Supplies, drugs & other prices at Tift Regional Medical Center

Tifton, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,721 $3,442 2.4×
2d tte w or w/o fol w/con,fu (C8924) $610 $1,220 1.9×
Adm tocilizu covid-19 1st (M0249) $438.50 $877 1.1×
Adm tocilizu covid-19 2nd (M0250) $438.50 $877 1.1×
Admin hepatitis b vaccine (G0010) $12 $24 0.3×
Admin influenza virus vac (G0008) $15 $30 0.4×
Admin pneumococcal vaccine (G0009) $12 $24 0.3×
Annual alcohol screen 15 min (G0442) $33.25 $66.50 1.0×
Behavior counsel obesity 15m (G0447) $17.50 $35 0.2×
Brief alcohol misuse counsel (G0443) $76 $152 0.8×
Brief chkin by md/qhp, 11-20 (G2252) $44 $88 1.5×
Brief chkin, 5-10, non-e/m (G2251) $23.50 $47 1.7×
Ca screen;flexi sigmoidscope (G0104) $208 $416 0.2×
Ca screen;pelvic/breast exam (G0101) $51.50 $103 0.6×
Catheterize for urine spec (P9612) $17 $34 1.8×
Depression screen annual (G0444) $33.25 $66.50 1.0×
Diab manage trn per indiv (G0108) $29.50 $59 0.5×
Diab manage trn ind/group (G0109) $16.75 $33.50 1.0×
Direct refer hospital observ (G0379) $775.50 $1,551 1.4×
Ed svc ckd grp per session (G0421) $45 $90 1.6×
Ed svc ckd ind per session (G0420) $192.50 $385 1.7×
Fern test (Q0114) $180.50 $361 18.5×
Followup eval of foot pt lop (G0246) $64.50 $129 0.5×
Hbot, full body chamber, 30m (G0277) $211.50 $423 1.7×
High inten beh couns std 30m (G0445) $47 $94 0.5×
Home sleep test/type 3 porta (G0399) $69.50 $139 0.4×
Home sleep test/type 4 porta (G0400) $334 $668 1.7×
Initial foot exam pt lops (G0245) $111.50 $223 0.9×
Initial preventive exam (G0402) $100 $200 0.8×
Inj for sacroiliac jt anesth (G0260) $1,495 $2,990 2.3×
Intens behave ther cardio dx (G0446) $40.50 $81 1.2×
Mra w/cont, lwr ext (C8912) $2,033.50 $4,067 6.4×
Mra w/cont, pelvis (C8918) $1,978.50 $3,957 6.3×
Mra w/o cont, lwr ext (C8913) $1,768 $3,536 8.2×
Mra w/o fol w/cont, lwr ext (C8914) $2,487.50 $4,975 7.9×
Mra w/o fol w/cont, pelvis (C8920) $2,033.50 $4,067 6.4×
Mri w/cont, breast, bi (C8906) $941 $1,882 3.0×
Mri w/o fol w/cont, breast, (C8908) $1,201 $2,402 3.8×
Mri w/o fol w/cont, brst, un (C8905) $1,201 $2,402 3.8×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $801 $1,602 1.5×
Obtaining screen pap smear (Q0091) $37 $74 1.4×
Onc Merkel Cll Carc Srm Quan (0058U) $469 $938 1.5×
Oth resp proc, indiv (G0238) $85 $170 3.2×
Pathogen test for platelets (P9100) $49.50 $99 0.9×
Perc d-e cor revasc chro sin (C9607) $10,838.50 $21,677 0.7×
Perc d-e cor revasc t cabg s (C9604) $10,838.50 $21,677 1.0×
Perc d-e cor stent ather s (C9602) $21,662.50 $43,325 1.3×
Perc drug-el cor stent sing (C9600) $10,838.50 $21,677 1.0×
Ppps, initial visit (G0438) $102.50 $205 0.6×
Ppps, subseq visit (G0439) $75 $150 0.5×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $51 $102 1.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $373.50 $747 0.5×
Remot img sub by pt, non e/m (G2250) $17 $34 1.3×
Revasc intra lithotrip-ather (C9766) $11,596.75 $23,193.50 0.7×
Revasc intra lithotrip-stent (C9765) $11,596.75 $23,193.50 0.7×
Revasc intravasc lithotripsy (C9764) $7,253.25 $14,506.50 0.7×
Revasc lith-sten-ath tib/per (C9775) $11,596.75 $23,193.50 0.7×
Revasc lithotr-ather tib/per (C9774) $11,596.75 $23,193.50 0.7×
Revasc lithotr-stent tib/per (C9773) $11,596.75 $23,193.50 0.7×
Revasc lithotrip tibi/perone (C9772) $7,253.25 $14,506.50 0.7×
Revasc lithotrip-stent-ather (C9767) $11,596.75 $23,193.50 0.7×
Therapeutic procd strg endur (G0237) $85 $170 3.2×
Trluml Perip Athrc Renal Art (0234T) $13,543.50 $27,087 1.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $13,672 $27,344 1.3×
Trluml peripheral atherectomy iliac artery ea (0238T) $21,162.50 $42,325 1.3×
Unsched dialysis esrd pt hos (G0257) $445 $890 0.7×
Visit to determ ldct elig (G0296) $78.25 $156.50 0.9×
Xenograft implantation into the articular surface (0737T) $8,512 $17,024 0.7×