healthcosts.net

Supplies costs at US hospitals

Procedure Code Lowest cash National median Highest Hospitals
Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 $4.35 $108.40 $813.79 301
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 $5.12 $120.00 $900.00 431
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 $6.11 $177.52 $1,007.07 225
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 $12.64 $249.80 $2,434.74 466
Gallium ga-68 psma-11, ucla HCPCS A9594 $173.83 $187.20 $2,813.25 61
Gallium ga-68 psma-11 ucsf HCPCS A9593 $534.91 $1,344.20 $12,545.28 52
Gallium illuccix 1 millicure HCPCS A9596 $104.75 $1,696.55 $20,166.00 226
Gallium locametz 1 millicuri HCPCS A9800 $500.25 $1,853.80 $14,000.00 56
Gastro/jejuno tube, std HCPCS B4087 $40.92 $379.50 $3,424.00 230
Gauze >16<=48 no w/sal without b HCPCS A6223 $0.50 $5.00 $27.60 91
Gauze >16 <=48 sq in w/bordr HCPCS A6220 $3.00 $4.20 $5.20 12
Gauze <=16 in no w/sal without b HCPCS A6222 $0.49 $6.40 $25.66 89
Gauze <= 16 sq in w/border HCPCS A6219 $0.86 $13.65 $26.06 42
Gauze > 48 in no w/sal without b HCPCS A6224 $0.91 $7.08 $16.29 57
Gc stocking full lngth 18-30 HCPCS A6536 $29.40 $29.40 $138.24 13
Gc stocking full lngth 30-40 HCPCS A6537 $37.80 $37.80 $138.24 12
Gc stocking full lngth 40+ HCPCS A6538 $42.00 $42.00 $141.66 12
Gc stocking thighlngth 18-30 HCPCS A6533 $23.10 $68.30 $320.92 59
Gc stocking thighlngth 30-40 HCPCS A6534 $27.30 $44.40 $118.87 16
Gc stocking thighlngth 40+ HCPCS A6535 $29.40 $29.40 $118.87 12
Gc stocking waistlngth 18-30 HCPCS A6539 $3.00 $42.00 $346.16 21
Gc stocking waistlngth 30-40 HCPCS A6540 $52.50 $52.50 $636.00 14
Gc stocking waistlngth 40+ HCPCS A6541 $63.00 $63.00 $993.00 14
Ground mileage HCPCS A0425 $2.40 $17.60 $110.38 103
Hand-held pefr meter a4614 HCPCS A4614 $2.40 $26.40 $231.60 78
Hc i-131 sodium iodide cap dx per mci HCPCS A9528 $9.77 $113.12 $1,013.65 401
High compres band w>=3"<5"yd HCPCS A6452 $3.60 $63.40 $66.40 30
Hldr trach tb tie ad HCPCS A7526 $27.95 $940.87 $1,626.99 25
Hmes or trach valve housing HCPCS A7505 $9.22 $75.63 $75.63 13
Holder tube cath-secure nonstrl lf disp HCPCS A4333 $0.78 $1.94 $4.36 25
Hydrocolld drg >16<=48 w/bdr HCPCS A6238 $4.66 $25.70 $391.58 43
Hydrocolld drg >16<=48 without b HCPCS A6235 $2.40 $19.69 $89.64 76
Hydrocolld drg <=16 in w/bdr HCPCS A6237 $2.43 $5.57 $72.00 47
Hydrocolld drg <=16 without bdr HCPCS A6234 $1.61 $7.76 $65.16 184
Hydrocolld drg filler paste HCPCS A6240 $7.08 $45.92 $166.50 68
Hydrogel drg <= 16 in w/bdr HCPCS A6245 $6.73 $30.14 $58.60 43
Hydrogel drg >48 in without bdr HCPCS A6244 $77.27 $77.27 $1,249.20 5
Hydrogel drg > 48 sq in w/b HCPCS A6247 $2.40 $22.41 $54.78 12
Hydrogel drsg gel filler HCPCS A6248 $12.15 $32.50 $128.54 78
Hydrogel dsg>16<=48 sq in HCPCS A6232 $11.70 $11.70 $13.50 12
Hydrogel dsg<=16 sq in HCPCS A6231 $2.93 $5.04 $12.35 16
I-123 iobenguane diag HCPCS A9582 $535.26 $5,170.70 $39,345.75 411
I-123 ioflupane diag HCPCS A9584 $573.15 $4,158.00 $29,754.00 421
I-123 sod iodide diag per 100 uci HCPCS A9516 $19.50 $147.46 $1,553.92 596
I125 iothalamate, dx HCPCS A9554 $51.48 $634.90 $3,576.00 85
I125 serum albumin, dx HCPCS A9532 $393.12 $393.12 $647.30 22
I-131 iobenguane sulf diag mibg HCPCS A9508 $198.66 $3,638.48 $29,526.71 170
I131 iodide cap, rx HCPCS A9517 $6.60 $71.70 $910.00 500
I131 iodide sol, rx HCPCS A9530 $9.15 $34.87 $500.94 132
