Supplies, drugs & other prices at West Chester Hospital
West Chester, OH · every code in this section with a posted price and a Medicare benchmark.
156 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $204.60 | $341 | 5.7× |
| 2d tee w or w/o fol w/con,in (C8925) | $2,694 | $4,490 | 3.5× |
| 2d tte w or w/o fol w/con,co (C8923) range across 4 matching MRF lines |
$1,008–$1,102.20 | $1,680–$1,837 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 3 matching MRF lines |
$450–$682.80 | $750–$1,138 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $11,445 | $19,075 | 1.3× |
| Adm tocilizu covid-19 1st (M0249) | $901.80 | $1,503 | 2.1× |
| Adm tocilizu covid-19 2nd (M0250) | $901.80 | $1,503 | 2.1× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$35.40–$60 | $59–$100 | varies |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$35.40–$60 | $59–$100 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$35.40–$60 | $59–$100 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $85.20 | $142 | 2.3× |
| Anatomic guide 3d printed 1st anatomic guide (0561T) | $120.60 | $201 | 0.9× |
| Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) | $120.60 | $201 | 0.9× |
| Annual alcohol screen 15 min (G0442) | $46.20 | $77 | 1.3× |
| Ascvd rsk mng clin stf pr mo (G0538) range across 2 matching MRF lines |
$124.80–$192 | $208–$320 | varies |
| Behavior counsel obesity 15m (G0447) | $138.60 | $231 | 1.4× |
| Brief alcohol misuse counsel (G0443) | $215.40 | $359 | 2.2× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$79.80–$87.60 | $133–$146 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$29.40–$31.20 | $49–$52 | varies |
| Chemo extend iv infus w/pump (G0498) range across 4 matching MRF lines |
$1,164–$2,517.60 | $1,940–$4,196 | varies |
| Colorectal scrn; hi risk ind (G0105) | $3,232.20 | $5,387 | 3.6× |
| Comm hlth intg svs sdoh 60mn (G0019) range across 2 matching MRF lines |
$124.20–$192 | $207–$320 | varies |
| Covid-19 lab test non-cdc (U0002) range across 3 matching MRF lines |
$118.20–$204.60 | $197–$341 | varies |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $964.80 | $1,608 | 0.2× |
| Dermal filler injection(s) (G0429) | $5,111.40 | $8,519 | 2.5× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$120.60–$148.80 | $201–$248 | varies |
| Diab manage trn ind/group (G0109) range across 3 matching MRF lines |
$100.80–$112.20 | $168–$187 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$142.80–$210 | $238–$350 | varies |
| Drug test def 1-7 classes (G0480) range across 88 matching MRF lines |
$22.80–$538.80 | $38–$898 | varies |
| Drug test def 8-14 classes (G0481) | $398.40 | $664 | 2.5× |
| Ed svc ckd grp per session (G0421) range across 2 matching MRF lines |
$93.60–$96.60 | $156–$161 | varies |
| Ed svc ckd ind per session (G0420) range across 2 matching MRF lines |
$188.40–$190.80 | $314–$318 | varies |
| Ekg tracing for initial prev (G0404) range across 3 matching MRF lines |
$71.40–$228.60 | $119–$381 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$66–$280.80 | $110–$468 | varies |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) range across 2 matching MRF lines |
$1,308–$2,012.40 | $2,180–$3,354 | varies |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $4,419 | $7,365 | 1.4× |
| Extrnl counterpulse, per tx (G0166) | $925.80 | $1,543 | 7.1× |
| Fecal microbiota prep instil (G0455) | $2,112.60 | $3,521 | 2.3× |
| Fern test (Q0114) range across 2 matching MRF lines |
$25.80–$63.60 | $43–$106 | varies |
| Group mnt 2 or more 30 mins (G0271) | $96.60 | $161 | 5.7× |
| Hbot, full body chamber, 30m (G0277) | $1,456.80 | $2,428 | 10.9× |
| Hospital outpt clinic visit (G0463) range across 17 matching MRF lines |
$75–$247.80 | $125–$413 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $472.80 | $788 | 10.9× |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
$120–$147 | $200–$245 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$1,382.40–$6,895.20 | $2,304–$11,492 | varies |
| Injection of hiv prep drug (G0012) range across 2 matching MRF lines |
$96–$147.60 | $160–$246 | varies |
| Insertion of substernal implantable defibrillator electrode (0572T) likely a partial charge, not the full procedure |
$165.60 | $276 | 0.0× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $36,798 | $61,330 | 1.7× |
| Insertion/Replacement Complete Iims (0525T) | $16,527 | $27,545 | 0.9× |
