healthcosts.net

Supplies costs at US hospitals

Procedure Code Lowest cash National median Highest Hospitals
Acetaminophen 120 mg rectal suppository HCPCS A9270 $9.00 $9.00 $9.00 1
Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 $22.20 $24.60 $273.00 8
Barrier film 1.0ml wipe HCPCS A5120 — — — 0
Barrier film 28ml spray no stng cavilon HCPCS A4369 $18.60 $18.60 $27.60 2
Barrier skin flat ctf 2.75in HCPCS A4408 — — — 0
Barrier skin flextend 2.25in floating flang new image HCPCS A4409 $2.40 $3.60 $4.80 3
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 — — — 0
Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 $10.00 $10.00 $10.00 1
Belt ostomy lg 34-65in HCPCS A4367 $52.80 $52.80 $52.80 1
Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 $43.20 $83.40 $568.20 9
Cassette provox xtraflow hme HCPCS A7507 — — — 0
Cath council tip 16fr 5cc HCPCS A4344 $32.40 $59.40 $496.20 9
Cath entrl fd nutri 5fr 40cm HCPCS B4082 $8.40 $10.80 $1,272.00 6
Cath ext adhere actv m 28mm HCPCS A4349 $2.40 $2.40 $2.40 1
Cath follower heyman 20f HCPCS A4352 $50.40 $50.40 $50.40 1
Cath infuse micro 150cm rapidtransit HCPCS A4351 $60.60 $114.00 $360.00 8
Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 $85.20 $190.20 $1,012.80 8
Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 — — — 0
Cath suction replogle 8fr neonatal esophageal HCPCS A4624 $2.40 $13.20 $126.00 3
Choline c-11 HCPCS A9515 — — — 0
Copper cu 64 dotatate diag HCPCS A9592 $2,083.80 $2,125.80 $2,970.00 3
Cr-51 sodium chromate HCPCS A9553 $417.60 $417.60 $504.80 2
Deodorant ostmy adapt lube 8ml HCPCS A4394 — — — 0
Drain chst dry seal exp thorastat HCPCS A7041 $84.60 $84.60 $84.60 1
Drsg sht 5.625x4.625in std HCPCS A6025 $639.00 $639.00 $639.00 3
Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 $33.00 $42.00 $306.60 3
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 $10,017.00 $11,362.20 $25,533.00 4
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 — — — 0
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 $22,027.50 $22,027.50 $22,027.50 3
F-18 fdg pet diag HCPCS A9552 $234.00 $1,257.60 $2,773.11 9
F-18 florbetapir less than or equal to 10 mci HCPCS A9586 $5,679.38 $5,679.38 $14,930.40 6
F-18 fluciclovine per mci HCPCS A9588 $710.40 $1,579.20 $1,588.80 3
F-18 sodium fluoride HCPCS A9580 $640.80 $640.80 $748.80 2
Flortaucipir inj 1 millicuri HCPCS A9601 — — — 0
Flotufolastat f18 diag 1 mci HCPCS A9608 $1,173.60 $1,173.60 $1,658.40 2
Fluorodopa f-18 diag per mci HCPCS A9602 — — — 0
Fluoroestradiol f 18 HCPCS A9591 $1,413.00 $1,491.00 $2,055.00 3
Ga-67 gallium 0.1 mci HCPCS A9556 $42.60 $190.20 $1,032.60 7
Ga-68 gallium 68 dotatate HCPCS A9587 $156.00 $156.00 $286.80 5
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 $2.40 $4.80 $10.80 7
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 $2.40 $15.00 $282.00 9
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 $0.60 $65.40 $119.29 7
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 $8.40 $62.40 $486.60 12