I131 max 100uci HCPCS A9531 $4.40 $53.39 $558.12 135
I131 serum albumin, dx HCPCS A9524 $83.06 $847.84 $2,970.37 91
I-131 sod iodide sol diag per mci HCPCS A9529 $6.21 $114.60 $867.58 109
Iduc valve sply repl HCPCS A4342 $44.80 $44.80 $44.80 18
Impreg gauze no h20/sal/yard HCPCS A6266 $2.09 $11.90 $34.14 81
In-111 autologous plt stdy dx HCPCS A9571 $707.52 $6,139.64 $14,299.40 58
In-111 autol wbc diag per dose HCPCS A9570 $300.65 $3,493.75 $34,486.00 426
In-111 capromab pendet HCPCS A9507 $195.68 $3,141.45 $23,449.59 173
In-111 ibritumomab tiux dx HCPCS A9542 $408.80 $4,748.02 $46,975.00 147
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $139.20 $2,753.23 $25,187.63 403
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $165.79 $2,598.17 $23,553.42 568
In-111 pentetreotide HCPCS A9572 $341.98 $5,294.90 $48,382.00 542
In-111 satumomab pend HCPCS A4642 $822.09 $3,113.04 $30,583.00 128
Inj, gadopiclenol, 1 ml HCPCS A9573 $2.60 $37.63 $504.76 192
Inj multihance HCPCS A9577 $3.78 $70.54 $686.98 404
Inj multihance multipack HCPCS A9578 $2.08 $4.08 $70.11 74
Inj, pafolacianine, 0.1 mg HCPCS A9603 $440.70 $6,897.80 $13,944.38 66
Inj, pegulicianine, 1 mg HCPCS A9615 $36.45 $51.76 $63.28 42
Inj prohance multipack HCPCS A9576 $1.16 $10.40 $150.00 130
Insert tray without bag/cath HCPCS A4310 $0.88 $15.19 $21.84 28
Insti hexaminolevulinate hcl HCPCS A9589 $386.37 $2,356.80 $6,345.00 168
Iodine i-123 sod iodide mil HCPCS A9509 $48.99 $386.37 $3,417.00 262
Iodine i-125 sodium iodide HCPCS A9527 $30.75 $245.64 $1,883.19 72
Iodine i-131 iobenguane 1mci HCPCS A9590 $110,302.77 $159,864.60 $214,104.38 34
Irrigation syringe HCPCS A4322 $1.80 $3.60 $21.60 19
Irrigation tray HCPCS A4320 $0.72 $9.67 $13.00 28
Kerecis marigen shld sq cm HCPCS A2019 $1.00 $1.00 $1.00 38
Kit cath f 8f w/glv + wipe ster HCPCS A4353 $1.31 $9.49 $24.00 113
Kit irrigator stoma cone 7721 HCPCS A4398 $2.05 $7.20 $66.96 25
Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 $448.20 $1,313.77 $2,504.80 23
Kit trach suct cls 30.5cm HCPCS A4605 $2.40 $35.26 $92.30 76
Left compres band >=3" <5"/yd HCPCS A6449 $0.28 $5.20 $18.20 111
Left compres band <3"/yd HCPCS A6448 $0.37 $3.64 $15.84 108
Left compres band >=5"/yd HCPCS A6450 $0.56 $6.73 $16.00 83
Loop ostmy bridg ster HCPCS A4421 $3.60 $45.43 $88.20 55
Lubricant per ounce HCPCS A4402 $3.13 $3.13 $21.60 6
Lutetium lu 177 dotatat ther HCPCS A9513 $145.15 $347.50 $1,428.50 149
Lutetium lu 177 vipivotide HCPCS A9607 $115.06 $357.85 $2,737.80 152
Marker biop eviva buckle ss HCPCS A4648 $82.00 $1,451.30 $15,043.12 626
Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 $524.93 $1,941.63 $12,725.30 194
Mask full face lg af531 HCPCS A7030 $47.34 $66.00 $116.62 23
Mouth piece HCPCS A4617 $1.80 $8.80 $8.80 22
Multi den insert custom mold HCPCS A5513 $29.40 $56.00 $108.80 35
Multi den insert direct form HCPCS A5512 $19.74 $51.00 $150.59 18
Neg pres wound ther drsg set HCPCS A6550 $38.12 $676.00 $5,050.50 268
Nitrogen n-13 ammonia HCPCS A9526 $126.50 $914.25 $6,447.00 88
Non-sterile gauze<=16 sq in HCPCS A6216 $1.80 $32.08 $33.46 40
One way chest drain valve HCPCS A7040 $40.32 $149.20 $684.47 29
Ostomy clamp, replacement HCPCS A4363 $2.06 $2.79 $21.00 33
Ostomy irrigation set HCPCS A4400 $41.58 $41.58 $217.10 28
Ost pch drain 2 piece system HCPCS A4426 $5.37 $5.37 $40.95 5