Supplies, drugs & other prices at Terre Haute Regional Hospital
Terre Haute, IN · every code in this section with a posted price and a Medicare benchmark.
59 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) | $523.80 | $873 | 1.1× |
| Admin influenza virus vac (G0008) | $33 | $55 | 0.7× |
| Chemo extend iv infus w/pump (G0498) | $775.80 | $1,293 | 2.2× |
| Colon ca scrn not hi rsk ind (G0121) | $2,133.60 | $3,556 | 2.2× |
| Drug test def 1-7 classes (G0480) | $167.40 | $279 | 1.5× |
| Drug test def 22+ classes (G0483) | $210.60 | $351 | 0.9× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $23,508.60 | $39,181 | 0.5× |
| Hbot, full body chamber, 30m (G0277) | $582 | $970 | 4.0× |
| Hospital outpt clinic visit (G0463) | $84 | $140 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $1,303.20 | $2,172 | 1.7× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $812.40 | $1,354 | 0.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $10,746.60 | $17,911 | 1.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $23,508.60 | $39,181 | 0.7× |
| Mra w/cont, abd (C8900) | $940.20 | $1,567 | 2.5× |
| Mra w/o cont, abd (C8901) | $907.20 | $1,512 | 3.6× |
| Mra w/o fol w/cont, abd (C8902) | $979.80 | $1,633 | 2.7× |
| Mri w/cont, breast, bi (C8906) | $940.20 | $1,567 | 2.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,593 | $2,655 | 4.3× |
| Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) | $624 | $1,040 | 15.8× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $812.40 | $1,354 | 0.9× |
| Non-ophthalmic fva (C9733) | $943.20 | $1,572 | 2.6× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $417.60 | $696 | 1.7× |
| Oth resp proc, group (G0239) | $195.60 | $326 | 4.9× |
| Pathogen test for platelets (P9100) | $81 | $135 | 1.3× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$13,246.50–$13,792.80 | $22,077.50–$22,988 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$8,190.60–$8,509.80 | $13,651–$14,183 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$12,258–$12,736.20 | $20,430–$21,227 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$8,190.60–$8,509.80 | $13,651–$14,183 | varies |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,768.60 | $11,281 | 0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,444.40 | $9,074 | 0.7× |
| Place device/marker, non pro (C9728) | $1,613.40 | $2,689 | 1.1× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) range across 2 matching MRF lines |
$34.20–$35.40 | $57–$59 | varies |
| Psa screening (G0103) | $133.80 | $223 | 6.9× |
| Removal Ss Dfb Electrode (0573T) | $6,716.40 | $11,194 | 1.7× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $6,716.40 | $11,194 | 1.7× |
| Revasc intra lithotrip-ather (C9766) | $19,719 | $32,865 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $19,035.60 | $31,726 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $11,580.60 | $19,301 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $19,719 | $32,865 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $19,719 | $32,865 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $19,719 | $32,865 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $12,031.80 | $20,053 | 1.0× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $6,716.40 | $11,194 | 1.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $17,812.20 | $29,687 | 0.9× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $2,944.80 | $4,908 | 0.9× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $17,812.20 | $29,687 | 0.9× |
| Tomosynthesis, mammo (G0279) | $33 | $55 | 2.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $10,070.40 | $16,784 | 1.7× |
| Transcatheter renal sympath denervation unilat (0338T) | $9,308.40 | $15,514 | 1.5× |
| Trauma respons w/hosp criti (G0390) | $4,836.60 | $8,061 | 3.4× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $5,877.60 | $9,796 | 1.7× |
| Trluml perip athrc abd aorta (0236T) | $12,694.80 | $21,158 | 1.0× |
| Trluml Perip Athrc Brchiocph (0237T) range across 2 matching MRF lines |
$12,218.40–$12,694.80 | $20,364–$21,158 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $18,738.60 | $31,231 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $12,694.80 | $21,158 | 1.0× |
| Tte w or w/o contr, cont ecg (C8930) | $1,816.80 | $3,028 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,816.80 | $3,028 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,433.40 | $2,389 | 2.0× |
| Vasc emb/occ w/prs cath (C9797) | $25,095 | $41,825 | 1.3× |
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.