Supplies, drugs & other prices at Tallahassee Memorial Hospital
Tallahassee, FL · every code in this section with a posted price and a Medicare benchmark.
80 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $2,132.90 | $3,047 | 2.6× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $3,347.26 | $4,781.80 | 1.6× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) unusually low: confirm this is the full procedure |
$3,598.31 | $5,140.44 | 0.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $3,347.26 | $4,781.80 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $110.60 | $158 | 2.3× |
| Admin influenza virus vac (G0008) | $45.50 | $65 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $53.20 | $76 | 1.1× |
| Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide Other Diagnostic Radiology FS (0561T) | $2,174.02 | $3,105.74 | 15.6× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) | $2,174.02 | $3,105.74 | 15.6× |
| Blind cor sinus reducer impl (C9783) | $25,680.20 | $36,686 | 2.1× |
| Ca screen;flexi sigmoidscope (G0104) | $5,907.70 | $8,439.57 | 6.1× |
| Catheterize for urine spec (P9612) | $21.70 | $31 | 2.3× |
| Colon ca scrn not hi rsk ind (G0121) | $2,810.44 | $4,014.91 | 2.9× |
| Colorectal scrn; hi risk ind (G0105) | $4,648.34 | $6,640.49 | 4.8× |
| Cysto impl 4 or more (C9740) | $6,326.17 | $9,037.39 | 0.6× |
| Cystoscopy prostatic imp 1-3 (C9739) | $13,538.34 | $19,340.48 | 2.4× |
| Destruction neurofibromata, extensive, (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $7,613.12 | $10,875.89 | 9.9× |
| Direct refer hospital observ (G0379) | $1,448.64 | $2,069.48 | 2.3× |
| Elec stim other than wound (G0283) | $154.70 | $221 | 12.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $24,811.40 | $35,444.86 | 2.1× |
| Evasc ven artlz tibl/prnl vn (0620T) likely a partial charge, not the full procedure |
$10,882.97 | $15,547.10 | 0.2× |
| Facility svs dental rehab (G0330) | $16,896.98 | $24,138.55 | 4.9× |
| Hbot, full body chamber, 30m (G0277) | $381.50 | $545 | 2.7× |
| Home sleep test/type 4 porta (G0400) | $156.53 | $223.61 | 0.7× |
| Hospital outpt clinic visit (G0463) | $342.62 | $489.46 | 2.5× |
| Inj for sacroiliac jt anesth (G0260) | $3,640.52 | $5,200.74 | 4.9× |
| Insj/rplc car modulj sys ventr electrode only (0411T) | $6,924.81 | $9,892.59 | 0.8× |
| Insj/rplc cardiac modulj sys (0408T) | $19,572.50 | $27,960.71 | 0.6× |
| Insj/rplc cardiac modulj sys atr electrode only (0410T) | $6,924.81 | $9,892.59 | 0.8× |
| Insj/rplc cardiac modulj sys pls generator only (0409T) | $19,572.50 | $27,960.71 | 0.8× |
| Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) | $73.56 | $105.09 | 0.5× |
| Mra w/cont, abd (C8900) | $474.08 | $677.25 | 1.3× |
| Mra w/cont, chest (C8909) | $474.08 | $677.25 | 1.3× |
| Mra w/cont, lwr ext (C8912) | $790.12 | $1,128.75 | 2.2× |
| Mra w/cont, pelvis (C8918) | $474.08 | $677.25 | 1.3× |
| Mra w/o cont, abd (C8901) | $474.08 | $677.25 | 1.9× |
| Mra w/o cont, chest (C8910) | $592.90 | $847 | 2.4× |
| Mra w/o cont, lwr ext (C8913) | $790.12 | $1,128.75 | 3.2× |
| Mra w/o cont, pelvis (C8919) | $474.08 | $677.25 | 1.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $474.08 | $677.25 | 1.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $10,375.87 | $14,822.67 | 22.2× |
| Non-ophthalmic fva (C9733) | $4,071.46 | $5,816.37 | 11.2× |
| Oth resp proc, group (G0239) | $257.60 | $368 | 6.6× |
| Oth resp proc, indiv (G0238) | $175 | $250 | 5.8× |
| Pelvic ring fracture uni/bil (G0413) | $8,958.07 | $12,797.25 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $24,752 | $35,360 | 1.3× |
| Perc d-e cor revasc t cabg s (C9604) | $23,926 | $34,180 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $28,952 | $41,360 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $28,723.10 | $41,033 | 2.4× |
| Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) | $9,362.88 | $13,375.54 | 1.2× |
| Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) | $8,709.65 | $12,442.36 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $13,968.50 | $19,955 | 1.2× |
| Place device/marker, non pro (C9728) | $1,219.29 | $1,741.84 | 0.8× |
| Place endorectal app (C9725) | $3,446.01 | $4,922.87 | 3.5× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $2,440.64 | $3,486.63 | 2.7× |
| Prep skin cell susp, automtd (C8002) | $4,065.74 | $5,808.20 | 0.5× |
| Psa screening (G0103) | $243.75 | $348.21 | 12.6× |
| Removal cardiac modulj sys pls generator only (0412T) | $2,922.74 | $4,175.34 | 0.7× |
| Removal cardiac modulj sys transvenous electrode (0413T) | $2,922.74 | $4,175.34 | 0.7× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $462.55 | $660.78 | 0.7× |
| Revasc intra lithotrip-ather (C9766) | $30,037.70 | $42,911 | 1.6× |
| Revasc intra lithotrip-stent (C9765) | $28,785.40 | $41,122 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $17,119.20 | $24,456 | 1.4× |
| Revasc lith-sten-ath tib/per (C9775) | $24,007.43 | $34,296.33 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $25,807.98 | $36,868.55 | 1.3× |
| Revasc lithotr-stent tib/per (C9773) | $25,007.14 | $35,724.49 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $17,528.70 | $25,041 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $45,908.80 | $65,584 | 2.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $19,572.50 | $27,960.71 | 0.8× |
| Tcat implantation coronary sinus reduction dev (0645T) | $40,932.50 | $58,475 | 2.1× |
| Tcat rmvl/debulk icar mass suction device perq (0644T) | $7,486.50 | $10,695 | 1.3× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,869 | $2,670 | 2.3× |
| Therapeutic procd strg endur (G0237) | $139.58 | $199.40 | 4.6× |
| Transcatheter renal sympath denervation bilat (0339T) | $9,686.37 | $13,837.67 | 1.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $9,686.37 | $13,837.67 | 1.6× |
| Trauma respons w/hosp criti (G0390) | $4,703.30 | $6,719 | 3.4× |
| Trluml perip athrc iliac art (0238T) | $35,020.30 | $50,029 | 1.8× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $19,514.61 | $27,878.02 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $2,688.70 | $3,841 | 3.3× |
| Unsched dialysis esrd pt hos (G0257) | $2,331 | $3,330 | 3.3× |