Supplies, drugs & other prices at Vandalia Health Mon Medical Center

Morgantown, WV · every code in this section with a posted price and a Medicare benchmark.

72 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) $179.30 $358.59 1.8×
Behavior counsel obesity 15m (G0447) $350.11 $700.22 3.6×
Brief alcohol misuse counsel (G0443) $350.11 $700.22 3.6×
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×
Colon ca scrn not hi rsk ind (G0121) $193.56 $387.11 0.2×
Colorectal scrn; hi risk ind (G0105) $193.06 $386.13 0.2×
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 4.0×
Esd endoscopy or colonoscopy (C9779) $333.60 $667.21 0.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $10,043.50 $20,087 0.9×
Fecal blood scrn immunoassay (G0328) $53.57 $107.14 3.0×
Hbot, full body chamber, 30m (G0277) $521.94 $1,043.89 3.9×
High inten beh couns std 30m (G0445) $350.11 $700.22 3.6×
Home sleep test/type 3 porta (G0399) $654.70 $1,309.40 3.1×
Home sleep test/type 4 porta (G0400) $616.78 $1,233.56 3.0×
Hospital outpt clinic visit (G0463) $152.06 $304.13 1.2×
Iliac Atherectomy (0238T) $9,625.33 $19,250.66 0.5×
Inj for sacroiliac jt anesth (G0260) $2,664.50 $5,328.99 3.9×
Intens behave ther cardio dx (G0446) $112.75 $225.50 3.1×
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×
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) $92.70 $185.39 3.3×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure
$3,163.31 $6,326.62 0.3×
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 single car chamber ip (0826T) $61.13 $122.26 1.7×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $26.04 $52.08 0.7×
Prostate biopsy, any mthd (G0416) $164.96 $329.92 0.5×
Psa screening (G0103) $32.41 $64.82 1.7×
Revasc intra lithotrip-ather (C9766) $68,256.85 $136,513.70 3.8×
Revasc intra lithotrip-stent (C9765) $68,256.85 $136,513.70 3.8×
Revasc intravasc lithotripsy (C9764) $42,923.70 $85,847.39 3.8×
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure
$5,128 $10,256 0.3×
Revasc lithotr-ather tib/per (C9774)
likely a partial charge, not the full procedure
$5,128 $10,256 0.3×
Revasc lithotr-stent tib/per (C9773)
likely a partial charge, not the full procedure
$5,128 $10,256 0.3×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$5,128 $10,256 0.5×
Revasc lithotrip-stent-ather (C9767) $68,256.85 $136,513.70 3.8×
Risk ascvd tst once pr 12 mo (G0537) $60.62 $121.23 1.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $72,183.73 $72,837.81 3.9×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $72,183.73 $144,367.46 3.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $72,183.73 $144,367.46 3.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $72,183.73 $144,367.46 3.9×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $497.62 $995.24 0.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $840.59 $1,681.18 0.3×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $840.59 $1,681.18 0.3×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $3,164.05 $6,328.10 1.0×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
likely a partial charge, not the full procedure
$467.59 $935.18 0.0×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $72,183.73 $144,367.46 3.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $72,183.73 $144,367.46 3.9×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $72,183.73 $144,367.46 3.9×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$2,500 $5,000 0.5×
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) $4,176 $8,352 0.8×
Transcatheter renal sympath denervation unilat (0338T) $2,784 $5,568 0.5×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $5,641.85 $11,283.70 0.5×
Trauma respons w/hosp criti (G0390) $5,008.16 $10,016.31 3.9×
Trim nail(s) (G0127) $92.63 $185.26 1.6×
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×