Supplies, drugs & other prices at Delta Memorial Hospital
Dumas, AR · every code in this section with a posted price and a Medicare benchmark.
23 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) | $84.74 | $105.93 | 2.0× |
| Admin influenza virus vac (G0008) | $61.46 | $76.83 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $61.46 | $76.83 | 1.4× |
| Ca screen;flexi sigmoidscope (G0104) | $129.17 | $161.46 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $169.86 | $212.33 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) | $403.06 | $503.82 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $402.65 | $503.31 | 0.5× |
| Comm hlth intg svs sdoh 60mn (G0019) | $155.92 | $194.90 | 1.7× |
| Direct refer hospital observ (G0379) | $1,096.22 | $1,370.28 | 2.0× |
| Drug test def 1-7 classes (G0480) | $48 | $60 | 0.4× |
| Elec stim other than wound (G0283) | $100.80 | $126 | 7.9× |
| Hospital outpt clinic visit (G0463) | $160 | $200 | 1.3× |
| Initial preventive exam (G0402) | $188.45 | $235.56 | 1.6× |
| Inj for sacroiliac jt anesth (G0260) | $497.09 | $621.36 | 0.8× |
| Mra w/o fol w/cont, abd (C8902) | $1,003.44 | $1,254.30 | 3.2× |
| Mra w/o fol w/cont, chest (C8911) | $1,888.06 | $2,360.07 | 5.9× |
| Obtaining screen pap smear (Q0091) | $56.74 | $70.93 | 2.2× |
| Ppps, initial visit (G0438) | $306.70 | $383.37 | 1.8× |
| Ppps, subseq visit (G0439) | $207.41 | $259.26 | 1.5× |
| Psa screening (G0103) | $38.62 | $48.28 | 2.0× |
| Tomosynthesis, mammo (G0279) | $88 | $110 | 6.9× |
| Trim nail(s) (G0127) | $116.62 | $145.78 | 2.2× |
| Wet mounts/ w preparations (Q0111) | $43.60 | $54.50 | 2.4× |