| Insertion/Replacement Iims Electrode Only (0526T) | $12,386.40 | $20,644 | 1.5× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $12,386.40 | $20,644 | 1.5× |
| Insj Wcs Lv Eltrd Only (0516T) | $36,798 | $61,330 | 3.6× |
| Insj Wcs Lv Pg Compnt (0517T) | $12,386.40 | $20,644 | 1.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) range across 2 matching MRF lines |
$60,141.60 | $2,100–$100,236 | 2.0× |
| Interrog dev eval iims ip (0529T) | $65.40 | $109 | 1.8× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $30 | $50 | 1.1× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $163.20 | $272 | 4.5× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $724.80 | $1,208 | 1.4× |
| Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) | $69.60 | $116 | 2.1× |
| Mnt subs tx for change dx (G0270) | $58.20 | $97 | 1.8× |
| Mra w/cont, abd (C8900) range across 3 matching MRF lines |
$1,674.60–$2,626.20 | $2,791–$4,377 | varies |
| Mra w/cont, chest (C8909) range across 3 matching MRF lines |
$1,650.60–$2,585.40 | $2,751–$4,309 | varies |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$1,255.20–$2,427 | $2,092–$4,045 | varies |
| Mra w/cont, pelvis (C8918) range across 3 matching MRF lines |
$1,131.60–$2,518.80 | $1,886–$4,198 | varies |
| Mra w/o cont, abd (C8901) range across 3 matching MRF lines |
$1,569.60–$2,621.40 | $2,616–$4,369 | varies |
| Mra w/o cont, chest (C8910) range across 3 matching MRF lines |
$1,474.80–$2,464.20 | $2,458–$4,107 | varies |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$2,162.40–$2,287.20 | $3,604–$3,812 | varies |
| Mra w/o cont, pelvis (C8919) range across 2 matching MRF lines |
$2,101.80–$2,239.80 | $3,503–$3,733 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 3 matching MRF lines |
$1,807.20–$2,836.80 | $3,012–$4,728 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,386–$2,678.40 | $2,310–$4,464 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 3 matching MRF lines |
$1,337.40–$2,951.40 | $2,229–$4,919 | varies |
| Mra, w/dye, spinal canal (C8931) range across 3 matching MRF lines |
$1,466.40–$2,428.80 | $2,444–$4,048 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) range across 3 matching MRF lines |
$1,591.20–$2,658 | $2,652–$4,430 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$2,464.80–$2,488.80 | $4,108–$4,148 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 3 matching MRF lines |
$2,076.90–$3,437.58 | $3,461.50–$5,729.30 | varies |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) | $2,775 | $4,625 | 2.2× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$324–$6,625.20 | $540–$11,042 | varies |
| Obtaining screen pap smear (Q0091) range across 5 matching MRF lines |
$246–$2,398.20 | $410–$3,997 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) | $661.80 | $1,103 | 2.0× |
| Oth resp proc, group (G0239) | $302.40 | $504 | 8.3× |
| Oth resp proc, indiv (G0238) | $286.20 | $477 | 10.2× |
| Pathogen test for platelets (P9100) | $91.20 | $152 | 1.6× |
| Pemivibart infusion (M0224) range across 2 matching MRF lines |
$676.80–$1,041.60 | $1,128–$1,736 | varies |
| Perc d-e cor revasc chro sin (C9607) | $31,845.60 | $53,076 | 1.8× |
| Perc d-e cor revasc t cabg s (C9604) | $20,098.20 | $33,497 | 1.8× |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$13,160.40–$13,897.20 | $21,934–$23,162 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$10,871.40–$11,230.20 | $18,119–$18,717 | varies |
| Perq Sacral Augmt Bilat Inj (0201T) | $11,865 | $19,775 | 1.7× |
| Perq Sacral Augmt Unilat Inj (0200T) | $8,578.80 | $14,298 | 1.2× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 2 matching MRF lines |
$6,337.20–$9,750 | $10,562–$16,250 | varies |
| Pin service 60m per month (G0023) range across 2 matching MRF lines |
$136.80–$210 | $228–$350 | varies |
| Pre-op service lvrs complete (G0302) range across 2 matching MRF lines |
$202.20–$246 | $337–$410 | varies |
| Prgrmg dev eval iims ip (0528T) | $65.40 | $109 | 1.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $71.40 | $119 | 2.0× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $82.20 | $137 | 2.3× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $165.60 | $276 | 4.6× |
| Prolonged iv inf, req pump (C8957) | $1,116 | $1,860 | 5.4× |
