Supplies, drugs & other prices at UT Medical Center

Knoxville, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $256.25 $1,025 0.8×
Admin hepatitis b vaccine (G0010) $22.81 $91.25 0.5×
Admin influenza virus vac (G0008) $25 $100 0.6×
Admin pneumococcal vaccine (G0009) $22.81 $91.25 0.5×
Direct refer hospital observ (G0379) $7 $28 0.0×
Drug test def 1-7 classes (G0480) $62.50 $250 0.5×
Elec stim other than wound (G0283) $50.25 $201 4.0×
Elec stim unattend for press (G0281) $50.25 $201 4.3×
Fecal microbiota prep instil (G0455) $215.75 $863 0.3×
Group mnt 2 or more 30 mins (G0271) $12.50 $50 0.7×
Hbot, full body chamber, 30m (G0277) $152 $608 1.2×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,717.50 $6,870 2.7×
Home sleep test/type 3 porta (G0399) $577.38 $2,309.50 2.9×
Hospital outpt clinic visit (G0463) $42 $168 0.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure
$5,000 $20,000 0.2×
Mnt subs tx for change dx (G0270) $10.75 $43 0.3×
Mra w/cont, abd (C8900) $920.12 $3,680.50 2.9×
Mra w/cont, chest (C8909) $960.50 $3,842 3.0×
Mra w/cont, lwr ext (C8912) $960 $3,840 3.0×
Mra w/cont, pelvis (C8918) $897.62 $3,590.50 2.8×
Mra w/o cont, abd (C8901) $800.62 $3,202.50 3.7×
Mra w/o cont, chest (C8910) $835.12 $3,340.50 3.9×
Mra w/o cont, lwr ext (C8913) $835.12 $3,340.50 3.9×
Mra w/o cont, pelvis (C8919) $781.38 $3,125.50 3.6×
Mra w/o fol w/cont, abd (C8902) $1,045 $4,180 3.3×
Mra w/o fol w/cont, chest (C8911) $1,104.62 $4,418.50 3.5×
Mra w/o fol w/cont, lwr ext (C8914) $1,104.62 $4,418.50 3.5×
Mra w/o fol w/cont, pelvis (C8920) $1,033 $4,132 3.3×
Mra, w/o&w/dye, spinal canal (C8933) $799.25 $3,197 2.5×
Mra, w/o&w/dye, upper extr (C8936) $799.25 $3,197 2.5×
Mri w/o fol w/cont, breast, (C8908) $982.62 $3,930.50 3.1×
Mri w/o fol w/cont, brst, un (C8905) $982.62 $3,930.50 3.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $818.62 $3,274.50 2.0×
Oth resp proc, group (G0239) $111.75 $447 3.3×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$1,706.25 $6,825 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,706.25 $6,825 0.3×
Prostate biopsy, any mthd (G0416) $93.75 $375 0.3×
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$1,847.38 $7,389.50 0.1×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$1,847.38 $7,389.50 0.1×
Revasc intravasc lithotripsy (C9764)
likely a partial charge, not the full procedure
$1,088.88 $4,355.50 0.1×
Revasc lith-sten-ath tib/per (C9775)
unusually low: confirm this is the full procedure
$5,992.50 $23,970 0.4×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$5,992.50 $23,970 0.4×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$5,992.50 $23,970 0.4×
Revasc lithotrip tibi/perone (C9772)
likely a partial charge, not the full procedure
$1,847.38 $7,389.50 0.2×
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure
$5,992.50 $23,970 0.4×
Scr c/v cyto,thinlayer,rescr (G0145) $37.88 $151.50 1.4×
Screen cerv/vag thin layer (G0123) $31.25 $125 1.5×
Tomosynthesis, mammo (G0279) $14.38 $57.50 1.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $2,916 $11,664 0.6×
Transcatheter renal sympath denervation unilat (0338T) $2,916 $11,664 0.6×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
likely a partial charge, not the full procedure
$2,122.50 $8,490 0.2×
Trauma respons w/hosp criti (G0390) $2,791.38 $11,165.50 2.3×
Trluml Perip Athrc Renal Art (0234T)
likely a partial charge, not the full procedure
$2,122.50 $8,490 0.2×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure
$2,122.50 $8,490 0.2×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$2,122.50 $8,490 0.1×
Tte w or w/o contr, cont ecg (C8930) $307.50 $1,230 0.4×
Tte w or wo fol wcon,doppler (C8929) $520.75 $2,083 0.7×