Supplies, drugs & other prices at Vandalia Health Davis Medical Center

Elkins, WV · every code in this section with a posted price and a Medicare benchmark.

50 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010) $120.95 $172.78 2.7×
Admin influenza virus vac (G0008)
range across 9 matching MRF lines
$119.83–$133.56 $171.18–$190.80 varies
Admin pneumococcal vaccine (G0009)
range across 9 matching MRF lines
$119.83–$133.56 $171.18–$190.80 varies
Annual alcohol screen 15 min (G0442) $64.93 $92.75 1.8×
Brief alcohol misuse counsel (G0443) $331.63 $473.75 3.4×
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$28.94–$95.72 $41.34–$136.74 varies
Depression screen annual (G0444) $98.89 $141.27 2.8×
Direct refer hospital observ (G0379) $1,592.22 $2,274.60 2.8×
Drug test def 1-7 classes (G0480) $297.18 $424.54 2.6×
Drug test def 15-21 classes (G0482) $516.14 $737.33 2.6×
Drug test def 22+ classes (G0483) $641.25 $916.07 2.6×
Drug test def 8-14 classes (G0481) $406.67 $580.95 2.6×
Ekg tracing for initial prev (G0404)
range across 2 matching MRF lines
$63.61–$106.11 $90.86–$151.58 varies
Elec stim other than wound (G0283) $86.82 $124.02 6.8×
Elec stim unattend for press (G0281) $80.88 $115.54 6.9×
Home sleep test/type 2 porta (G0398) $406.33 $580.47 2.0×
Home sleep test/type 3 porta (G0399) $406.33 $580.47 2.0×
Home sleep test/type 4 porta (G0400) $808.71 $1,155.29 3.9×
Initial preventive exam (G0402) $153.05 $218.63 1.2×
Inj for sacroiliac jt anesth (G0260) $1,798.48 $2,569.25 2.7×
Mra w/cont, abd (C8900) $2,663.78 $3,805.40 8.0×
Mra w/cont, chest (C8909) $3,070.86 $4,386.94 9.2×
Mra w/cont, pelvis (C8918) $3,478.66 $4,969.51 10.4×
Mra w/o cont, chest (C8910) $3,246.59 $4,637.98 14.2×
Mra w/o cont, pelvis (C8919) $3,245.11 $4,635.86 14.2×
Mra w/o fol w/cont, abd (C8902)
range across 3 matching MRF lines
$3,070.86–$3,478.66 $4,386.94–$4,969.51 varies
Mra w/o fol w/cont, chest (C8911) $3,478.66 $4,969.51 10.4×
Mra w/o fol w/cont, lwr ext (C8914) $3,478.66 $4,969.51 10.4×
Mra w/o fol w/cont, pelvis (C8920) $3,070.86 $4,386.94 9.2×
Mri w/cont, breast, bi (C8906) $3,478.66 $4,969.51 10.4×
Mri w/cont, breast, uni (C8903) $3,478.66 $4,969.51 20.7×
Mri w/o fol w/cont, breast, (C8908) $3,478.66 $4,969.51 10.4×
Njx platelet plasma (0232T) $1,036.31 $1,480.44 2.4×
Non-ophthalmic fva (C9733) $42.30 $60.42 0.1×
Obtaining screen pap smear (Q0091) $42.67 $60.95 1.5×
Opps service,sched team conf (G0175) $1,105.86 $1,579.79 2.8×
Oth resp proc, group (G0239) $207.76 $296.80 5.8×
Oth resp proc, indiv (G0238) $207.76 $296.80 7.5×
Pne flu hepb cov home admin (M0201) $101.45 $144.92 2.9×
Ppps, initial visit (G0438)
range across 2 matching MRF lines
$122.43–$574.61 $174.90–$820.87 varies
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$122.43–$153.05 $174.90–$218.63 varies
Prolonged iv inf, req pump (C8957) $861.41 $1,230.58 4.2×
Psa screening (G0103)
range across 4 matching MRF lines
$10.50–$94.98 $15–$135.68 varies
Scr c/v cyto,thinlayer,rescr (G0145) $146.92 $209.88 5.5×
Screen cerv/vag thin layer (G0123) $118.72 $169.60 5.9×
Screen pap by tech w md supv (P3000) $81.62 $116.60 4.4×
Therapeutic procd strg endur (G0237)
range across 2 matching MRF lines
$118.72–$207.76 $169.60–$296.80 varies
Tomosynthesis, mammo (G0279) $128.37 $183.38 10.1×
Trauma respons w/hosp criti (G0390) $3,436.28 $4,908.97 2.7×
Tte w or wo fol wcon,doppler (C8929) $2,053.12 $2,933.02 2.7×

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.