healthcosts.net

Supplies costs at US hospitals

Procedure Code Lowest cash National median Highest Hospitals
Ost pch drain for barrier fl HCPCS A4425 $3.00 $11.45 $67.50 46
Ost pch drain w bar & filter HCPCS A4424 $2.92 $2.92 $9.36 32
Ost pch for bar w flange/flt HCPCS A4419 $3.39 $5.91 $18.00 11
Ost skn barr extnd >4 sq HCPCS A4410 $1.01 $1.01 $6.60 22
Ost urine pch w b/bltin conv HCPCS A4430 $2.90 $2.90 $16.75 31
P-32 chromic phos ther per mci HCPCS A9564 $120.54 $290.64 $1,730.00 80
P-32 sod phosphate ther per mci HCPCS A9563 $68.44 $469.34 $4,199.02 142
Packing strips, non-impreg HCPCS A6407 $3.21 $6.24 $48.60 25
Parenteral 50% dextrose solu HCPCS B4164 $9.20 $145.60 $228.60 19
Paste skin barrier .5oz adapt HCPCS A4406 $0.31 $5.73 $44.00 72
Permanent tear duct plug HCPCS A4263 $27.00 $291.00 $2,231.62 206
Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 $12.18 $141.60 $1,063.41 259
Pessary reusable rub anytype HCPCS A4561 $14.84 $57.60 $304.20 92
Piflu f-18, dia 1 millicurie HCPCS A9595 $108.75 $1,038.40 $9,987.02 314
Pn soln nos 10 grams lipids HCPCS B4185 $11.00 $96.00 $620.80 52
Pouch clsd w barr attached HCPCS A5051 $3.36 $3.36 $8.45 23
Pouch drainable w barrier at HCPCS A5061 $0.37 $1.35 $12.60 32
Pouch high output 2pc 50mm red HCPCS A4413 $2.40 $10.83 $36.50 63
Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 $0.28 $3.25 $17.52 82
Pouch ostmy nb pouchkin ctf HCPCS A5062 $0.36 $1.55 $13.23 50
Pouch uros new (both sides) 2.75in clr HCPCS A4432 $2.27 $15.80 $130.00 72
Powder prem protct 1oz HCPCS A4371 $0.37 $5.43 $53.00 63
Radium ra223 dichl ther/uci HCPCS A9606 $29.55 $217.50 $2,726.08 299
Rb82 rubidium HCPCS A9555 $59.66 $866.88 $7,788.00 142
Ring barrier skin cx 1 9/16 adapt HCPCS A4411 $0.66 $2.60 $10.76 37
Ring ostmy barr adapt 48mm HCPCS A4385 $0.33 $5.20 $51.00 83
Self-adher band w>=3" <5"/yd HCPCS A6454 $0.21 $2.07 $25.20 70
Skin barrier with flange HCPCS A4373 $1.65 $1.65 $12.34 24
Sleeve irr assura 1pc disp HCPCS A4397 $0.65 $0.65 $2.60 13
Sling arm deluxe w/pad xs HCPCS A4565 $3.04 $30.35 $244.00 360
Sm-153 lexidron ther HCPCS A9604 $1,543.50 $7,320.12 $68,634.79 240
Solid skin barrier HCPCS A4362 $0.15 $2.84 $21.00 39
Solid skin barrier 6x6 HCPCS A5121 $6.51 $6.51 $17.40 25
Spacer bag/reservoir HCPCS A4627 $6.00 $26.00 $194.40 41
Special casting material HCPCS A4590 $16.63 $47.45 $357.75 51
Splint finger 4 prong foam sm HCPCS A4570 $2.21 $34.00 $250.80 141
Sr-89 stront chlor ther / mci HCPCS A9600 $504.92 $2,515.15 $32,863.00 206
Sterile gauze <= 16 sq in HCPCS A6402 $0.21 $1.52 $12.00 23
Sterile needle HCPCS A4215 $11.52 $190.13 $1,230.78 115
Sterile water/saline, 10 ml HCPCS A4216 $0.87 $13.32 $114.00 142
Sterile water/saline, 500 ml HCPCS A4217 $2.88 $28.11 $265.65 84
Stoma absorptive cover HCPCS A5083 $85.51 $85.51 $85.51 9
Strap chin dlx f/cpap HCPCS A7036 $27.92 $34.90 $53.70 13
Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 $0.39 $5.04 $49.62 41
Supp non-insulin inf cath/wk HCPCS A4221 $1.50 $8.45 $66.60 45
Surgical trays HCPCS A4550 $36.60 $694.80 $1,932.00 82
Tape plstc 1inx5yd hosp tb pk HCPCS A4452 $0.56 $2.06 $16.80 43
Tc-99m apcitide diag HCPCS A9504 $82.80 $1,181.70 $11,587.53 101
Tc-99m arcitumomab HCPCS A9568 $587.30 $2,085.68 $21,053.00 104
