Supplies, drugs & other prices at Merit Health River Region

Vicksburg, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $27.72 $154 0.8×
Adm tocilizu covid-19 1st (M0249) $306.18 $1,701 0.8×
Adm tocilizu covid-19 2nd (M0250) $306.18 $1,701 0.8×
Admin hepatitis b vaccine (G0010) $52.74 $293 1.3×
Admin influenza virus vac (G0008) $60.48 $336 1.5×
Admin pneumococcal vaccine (G0009) $60.48 $336 1.5×
Ant resin-based cmpst crown (D2390) $6,709.09 $37,272.70 11.7×
Catheterize for urine spec (P9612) $19.26 $107 2.1×
Colon ca scrn not hi rsk ind (G0121) $2,697.68 $14,987.13 3.3×
Colorectal scrn; hi risk ind (G0105) $3,159.72 $17,554 3.8×
Covid-19 lab test non-cdc (U0002) $27.72 $154 0.5×
Crown resin-based indirect (D2710) $5,549.45 $30,830.30 9.7×
Dental bitewings two images (D0272) $6,584.44 $36,580.20 85.2×
Direct refer hospital observ (G0379) $410.94 $2,283 0.8×
Dist space maint, fixed unil (D1575) $7,038.02 $39,100.09 12.3×
Eia hiv-1/hiv-2 screen (G0432) $25.02 $139 1.3×
Elec stim other than wound (G0283) $86.40 $480 6.8×
Elec stim unattend for press (G0281) $17.64 $98 1.5×
Elisa hiv-1/hiv-2 screen (G0433) $49.05 $272.50 2.7×
Extraction erupted tooth/exr (D7140) $6,437.39 $35,763.28 11.2×
Hiv combination assay (G0475) $61.74 $343 2.6×
Hospital outpt clinic visit (G0463) $455.67 $2,531.50 3.9×
Inj for sacroiliac jt anesth (G0260) $1,087.74 $6,043 1.7×
Inlay composite/resin two su (D2651) $6,675.43 $37,085.70 11.6×
Intraoral periapical first (D0220) $6,584.44 $36,580.20 85.2×
Mra w/cont, abd (C8900) $1,499.40 $8,330 4.8×
Mra w/cont, lwr ext (C8912) $2,249.01 $12,494.50 7.3×
Mra w/cont, pelvis (C8918) $1,499.40 $8,330 4.8×
Mra w/o cont, abd (C8901) $1,331.64 $7,398 6.3×
Mra w/o cont, lwr ext (C8913) $2,019.96 $11,222 9.5×
Mra w/o cont, pelvis (C8919) $1,331.64 $7,398 6.3×
Mra w/o fol w/cont, abd (C8902) $1,650.60 $9,170 5.3×
Mra w/o fol w/cont, lwr ext (C8914) $2,476.44 $13,758 8.0×
Mra w/o fol w/cont, pelvis (C8920) $1,650.60 $9,170 5.3×
Mra, w/dye, upper extremity (C8934) $1,499.40 $8,330 4.8×
Mra, w/o dye, upper extr (C8935) $1,331.64 $7,398 6.3×
Mra, w/o&w/dye, upper extr (C8936) $1,650.60 $9,170 5.3×
Mri w/cont, breast, bi (C8906) $256.50 $1,425 0.8×
Mri w/cont, breast, uni (C8903) $159.84 $888 1.0×
Mri w/o fol w/cont, breast, (C8908) $256.50 $1,425 0.8×
Mri w/o fol w/cont, brst, un (C8905) $256.50 $1,425 0.8×
Oral hiv-1/hiv-2 screen (G0435) $205.74 $1,143 17.2×
Pathogen test for platelets (P9100) $46.26 $257 0.9×
Perc d-e cor revasc chro sin (C9607) $11,142.54 $61,903 0.7×
Perc d-e cor revasc t cabg s (C9604) $11,142.54 $61,903 1.1×
Perc d-e cor stent ather s (C9602) $11,142.54 $61,903 0.7×
Perc drug-el cor stent sing (C9600) $11,142.54 $61,903 1.1×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $6,368.40 $35,380 0.6×
Place direct restoration (D2940) $5,505.79 $30,587.70 9.6×
Post 1 srfc resinbased cmpst (D2391) $6,462.86 $35,904.78 11.3×
Post 2 srfc resinbased cmpst (D2392) $6,405.14 $35,584.11 11.2×
Post 3 srfc resinbased cmpst (D2393) $6,416.53 $35,647.37 11.2×
Post >=4srfc resinbase cmpst (D2394) $8,075.88 $44,866 14.1×
Prefab steel crown primary (D2934) $6,507.64 $36,153.54 11.3×
Prefab stnlss steel crwn pri (D2930) $6,517.58 $36,208.79 11.4×
Prefabricated resin crown (D2932) $6,462.24 $35,901.36 11.3×
Prostate biopsy, any mthd (G0416) $225.54 $1,253 0.7×
Psa screening (G0103) $80.46 $447 4.2×
Resin one surface-anterior (D2330) $8,075.88 $44,866 14.1×
Resin three surfaces-anterio (D2332) $6,680.83 $37,115.70 11.6×
Resin two surfaces-anterior (D2331) $7,010.11 $38,945.05 12.2×
Screen cerv/vag thin layer (G0123) $59.22 $329 2.9×
Screen pap by tech w md supv (P3000) $27 $150 1.5×
Space maintainer fxd unilat (D1510) $6,987.11 $38,817.29 12.2×
Therapeutic pulpotomy (D3220) $6,681.42 $37,119 11.6×
Tomosynthesis, mammo (G0279) $23.76 $132 1.9×
Trauma respons w/hosp criti (G0390) $1,204.20 $6,690 1.0×
Unsched dialysis esrd pt hos (G0257) $1,557.90 $8,655 2.6×