Supplies, drugs & other prices at Diley Ridge Medical Center
Canal Winchester, OH · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $587.60 | $904 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $13.81 | $21.25 | 0.3× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$13.81–$54.60 | $21.25–$84 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$13.81–$54.60 | $21.25–$84 | varies |
| Catheterize for urine spec (P9612) | $9.75 | $15 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $96.20 | $148 | 1.9× |
| Direct refer hospital observ (G0379) | $250.25 | $385 | 0.4× |
| Ekg tracing for initial prev (G0404) | $185.25 | $285 | 6.6× |
| Elec stim other than wound (G0283) | $74.10 | $114 | 5.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) range across 3 matching MRF lines |
$22,659.65–$33,989.80 | $34,861–$52,292 | varies |
| Fecal blood scrn immunoassay (G0328) | $33.80 | $52 | 1.9× |
| Fern test (Q0114) | $31.85 | $49 | 3.3× |
| Hep c screen high risk/other (G0472) | $89.70 | $138 | 1.9× |
| Hiv combination assay (G0475) | $510.90 | — | 21.2× |
| Home sleep test/type 3 porta (G0399) | $730.60 | $1,124 | 3.5× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$107.25–$383.50 | $165–$590 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $434.85 | $669 | 0.9× |
| Mra w/o cont, abd (C8901) | $2,064.40 | $3,176 | 9.0× |
| Mra w/o cont, chest (C8910) | $1,415.05 | $2,177 | 6.2× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$1,411.15–$2,117.05 | $2,171–$3,257 | varies |
| Mra w/o cont, pelvis (C8919) | $1,288.95 | $1,983 | 5.6× |
| Mra w/o fol w/cont, abd (C8902) | $2,781.35 | $4,279 | 8.3× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$2,025.40–$3,038.10 | $3,116–$4,674 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,885.65 | $2,901 | 5.6× |
| Mri w/cont, breast, bi (C8906) | $1,837.55 | $2,827 | 5.5× |
| Neuro csf prion prtn qual (0035U) | $440.05 | $677 | 0.8× |
| Pathogen test for platelets (P9100) | $104.65 | $161 | 1.8× |
| Psa screening (G0103) | $46.80 | $72 | 2.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $2,300.35 | $3,539 | 3.2× |
| Therapeutic procd strg endur (G0237) | $85.15 | $131 | 3.1× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$37.70–$56.55 | $58–$87 | varies |
| Tte w or wo fol wcon,doppler (C8929) | $2,771.60 | $4,264 | 3.7× |
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.