Supplies, drugs & other prices at The Carle Foundation Hospital
Urbana, IL · every code in this section with a posted price and a Medicare benchmark.
144 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,959 | $3,959 | 4.7× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $27,993 | $27,993 | 3.0× |
| Adm tocilizu covid-19 1st (M0249) | $1,386 | $1,386 | 2.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,386 | $1,386 | 2.9× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$147–$168 | $147–$168 | varies |
| Admin influenza virus vac (G0008) range across 6 matching MRF lines |
$163–$173 | $163–$173 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$147–$168 | $147–$168 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $210 | $210 | 5.2× |
| Alcohol/subs interv >30 min (G0397) | $210 | $210 | 1.1× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) | $4,526 | $4,526 | 31.7× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) | $3,098 | $3,098 | 21.7× |
| Annual alcohol screen 15 min (G0442) | $179 | $179 | 4.5× |
| Behavior counsel obesity 15m (G0447) | $331 | $331 | 3.0× |
| Brief alcohol misuse counsel (G0443) | $294 | $294 | 2.7× |
| Ca screen;flexi sigmoidscope (G0104) | $1,439 | $1,439 | 1.4× |
| Ca screen;pelvic/breast exam (G0101) | $310 | $310 | 2.8× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$173–$179 | $173–$179 | varies |
| Chemo extend iv infus w/pump (G0498) | $851 | $851 | 2.4× |
| Colon ca scrn not hi rsk ind (G0121) | $3,371 | $3,371 | 3.4× |
| Colorectal scrn; hi risk ind (G0105) | $3,371 | $3,371 | 3.4× |
| Complex simulation w/pet-ct (G0562) | $1,208 | $1,208 | 0.6× |
| Compre Audiom Threshold Eval & Speech Recog (0212T) | $341 | $341 | 2.5× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) | $3,738 | $3,738 | 40.1× |
| Cysto impl 4 or more (C9740) | $18,113 | $18,113 | 1.8× |
| Cystoscopy prostatic imp 1-3 (C9739) | $9,534 | $9,534 | 1.7× |
| Depression screen annual (G0444) | $184 | $184 | 4.6× |
| Diab manage trn per indiv (G0108) | $210 | $210 | 3.8× |
| Diab manage trn ind/group (G0109) | $63 | $63 | 3.9× |
| Drug test def 1-7 classes (G0480) range across 8 matching MRF lines |
$34–$481 | $34–$481 | varies |
| Drug test def 15-21 classes (G0482) | $939 | $939 | 4.7× |
| Drug test def 22+ classes (G0483) | $1,167 | $1,167 | 4.7× |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$693–$960 | $693–$960 | varies |
| Drug test def simple all cl (G0659) | $294 | $294 | 4.7× |
| Ed svc ckd grp per session (G0421) | $79 | $79 | 2.9× |
| Ed svc ckd ind per session (G0420) | $320 | $320 | 2.8× |
| Eia hiv-1/hiv-2 screen (G0432) | $368 | $368 | 18.8× |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$147–$179 | $147–$179 | varies |
| Elec stim unattend for press (G0281) range across 4 matching MRF lines |
$131–$142 | $131–$142 | varies |
| Elisa hiv-1/hiv-2 screen (G0433) | $85 | $85 | 4.6× |
| Fern test (Q0114) | $163 | $163 | 16.7× |
| Glaucoma scrn hgh risk direc (G0117) | $184 | $184 | 5.9× |
| Group mnt 2 or more 30 mins (G0271) | $72 | $72 | 4.2× |
| Group train w/o patient (G0543) | $139 | $139 | 4.5× |
| Hbot, full body chamber, 30m (G0277) range across 2 matching MRF lines |
$924–$1,082 | $924–$1,082 | varies |
| High-resolution gastric electrophysiology mapg (0868T) | $1,953 | $1,953 | 4.9× |
| Home sleep test/type 3 porta (G0399) | $809 | $809 | 3.5× |
| Hospital outpt clinic visit (G0463) range across 34 matching MRF lines |
$189–$2,027 | $189–$2,027 | varies |
| Initial preventive exam (G0402) | $415 | $415 | 2.9× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,922–$2,772 | $1,922–$2,772 | varies |
| Insertion perm ccm-d system pulse generator only (0916T) | $98,270 | $98,270 | 4.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $36,236 | $36,236 | 4.1× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $36,236 | $36,236 | 4.1× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $140,364 | $140,364 | 4.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $120,372 | $120,372 | 3.6× |
| Intens behave ther cardio dx (G0446) | $179 | $179 | 4.5× |
| Intens cardiac rehab no exer (G0423) range across 2 matching MRF lines |
$345–$383 | $345–$383 | varies |
| Intens cardiac rehab w/exerc (G0422) range across 2 matching MRF lines |
$355–$394 | $355–$394 | varies |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $512 | $512 | 4.2× |
| Mra w/cont, abd (C8900) | $4,515 | $4,515 | 12.1× |
| Mra w/cont, chest (C8909) | $5,849 | $5,849 | 15.6× |
| Mra w/cont, lwr ext (C8912) | $4,137 | $4,137 | 11.1× |
| Mra w/cont, pelvis (C8918) | $3,864 | $3,864 | 10.3× |
| Mra w/o cont, abd (C8901) | $3,959 | $3,959 | 15.5× |
| Mra w/o cont, chest (C8910) | $4,841 | $4,841 | 18.9× |
| Mra w/o cont, lwr ext (C8913) | $5,576 | $5,576 | 21.8× |
| Mra w/o cont, pelvis (C8919) | $3,371 | $3,371 | 13.2× |
| Mra w/o fol w/cont, abd (C8902) | $7,812 | $7,812 | 20.9× |
| Mra w/o fol w/cont, chest (C8911) | $7,928 | $7,928 | 21.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $7,928 | $7,928 | 21.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $9,093 | $9,093 | 24.3× |
