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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $120.95 | $172.78 | 2.7× |
| Admin influenza virus vac (G0008) | $119.83 | $171.18 | 2.7× |
| Admin pneumococcal vaccine (G0009) | $120.95 | $172.78 | 2.7× |
| 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) | $62.33 | $89.04 | 6.7× |
| 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) | $84.86 | $121.22 | 3.1× |
| 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) | $3,478.66 | $4,969.51 | 10.4× |
| 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 pltlt plasma w/img harvest/preparation (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) | $348.52 | $497.88 | 2.0× |
| Ppps, subseq visit (G0439) | $137.74 | $196.76 | 1.0× |
| Prolonged iv inf, req pump (C8957) | $861.41 | $1,230.58 | 4.2× |
| Psa screening (G0103) | $30.33 | $43.32 | 1.6× |
| 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) | $163.24 | $233.20 | 5.9× |
| 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× |