Home › Hospitals › Delta Health System – The Medical Center › Supplies, drugs & other 27 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2019-ncov diagnostic p (U0001) —
$70
—
Admin influenza virus vac (G0008) —
$6,678
—
Ca screen;flexi sigmoidscope (G0104) —
$4,160.29
—
Catheterize for urine spec (P9612) —
$2,119
—
Colon ca scrn not hi rsk ind (G0121) —
$3,297.53
—
Colorectal scrn; hi risk ind (G0105) —
$3,247.17
—
Direct refer hospital observ (G0379) —
$2,005
—
Drug test def 1-7 classes (G0480) —
$448
—
Drug test def 15-21 classes (G0482) —
$395
—
Drug test def 8-14 classes (G0481) —
$393
—
Elec stim other than wound (G0283) —
$78
—
Facility svs dental rehab (G0330) —
$6,562.08
—
Hbot, full body chamber, 30m (G0277) —
$2,475
—
Home sleep test/type 3 porta (G0399) —
$4,422
—
Hospital outpt clinic visit (G0463) —
$5,434.64
—
Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines —
$4,536.78–$4,748.82
—
Instlj fecal microbiota ssp (0780T) —
$43,635
—
Onc Merkel Cll Carc Srm Quan (0058U) —
$265
—
Perc d-e cor revasc chro sin (C9607) —
$23,809
—
Perc d-e cor revasc t cabg s (C9604) —
$65,715.35
—
Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines —
$63,799.86–$63,930.26
—
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) —
$72,044.45
—
Psa screening (G0103) —
$164
—
Tomosynthesis, mammo (G0279) —
$463
—
Trauma respons w/hosp criti (G0390) —
$2,005
—
Trluml Perip Athrc Iliac Art (0238T) —
$808
—
Unsched dialysis esrd pt hos (G0257) —
$103
—
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.