Supplies, drugs & other prices at Halifax Health Medical Center

Daytona Beach, FL · every code in this section with a posted price and a Medicare benchmark.

67 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $1,768.80 $2,211 2.2×
2d tte w or w/o fol w/con,fu (C8924) $984 $1,230 2.7×
Admin hepatitis b vaccine (G0010) $52.80 $66 1.1×
Catheterize for urine spec (P9612) $40.80 $51 4.4×
Covid-19 lab test non-cdc (U0002) $213.60 $267 4.2×
Diab manage trn per indiv (G0108) $156 $195 2.8×
Diab manage trn ind/group (G0109) $75.20 $94 4.7×
Direct refer hospital observ (G0379) $896 $1,120 1.4×
Drug test def 1-7 classes (G0480) $118.40 $148 1.0×
Drug test def 15-21 classes (G0482) $198.40 $248 1.0×
Drug test def 22+ classes (G0483) $247.20 $309 1.0×
Drug test def 8-14 classes (G0481) $156.80 $196 1.0×
Esd endoscopy or colonoscopy (C9779) $5,616 $7,020 1.4×
Fecal blood scrn immunoassay (G0328) $29.60 $37 1.6×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) $7,072 $8,840 2.1×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) $4,900 $6,125 1.4×
Hbot, full body chamber, 30m (G0277) $496.80 $621 3.5×
Insj/rplcmt compl iims (0525T) $16,132 $20,165 0.8×
Insj/rplcmt iims eltrd only (0526T)
unusually low: confirm this is the full procedure
$4,132 $5,165 0.5×
Insj/rplcmt iims implt mntr (0527T) $5,908 $7,385 0.7×
Mnt subs tx for change dx (G0270) $30.80 $38.50 1.0×
Mra w/cont, abd (C8900) $3,076 $3,845 8.4×
Mra w/cont, lwr ext (C8912) $3,216 $4,020 8.8×
Mra w/cont, pelvis (C8918) $2,660 $3,325 7.3×
Mra w/o cont, abd (C8901) $1,616 $2,020 6.5×
Mra w/o cont, chest (C8910) $2,216 $2,770 8.9×
Mra w/o cont, lwr ext (C8913) $2,684 $3,355 10.8×
Mra w/o cont, pelvis (C8919) $2,216 $2,770 8.9×
Mra w/o fol w/cont, abd (C8902) $4,448 $5,560 12.2×
Mra w/o fol w/cont, chest (C8911) $4,448 $5,560 12.2×
Mra w/o fol w/cont, lwr ext (C8914) $5,376 $6,720 14.8×
Mra w/o fol w/cont, pelvis (C8920) $4,448 $5,560 12.2×
Pathogen test for platelets (P9100) $87.20 $109 1.4×
Perc d-e cor revasc chro sin (C9607) $19,456 $24,320 1.0×
Perc d-e cor revasc t cabg s (C9604) $18,800 $23,500 1.6×
Perc d-e cor stent ather s (C9602) $21,568 $26,960 1.1×
Perc drug-el cor stent sing (C9600) $26,820 $33,525 2.2×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $4,752 $5,940 0.6×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) $4,752 $5,940 0.6×
Place device/marker, non pro (C9728) $920 $1,150 0.6×
Prolonged iv inf, req pump (C8957) $736 $920 3.3×
Prostate biopsy, any mthd (G0416) $435.60 $544.50 1.2×
Psa screening (G0103) $136.80 $171 7.1×
Removal complete iims (0530T) $1,644 $2,055 0.4×
Revasc intra lithotrip-ather (C9766) $17,716 $22,145 0.9×
Revasc intra lithotrip-stent (C9765) $18,944 $23,680 1.0×
Revasc intravasc lithotripsy (C9764) $14,300 $17,875 1.2×
Revasc lith-sten-ath tib/per (C9775) $36,928 $46,160 1.9×
Revasc lithotr-ather tib/per (C9774) $36,928 $46,160 1.9×
Revasc lithotr-stent tib/per (C9773) $36,928 $46,160 1.9×
Revasc lithotrip tibi/perone (C9772) $23,096 $28,870 1.9×
Revasc lithotrip-stent-ather (C9767) $24,216 $30,270 1.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $43,052 $53,815 2.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $43,052 $53,815 2.1×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $43,052 $53,815 2.1×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $43,052 $53,815 2.1×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $7,044 $8,805 2.1×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $7,044 $8,805 2.1×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $7,044 $8,805 2.1×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $7,044 $8,805 2.1×
Tee w or w/o fol w/cont, mon (C8927) $1,768.80 $2,211 2.2×
Trluml perip athrc abd aorta (0236T) $17,808 $22,260 1.5×
Trluml perip athrc iliac art (0238T) $12,580 $15,725 0.7×
Trluml perip athrc renal art (0234T) $12,380 $15,475 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $12,580 $15,725 1.0×
Tte w or w/o fol w/con,stres (C8928) $1,724 $2,155 2.1×
Tte w or wo fol wcon,doppler (C8929) $1,768.80 $2,211 2.2×