Supplies, drugs & other prices at Delta County Memorial Hospital
Delta, CO · every code in this section with a posted price and a Medicare benchmark.
33 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) | $34.65 | $57.75 | 0.7× |
| Admin influenza virus vac (G0008) | $34.65 | $57.75 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $34.65 | $57.75 | 0.7× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) | $72 | $120 | 2.3× |
| Catheterize for urine spec (P9612) | $47.55 | $79.25 | 5.1× |
| Drug test def 1-7 classes (G0480) | $137.32 | $228.86 | 1.2× |
| Ekg tracing for initial prev (G0404) | $45 | $75 | 1.5× |
| Elec stim other than wound (G0283) | $37.80 | $63 | 3.0× |
| Hep c screen high risk/other (G0472) | $98.25 | $163.75 | 2.1× |
| Hospital outpt clinic visit (G0463) | $62.40 | $104 | 0.4× |
| Ig paraprotein qual bld/ur (0077U) | $89.40 | $149 | 2.1× |
| Inj for sacroiliac jt anesth (G0260) | $1,138.36 | $1,897.26 | 1.5× |
| Mra w/cont, abd (C8900) | $1,387.20 | $2,312 | 3.8× |
| Mra w/cont, chest (C8909) | $1,097.85 | $1,829.75 | 3.0× |
| Mra w/cont, lwr ext (C8912) | $1,118.85 | $1,864.75 | 3.0× |
| Mra w/o cont, abd (C8901) | $1,387.20 | $2,312 | 5.5× |
| Mra w/o cont, chest (C8910) | $1,097.85 | $1,829.75 | 4.4× |
| Mra w/o cont, lwr ext (C8913) | $1,118.85 | $1,864.75 | 4.4× |
| Mra w/o fol w/cont, chest (C8911) | $1,097.85 | $1,829.75 | 3.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,118.85 | $1,864.75 | 3.0× |
| Mra, w/dye, upper extremity (C8934) | $2,197.35 | $3,662.25 | 6.0× |
| Mra, w/o dye, upper extr (C8935) | $2,197.35 | $3,662.25 | 8.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,197.35 | $3,662.25 | 6.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,732.50 | $2,887.50 | 4.7× |
| Oth resp proc, group (G0239) | $115.20 | $192 | 2.9× |
| Oth resp proc, indiv (G0238) | $64.20 | $107 | 2.1× |
| Prostate biopsy, any mthd (G0416) | $353.17 | $588.62 | 0.9× |
| Psa screening (G0103) | $95.62 | $159.38 | 5.0× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $890.72 | $1,484.54 | 1.2× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $296.40 | $494 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $1,617.15 | $2,695.25 | 1.2× |
| Warfarin response genotype (0030U) | $493.10 | $821.83 | 3.7× |
| Wet mounts/ w preparations (Q0111) | $9 | $15 | 0.5× |