Supplies, drugs & other prices at DCH Regional Medical Center

Tuscaloosa, AL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $678.25 $1,356.50 0.9×
2d tte w or w/o fol w/con,co (C8923) $509.63 $1,019.25 0.7×
2d tte w or w/o fol w/con,fu (C8924) $504.13 $1,008.25 1.4×
Adm tocilizu covid-19 1st (M0249) $276 $552 0.6×
Adm tocilizu covid-19 2nd (M0250) $276 $552 0.6×
Admin hepatitis b vaccine (G0010) $42 $84 0.9×
Admin influenza virus vac (G0008) $42 $84 0.9×
Admin pneumococcal vaccine (G0009) $42 $84 0.9×
Catheterize for urine spec (P9612) $33.88 $67.75 3.6×
Chemo extend iv infus w/pump (G0498) $310.25 $620.50 0.9×
Covid-19 lab test non-cdc (U0002) $65.32 $130.62 1.3×
Diab manage trn per indiv (G0108) $42.25 $84.50 0.8×
Diab manage trn ind/group (G0109) $56.25 $112.50 3.5×
Direct refer hospital observ (G0379) $397.50 $795 0.7×
Drug test def 1-7 classes (G0480) $82.25 $164.50 0.7×
Eia hiv-1/hiv-2 screen (G0432) $84.38 $168.75 4.3×
Ekg tracing for initial prev (G0404) $80.75 $161.50 2.8×
Elec stim other than wound (G0283) $33.88 $67.75 2.7×
Group mnt 2 or more 30 mins (G0271) $28.13 $56.25 1.7×
Hbot, full body chamber, 30m (G0277) $430.63 $861.25 3.1×
Hep c screen high risk/other (G0472) $58 $116 1.3×
Home sleep test/type 3 porta (G0399) $252.88 $505.75 1.2×
Hospital outpt clinic visit (G0463) $159.44 $318.88 1.2×
Inj for sacroiliac jt anesth (G0260) $1,359.63 $2,719.25 1.9×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $32,000 $64,000 1.0×
Mnt subs tx for change dx (G0270) $28.13 $56.25 0.9×
Mra w/cont, abd (C8900) $937.75 $1,875.50 2.7×
Mra w/cont, chest (C8909) $1,058 $2,116 3.0×
Mra w/cont, lwr ext (C8912) $1,108.25 $2,216.50 3.2×
Mra w/o cont, lwr ext (C8913) $995.88 $1,991.75 4.2×
Mra w/o cont, pelvis (C8919) $1,050.13 $2,100.25 4.4×
Mra w/o fol w/cont, pelvis (C8920) $1,050.13 $2,100.25 3.0×
Mra, w/dye, upper extremity (C8934) $1,108.25 $2,216.50 3.2×
Mra, w/o&w/dye, spinal canal (C8933) $1,724.88 $3,449.75 5.0×
Mri w/o fol w/cont, breast, (C8908) $755.75 $1,511.50 2.2×
Mri w/o fol w/cont, brst, un (C8905) $615.25 $1,230.50 1.8×
Njx pltlt plasma w/img harvest/preparation (0232T) $281 $562 0.6×
Oth resp proc, group (G0239) $42.25 $84.50 1.1×
Oth resp proc, indiv (G0238) $70.25 $140.50 2.4×
Perc d-e cor revasc chro sin (C9607) $15,248.50 $30,497 0.8×
Perc d-e cor revasc t cabg s (C9604) $9,887.75 $19,775.50 0.9×
Perc d-e cor stent ather s (C9602) $15,248.50 $30,497 0.8×
Perc drug-el cor stent sing (C9600) $11,853.50 $23,707 1.0×
Prostate biopsy, any mthd (G0416) $303.50 $607 0.8×
Psa screening (G0103) $51.88 $103.75 2.7×
Revasc intra lithotrip-ather (C9766) $13,717.63 $27,435.25 0.8×
Revasc intra lithotrip-stent (C9765) $13,114.75 $26,229.50 0.7×
Revasc intravasc lithotripsy (C9764) $8,202.38 $16,404.75 0.7×
Revasc lith-sten-ath tib/per (C9775) $13,717.63 $27,435.25 0.8×
Revasc lithotr-ather tib/per (C9774) $13,717.63 $27,435.25 0.8×
Revasc lithotr-stent tib/per (C9773) $13,717.63 $27,435.25 0.8×
Revasc lithotrip tibi/perone (C9772) $8,477.13 $16,954.25 0.7×
Revasc lithotrip-stent-ather (C9767) $13,114.75 $26,229.50 0.7×
Screen cerv/vag thin layer (G0123) $69.75 $139.50 3.4×
Screen pap by tech w md supv (P3000) $41.13 $82.25 2.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $20,224.88 $40,449.75 1.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $19,080 $38,160 1.0×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $19,080 $38,160 1.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $19,080 $38,160 1.0×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $3,596.13 $7,192.25 1.1×
Therapeutic procd strg endur (G0237) $70.25 $140.50 2.4×
Tomosynthesis, mammo (G0279) $50.63 $101.25 4.0×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $9,892.25 $19,784.50 0.9×
Trauma respons w/hosp criti (G0390) $1,516.88 $3,033.75 1.1×
Trluml Perip Athrc Renal Art (0234T) $9,892.25 $19,784.50 0.9×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $9,892.25 $19,784.50 0.9×
Trluml peripheral atherectomy iliac artery ea (0238T) $15,254.13 $30,508.25 0.8×
Tte w or w/o fol w/con,stres (C8928) $678.25 $1,356.50 0.9×
Tte w or w/o fol w/cont, com (C8921) $678.25 $1,356.50 0.9×
Tte w or wo fol wcon,doppler (C8929) $678.25 $1,356.50 0.9×
Unsched dialysis esrd pt hos (G0257) $451 $902 0.7×