Supplies, drugs & other prices at UConn John Dempsey Hospital

Farmington, CT · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $658.80 $1,098 1.2×
Ca screen;pelvic/breast exam (G0101) $197.40 $329 1.6×
Covid-19 lab test non-cdc (U0002) $80.40 $134 1.6×
Diab manage trn per indiv (G0108) $102 $170 1.8×
Diab manage trn ind/group (G0109) $39.60 $66 2.5×
Direct refer hospital observ (G0379) $883.20 $1,472 1.2×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$84–$171 $140–$285 varies
Fern test (Q0114) $25.80 $43 2.6×
Fractional abl lsr fenestration first 100 sqcm (0479T) $1,216.20 $2,027 1.4×
Group mnt 2 or more 30 mins (G0271) $43.20 $72 2.5×
Hbot, full body chamber, 30m (G0277) $481.80 $803 2.9×
Hepb screen high risk indiv (G0499) $117 $195 4.1×
Hospital outpt clinic visit (G0463)
range across 3 matching MRF lines
$143.40–$259.80 $239–$433 varies
Initial foot exam pt lops (G0245) $307.20 $512 1.9×
Ire Abltj 1+Tum Organ Perq (0600T) $24,052.80 $40,088 1.9×
Lev 2 hosp type b ed visit (G0381) $690.60 $1,151 6.2×
Mnt subs tx for change dx (G0270) $74.40 $124 2.3×
Mra w/cont, abd (C8900) $1,934.40 $3,224 4.6×
Mra w/cont, chest (C8909) $1,934.40 $3,224 4.6×
Mra w/cont, lwr ext (C8912) $2,215.80 $3,693 5.3×
Mra w/cont, pelvis (C8918) $1,934.40 $3,224 4.6×
Mra w/o cont, abd (C8901) $1,773 $2,955 6.2×
Mra w/o cont, chest (C8910) $1,627.80 $2,713 5.7×
Mra w/o cont, lwr ext (C8913) $1,773 $2,955 6.2×
Mra w/o fol w/cont, abd (C8902) $2,578.20 $4,297 6.2×
Mra w/o fol w/cont, chest (C8911)
range across 2 matching MRF lines
$2,576.40–$2,578.20 $4,294–$4,297 varies
Mra w/o fol w/cont, lwr ext (C8914) $2,576.40 $4,294 6.2×
Mra w/o fol w/cont, pelvis (C8920) $2,578.20 $4,297 6.2×
Mra, w/o dye, upper extr (C8935) $1,773 $2,955 6.2×
Mra, w/o&w/dye, upper extr (C8936) $1,773 $2,955 4.2×
Neuro csf prion prtn qual (0035U) $414 $690 0.8×
Obtaining screen pap smear (Q0091) $35.40 $59 1.0×
Pemivibart infusion (M0224) $954 $1,590 1.8×
Perc d-e cor revasc chro sin (C9607) $40,038.60 $66,731 1.8×
Perc d-e cor revasc t cabg s (C9604) $24,014.40 $40,024 1.7×
Perc d-e cor stent ather s (C9602) $40,038.60 $66,731 1.8×
Perc drug-el cor stent sing (C9600) $36,809.40 $61,349 2.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $16,607.40 $27,679 1.2×
Place device/marker, non pro (C9728) $3,352.80 $5,588 2.0×
Psa screening (G0103) $78 $130 4.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,470.60 $2,451 1.9×
Quan CT tiss charac w/o CT (0721T) $1,470.60 $2,451 1.9×
Quan MRI alys brain with diagnostic MRI (0866T) $574.80 $958 2.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $990 $1,650 1.4×
Routine footcare pt w lops (G0247) $367.80 $613 1.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $13,141.80 $21,903 1.9×
Transcatheter renal sympath denervation unilat (0338T) $13,141.80 $21,903 1.9×
Trim nail(s) (G0127) $154.80 $258 2.2×
Trluml Perip Athrc Iliac Art (0238T)
range across 2 matching MRF lines
$20,488.20–$35,987.40 $34,147–$59,979 varies
Visit esketamine 56m or less (G2082) $916.12 $1,526.87 0.7×
Visit esketamine, > 56m (G2083) $916.12 $1,526.87 0.5×
Visit to determ ldct elig (G0296) $131.40 $219 1.1×
Wet mounts/ w preparations (Q0111) $15 $25 0.8×

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.