Supplies, drugs & other prices at Vanderbilt Clarksville Hospital
Clarksville, TN · every code in this section with a posted price and a Medicare benchmark.
51 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $27.14 | $139.86 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $4.26 | $21.91 | 0.1× |
| Admin influenza virus vac (G0008) | $30.17 | $155.46 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $38.40 | $197.88 | 0.8× |
| Catheterize for urine spec (P9612) | $132.56 | $683.22 | 14.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,658.13 | $8,547 | 1.8× |
| Colorectal scrn; hi risk ind (G0105) | $1,599.35 | $8,244 | 1.8× |
| Covid-19 lab test non-cdc (U0002) | $39.80 | $205.10 | 0.8× |
| Diab manage trn per indiv (G0108) | $23.86 | $122.93 | 0.4× |
| Diab manage trn ind/group (G0109) | $21.41 | $110.31 | 1.3× |
| Direct refer hospital observ (G0379) | $123.06 | $634.26 | 0.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $17.41 | $89.68 | 0.9× |
| Elec stim other than wound (G0283) | $33.88 | $174.57 | 2.7× |
| Elec stim unattend for press (G0281) | $33.88 | $174.57 | 2.9× |
| Elisa hiv-1/hiv-2 screen (G0433) | $30.55 | $157.41 | 1.7× |
| Hbot, full body chamber, 30m (G0277) | $216.98 | $1,118.42 | 1.6× |
| Hiv combination assay (G0475) | $245.39 | $1,264.85 | 10.2× |
| Hospital outpt clinic visit (G0463) | $152.58 | $786.44 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) | $756.44 | $3,899.11 | 1.1× |
| Mra w/cont, abd (C8900) | $975.09 | $5,026.16 | 2.8× |
| Mra w/cont, chest (C8909) | $2,231.79 | $11,504.01 | 6.5× |
| Mra w/cont, lwr ext (C8912) | $2,231.79 | $11,504.01 | 6.5× |
| Mra w/cont, pelvis (C8918) | $1,160.53 | $5,982.08 | 3.4× |
| Mra w/o cont, abd (C8901) | $799.25 | $4,119.81 | 3.4× |
| Mra w/o cont, chest (C8910) | $1,817.51 | $9,368.56 | 7.8× |
| Mra w/o cont, lwr ext (C8913) | $1,817.51 | $9,368.56 | 7.8× |
| Mra w/o cont, pelvis (C8919) | $1,817.51 | $9,368.56 | 7.8× |
| Mra w/o fol w/cont, abd (C8902) | $2,813.27 | $14,501.35 | 8.2× |
| Mra w/o fol w/cont, chest (C8911) | $2,813.27 | $14,501.35 | 8.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,813.27 | $14,501.35 | 8.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,813.27 | $14,501.35 | 8.2× |
| Mri w/cont, breast, bi (C8906) | $264.79 | $1,364.83 | 0.8× |
| Mri w/cont, breast, uni (C8903) | $128.44 | $662.03 | 0.7× |
| Mri w/o fol w/cont, breast, (C8908) | $264.79 | $1,364.83 | 0.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $264.79 | $1,364.83 | 0.8× |
| Oral hiv-1/hiv-2 screen (G0435) | $113.06 | $582.75 | 9.4× |
| Oth resp proc, group (G0239) | $51.13 | $263.53 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $12,456.58 | $64,209.11 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $8,725.06 | $44,974.46 | 0.8× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$8,725.06 | $44,974.46 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $8,725.06 | $44,974.46 | 0.8× |
| Prefab stnlss steel crwn pri (D2930) | $3,028.54 | $15,611 | 4.8× |
| Psa screening (G0103) | $151.62 | $781.49 | 7.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $524.05 | $2,701.22 | 0.7× |
| Therapeutic procd strg endur (G0237) | $84.68 | $436.46 | 3.0× |
| Therapeutic pulpotomy (D3220) | $3,028.54 | $15,611 | 4.8× |
| Tomosynthesis, mammo (G0279) | $15.86 | $81.69 | 1.2× |
| Tte w or w/o contr, cont ecg (C8930) | $578.40 | $2,981.37 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,515.88 | $7,813.74 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $788.65 | $4,065.16 | 1.2× |
| Ven blood coll snf/hha (G0471) | $4.67 | $24.01 | 0.4× |