Gallium ga-68 psma-11, ucla HCPCS A9594 — — — 0
Gallium ga-68 psma-11 ucsf HCPCS A9593 — — — 0
Gallium illuccix 1 millicure HCPCS A9596 $1,900.80 $2,235.60 $2,848.80 3
Gallium locametz 1 millicuri HCPCS A9800 — — — 0
Hand-held pefr meter a4614 HCPCS A4614 $24.60 $25.80 $74.40 8
Hc i-131 sodium iodide cap dx per mci HCPCS A9528 $11.40 $190.20 $892.20 7
Hldr trach tb tie ad HCPCS A7526 $3.60 $3.60 $95.40 2
Holder tube cath-secure nonstrl lf disp HCPCS A4333 — — — 0
I-123 iobenguane diag HCPCS A9582 $7,549.20 $10,866.00 $17,222.25 8
I-123 ioflupane diag HCPCS A9584 $5,594.40 $8,455.20 $10,771.80 8
I-123 sod iodide diag per 100 uci HCPCS A9516 $39.60 $139.20 $748.80 9
I-131 iobenguane sulf diag mibg HCPCS A9508 $7,450.80 $7,450.80 $7,450.80 1
I131 iodide cap, rx HCPCS A9517 $106.20 $184.20 $823.80 7
I131 iodide sol, rx HCPCS A9530 $52.20 $78.60 $345.60 5
I-131 sod iodide sol diag per mci HCPCS A9529 $114.60 $114.60 $823.80 2
In-111 autologous plt stdy dx HCPCS A9571 — — — 0
In-111 autol wbc diag per dose HCPCS A9570 $6,806.40 $6,806.40 $6,806.40 1
In-111 capromab pendet HCPCS A9507 $16,003.80 $16,003.80 $16,003.80 1
In-111 ibritumomab tiux dx HCPCS A9542 $12,163.20 $14,202.00 $14,710.40 3
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $680.40 $2,808.00 $10,690.80 10
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $544.20 $1,273.80 $3,424.80 9
In-111 pentetreotide HCPCS A9572 $1,116.00 $11,244.60 $47,542.46 9
In-111 satumomab pend HCPCS A4642 $905.40 $905.40 $1,095.20 2
Inj multihance HCPCS A9577 $31.80 $126.60 $612.60 12
Inj, pegulicianine, 1 mg HCPCS A9615 — — — 0
Inj prohance multipack HCPCS A9576 $10.80 $39.00 $138.00 6
Insti hexaminolevulinate hcl HCPCS A9589 $3,240.00 $3,240.00 $3,240.00 1
Iodine i-123 sod iodide mil HCPCS A9509 $753.00 $1,636.80 $4,029.60 5
Iodine i-125 sodium iodide HCPCS A9527 — — — 0
Kerecis marigen shld sq cm HCPCS A2019 — — — 0
Kit cath f 8f w/glv + wipe ster HCPCS A4353 $5.40 $5.40 $24.00 3
Kit irrigator stoma cone 7721 HCPCS A4398 — — — 0
Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 $448.20 $448.20 $448.20 1
Kit trach suct cls 30.5cm HCPCS A4605 $39.00 $39.00 $39.00 1
Loop ostmy bridg ster HCPCS A4421 $64.80 $74.40 $88.20 6
Lutetium lu 177 dotatat ther HCPCS A9513 $607.20 $616.20 $1,290.00 3
Lutetium lu 177 vipivotide HCPCS A9607 $483.00 $600.00 $27,310.20 4
Marker biop eviva buckle ss HCPCS A4648 $149.40 $819.00 $3,051.60 12
Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 — — — 0
Mask full face lg af531 HCPCS A7030 — — — 0
P-32 chromic phos ther per mci HCPCS A9564 $894.00 $1,084.20 $1,311.20 3
P-32 sod phosphate ther per mci HCPCS A9563 $222.60 $268.80 $618.60 3
Paste skin barrier .5oz adapt HCPCS A4406 — — — 0
Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 $87.00 $105.00 $903.20 4
Piflu f-18, dia 1 millicurie HCPCS A9595 $1,033.80 $1,252.20 $6,267.00 6
Pouch high output 2pc 50mm red HCPCS A4413 $2.40 $2.40 $2.40 1
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 — — — 0
Pouch ostmy nb pouchkin ctf HCPCS A5062 — — — 0
