Supplies, drugs & other prices at Wilson Medical Center

Wilson, NC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ant resin-based cmpst crown (D2390) $5,764.10 $14,410.25 9.0×
Colon ca scrn not hi rsk ind (G0121) $2,257.60 $5,644 2.4×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) $3,173.20 $7,933 9.1×
Cysto impl 4 or more (C9740) $19,103.20 $47,758 2.0×
Cystoscopy prostatic imp 1-3 (C9739) $17,929.60 $44,824 3.4×
Extraction erupted tooth/exr (D7140) $6,106.80 $15,267 9.5×
Liver dis 10 assays w/nash (0003M) $227.20 $568 0.5×
Mri w/o fol w/cont, breast, (C8908) $2,886 $7,215 8.3×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $29,635.20 $74,088 1.5×
Post 1 srfc resinbased cmpst (D2391) $7,448.93 $18,622.33 11.6×
Prefab stnlss steel crwn pri (D2930) $5,906.72 $14,766.79 9.2×
Pulp cap indirect (D3120) $3,062.47 $7,656.17 4.8×
Re-eval,est pt,problem focus (D0170) $3,062.47 $7,656.17 23.1×
Resin one surface-anterior (D2330) $6,038.93 $15,097.33 9.4×
Trluml Perip Athrc Renal Art (0234T)
likely a partial charge, not the full procedure
$1,989.60 $4,974 0.2×