Supplies, drugs & other prices at Summit Healthcare Regional Medical Center
Show Low, AZ · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | — | $239.09 | — |
| Admin influenza virus vac (G0008) | — | $112.57 | — |
| Admin pneumococcal vaccine (G0009) | — | $112.57 | — |
| Antibody treponema pallidum total & rpr ia qual (0064U) | — | $293.99 | — |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
— | $61.76–$269.84 | — |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
— | $41.72–$43.39 | — |
| Direct refer hospital observ (G0379) | — | $709.99 | — |
| Group behave couns 2-10 (G0473) | — | $269.84 | — |
| Hbot, full body chamber, 30m (G0277) | — | $669.59 | — |
| Home sleep test/type 3 porta (G0399) | — | $840.78 | — |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 3 matching MRF lines |
— | $57.20–$95.52 | — |
| Mri w/cont, breast, bi (C8906) | — | $3,723.32 | — |
| Mri w/o fol w/cont, breast, (C8908) | — | $4,723.06 | — |
| Mri w/o fol w/cont, brst, un (C8905) | — | $3,122.37 | — |
| Oth resp proc, group (G0239) | — | $214.94 | — |
| Oth resp proc, indiv (G0238) | — | $227.56 | — |
| Perc d-e cor revasc chro sin (C9607) | — | $21,953.88 | — |
| Perc d-e cor revasc t cabg s (C9604) | — | $21,953.88 | — |
| Perc d-e cor stent ather s (C9602) | — | $21,953.88 | — |
| Perc drug-el cor stent sing (C9600) | — | $21,953.88 | — |
| Psa screening (G0103) range across 2 matching MRF lines |
— | $157.32–$219.93 | — |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | — | $190.90 | — |
| Therapeutic procd strg endur (G0237) | — | $214.94 | — |
| Tomosynthesis, mammo (G0279) | — | $79.04 | — |
| Trauma respons w/hosp criti (G0390) | — | $4,272.11 | — |
| Trim nail(s) (G0127) | — | $20.36 | — |
| Tte w or wo fol wcon,doppler (C8929) | — | $2,336.04 | — |
| Unsched dialysis esrd pt hos (G0257) | — | $2,289.31 | — |
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.