Supplies, drugs & other prices at Winchester Medical Center

Winchester, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $81.20 $116 2.3×
2d tee w or w/o fol w/con,in (C8925) $1,635.20 $2,336 2.1×
2d tte w or w/o fol w/con,co (C8923) $1,245.30 $1,779 1.6×
2d tte w or w/o fol w/con,fu (C8924) $1,245.30 $1,779 3.6×
Adm of soc dtr assess 5-15 m (G0136) $74.90 $107 2.0×
Admin hepatitis b vaccine (G0010) $34.30 $49 0.7×
Admin influenza virus vac (G0008) $34.30 $49 0.7×
Admin pneumococcal vaccine (G0009) $34.30 $49 0.7×
Alcohol/sub misuse assess (G2011) $22.40 $32 0.8×
Alcohol/subs interv 15-30mn (G0396) $61.60 $88 1.6×
Alcohol/subs interv >30 min (G0397) $202.30 $289 1.1×
Brief alcohol misuse counsel (G0443) $112.70 $161 1.1×
Ca screen;pelvic/breast exam (G0101) $77 $110 0.8×
Covid-19 lab test non-cdc (U0002) $93.10 $133 1.8×
Demonstrate use home inr mon (G0248) $135.10 $193 1.0×
Depression screen annual (G0444) $24.50 $35 0.7×
Diab manage trn per indiv (G0108) $81.90 $117 1.5×
Diab manage trn ind/group (G0109) $65.10 $93 4.1×
Direct refer hospital observ (G0379) $430.50 $615 0.7×
Drug test def 1-7 classes (G0480) $186.20 $266 1.6×
Drug test def 15-21 classes (G0482) $296.80 $424 1.5×
Drug test def 22+ classes (G0483) $383.60 $548 1.6×
Drug test def 8-14 classes (G0481) $218.40 $312 1.4×
Elec stim other than wound (G0283) $58.10 $83 4.6×
Electrophysiological eval icds w/ss electrode (0577T) $49.70 $71 0.0×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $3,383.10 $4,833 1.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $12,383 $17,690 1.1×
Extrnl counterpulse, per tx (G0166) $401.80 $574 3.0×
Fecal blood scrn immunoassay (G0328) $15.40 $22 0.9×
Hbot, full body chamber, 30m (G0277) $471.10 $673 3.4×
Home sleep test/type 2 porta (G0398) $280.70 $401 1.3×
Home sleep test/type 3 porta (G0399) $280.70 $401 1.3×
Hpv combo assay ca screen (G0476) $171.50 $245 4.9×
Iliac Atherectomy (0238T) $26,744.20 $38,206 1.5×
Initial preventive exam (G0402) $117.60 $168 0.9×
Inj for sacroiliac jt anesth (G0260) $570.50 $815 0.8×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,324.40 $1,892 1.5×
Insertion of substernal implantable defibrillator electrode (0572T) $14,924.70 $21,321 1.8×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $9,482.90 $13,547 0.9×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $9,482.90 $13,547 1.1×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0525T) $12,653.20 $18,076 0.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $31,371.20 $44,816 1.4×
Insertion/replacement iims implantable mntr only (0527T) $9,482.90 $13,547 1.1×
Insj Wcs Lv Eltrd Only (0516T) $9,482.90 $13,547 0.9×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $70,273.70 $100,391 2.2×
Interrog dev eval iims ip (0529T) $49 $70 1.3×
Interrog dev eval wcs ip (0521T) $47.60 $68 1.6×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $44.10 $63 1.2×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $6,038.20 $8,626 161.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $277.20 $396 2.3×
Liver Dis 10 Assays W/Nash (0003M) $585.90 $837 1.2×
Mra w/cont, abd (C8900) $2,088.10 $2,983 6.0×
Mra w/cont, chest (C8909) $2,088.10 $2,983 6.0×
Mra w/cont, lwr ext (C8912) $1,397.90 $1,997 4.0×
Mra w/cont, pelvis (C8918) $2,138.50 $3,055 6.1×
Mra w/o cont, abd (C8901) $2,046.80 $2,924 8.6×
Mra w/o cont, chest (C8910) $2,046.80 $2,924 8.6×
Mra w/o cont, lwr ext (C8913) $1,169.70 $1,671 4.9×
Mra w/o cont, pelvis (C8919) $2,002.70 $2,861 8.4×
Mra w/o fol w/cont, abd (C8902) $3,298.40 $4,712 9.4×
Mra w/o fol w/cont, chest (C8911) $3,298.40 $4,712 9.4×
