Supplies, drugs & other prices at Deaconess Illinois Crossroads
Mount Vernon, IL · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $655.39 | $2,979.01 | 1.8× |
| Admin influenza virus vac (G0008) | $65.36 | $297.05 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $65.36 | $297.05 | 1.3× |
| Direct refer hospital observ (G0379) | $126.25 | $573.84 | 0.2× |
| Drug test def 1-7 classes (G0480) range across 6 matching MRF lines |
$21.71–$155.68 | $98.66–$707.62 | varies |
| Elec stim other than wound (G0283) | $79.36 | $360.71 | 6.3× |
| Home sleep test/type 3 porta (G0399) | $195.50 | $888.62 | 0.8× |
| Home sleep test/type 4 porta (G0400) | $195.50 | $888.62 | 0.8× |
| Hospital outpt clinic visit (G0463) | $67.45 | $306.58 | 0.5× |
| Hpv combo assay ca screen (G0476) | $10.04 | $45.62 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$307.95–$407.88 | $1,399.77–$1,854 | varies |
| Mra w/cont, abd (C8900) | $1,602.75 | $7,285.20 | 4.3× |
| Mra w/cont, chest (C8909) | $1,532.17 | $6,964.39 | 4.1× |
| Mra w/cont, lwr ext (C8912) | $1,399.62 | $6,361.90 | 3.7× |
| Mra w/cont, pelvis (C8918) | $1,602.75 | $7,285.20 | 4.3× |
| Mra w/o cont, abd (C8901) | $1,532.38 | $6,965.34 | 6.0× |
| Mra w/o fol w/cont, abd (C8902) | $1,625.61 | $7,389.12 | 4.3× |
| Mra, w/dye, upper extremity (C8934) | $2,132.72 | $9,694.18 | 5.7× |
| Mra, w/o dye, spinal canal (C8932) | $1,376.10 | $6,254.96 | 5.4× |
| Mra, w/o dye, upper extr (C8935) | $2,064.04 | $9,381.96 | 8.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,513.68 | $6,880.36 | 4.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,201.63 | $10,007.37 | 5.9× |
| Mri w/cont, breast, bi (C8906) | $1,210.99 | $5,504.48 | 3.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,562.63 | $7,102.83 | 4.2× |
| Psa screening (G0103) | $133.98 | $608.96 | 6.9× |
| Tomosynthesis, mammo (G0279) | $15.18 | $68.96 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$568.84–$696.47 | $2,585.63–$3,165.73 | varies |
| Unsched dialysis esrd pt hos (G0257) | $1,001.28 | $4,551.26 | 1.4× |
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.