Supplies, drugs & other prices at Deaconess Hospital Inc
Evansville, IN · every code in this section with a posted price and a Medicare benchmark.
73 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $11.88 | $36 | 0.2× |
| Admin influenza virus vac (G0008) | $11.88 | $36 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $11.88 | $36 | 0.2× |
| Drug test def 1-7 classes (G0480) | $14.85 | $45 | 0.1× |
| Drug test def 22+ classes (G0483) | $123.09 | $373 | 0.5× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$23,100.33 | $70,001 | 0.5× |
| Fecal blood scrn immunoassay (G0328) | $18.15 | $55 | 1.0× |
| Fecal microbiota prep instil (G0455) | $329.67 | $999 | 0.3× |
| Followup eval of foot pt lop (G0246) | $50.82 | $154 | 0.4× |
| Group mnt 2 or more 30 mins (G0271) | $57.09 | $173 | 3.4× |
| Home sleep test/type 3 porta (G0399) | $313.83 | $951 | 1.4× |
| Hospital outpt clinic visit (G0463) range across 11 matching MRF lines |
$50.82–$66.99 | $154–$203 | varies |
| Initial foot exam pt lops (G0245) | $50.82 | $154 | 0.4× |
| Initial preventive exam (G0402) | $49.17 | $149 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$521.73–$1,001.22 | $1,581–$3,034 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $630.63 | $1,911 | 0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$15,870.36 | $48,092 | 0.5× |
| Instlj fecal microbiota ssp (0780T) | $106.26 | $322 | 0.8× |
| Mnt subs tx for change dx (G0270) | $57.09 | $173 | 1.8× |
| Mra w/cont, abd (C8900) | $1,079.43 | $3,271 | 2.9× |
| Mra w/cont, chest (C8909) | $790.68 | $2,396 | 2.1× |
| Mra w/cont, lwr ext (C8912) | $1,272.81 | $3,857 | 3.4× |
| Mra w/cont, pelvis (C8918) | $790.68 | $2,396 | 2.1× |
| Mra w/o cont, abd (C8901) | $997.59 | $3,023 | 4.0× |
| Mra w/o cont, chest (C8910) | $673.53 | $2,041 | 2.7× |
| Mra w/o cont, lwr ext (C8913) | $715.44 | $2,168 | 2.8× |
| Mra w/o cont, pelvis (C8919) | $673.53 | $2,041 | 2.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,272.81 | $3,857 | 3.4× |
| Mra w/o fol w/cont, chest (C8911) | $1,272.81 | $3,857 | 3.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,272.81 | $3,857 | 3.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,272.81 | $3,857 | 3.4× |
| Mra, w/dye, spinal canal (C8931) | $1,272.81 | $3,857 | 3.4× |
| Mra, w/dye, upper extremity (C8934) | $960.96 | $2,912 | 2.6× |
| Mra, w/o dye, spinal canal (C8932) | $965.58 | $2,926 | 3.8× |
| Mra, w/o dye, upper extr (C8935) | $960.96 | $2,912 | 3.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,272.81 | $3,857 | 3.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,272.81 | $3,857 | 3.4× |
| Mri w/cont, breast, bi (C8906) | $1,286.67 | $3,899 | 3.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,492.92 | $4,524 | 4.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,285.02 | $3,894 | 3.5× |
| Nav srv peer sup 60 min pr m (G0140) | $57.42 | $174 | 0.5× |
| Oth resp proc, group (G0239) | $59.07 | $179 | 1.5× |
| Oth resp proc, indiv (G0238) | $99 | $300 | 3.2× |
| Perc d-e cor revasc chro sin (C9607) | $11,299.53 | $34,241 | 0.6× |
| Perc d-e cor revasc t cabg s (C9604) | $10,941.15 | $33,155 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $11,695.20 | $35,440 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $10,075.23 | $30,531 | 0.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,679.96 | $17,212 | 0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$3,660.03 | $11,091 | 0.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$3,894.99 | $11,803 | 0.3× |
| Pin service 60m per month (G0023) | $57.42 | $174 | 0.5× |
| Ppps, initial visit (G0438) | $50.82 | $154 | 0.3× |
| Ppps, subseq visit (G0439) | $50.82 | $154 | 0.4× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $495 | $1,500 | 0.7× |
| Revasc intra lithotrip-ather (C9766) | $11,882.31 | $36,007 | 0.6× |
| Revasc intra lithotrip-stent (C9765) | $11,882.31 | $36,007 | 0.6× |
| Revasc intravasc lithotripsy (C9764) | $7,769.19 | $23,543 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $7,746.42 | $23,474 | 0.6× |
| Revasc lithotrip-stent-ather (C9767) | $11,882.31 | $36,007 | 0.6× |
| Routine footcare pt w lops (G0247) | $74.91 | $227 | 0.4× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $18,042.75 | $54,675 | 0.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $16,284.51 | $49,347 | 0.8× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $14,390.31 | $43,607 | 2.4× |
| Therapeutic ultrafiltration (0692T) | $706.86 | $2,142 | 0.4× |
| Tomosynthesis, mammo (G0279) | $83.82 | $254 | 6.6× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$3,608.88–$5,533.11 | $10,936–$16,767 | varies |
| Trluml Perip Athrc Brchiocph (0237T) | $11,767.47 | $35,659 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $11,621.94 | $35,218 | 0.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,437.81 | $4,357 | 1.7× |
| Unsched dialysis esrd pt hos (G0257) | $969.87 | $2,939 | 1.3× |
| Vasc emb/occ w/prs cath (C9797) unusually low: confirm this is the full procedure |
$6,765.99 | $20,503 | 0.3× |
| Visit esketamine 56m or less (G2082) | $654.56 | $1,983.50 | 0.6× |
| Visit esketamine, > 56m (G2083) | $960.30 | $2,910 | 0.6× |
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.