Supplies, drugs & other prices at St. Mary's Hospital

Athens, GA · every code in this section with a posted price and a Medicare benchmark.

64 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) $1,580.15 $2,431 2.0×
2d tte w or w/o fol w/con,fu (C8924) $787.15 $1,211 2.3×
3D cntr simula trgt lvr les (0944T) $524.55 $807 2.2×
Admin hepatitis b vaccine (G0010) $90.35 $139 2.0×
Admin influenza virus vac (G0008) $91 $140 2.0×
Catheterize for urine spec (P9612) $19.50 $30 2.1×
Colon ca scrn not hi rsk ind (G0121) $6,340.39 6.9×
Colorectal scrn; hi risk ind (G0105) $6,394.44 7.0×
Diab manage trn per indiv (G0108) $193.70 3.5×
Diab manage trn ind/group (G0109) $29.25 $45 1.8×
Direct refer hospital observ (G0379) $503.75 $775 0.9×
Elec stim other than wound (G0283) $88.40 $136 7.0×
Ephys eval ccm-d ld 1st impl (0930T) $2,585.05 $3,977 2.2×
Ephys eval ccm-d ld separate (0931T) $2,585.05 $3,977 2.2×
Fecal blood scrn immunoassay (G0328) $58.50 $90 3.2×
Hbot, full body chamber, 30m (G0277) $1,757.60 13.0×
Hep c screen high risk/other (G0472) $37.70 $58 0.8×
Hepb screen high risk indiv (G0499) $61.75 $95 2.2×
Hiv combination assay (G0475) $47.12 $72.50 2.0×
Hospital outpt clinic visit (G0463) $113.10 0.9×
Inj for sacroiliac jt anesth (G0260) $2,493.40 $3,836 3.6×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $28,183.35 $43,359 2.6×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $28,183.35 $43,359 2.6×
Insertion perm ccm-d system pulse generator only (0916T) $48,690.20 $74,908 2.2×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $17,952.35 $27,619 2.2×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $17,952.35 $27,619 2.2×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $69,548.05 $106,997 2.3×
Liver dis 10 assays w/nash (0003M) $50.05 $77 0.1×
Mra w/cont, chest (C8909) $1,901.25 $2,925 5.5×
Mra w/o cont, abd (C8901) $2,280.20 $3,508 9.7×
Mra w/o cont, chest (C8910) $1,689.35 $2,599 7.2×
Mra w/o fol w/cont, abd (C8902) $2,303.60 $3,544 6.7×
Mra w/o fol w/cont, chest (C8911) $2,113.15 $3,251 6.2×
Mri w/cont, breast, uni (C8903) $2,128.10 $3,274 12.3×
Mri w/o fol w/cont, breast, (C8908) $879.45 $1,353 2.6×
Mri w/o fol w/cont, brst, un (C8905) $798.20 $1,228 2.3×
Pathogen test for platelets (P9100) $114.40 $176 2.0×
Perc d-e cor revasc chro sin (C9607) $16,734.90 $25,746 0.9×
Perc d-e cor revasc t cabg s (C9604) $18,408 $28,320 1.6×
Perc drug-el cor stent sing (C9600) $17,447.30 $26,842 1.5×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $12,138.75 $18,675 1.1×
Psa screening (G0103) $44.20 $68 2.3×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $625.95 $963 2.9×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $3,773.25 $5,805 1.9×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $3,773.25 $5,805 1.9×
Relocation skin pocket implanted ccm-d pg (0925T) $3,968.25 $6,105 2.0×
Removal perm ccm-d system pulse generator only (0919T) $7,894.90 $12,146 2.1×
Removal Pg Wcs Lv Pacing Both Components (0861T) $8,125.65 $12,501 2.2×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,341.60 $2,064 2.2×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $7,039.50 $10,830 2.0×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $7,039.50 $10,830 2.0×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $7,894.90 $12,146 2.1×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $7,894.90 $12,146 2.1×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $7,894.90 $12,146 2.1×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $48,690.20 $74,908 2.2×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $6,977.10 $10,734 2.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $37,323.65 $57,421 2.0×
Therapeutic procd strg endur (G0237) $50.70 $78 1.8×
Therapeutic ultrafiltration (0692T) $3,196.05 $4,917 2.1×
Tomosynthesis, mammo (G0279) $660.40 52.0×
Tte w or w/o fol w/cont, f/u (C8922) $1,738.10 $2,674 2.3×
Tte w or wo fol wcon,doppler (C8929) $2,079.35 $3,199 2.7×
Unsched dialysis esrd pt hos (G0257) $2,234.05 $3,437 3.3×
Wet mounts/ w preparations (Q0111) $36.56 $56.24 2.0×