Pouch uros new (both sides) 2.75in clr HCPCS A4432 — — — 0
Powder prem protct 1oz HCPCS A4371 — — — 0
Radium ra223 dichl ther/uci HCPCS A9606 $384.60 $389.40 $17,014.80 6
Ring barrier skin cx 1 9/16 adapt HCPCS A4411 — — — 0
Ring ostmy barr adapt 48mm HCPCS A4385 $9.60 $9.60 $9.60 1
Sleeve irr assura 1pc disp HCPCS A4397 — — — 0
Sling arm deluxe w/pad xs HCPCS A4565 $30.35 $197.40 $244.00 12
Sm-153 lexidron ther HCPCS A9604 $4,290.00 $12,410.40 $31,245.00 5
Splint finger 4 prong foam sm HCPCS A4570 $2.40 $222.60 $4,609.20 5
Sr-89 stront chlor ther / mci HCPCS A9600 $2,293.20 $2,773.60 $5,445.60 3
Strap chin dlx f/cpap HCPCS A7036 — — — 0
Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 — — — 0
Tape plstc 1inx5yd hosp tb pk HCPCS A4452 $0.60 $0.60 $10.20 2
Tc-99m apcitide diag HCPCS A9504 $420.00 $1,761.60 $2,130.40 3
Tc-99m arcitumomab HCPCS A9568 $2,781.60 $2,781.60 $3,364.00 2
Tc-99m bicisate HCPCS A9557 $697.80 $844.00 $2,040.00 5
Tc-99m depreotide HCPCS A9536 $209.40 $209.40 $252.80 3
Tc-99m diag per dose HCPCS A4641 $77.40 $77.40 $240.00 2
Tc-99m disofenin HCPCS A9510 $51.60 $59.40 $72.40 3
Tc-99m exame autol wbc diag per dose HCPCS A9569 $576.00 $576.00 $7,144.80 2
Tc-99m exametazime diag HCPCS A9521 $717.00 $1,461.00 $8,173.20 6
Tc-99m fanolesomab diag HCPCS A9566 $1,020.00 $3,894.60 $6,315.00 4
Tc-99m gluceptate HCPCS A9550 — — — 0
Tc-99m labeled rbc HCPCS A9560 $49.20 $282.00 $2,449.80 9
Tc-99m maa HCPCS A9540 $122.40 $161.60 $720.00 10
Tc-99m mebrofenin HCPCS A9537 $48.00 $303.00 $1,248.75 13
Tc-99m medronate HCPCS A9503 $39.60 $183.60 $358.80 8
Tc-99m mertiatide HCPCS A9562 $709.20 $1,978.20 $4,717.50 11
Tc-99m oxidronate HCPCS A9561 $15.00 $54.20 $236.40 8
Tc-99m pentetate dtpa HCPCS A9539 $22.20 $122.40 $975.00 10
Tc-99m pentetate dtpa aerosol HCPCS A9567 $196.20 $231.60 $415.20 8
Tc-99m pertechnetate per mci HCPCS A9512 $0.60 $43.20 $72.40 8
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 $51.60 $152.00 $602.40 10
Tc-99m sestamibi p study dose HCPCS A9500 $103.20 $725.40 $6,044.97 13
Tc-99m succimer (dmsa) HCPCS A9551 $129.60 $672.80 $2,748.00 5
Tc-99m sulfur colloid HCPCS A9541 $49.20 $191.20 $1,296.60 10
Tc-99m tetrofosmin p study dose HCPCS A9502 $507.00 $511.20 $617.60 4
Tc-99m tilmanocept diag HCPCS A9520 $72.60 $73.20 $9,358.20 5
Tl-201 thallium diag per mci HCPCS A9505 $50.40 $169.20 $1,032.00 9
Tray trach basic clean/care ster HCPCS A4626 — — — 0
Tube drain vert dev st 5-40f HCPCS A5200 $16.80 $16.80 $29.40 2
Tube trach disp innr can 5 xlt HCPCS A7521 $141.00 $394.80 $4,183.80 9
Tube trach disp innr can 6 xlt HCPCS A4623 $13.80 $72.60 $77.40 4
Tube trach fen sz 6 uncuffed HCPCS A7520 $76.20 $198.60 $3,744.60 5
Verify external neurostimulato HCPCS A4290 — — — 0
Vest wrp airway ther disp lg slot 1use HCPCS A7025 — — — 0
Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 — — — 0
Xe133 xenon 10mci HCPCS A9558 $23.40 $23.40 $496.20 2
Yttrium y-90 ibritumomab ther HCPCS A9543 $94,667.40 $114,488.00 $123,585.60 3