| Mra, w/dye, spinal canal (C8931) | $2,783 | $2,783 | 7.4× |
| Mra, w/dye, upper extremity (C8934) | $3,276 | $3,276 | 8.8× |
| Mra, w/o dye, spinal canal (C8932) | $1,229 | $1,229 | 4.8× |
| Mra, w/o dye, upper extr (C8935) | $7,455 | $7,455 | 29.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $3,276 | $3,276 | 8.8× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,276 | $3,276 | 8.8× |
| Mri w/cont, breast, bi (C8906) | $3,224 | $3,224 | 8.6× |
| Mri w/cont, breast, uni (C8903) | $1,733 | $1,733 | 9.2× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$5,471–$7,749 | $5,471–$7,749 | varies |
| Mri w/o fol w/cont, brst, un (C8905) | $2,804 | $2,804 | 7.5× |
| Neuro csf prion prtn qual (0035U) | $2,272 | $2,272 | 4.2× |
| Njx platelet plasma (0232T) range across 4 matching MRF lines |
$714–$3,990 | $714–$3,990 | varies |
| No pt prsnt train initial 30 (G0541) | $75 | $75 | 2.4× |
| Non-ophthalmic fva (C9733) | $819 | $819 | 2.2× |
| Obtaining screen pap smear (Q0091) | $43 | $43 | 1.4× |
| Off base opioid tx 70min (G2086) | $326 | $326 | 1.7× |
| Off base opioid tx, 60 m (G2087) | $236 | $236 | 1.2× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $1,418 | $1,418 | 4.4× |
| Ortho impl mvmt alys pair CT (0946T) | $467 | $467 | 4.2× |
| Oth resp proc, group (G0239) | $189 | $189 | 4.7× |
| Oth resp proc, indiv (G0238) | $210 | $210 | 6.8× |
| Pathogen test for platelets (P9100) | $110 | $110 | 1.7× |
| Perc d-e cor revasc chro sin (C9607) | $38,441 | $38,441 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $47,492 | $47,492 | 3.8× |
| Perc d-e cor stent ather s (C9602) | $33,999 | $33,999 | 1.7× |
| Perc drug-el cor stent sing (C9600) | $17,955 | $17,955 | 1.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $15,637 | $15,637 | 2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $15,637 | $15,637 | 2.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $24,969 | $24,969 | 2.0× |
| Place device/marker, non pro (C9728) | $2,995 | $2,995 | 2.0× |
| Post-coital mucous exam (Q0115) | $71 | $71 | 2.8× |
| Potassium hydroxide preps (Q0112) | $110 | $110 | 18.9× |
| Ppps, initial visit (G0438) | $546 | $546 | 3.1× |
| Ppps, subseq visit (G0439) | $404 | $404 | 2.9× |
| Prostate biopsy, any mthd (G0416) | $1,617 | $1,617 | 4.2× |
| Psa screening (G0103) | $368 | $368 | 19.1× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $2,856 | $2,856 | 4.2× |
| Quan CT tiss charac w/o CT (0721T) | $2,856 | $2,856 | 4.2× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $8,012 | $8,012 | 3.6× |
| Removal perm ccm-d system pulse generator only (0919T) | $15,939 | $15,939 | 4.0× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $2,709 | $2,709 | 4.0× |
| Revasc intra lithotrip-ather (C9766) | $43,743 | $43,743 | 2.2× |
| Revasc intra lithotrip-stent (C9765) | $43,743 | $43,743 | 2.2× |
| Revasc intravasc lithotripsy (C9764) | $21,609 | $21,609 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $49,644 | $49,644 | 4.0× |
| Revasc lithotrip-stent-ather (C9767) | $69,972 | $69,972 | 3.6× |
| Risk ascvd tst once pr 12 mo (G0537) | $131 | $131 | 3.3× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $15,939 | $15,939 | 4.0× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $15,939 | $15,939 | 4.0× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $15,939 | $15,939 | 4.0× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $98,270 | $98,270 | 4.1× |
| Sbrt w/positron emission del (G0563) | $609 | $609 | 0.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $488 | $488 | 18.4× |
| Screen cerv/vag thin layer (G0123) | $383 | $383 | 18.9× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $14,081 | $14,081 | 4.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $28,077 | $28,077 | 4.6× |
| Therapeutic procd strg endur (G0237) | $210 | $210 | 6.8× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$777–$1,187 | $777–$1,187 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $12,479 | $12,479 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$4,431–$11,172 | $4,431–$11,172 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $14,700 | $14,700 | 4.2× |
| Trim nail(s) (G0127) | $168 | $168 | 2.7× |
| Trluml perip athrc abd aorta (0236T) | $14,249 | $14,249 | 1.2× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,249 | $14,249 | 1.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $20,045 | $20,045 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $18,249 | $18,249 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $3,959 | $3,959 | 4.7× |
| Tte w or w/o fol w/cont, com (C8921) | $1,701 | $1,701 | 2.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $977 | $977 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $4,851 | $4,851 | 5.8× |
| Visit esketamine 56m or less (G2082) | $1,554 | $1,554 | 1.4× |
| Visit esketamine, > 56m (G2083) | $2,237 | $2,237 | 1.3× |
| Visit to determ ldct elig (G0296) | $357 | $357 | 3.3× |
| Wet mounts/ w preparations (Q0111) | $121 | $121 | 6.5× |
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.