Supplies, drugs & other prices at Deaconess Illinois Medical Center

Marion, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $1,593.48 $8,386.71 1.9×
2d tte w or w/o fol w/con,fu (C8924) $1,593.48 $8,386.71 4.3×
Admin hepatitis b vaccine (G0010) $38.67 $203.49 0.8×
Admin influenza virus vac (G0008) $38.67 $203.49 0.8×
Admin pneumococcal vaccine (G0009) $38.67 $203.49 0.8×
Direct refer hospital observ (G0379) $132.27 $696.14 0.2×
Drug test def 1-7 classes (G0480)
range across 7 matching MRF lines
$26.70–$99.91 $140.52–$525.83 varies
Elec stim other than wound (G0283) $45.44 $239.11 3.6×
Hbot, full body chamber, 30m (G0277) $75.55 $397.62 0.5×
Home sleep test/type 3 porta (G0399) $168.84 $888.62 0.7×
Hospital outpt clinic visit (G0463)
range across 2 matching MRF lines
$56.56–$58.26 $297.65–$306.58 varies
Hpv combo assay ca screen (G0476) $158.23 $832.77 4.5×
Inj for sacroiliac jt anesth (G0260) $718.19 $3,779.94 0.9×
Mra w/cont, abd (C8900) $1,156.87 $6,088.78 3.1×
Mra w/cont, chest (C8909) $1,156.87 $6,088.78 3.1×
Mra w/cont, lwr ext (C8912) $1,156.87 $6,088.78 3.1×
Mra w/cont, pelvis (C8918) $1,156.87 $6,088.78 3.1×
Mra w/o cont, abd (C8901) $953.72 $5,019.53 3.7×
Mra w/o cont, chest (C8910) $953.72 $5,019.53 3.7×
Mra w/o cont, lwr ext (C8913) $953.72 $5,019.53 3.7×
Mra w/o cont, pelvis (C8919) $953.72 $5,019.53 3.7×
Mra w/o fol w/cont, abd (C8902) $1,460.92 $7,689.05 3.9×
Mra w/o fol w/cont, chest (C8911) $1,460.92 $7,689.05 3.9×
Mra w/o fol w/cont, lwr ext (C8914) $1,460.92 $7,689.05 3.9×
Mra w/o fol w/cont, pelvis (C8920) $1,460.92 $7,689.05 3.9×
Mra, w/dye, upper extremity (C8934) $1,156.87 $6,088.78 3.1×
Mra, w/o dye, upper extr (C8935) $953.72 $5,019.53 3.7×
Mra, w/o&w/dye, upper extr (C8936) $1,460.92 $7,689.05 3.9×
Mri w/o fol w/cont, breast, (C8908) $1,460.92 $7,689.05 3.9×
Mri w/o fol w/cont, brst, un (C8905) $199.75 $1,051.31 0.5×
Oth resp proc, group (G0239) $53.91 $283.72 1.3×
Perc d-e cor stent ather s (C9602) $13,141.49 $69,165.72 0.7×
Perc drug-el cor stent sing (C9600) $11,708.38 $61,623.05 0.9×
Psa screening (G0103) $143.11 $753.17 7.4×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$79.19–$122.17 $416.78–$642.96 varies
Tte w or w/o fol w/con,stres (C8928) $3,924.59 $20,655.71 4.7×
Tte w or wo fol wcon,doppler (C8929) $2,421.59 $12,745.18 2.9×
Unsched dialysis esrd pt hos (G0257) $659.06 $3,468.73 0.9×

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.