Supplies, drugs & other prices at USA Health Providence Hospital

Mobile, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin pneumococcal vaccine (G0009) $148 $148 3.5×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$806–$903 $806–$903 varies
Colorectal scrn; hi risk ind (G0105)
range across 3 matching MRF lines
$806–$1,824 $806–$1,824 varies
Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) $100 $100 0.0×
Diab manage trn per indiv (G0108) $122 $122 2.2×
Diab manage trn ind/group (G0109) $44 $44 2.7×
Direct refer hospital observ (G0379) $993 $993 1.8×
Drug test def 1-7 classes (G0480)
range across 12 matching MRF lines
$23–$763 $23–$763 varies
Elec stim other than wound (G0283)
range across 5 matching MRF lines
$56–$68 $56–$68 varies
Endo defect closure gi tract (C9901) $20,823 $20,823 2.2×
Esd endoscopy or colonoscopy (C9779) $3,649 $3,649 1.0×
Fecal blood scrn immunoassay (G0328) $55 $55 3.0×
Fecal microbiota prep instil (G0455) $360 $360 0.4×
Hbot, full body chamber, 30m (G0277) $343 $343 2.8×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
range across 2 matching MRF lines
$11,500–$35,000 $11,500–$35,000 varies
Hospital outpt clinic visit (G0463)
range across 4 matching MRF lines
$307–$377 $307–$377 varies
Inj for sacroiliac jt anesth (G0260) $686.75 $686.75 1.1×
Instlj fecal microbiota ssp (0780T) $175 $175 1.5×
Intens cardiac rehab w/exerc (G0422) $252 $252 2.2×
Lev 2 hosp type b ed visit (G0381)
range across 2 matching MRF lines
$559–$622 $559–$622 varies
Lev 3 hosp type b ed visit (G0382)
range across 2 matching MRF lines
$836–$1,132 $836–$1,132 varies
Lev 4 hosp type b ed visit (G0383)
range across 2 matching MRF lines
$996–$1,303 $996–$1,303 varies
Lev 5 hosp type b ed visit (G0384)
range across 2 matching MRF lines
$1,149–$1,456 $1,149–$1,456 varies
Mra w/cont, abd (C8900) $348 $348 1.1×
Mra w/cont, chest (C8909) $846 $846 2.7×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$1,838–$3,676 $1,838–$3,676 varies
Mra w/cont, pelvis (C8918) $679 $679 2.2×
Mra w/o cont, abd (C8901) $2,680 $2,680 12.4×
Mra w/o cont, chest (C8910) $423 $423 2.0×
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$1,828–$3,656 $1,828–$3,656 varies
Mra w/o cont, pelvis (C8919) $850 $850 3.9×
Mra w/o fol w/cont, abd (C8902) $348 $348 1.1×
Mra w/o fol w/cont, chest (C8911) $2,680 $2,680 8.5×
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$690.90–$4,237 $690.90–$4,237 varies
Mra w/o fol w/cont, pelvis (C8920) $1,220 $1,220 3.9×
Mra, w/dye, upper extremity (C8934) $1,838 $1,838 5.8×
Mra, w/o dye, upper extr (C8935) $1,828 $1,828 8.5×
Mra, w/o&w/dye, upper extr (C8936) $3,141 $3,141 10.0×
Mri w/cont, breast, bi (C8906) $2,018 $2,018 6.4×
Mri w/cont, breast, uni (C8903) $384 $384 2.4×
Mri w/o fol w/cont, breast, (C8908)
range across 3 matching MRF lines
$2,018–$3,969 $2,018–$3,969 varies
Mri w/o fol w/cont, brst, un (C8905) $933 $933 3.0×
Neuro csf prion prtn qual (0035U) $394 $394 0.7×
Pathogen test for platelets (P9100)
range across 3 matching MRF lines
$76–$117 $76–$117 varies
Perc d-e cor revasc chro sin (C9607) $17,645 $17,645 1.1×
Perc d-e cor revasc t cabg s (C9604) $17,645 $17,645 1.7×
Perc d-e cor stent ather s (C9602) $17,645 $17,645 1.1×
Perc drug-el cor stent sing (C9600) $17,645 $17,645 1.7×
Psa screening (G0103) $342.70 $342.70 17.7×
Rem imp tooth w mucoper flp (D7210) $107 $107 0.1×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $100 $100 0.6×
Revasc intra lithotrip-ather (C9766) $10,206 $10,206 0.6×
Revasc intra lithotrip-stent (C9765) $10,206 $10,206 0.6×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,103 $5,103 0.5×
Revasc lithotrip tibi/perone (C9772) $14,528 $14,528 1.4×
Revasc lithotrip-stent-ather (C9767) $16,418 $16,418 1.0×
Rmvl insj impltbl gluc sensor dif anatomic site (0448T) $100 $100 0.0×
Screen cerv/vag thin layer (G0123) $36 $36 1.8×
Sim ang w/prs cath rad emb (C8004)
likely a partial charge, not the full procedure
$313 $313 0.0×
Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) $1,245 $1,245 3.4×
Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) $1,245 $1,245 3.4×
Software meas of cardiac vol (G0183) $177 $177 2.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $38,143 $38,143 2.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $38,143 $38,143 2.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $38,143 $38,143 2.2×
Tomosynthesis, mammo (G0279)
range across 4 matching MRF lines
$31–$535 $31–$535 varies
Transcatheter Renal Sympath Denervation Bilat (0339T) $22,808 $22,808 4.4×
Transcatheter renal sympath denervation unilat (0338T) $11,404 $11,404 2.2×
Trluml Perip Athrc Brchiocph (0237T) $21,248 $21,248 2.0×
Trluml Perip Athrc Iliac Art (0238T) $21,248 $21,248 1.3×
Tte w or wo fol wcon,doppler (C8929) $1,891 $1,891 2.7×
Unsched dialysis esrd pt hos (G0257) $1,454 $1,454 2.3×
Vasc emb/occ w/prs cath (C9797) $35,914 $35,914 2.2×

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.