Supplies, drugs & other prices at Franciscan Health Dyer
Dyer, IN · every code in this section with a posted price and a Medicare benchmark.
113 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $633.42 | $2,346 | 0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $521.64 | $1,932 | 1.4× |
| Adm tocilizu covid-19 1st (M0249) | $208.98 | $774 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $208.98 | $774 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $11.61 | $43 | 0.2× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$7.83–$31.59 | $29–$117 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$7.83–$54.54 | $29–$202 | varies |
| Behavior counsel obesity 15m (G0447) | $51.57 | $191 | 0.5× |
| Catheterize for urine spec (P9612) | $5.94 | $22 | 0.6× |
| Demonstrate use home inr mon (G0248) | $79.65 | $295 | 0.6× |
| Depression screen annual (G0444) | $28.08 | $104 | 0.7× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$51.57–$56.16 | $191–$208 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$16.47–$26.73 | $61–$99 | varies |
| Direct refer hospital observ (G0379) | $321.03 | $1,189 | 0.5× |
| Ekg tracing for initial prev (G0404) | $123.12 | $456 | 4.0× |
| Elec stim other than wound (G0283) | $71.28 | $264 | 5.6× |
| Elec stim unattend for press (G0281) | $97.47 | $361 | 8.3× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $675.27 | $2,501 | 0.5× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $675.27 | $2,501 | 0.5× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$10,776.51 | $39,913 | 0.2× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $3,017.52 | $11,176 | 0.9× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $10,988.19 | $40,697 | 0.9× |
| Fecal blood scrn immunoassay (G0328) | $22.14 | $82 | 1.2× |
| Group mnt 2 or more 30 mins (G0271) | $16.47 | $61 | 1.0× |
| Hbot, full body chamber, 30m (G0277) | $242.46 | $898 | 1.7× |
| Hep c screen high risk/other (G0472) | $63.72 | $236 | 1.4× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$1,705.77–$2,433.04 | $6,317.65–$9,011.25 | varies |
| Insertion perm ccm-d system pulse generator only (0916T) | $12,484.80 | $46,240 | 0.5× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $24,956.37 | $92,431 | 1.1× |
| Insertion/Replacement Complete Iims (0525T) | $11,211.48 | $41,524 | 0.6× |
| Insertion/Replacement Iims Electrode Only (0526T) | $8,418.33 | $31,179 | 1.0× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $8,418.33 | $31,179 | 1.0× |
| Insj ocular telescope prosth (0308T) likely a partial charge, not the full procedure |
$2,319.30 | $8,590 | 0.1× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $4,603.23 | $17,049 | 0.5× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $4,603.23 | $17,049 | 0.5× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $17,832.96 | $66,048 | 0.5× |
| Insj Wcs Lv Eltrd Only (0516T) | $8,418.33 | $31,179 | 0.8× |
| Insj Wcs Lv Pg Compnt (0517T) | $8,418.33 | $31,179 | 0.8× |
| Interrog dev eval iims ip (0529T) | $41.31 | $153 | 1.0× |
| Interrog dev eval impl ccm-d system in person (0927T) | $20.79 | $77 | 0.5× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $18.90 | $70 | 0.6× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$17.55–$19.98 | $65–$74 | varies |
| Mra w/cont, abd (C8900) | $1,490.40 | $5,520 | 4.0× |
| Mra w/cont, chest (C8909) | $1,490.40 | $5,520 | 4.0× |
| Mra w/cont, lwr ext (C8912) | $1,490.40 | $5,520 | 4.0× |
| Mra w/cont, pelvis (C8918) | $1,490.40 | $5,520 | 4.0× |
| Mra w/o cont, abd (C8901) | $1,304.10 | $4,830 | 5.2× |
| Mra w/o cont, chest (C8910) | $1,304.10 | $4,830 | 5.2× |
| Mra w/o cont, lwr ext (C8913) | $1,304.10 | $4,830 | 5.2× |
| Mra w/o cont, pelvis (C8919) | $1,304.10 | $4,830 | 5.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,676.43 | $6,209 | 4.5× |
| Mra w/o fol w/cont, chest (C8911) | $1,676.43 | $6,209 | 4.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,676.43 | $6,209 | 4.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,676.43 | $6,209 | 4.5× |
| Mra, w/dye, spinal canal (C8931) | $1,490.40 | $5,520 | 4.0× |
| Mra, w/dye, upper extremity (C8934) | $1,490.40 | $5,520 | 4.0× |
| Mra, w/o dye, spinal canal (C8932) | $1,304.10 | $4,830 | 5.2× |
