.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $8,771.10 | $13,494 | 0.6× |
| Place direct restoration (D2940) | $55.90 | $86 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $77.35 | $119 | 0.1× |
| Post 2 srfc resinbased cmpst (D2392) | $100.75 | $155 | 0.1× |
| Post 3 srfc resinbased cmpst (D2393) | $129.35 | $199 | 0.2× |
| Post >=4srfc resinbase cmpst (D2394) | $177.45 | $273 | 0.2× |
| Ppps, subseq visit (G0439) | $169 | $260 | 1.2× |
| Psa screening (G0103) range across 2 matching MRF lines |
$72.80–$86.45 | $112–$133 | varies |
| Re-cement or re-bond crown (D2920) | $52 | $80 | 0.1× |
| Rem imp tooth w mucoper flp (D7210) | $107.90 | $166 | 0.1× |
| Resin 4/> surf or w incis an (D2335) | $171.60 | $264 | 0.2× |
| Resin one surface-anterior (D2330) | $78 | $120 | 0.1× |
| Resin three surfaces-anterio (D2332) | $135.85 | $209 | 0.2× |
| Resin two surfaces-anterior (D2331) | $113.10 | $174 | 0.1× |
| Revasc intra lithotrip-stent (C9765) | $27,624.35 | $42,499 | 1.2× |
| Revasc intravasc lithotripsy (C9764) range across 3 matching MRF lines |
$16,333.85–$18,733.65 | $25,129–$28,821 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) | $93.60 | $144 | 3.5× |
| Screen cerv/vag thin layer (G0123) | $81.90 | $126 | 4.0× |
| Screen pap by tech w md supv (P3000) | $33.80 | $52 | 1.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $26,334.75 | $40,515 | 1.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $4,412.85 | $6,789 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $27,036.10 | $41,594 | 1.1× |
| Therapeutic procd strg endur (G0237) | $37.05 | $57 | 1.0× |
| Tomosynthesis, mammo (G0279) | $112.45 | $173 | 8.9× |
| Tte w or w/o contr, cont ecg (C8930) | $1,934.40 | $2,976 | 2.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,110.20 | $1,708 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,415.05 | $2,177 | 1.4× |
| Unsched dialysis esrd pt hos (G0257) | $1,730.30 | $2,662 | 2.0× |
| Visit to determ ldct elig (G0296) | $150.80 | $232 | 1.2× |
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.