Mra w/o fol w/cont, lwr ext (C8914) $1,963.50 $2,805 5.6×
Mra w/o fol w/cont, pelvis (C8920) $3,915.80 $5,594 11.2×
Mra, w/dye, upper extremity (C8934) $1,724.10 $2,463 4.9×
Mra, w/o dye, upper extr (C8935) $1,436.40 $2,052 6.0×
Mra, w/o&w/dye, upper extr (C8936) $2,521.40 $3,602 7.2×
Mri w/cont, breast, bi (C8906) $4,370.80 $6,244 12.5×
Mri w/cont, breast, uni (C8903) $3,239.60 $4,628 18.4×
Mri w/o fol w/cont, breast, (C8908) $4,454.10 $6,363 12.7×
Mri w/o fol w/cont, brst, un (C8905) $3,369.80 $4,814 9.6×
Nav srv peer sup 60 min pr m (G0140) $112.70 $161 1.1×
Neuro csf prion prtn qual (0035U) $775.60 $1,108 1.4×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,324.40 $1,892 1.5×
Obtaining screen pap smear (Q0091) $31.50 $45 1.1×
Oth resp proc, group (G0239) $95.90 $137 2.6×
Oth resp proc, indiv (G0238) $72.10 $103 2.5×
Pathogen test for platelets (P9100) $49 $70 0.8×
Perc d-e cor revasc chro sin (C9607) $32,535.30 $46,479 1.8×
Perc d-e cor revasc t cabg s (C9604) $25,106.90 $35,867 2.2×
Perc d-e cor stent ather s (C9602) $32,535.30 $46,479 1.8×
Perc drug-el cor stent sing (C9600) $25,106.90 $35,867 2.2×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) $11,487.70 $16,411 0.9×
Place endorectal app (C9725) $632.80 $904 0.7×
Ppps, initial visit (G0438) $199.50 $285 1.1×
Ppps, subseq visit (G0439) $154 $220 1.1×
Prgrmg dev eval iims ip (0528T) $49 $70 1.3×
Prgrmg dev eval wcs ip (0522T) $49 $70 1.3×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $44.10 $63 1.2×
Prostate biopsy, any mthd (G0416) $2,342.20 $3,346 6.5×
Psa screening (G0103) $170.10 $243 8.8×
Quan MRI alys brain with diagnostic MRI (0866T) $1,216.60 $1,738 5.1×
Quan MRI alys brn w/o dx MRI (0865T) $1,216.60 $1,738 5.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $24,495.10 $34,993 2.3×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure
$3,943.10 $5,633 0.4×
Removal complete iims (0530T) $4,009.60 $5,728 1.1×
Removal iims electrode only (0531T) $4,009.60 $5,728 1.1×
Removal iims implt mntr only (0532T) $4,009.60 $5,728 1.1×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,486.70 $4,981 0.9×
Removal of substernal implantable defibrillator electrode (0573T) $6,953.80 $9,934 1.9×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $6,953.80 $9,934 1.9×
Revasc intra lithotrip-ather (C9766) $12,280.10 $17,543 0.7×
Revasc intra lithotrip-stent (C9765) $26,744.20 $38,206 1.5×
Revasc intravasc lithotripsy (C9764) $16,581.60 $23,688 1.4×
Revasc lith-sten-ath tib/per (C9775) $18,702.60 $26,718 1.0×
Revasc lithotr-ather tib/per (C9774) $18,702.60 $26,718 1.0×
Revasc lithotr-stent tib/per (C9773) $18,702.60 $26,718 1.0×
Revasc lithotrip tibi/perone (C9772) $16,581.60 $23,688 1.4×
Revasc lithotrip-stent-ather (C9767) $18,702.60 $26,718 1.0×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $6,944 $9,920 1.9×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $19,740 $28,200 1.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $20,948.20 $29,926 1.1×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $18,216.10 $26,023 0.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $20,948.20 $29,926 1.1×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $19,887 $28,410 3.5×
Therapeutic procd strg endur (G0237) $77 $110 2.7×
Tomosynthesis, mammo (G0279) $88.55 $126.50 7.0×
Trauma respons w/hosp criti (G0390) $4,178.65 $5,969.50 3.1×
Trim nail(s) (G0127) $170.80 $244 2.9×
Tte w or w/o contr, cont ecg (C8930) $2,018.10 $2,883 2.6×
Tte w or wo fol wcon,doppler (C8929) $2,562 $3,660 3.3×
Vasc emb/occ w/prs cath (C9797) $20,344.10 $29,063 1.1×