Supplies, drugs & other prices at Upson Regional Medical Center
Thomaston, GA · every code in this section with a posted price and a Medicare benchmark.
45 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $10.66 | $17.77 | 0.2× |
| Admin influenza virus vac (G0008) | $246 | $410 | 5.3× |
| Admin pneumococcal vaccine (G0009) | $246 | $410 | 5.3× |
| Direct refer hospital observ (G0379) | $895.80 | $1,493 | 1.5× |
| Drug test def 1-7 classes (G0480) | $72 | $120 | 0.6× |
| Drug test def 8-14 classes (G0481) | $307.80 | $513 | 2.0× |
| Ekg tracing for initial prev (G0404) | $115.20 | $192 | 4.0× |
| Elec stim other than wound (G0283) | $168.30 | $280.50 | 13.3× |
| Extrnl counterpulse, per tx (G0166) | $1,026 | $1,710 | 7.8× |
| Fern test (Q0114) | $49.80 | $83 | 5.1× |
| Hbot, full body chamber, 30m (G0277) | $748.20 | $1,247 | 5.5× |
| Hospital outpt clinic visit (G0463) | $359.40 | $599 | 2.7× |
| Mra w/cont, abd (C8900) | $6,186.30 | $10,310.50 | 18.0× |
| Mra w/cont, chest (C8909) | $4,563.60 | $7,606 | 13.3× |
| Mra w/cont, lwr ext (C8912) | $5,725.80 | $9,543 | 16.7× |
| Mra w/cont, pelvis (C8918) | $4,563.60 | $7,606 | 13.3× |
| Mra w/o cont, chest (C8910) | $4,389.60 | $7,316 | 18.7× |
| Mra w/o cont, lwr ext (C8913) | $4,859.10 | $8,098.50 | 20.7× |
| Mra w/o cont, pelvis (C8919) | $4,389.60 | $7,316 | 18.7× |
| Mra w/o fol w/cont, abd (C8902) | $6,186.30 | $10,310.50 | 18.0× |
| Mra w/o fol w/cont, chest (C8911) | $4,741.20 | $7,902 | 13.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $4,741.20 | $7,902 | 13.8× |
| Oth resp proc, group (G0239) | $145.20 | $242 | 4.0× |
| Oth resp proc, indiv (G0238) | $120 | $200 | 4.2× |
| Perc d-e cor revasc chro sin (C9607) | $23,772 | $39,620 | 1.3× |
| Perc d-e cor revasc t cabg s (C9604) | $19,747.80 | $32,913 | 1.7× |
| Perc drug-el cor stent sing (C9600) | $23,038.80 | $38,398 | 2.0× |
| Psa screening (G0103) | $34.80 | $58 | 1.8× |
| Revasc intra lithotrip-ather (C9766) | $28,945.80 | $48,243 | 1.6× |
| Revasc intra lithotrip-stent (C9765) | $28,945.80 | $48,243 | 1.6× |
| Revasc intravasc lithotripsy (C9764) | $17,888.40 | $29,814 | 1.6× |
| Revasc lith-sten-ath tib/per (C9775) | $27,125.40 | $45,209 | 1.5× |
| Revasc lithotr-ather tib/per (C9774) | $27,125.40 | $45,209 | 1.5× |
| Revasc lithotr-stent tib/per (C9773) | $27,125.40 | $45,209 | 1.5× |
| Revasc lithotrip tibi/perone (C9772) | $16,964.40 | $28,274 | 1.5× |
| Revasc lithotrip-stent-ather (C9767) | $28,945.80 | $48,243 | 1.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $61.50 | $102.50 | 2.3× |
| Screen cerv/vag thin layer (G0123) | $71.40 | $119 | 3.5× |
| Screen pap by tech w md supv (P3000) | $34.80 | $58 | 1.9× |
| Therapeutic procd strg endur (G0237) | $145.20 | $242 | 5.1× |
| Tomosynthesis, mammo (G0279) | $347.10 | $578.50 | 27.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $8,325 | $13,875 | 0.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $69,107.40 | $115,179 | 3.8× |
| Tte w or w/o contr, cont ecg (C8930) | $1,220.40 | $2,034 | 1.6× |
| Unsched dialysis esrd pt hos (G0257) | $2,010.60 | $3,351 | 3.0× |