Supplies, drugs & other prices at Wyckoff Heights Medical Center
Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.
78 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) range across 2 matching MRF lines |
$66–$69 | $66–$69 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) | $424.97 | $424.97 | 1.0× |
| Adm of soc dtr assess 5-15 m (G0136) | $83 | $83 | 1.8× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$114.51–$136.99 | $114.51–$136.99 | varies |
| Admin influenza virus vac (G0008) | $114.51 | $114.51 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $114.51 | $114.51 | 2.0× |
| Annual alcohol screen 15 min (G0442) | $198.36 | $198.36 | 4.2× |
| Bitewings - three images (D0273) | $30 | $30 | 0.1× |
| Bitewings four images (D0274) | $2,561.82 | $2,561.82 | 8.6× |
| Ca screen;flexi sigmoidscope (G0104) | $1,465.67 | $1,465.67 | 1.3× |
| Ca screen;pelvic/breast exam (G0101) | $138.20 | $138.20 | 1.1× |
| Catheterize for urine spec (P9612) | $4.50 | $4.50 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,500–$4,500 | $1,500–$4,500 | varies |
| Colorectal scrn; hi risk ind (G0105) | $4,500 | $4,500 | 3.9× |
| Comprehensve oral evaluation (D0150) | $2,561.82 | $2,561.82 | 15.4× |
| Core build-up incl any pins (D2950) | $224.70 | $224.70 | 0.3× |
| Crown porcelain/ceramic (D2740) | $750 | $750 | 0.9× |
| Cysto, litho, vacuum kidney (C9761) | $11,270.99 | $11,270.99 | 1.0× |
| Dental bitewing single image (D0270) | $2,561.82 | $2,561.82 | 23.6× |
| Dental bitewings two images (D0272) | $2,561.82 | $2,561.82 | 23.6× |
| Dental prophylaxis adult (D1110) | $67.50 | $67.50 | 0.4× |
| Dental unspec restorative pr (D2999) | $2,561.82 | $2,561.82 | 3.2× |
| Depression screen annual (G0444) | $189.30 | $189.30 | 4.0× |
| Devlopment test interpt&rep (G0451) | $605.88 | $605.88 | 4.8× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$35.77–$165 | $35.77–$165 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$35.77–$143.08 | $35.77–$143.08 | varies |
| Direct refer hospital observ (G0379) | $3,000 | $3,000 | 4.0× |
| Drug test def 1-7 classes (G0480) | $54 | $54 | 0.5× |
| Elec stim other than wound (G0283) | $69.12 | $69.12 | 5.4× |
| End thxpy, anterior tooth (D3310) | $625 | $625 | 0.8× |
| End thxpy, molar tooth (D3330) | $1,000 | $1,000 | 1.2× |
| Endodontic procedure (D3999) | $2,561.82 | $2,561.82 | 3.2× |
| Exposure of unerupted tooth (D7280) | $870 | $870 | 1.1× |
| Extensv oral eval prob focus (D0160) | $100 | $100 | 0.6× |
| Extraction erupted tooth/exr (D7140) range across 2 matching MRF lines |
$7,685.46–$10,247.28 | $7,685.46–$10,247.28 | varies |
| Full mouth debridement (D4355) | $2,561.82 | $2,561.82 | 3.2× |
| Gross pulpal debridement (D3221) | $198.45 | $198.45 | 0.2× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$102.81–$532.88 | $102.81–$532.88 | varies |
| I&d absc intraoral soft tiss (D7510) | $105 | $105 | 0.1× |
| Impact tooth remov soft tiss (D7220) | $2,561.82 | $2,561.82 | 3.2× |
| Initial preventive exam (G0402) | $343.38 | $343.38 | 2.1× |
| Intraor comprehensive series (D0210) | $56.70 | $56.70 | 0.2× |
| Intraoral periapical first (D0220) | $14.70 | $14.70 | 0.1× |
| Limit oral eval problm focus (D0140) range across 2 matching MRF lines |
$21–$35 | $21–$35 | varies |
| Mra w/cont, chest (C8909) | $680.12 | $680.12 | 1.6× |
| Mra w/o cont, chest (C8910) | $424.97 | $424.97 | 1.4× |
| Mra w/o fol w/cont, chest (C8911) | $680.12 | $680.12 | 1.6× |
| Mri w/cont, breast, bi (C8906) | $680.12 | $680.12 | 1.6× |
| Mri w/o fol w/cont, breast, (C8908) | $723.77 | $723.77 | 1.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $707.13 | $707.13 | 1.6× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$45.63–$92 | $45.63–$92 | varies |
| Oral hiv-1/hiv-2 screen (G0435) | $102.60 | $102.60 | 8.6× |
| Panoramic image (D0330) | $165.90 | $165.90 | 0.6× |
| Perc d-e cor revasc chro sin (C9607) | $29,661.94 | $29,661.94 | 1.3× |
| Perc d-e cor revasc t cabg s (C9604) | $18,551.45 | $18,551.45 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $29,661.94 | $29,661.94 | 1.3× |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$18,551.45–$58,369 | $18,551.45–$58,369 | varies |
| Periodic oral evaluation (D0120) | $169.05 | $169.05 | 1.0× |
| Periodontal scaling & root (D4341) | $225 | $225 | 0.3× |
| Post 1 srfc resinbased cmpst (D2391) | $150 | $150 | 0.2× |
| Post 2 srfc resinbased cmpst (D2392) | $100.50 | $100.50 | 0.1× |
| Post 3 srfc resinbased cmpst (D2393) | $123 | $123 | 0.2× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$262.50–$373.80 | $262.50–$373.80 | varies |
| Ppps, subseq visit (G0439) | $337.05 | $337.05 | 2.4× |
| Prefab post/core + crown (D2954) | $187.50 | $187.50 | 0.2× |
| Prefab stnlss steel crwn pri (D2930) | $870 | $870 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $317.52 | $317.52 | 0.7× |
| Re-eval,est pt,problem focus (D0170) | $85 | $85 | 0.5× |
| Rem imp tooth w mucoper flp (D7210) | $2,561.82 | $2,561.82 | 1.3× |
| Rem odontogen cyst to 1.25cm (D7450) | $127.08 | $127.08 | 0.0× |
| Resin 4/> surf or w incis an (D2335) | $147 | $147 | 0.2× |
| Resin one surface-anterior (D2330) | $125 | $125 | 0.2× |
| Resin two surfaces-anterior (D2331) | $182.50 | $182.50 | 0.2× |
| Spine device implant surgery (C9757) likely a partial charge, not the full procedure |
$239.08 | $239.08 | 0.0× |
| Tomosynthesis, mammo (G0279) | $96.84 | $96.84 | 7.6× |
| Trim nail(s) (G0127) | $102.81 | $102.81 | 1.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $29,661.94 | $29,661.94 | 1.3× |
| Visit to determ ldct elig (G0296) | $138.20 | $138.20 | 1.1× |
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.