Supplies, drugs & other prices at Stevens Community Medical Center Inc

Morris, MN · every code in this section with a posted price and a Medicare benchmark.

47 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,110 $1,480 3.1×
Admin hepatitis b vaccine (G0010) $6 $8 0.1×
Admin influenza virus vac (G0008) $46.50 $62 1.0×
Admin pneumococcal vaccine (G0009) $46.50 $62 1.0×
Ca screen;flexi sigmoidscope (G0104) $276.75 $369 0.3×
Ca screen;pelvic/breast exam (G0101) $48 $64 0.5×
Cbc without platelet (G0307) $17.25 $23 2.7×
Cbc/diffwbc w/o platelet (G0306) $75 $100 9.7×
Collagen crosslinking cornea (0402T) $681.75 $909 0.3×
Colon ca scrn not hi rsk ind (G0121) $315 $420 0.3×
Colorectal scrn; hi risk ind (G0105) $315 $420 0.3×
Depression screen annual (G0444) $16.50 $22 0.4×
Direct refer hospital observ (G0379) $297 $396 0.5×
Drug test def 1-7 classes (G0480) $222.75 $297 1.9×
Eia hiv-1/hiv-2 screen (G0432) $133.50 $178 6.8×
Ekg tracing for initial prev (G0404) $75.75 $101 2.5×
Elec stim unattend for press (G0281) $69.75 $93 6.0×
Followup eval of foot pt lop (G0246) $35.25 $47 0.3×
Hiv combination assay (G0475) $80.25 $107 3.3×
Ig paraprotein qual bld/ur (0077U) $105 $140 2.4×
Initial foot exam pt lops (G0245) $57.75 $77 0.4×
Initial preventive exam (G0402) $204 $272 1.5×
Mra w/cont, abd (C8900) $2,919 $3,892 8.1×
Mra w/cont, chest (C8909) $2,939.25 $3,919 8.2×
Mra w/o cont, abd (C8901) $2,919 $3,892 11.9×
Mra w/o cont, chest (C8910) $2,939.25 $3,919 11.9×
Mra w/o fol w/cont, abd (C8902) $2,919 $3,892 8.1×
Mra w/o fol w/cont, chest (C8911) $2,939.25 $3,919 8.2×
Njx pltlt plasma w/img harvest/preparation (0232T) $412.12 $549.50 0.9×
Obtaining screen pap smear (Q0091) $42 $56 1.4×
Oth resp proc, indiv (G0238) $61.50 $82 2.1×
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure
$1,703.25 $2,271 0.2×
Pelvic ring fx treat int fix (G0414)
likely a partial charge, not the full procedure
$1,941 $2,588 0.3×
Ppps, initial visit (G0438) $266.25 $355 1.5×
Ppps, subseq visit (G0439) $143.25 $191 1.0×
Prolonged iv inf, req pump (C8957) $641.25 $855 2.9×
Prostate biopsy, any mthd (G0416) $649.50 $866 1.8×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $444 $592 0.6×
Routine footcare pt w lops (G0247) $125.25 $167 0.6×
Therapeutic procd strg endur (G0237) $75 $100 2.5×
Trauma respons w/hosp criti (G0390) $4,193.25 $5,591 3.0×
Trim nail(s) (G0127) $21.75 $29 0.4×
Tte w or w/o contr, cont ecg (C8930) $2,166 $2,888 2.7×
Tte w or w/o fol w/con,stres (C8928) $1,873.50 $2,498 2.3×
Tte w or wo fol wcon,doppler (C8929) $1,999.50 $2,666 2.5×
Ven blood coll snf/hha (G0471) $19.88 $26.50 1.8×
Visit to determ ldct elig (G0296) $59.25 $79 0.6×