Supplies, drugs & other prices at Trios Southridge Hospital

Kennewick, WA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Chemo extend iv infus w/pump (G0498) $1,676.66
Colon ca scrn not hi rsk ind (G0121) $4,878.43
Colorectal scrn; hi risk ind (G0105) $5,953.20
Diab manage trn per indiv (G0108) $273.05
Direct refer hospital observ (G0379) $1,197.63
Facility svs dental rehab (G0330) $22,511.99
Hbot, full body chamber, 30m (G0277) $824.62
Lev 2 hosp type b ed visit (G0381) $813.74
Lev 3 hosp type b ed visit (G0382) $1,411.07
Lev 4 hosp type b ed visit (G0383) $2,051.17
Lev 5 hosp type b ed visit (G0384) $3,733.02
Mri w/o fol w/cont, breast, (C8908) $3,238.02
Revasc intravasc lithotripsy (C9764) $85,902.78
Tte w or wo fol wcon,doppler (C8929) $4,977.92