| Mra, w/o dye, upper extr (C8935) | $1,304.10 | $4,830 | 5.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,676.43 | $6,209 | 4.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,676.43 | $6,209 | 4.5× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $166.86 | $618 | 0.5× |
| Neuro csf prion prtn qual (0035U) | $352.62 | $1,306 | 0.7× |
| Oth resp proc, group (G0239) | $37.53 | $139 | 0.9× |
| Oth resp proc, indiv (G0238) | $37.53 | $139 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $13,036.68 | $48,284 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $11,173.95 | $41,385 | 0.9× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$9,684.63 | $35,869 | 0.5× |
| Perc drug-el cor stent sing (C9600) | $8,939.43 | $33,109 | 0.7× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $8,261.19 | $30,597 | 0.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,215.05 | $19,315 | 0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,215.05 | $19,315 | 0.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) likely a partial charge, not the full procedure |
$2,820.96 | $10,448 | 0.2× |
| Pne flu hepb cov home admin (M0201) | $10.80 | $40 | 0.3× |
| Prgrmg dev eval iims ip (0528T) | $41.31 | $153 | 1.0× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $41.31 | $153 | 1.0× |
| Programming device eval impl ccm-d sys in person (0926T) | $20.79 | $77 | 0.5× |
| Prolonged iv inf, req pump (C8957) | $223.83 | $829 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $242.46 | $898 | 0.6× |
| Provide inr test mater/equip (G0249) | $79.65 | $295 | 0.6× |
| Psa screening (G0103) | $71.28 | $264 | 3.7× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,017.63 | $3,769 | 0.5× |
| Removal complete iims (0530T) | $3,539.16 | $13,108 | 0.9× |
| Removal iims electrode only (0531T) | $3,539.16 | $13,108 | 0.9× |
| Removal iims implt mntr only (0532T) | $3,539.16 | $13,108 | 0.9× |
| Removal perm ccm-d system pulse generator only (0919T) | $2,024.19 | $7,497 | 0.5× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $343.98 | $1,274 | 0.5× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,046.19 | $26,097 | 0.4× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$7,046.19–$14,092.38 | $26,097–$52,194 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$3,522.96–$7,045.92 | $13,048–$26,096 | varies |
| Revasc lith-sten-ath tib/per (C9775) | $10,372.05 | $38,415 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $10,372.05 | $38,415 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $10,372.05 | $38,415 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $6,487.29 | $24,027 | 0.5× |
| Revasc lithotrip-stent-ather (C9767) | $11,335.41 | $41,983 | 0.6× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) unusually low: confirm this is the full procedure |
$3,539.16 | $13,108 | 0.3× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $2,024.19 | $7,497 | 0.5× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $2,024.19 | $7,497 | 0.5× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $2,024.19 | $7,497 | 0.5× |
| Rmvl Pg Compnt Wcs (0518T) | $3,539.16 | $13,108 | 0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $12,484.80 | $46,240 | 0.5× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $24,956.37 | $92,431 | 2.3× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $20,486.25 | $75,875 | 0.9× |
| Screen pap by tech w md supv (P3000) | $16.47 | $61 | 0.9× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $1,789.02 | $6,626 | 0.5× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,200.58 | $11,854 | 0.5× |
| Therapeutic procd strg endur (G0237) | $78.30 | $290 | 2.6× |
| Trluml perip athrc abd aorta (0236T) unusually low: confirm this is the full procedure |
$4,841.91 | $17,933 | 0.4× |
| Trluml Perip Athrc Brchiocph (0237T) unusually low: confirm this is the full procedure |
$4,841.91 | $17,933 | 0.4× |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$4,470.12–$12,291.75 | $16,556–$45,525 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$4,841.91–$8,194.50 | $17,933–$30,350 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $670.41 | $2,483 | 0.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,043.28 | $3,864 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) | $447.12 | $1,656 | 0.6× |
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.