Supplies, drugs & other prices at Wythe County Community Hospital
Wytheville, VA · every code in this section with a posted price and a Medicare benchmark.
37 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) | $134.12 | $335.30 | 3.7× |
| Adm tocilizu covid-19 1st (M0249) | $1,173.97 | $2,934.92 | 2.7× |
| Adm tocilizu covid-19 2nd (M0250) | $1,173.97 | $2,934.92 | 2.7× |
| Admin hepatitis b vaccine (G0010) | $67.89 | $169.72 | 1.5× |
| Admin influenza virus vac (G0008) | $71.75 | $179.38 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $71.75 | $179.38 | 1.6× |
| Arthro/shoul surg; w/spacer (C9781) unusually low: confirm this is the full procedure |
$4,778.77 | $11,946.92 | 0.4× |
| Ca screen;flexi sigmoidscope (G0104) | $3,193.78 | $7,984.46 | 3.5× |
| Catheterize for urine spec (P9612) | $77.27 | $193.18 | 8.3× |
| Colon ca scrn not hi rsk ind (G0121) | $3,148.25 | $7,870.62 | 3.5× |
| Colorectal scrn; hi risk ind (G0105) | $3,334.53 | $8,336.32 | 3.7× |
| Covid-19 lab test non-cdc (U0002) | $134.12 | $335.30 | 2.6× |
| Cysto impl 4 or more (C9740) | $7,175.67 | $17,939.18 | 0.8× |
| Diab manage trn per indiv (G0108) | $113.34 | $283.36 | 2.0× |
| Diab manage trn ind/group (G0109) | $66.53 | $166.32 | 4.2× |
| Direct refer hospital observ (G0379) | $534.28 | $1,335.69 | 0.9× |
| Drug test def 1-7 classes (G0480) | $99.35 | $248.37 | 0.9× |
| Drug test def 8-14 classes (G0481) | $165.58 | $413.95 | 1.1× |
| Elec stim other than wound (G0283) | $112.50 | $281.25 | 8.9× |
| Elec stim unattend for press (G0281) | $114.20 | $285.50 | 9.8× |
| Elisa hiv-1/hiv-2 screen (G0433) | $477.43 | $1,193.57 | 26.1× |
| Hbot, full body chamber, 30m (G0277) | $264.93 | $662.32 | 2.0× |
| Home sleep test/type 3 porta (G0399) | $638.48 | $1,596.22 | 3.0× |
| Hospital outpt clinic visit (G0463) | $208.22 | $520.54 | 1.6× |
| Inj for sacroiliac jt anesth (G0260) | $433.85 | $1,084.63 | 0.6× |
| Mra w/cont, abd (C8900) | $4,339.88 | $10,849.69 | 12.7× |
| Mra w/cont, pelvis (C8918) | $2,113.36 | $5,283.41 | 6.2× |
| Mri w/cont, breast, bi (C8906) | $4,553.47 | $11,383.68 | 13.4× |
| Mri w/cont, breast, uni (C8903) | $4,850.66 | $12,126.65 | 28.3× |
| Mri w/o fol w/cont, breast, (C8908) | $5,166.67 | $12,916.68 | 15.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $4,938.91 | $12,347.27 | 14.5× |
| Pinworm examinations (Q0113) | $43.60 | $109.01 | 10.2× |
| Psa screening (G0103) | $163.93 | $409.82 | 8.5× |
| Tomosynthesis, mammo (G0279) | $100.94 | $252.34 | 8.0× |
| Trauma respons w/hosp criti (G0390) | $1,006.73 | $2,516.83 | 0.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,630.42 | $4,076.05 | 2.4× |
| Wet mounts/ w preparations (Q0111) | $62.37 | $155.93 | 3.4× |