Supplies, drugs & other prices at Saint Francis Hospital

Wilmington, DE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,362.10 $3,634 2.8×
2d tte w or w/o fol w/con,fu (C8924) $1,258.40 $1,936 3.4×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $3,660.80 $5,632 2.1×
Adm tocilizu covid-19 1st (M0249) $1,431.95 $2,203 3.1×
Adm tocilizu covid-19 2nd (M0250) $1,431.95 $2,203 3.1×
Admin influenza virus vac (G0008) $83.20 $128 1.7×
Admin pneumococcal vaccine (G0009) $83.20 $128 1.7×
Behavior counsel obesity 15m (G0447) $378.95 $583 3.5×
Colon ca scrn not hi rsk ind (G0121) $2,987.24 3.0×
Colorectal scrn; hi risk ind (G0105) $3,494.95 3.5×
Direct refer hospital observ (G0379) $1,241.50 $1,910 2.0×
Drug test def 1-7 classes (G0480) $828.75 7.2×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $25,002.90 $38,466 0.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $24,696.75 $37,995 2.0×
Fecal blood scrn immunoassay (G0328) $125.45 $193 7.0×
Fern test (Q0114) $30.55 $47 3.1×
Gastrointestinal myoelectrical activity study, stomach through colon, with interpretation and report (0779T) $1,567.80 $2,412 3.9×
Group behave couns 2-10 (G0473) $132.60 $204 3.3×
Hbot, full body chamber, 30m (G0277) $549.90 $846 3.8×
Hep c screen high risk/other (G0472) $206.70 $318 4.5×
Hepb screen high risk indiv (G0499) $119.60 $184 4.2×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $31,844.80 $48,992 1.7×
Hiv combination assay (G0475) $85.15 $131 3.5×
Hospital outpt clinic visit (G0463) $157.95 1.1×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $60,808.15 $93,551 1.8×
Liver dis 10 assays w/nash (0003M) $1,702.35 $2,619 3.4×
Mra w/cont, abd (C8900) $657.80 $1,012 1.8×
Mra w/o fol w/cont, abd (C8902) $2,255.50 $3,470 6.1×
Mra w/o fol w/cont, chest (C8911) $1,215.50 $1,870 3.3×
Mri w/o fol w/cont, breast, (C8908) $1,261 $1,940 3.4×
Mri w/o fol w/cont, brst, un (C8905) $841.10 $1,294 2.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $1,554.80 $2,392 2.9×
Pathogen test for platelets (P9100) $290.22 $446.50 4.6×
Perc d-e cor revasc t cabg s (C9604) $25,502.75 $39,235 2.1×
Perc drug-el cor stent sing (C9600) $25,421.50 $39,110 2.1×
Psa screening (G0103) $160.22 $246.50 8.3×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $3,042 $4,680 3.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $2,069.60 $3,184 2.9×
Revasc lith-sten-ath tib/per (C9775) $40,298.70 $61,998 2.1×
Tomosynthesis, mammo (G0279) $48.75 $75 3.8×
Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment (0783T) $559 $860 4.1×
Trauma respons w/hosp criti (G0390) $4,924.40 $7,576 3.5×
Trluml peripheral atherectomy iliac artery ea (0238T) $40,649.05 $62,537 2.1×
Tte w or wo fol wcon,doppler (C8929) $2,616.90 $4,026 3.1×
Unsched dialysis esrd pt hos (G0257) $1,623.70 $2,498 2.2×