Tc-99m bicisate HCPCS A9557 $129.38 $2,070.00 $15,281.00 408
Tc-99m depreotide HCPCS A9536 $82.80 $1,486.80 $11,048.09 101
Tc-99m diag per dose HCPCS A4641 $23.75 $470.40 $3,977.19 126
Tc-99m disofenin HCPCS A9510 $11.00 $124.32 $1,152.00 233
Tc-99m exame autol wbc diag per dose HCPCS A9569 $137.31 $2,503.15 $25,259.00 418
Tc-99m exametazime diag HCPCS A9521 $230.43 $2,135.70 $21,510.00 504
Tc-99m fanolesomab diag HCPCS A9566 $514.80 $2,115.12 $21,150.06 98
Tc-99m gluceptate HCPCS A9550 $5.40 $31.35 $533.67 76
Tc-99m graphite crucible HCPCS A9506 $328.60 $742.50 $2,182.32 58
Tc-99m labeled rbc HCPCS A9560 $22.80 $306.00 $2,759.99 609
Tc-99m maa HCPCS A9540 $16.24 $312.06 $3,079.70 657
Tc-99m mebrofenin HCPCS A9537 $12.88 $157.65 $1,657.54 676
Tc-99m medronate HCPCS A9503 $11.50 $111.01 $1,160.00 656
Tc-99m mertiatide HCPCS A9562 $41.08 $756.00 $7,136.04 640
Tc-99m oxidronate HCPCS A9561 $9.00 $108.00 $1,031.10 429
Tc-99m pentetate dtpa HCPCS A9539 $12.06 $222.60 $2,026.43 554
Tc-99m pentetate dtpa aerosol HCPCS A9567 $10.80 $191.50 $1,916.88 453
Tc-99m pertechnetate per mci HCPCS A9512 $1.26 $18.67 $235.55 504
Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 $10.20 $141.00 $1,360.00 529
Tc-99m sestamibi p study dose HCPCS A9500 $28.85 $287.20 $3,087.02 672
Tc-99m succimer (dmsa) HCPCS A9551 $60.56 $1,128.40 $11,143.00 371
Tc-99m sulfur colloid HCPCS A9541 $15.17 $245.70 $2,441.00 667
Tc-99m tetrofosmin p study dose HCPCS A9502 $16.49 $193.28 $2,046.60 498
Tc-99m tilmanocept diag HCPCS A9520 $51.80 $985.60 $9,457.70 500
Tens suppl 2 lead per month HCPCS A4595 $17.55 $40.32 $66.95 23
Tl-201 thallium diag per mci HCPCS A9505 $16.99 $80.10 $838.32 428
Trach care kit for new trach HCPCS A4625 $13.62 $13.62 $272.35 6
Tracheostoma hmes filter HCPCS A7504 $1.34 $1.34 $10.80 5
Tracheostoma stent/stud/bttn HCPCS A7524 $109.76 $333.29 $819.24 63
Tracheostomy care kit HCPCS A4629 $9.15 $9.15 $10.80 5
Trach/laryn tube plug/stop HCPCS A7527 $7.04 $9.18 $9.18 23
Transparent film >16<=48 in HCPCS A6258 $1.08 $12.95 $124.50 80
Transparent film <= 16 sq in HCPCS A6257 $0.65 $4.50 $18.60 65
Tray trach basic clean/care ster HCPCS A4626 $0.44 $0.57 $5.33 17
Tube drain vert dev st 5-40f HCPCS A5200 $4.20 $27.60 $198.00 62
Tube trach disp innr can 5 xlt HCPCS A7521 $29.40 $445.99 $4,183.80 317
Tube trach disp innr can 6 xlt HCPCS A4623 $2.78 $16.80 $217.50 78
Tube trach fen sz 6 uncuffed HCPCS A7520 $15.00 $160.88 $1,381.90 225
Tubing (oxygen) per foot HCPCS A4616 $0.11 $0.40 $0.40 16
Tubular dressing HCPCS A6457 $1.96 $28.46 $266.85 80
Urinary pouch on barr w/flng HCPCS A5073 $6.25 $9.89 $165.00 14
Urinary pouch w/barrier HCPCS A5071 $1.30 $5.70 $46.00 20
Urinary suspensory HCPCS A5105 $21.00 $52.20 $80.19 8
Urine ost pouch w faucet/tap HCPCS A4428 $1.30 $2.00 $13.51 33
Vacuum drain bottle/tube kit HCPCS A7048 $33.75 $325.20 $2,760.00 156
Vag inser rectal control sys HCPCS A4563 $16.80 $16.80 $16.80 18
Variable concentration mask HCPCS A4620 $1.06 $1.26 $3.00 10
Verify external neurostimulato HCPCS A4290 $150.40 $176.40 $1,124.00 44
Vest wrp airway ther disp lg slot 1use HCPCS A7025 $134.93 $134.93 $207.59 13
Water distilled w/nebulizer HCPCS A7018 $0.61 $0.61 $0.61 4
Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 $0.01 $0.01 $0.05 13