| Psa screening (G0103) | $119.40 | $199 | 6.2× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $426.60 | $711 | 0.5× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $403.20 | $672 | 0.4× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $532.20 | $887 | 2.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $532.20 | $887 | 2.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $983.40 | $1,639 | 1.4× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $172.80 | $288 | 4.8× |
| Removal complete iims (0530T) | $5,238 | $8,730 | 1.4× |
| Removal iims electrode only (0531T) | $5,238 | $8,730 | 1.4× |
| Removal iims implt mntr only (0532T) | $5,238 | $8,730 | 1.4× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $502.20 | $837 | 2.6× |
| Removal Ss Dfb Electrode (0573T) | $165.60 | $276 | 0.0× |
| Replacment pt electronic sys (G0555) | $1,886.14 | $3,143.56 | 2.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $165.60 | $276 | 0.0× |
| Revasc intra lithotrip-ather (C9766) | $17,790 | $29,650 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $19,468.80 | $32,448 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $8,701.80 | $14,503 | 0.8× |
| Revasc lith-sten-ath tib/per (C9775) | $28,384.80 | $47,308 | 1.6× |
| Revasc lithotr-ather tib/per (C9774) | $28,384.80 | $47,308 | 1.6× |
| Revasc lithotr-stent tib/per (C9773) | $28,384.80 | $47,308 | 1.6× |
| Revasc lithotrip tibi/perone (C9772) | $17,746.20 | $29,577 | 1.6× |
| Revasc lithotrip-stent-ather (C9767) | $23,850 | $39,750 | 1.3× |
| Risk ascvd tst once pr 12 mo (G0537) range across 2 matching MRF lines |
$40.20–$61.20 | $67–$102 | varies |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $5,238 | $8,730 | 0.5× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) | $964.80 | $1,608 | 0.2× |
| Rmvl Pg Compnt Wcs (0518T) | $5,238 | $8,730 | 1.4× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $165.60 | $276 | 0.0× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $36,798 | $61,330 | 3.6× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) range across 2 matching MRF lines |
$24,962.40–$38,404.20 | $41,604–$64,007 | varies |
| Scr c/v cyto, automated sys (G0147) range across 2 matching MRF lines |
$29.40–$65.40 | $49–$109 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) | $107.40 | $179 | 4.1× |
| Screen cerv/vag thin layer (G0123) | $111 | $185 | 5.5× |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$34.20–$81 | $57–$135 | varies |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $31,746.60 | $52,911 | 1.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $31,746.60 | $52,911 | 1.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $31,746.60 | $52,911 | 1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $31,746.60 | $52,911 | 1.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $5,193 | $8,655 | 1.7× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $5,193 | $8,655 | 1.7× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $5,193 | $8,655 | 1.7× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $5,193 | $8,655 | 1.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $31,746.60 | $52,911 | 1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $31,746.60 | $52,911 | 1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $31,746.60 | $52,911 | 1.7× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $31,746.60 | $52,911 | 1.7× |
| Therapeutic procd strg endur (G0237) | $302.40 | $504 | 10.7× |
| Tomosynthesis, mammo (G0279) | $132.60 | $221 | 10.4× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $14,690.40 | $24,484 | 2.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $11,191.20 | $18,652 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$4,822.20–$8,680.20 | $8,037–$14,467 | varies |
| Trluml perip athrc abd aorta (0236T) | $26,868.60 | $44,781 | 2.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $19,657.20 | $32,762 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) range across 4 matching MRF lines |
$2,554.80–$3,419.40 | $4,258–$5,699 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$2,109–$2,822.40 | $3,515–$4,704 | varies |
| Unsched dialysis esrd pt hos (G0257) | $2,322.60 | $3,871 | 3.5× |
| Visit esketamine 56m or less (G2082) | $1,536 | $2,560 | 1.5× |
| Visit esketamine, > 56m (G2083) | $2,063.40 | $3,439 | 1.3× |
| Visit to determ ldct elig (G0296) | $97.80 | $163 | 1.0× |
| Wet mounts/ w preparations (Q0111) | $21.60 | $36 | 1.2× |
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.