Supplies, drugs & other prices at Vandalia Health Mon Marion Neighborhood Hospital

White Hall, WV · 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
Admin hepatitis b vaccine (G0010) $174.64 $349.28 3.9×
Admin influenza virus vac (G0008) $174.64 $349.28 3.9×
Admin pneumococcal vaccine (G0009) $174.64 $349.28 3.9×
Ascvd rsk mng clin stf pr mo (G0538) $354.35 $708.70 3.6×
Behavior counsel obesity 15m (G0447) $361.92 $723.83 3.7×
Brief alcohol misuse counsel (G0443) $361.92 $723.83 3.7×
Ca screen;pelvic/breast exam (G0101) $364.59 $729.18 3.7×
Chemo extend iv infus w/pump (G0498) $1,326.08 $2,652.16 4.2×
Cysto, litho, vacuum kidney (C9761)
likely a partial charge, not the full procedure
$2,378.50 $4,757 0.3×
Demonstrate use home inr mon (G0248) $534.81 $1,069.62 4.2×
Depression screen annual (G0444) $9.47 $18.94 0.3×
Diab manage trn per indiv (G0108) $125.26 $250.53 2.2×
Diab manage trn ind/group (G0109) $65.43 $130.86 4.1×
Direct refer hospital observ (G0379) $2,320.56 $4,641.13 4.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $47,945.44 $95,890.89 4.3×
Fecal blood scrn immunoassay (G0328) $53.57 $107.14 3.0×
Hbot, full body chamber, 30m (G0277) $521.94 $1,043.89 4.0×
High inten beh couns std 30m (G0445) $361.92 $723.83 3.7×
Home sleep test/type 3 porta (G0399) $654.70 $1,309.40 3.2×
Home sleep test/type 4 porta (G0400) $1,206.10 $2,412.20 5.8×
Hospital outpt clinic visit (G0463) $152.06 $304.13 1.2×
Iliac Atherectomy (0238T) $72,778.28 $145,556.55 4.1×
Inj for sacroiliac jt anesth (G0260) $2,664.50 $5,328.99 3.9×
Intens behave ther cardio dx (G0446) $124.71 $249.42 3.5×
Mra w/o cont, abd (C8901) $914.90 $1,829.81 4.0×
Mra w/o fol w/cont, pelvis (C8920) $1,351.72 $2,703.45 4.0×
Mra, w/dye, upper extremity (C8934) $1,351.72 $2,703.45 4.0×
Mri w/o fol w/cont, breast, (C8908) $1,351.72 $2,703.45 4.0×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $596.80 $1,193.60 3.0×
Obtaining screen pap smear (Q0091) $102.20 $204.39 3.7×
Oth resp proc, group (G0239) $148.56 $297.12 4.1×
Oth resp proc, indiv (G0238) $97.10 $194.19 3.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $42,271.72 $84,543.44 3.8×
Ppps, initial visit (G0438) $170.58 $341.17 1.0×
Ppps, subseq visit (G0439) $133.51 $267.02 1.0×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $154.16 $308.32 4.3×
Prolonged iv inf, req pump (C8957) $1,255.44 $2,510.88 6.2×
Prostate biopsy, any mthd (G0416) $981.98 $1,963.96 2.9×
Psa screening (G0103) $32.41 $64.82 1.7×
Revasc intra lithotrip-ather (C9766) $68,256.85 $136,513.70 3.9×
Revasc intra lithotrip-stent (C9765) $68,256.85 $136,513.70 3.9×
Revasc intravasc lithotripsy (C9764) $43,214.94 $86,429.87 3.9×
Revasc lith-sten-ath tib/per (C9775) $70,529.61 $141,059.22 4.0×
Revasc lithotr-ather tib/per (C9774) $70,529.61 $141,059.22 4.0×
Revasc lithotr-stent tib/per (C9773) $70,529.61 $141,059.22 4.0×
Revasc lithotrip tibi/perone (C9772) $45,487.70 $90,975.39 4.1×
Revasc lithotrip-stent-ather (C9767) $68,256.85 $136,513.70 3.9×
Risk ascvd tst once pr 12 mo (G0537) $116.99 $233.98 3.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $72,510.77 $145,021.54 3.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $72,417.21 $144,834.42 3.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $72,417.21 $144,834.42 3.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $72,364.14 $144,728.28 3.9×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $12,333.48 $24,666.96 4.1×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $12,333.48 $24,666.96 4.1×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $8,731.26 $17,462.52 2.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $72,356.50 $144,713 3.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $72,356.50 $144,713 3.9×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $72,356.50 $144,713 3.9×
Therapeutic procd strg endur (G0237) $92.70 $185.39 3.3×
Tomosynthesis, mammo (G0279) $88.10 $176.20 6.9×
Transcatheter Renal Sympath Denervation Bilat (0339T) $22,330.07 $44,660.14 4.1×
Transcatheter renal sympath denervation unilat (0338T) $22,080.07 $44,160.14 4.0×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $45,744.62 $91,489.24 4.1×
Trauma respons w/hosp criti (G0390) $5,008.16 $10,016.31 3.9×
Trim nail(s) (G0127) $178.21 $356.42 3.1×
Unsched dialysis esrd pt hos (G0257) $2,648.42 $5,296.84 4.0×
Wet mounts/ w preparations (Q0111) $72.72 $145.44 3.9×