Supplies, drugs & other prices at Intermountain Health St. Mary's Regional Hospital
Grand Junction, CO · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | — | $1,402.05 | — |
| Admin hepatitis b vaccine (G0010) | — | $21.17 | — |
| Catheterize for urine spec (P9612) | — | $26.30 | — |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
— | $173.53–$180 | — |
| Diab manage trn per indiv (G0108) | — | $277.15 | — |
| Diab manage trn ind/group (G0109) | — | $210.70 | — |
| Direct refer hospital observ (G0379) | — | $921.95 | — |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
— | $286.08–$356.15 | — |
| Drug test def 15-21 classes (G0482) | — | $496.85 | — |
| Drug test def 22+ classes (G0483) | — | $790.16 | — |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
— | $343.30–$438.46 | — |
| Eia hiv-1/hiv-2 screen (G0432) range across 2 matching MRF lines |
— | $330.08–$342.60 | — |
| Ekg tracing for initial prev (G0404) | — | $162.25 | — |
| Elisa hiv-1/hiv-2 screen (G0433) | — | $124.30 | — |
| Fecal microbiota prep instil (G0455) | — | $5,166.10 | — |
| Group mnt 2 or more 30 mins (G0271) | — | $88.75 | — |
| Hbot, full body chamber, 30m (G0277) | — | $782.70 | — |
| Heart Symp Image Plnr (0331T) | — | $4,062.95 | — |
| Hep c screen high risk/other (G0472) range across 2 matching MRF lines |
— | $175.72–$430.35 | — |
| Hepb screen high risk indiv (G0499) range across 2 matching MRF lines |
— | $135.67–$192.15 | — |
| Home sleep test/type 2 porta (G0398) | — | $1,316.85 | — |
| Home sleep test/type 3 porta (G0399) | — | $1,053.50 | — |
| Hospital outpt clinic visit (G0463) | — | $322.80 | — |
| Mnt subs tx for change dx (G0270) | — | $88.75 | — |
| Neuro csf prion prtn qual (0035U) | — | $546 | — |
| Oth resp proc, group (G0239) | — | $254.65 | — |
| Oth resp proc, indiv (G0238) | — | $130.15 | — |
| Perc d-e cor revasc chro sin (C9607) | — | $50,137.72 | — |
| Perq Sacral Augmt Bilat Inj (0201T) | — | $12,829 | — |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | — | $17,744.25 | — |
| Prolonged iv inf, req pump (C8957) | — | $2,081.55 | — |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
— | $1,427.30–$1,722.94 | — |
| Psa screening (G0103) | — | $131.20 | — |
| Revasc intra lithotrip-ather (C9766) | — | $51,996.50 | — |
| Revasc intra lithotrip-stent (C9765) | — | $48,903.50 | — |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
— | $31,022.65–$57,147 | — |
| Scr c/v cyto,thinlayer,rescr (G0145) | — | $117.22 | — |
| Screen cerv/vag thin layer (G0123) | — | $89.65 | — |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | — | $16,948.50 | — |
| Therapeutic procd strg endur (G0237) | — | $145.90 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $7,206.45–$8,244.10 | — |
| Trluml perip athrc abd aorta (0236T) | — | $37,971.85 | — |
| Trluml Perip Athrc Brchiocph (0237T) | — | $37,971.85 | — |
| Trluml Perip Athrc Iliac Art (0238T) | — | $37,971.85 | — |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | — | $37,971.85 | — |
| Unsched dialysis esrd pt hos (G0257) | — | $3,288.20 | — |
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.