Supplies, drugs & other prices at Sutter Delta Medical Center
Antioch, CA · every code in this section with a posted price and a Medicare benchmark.
45 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $3,595 | $3,595 | 3.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,243 | $2,243 | 4.6× |
| Adm tocilizu covid-19 1st (M0249) | $1,162 | $1,162 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $1,263 | $1,263 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $147 | $147 | 2.2× |
| Admin influenza virus vac (G0008) | $193 | $193 | 2.9× |
| Admin pneumococcal vaccine (G0009) | $181 | $181 | 2.7× |
| Catheterize for urine spec (P9612) | $143 | $143 | 15.3× |
| Chemo extend iv infus w/pump (G0498) | $1,338 | $1,338 | 2.9× |
| Diab manage trn per indiv (G0108) | $219 | $219 | 3.9× |
| Direct refer hospital observ (G0379) | $1,099 | $1,099 | 1.3× |
| Elec stim other than wound (G0283) | $161 | $161 | 12.7× |
| Fecal blood scrn immunoassay (G0328) | $121 | $121 | 6.7× |
| Fern test (Q0114) | $214 | $214 | 22.0× |
| Hbot, full body chamber, 30m (G0277) | $815 | $815 | 4.2× |
| Hep c screen high risk/other (G0472) | $168 | $168 | 3.6× |
| Hepb screen high risk indiv (G0499) | $180 | $180 | 6.4× |
| Home sleep test/type 3 porta (G0399) | $1,846 | $1,846 | 6.1× |
| Hospital outpt clinic visit (G0463) range across 19 matching MRF lines |
$131–$825 | $131–$825 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$5,128–$7,692 | $5,128–$7,692 | varies |
| Mra w/cont, pelvis (C8918) | $4,134 | $4,134 | 8.4× |
| Mra w/o cont, pelvis (C8919) | $3,390 | $3,390 | 10.1× |
| Mra w/o fol w/cont, abd (C8902) | $6,953 | $6,953 | 14.1× |
| Mra w/o fol w/cont, chest (C8911) | $7,678 | $7,678 | 15.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $7,324 | $7,324 | 14.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $8,875 | $8,875 | 18.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $5,266 | $5,266 | 10.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $6,143 | $6,143 | 12.5× |
| Mri w/o fol w/cont, breast, (C8908) | $6,731 | $6,731 | 13.7× |
| No pt prsnt train initial 30 (G0541) | $495 | $495 | 12.1× |
| Perc d-e cor revasc chro sin (C9607) | $49,767 | $49,767 | 1.9× |
| Perc d-e cor revasc t cabg s (C9604) | $42,981 | $42,981 | 2.6× |
| Perc d-e cor stent ather s (C9602) | $53,998 | $53,998 | 2.1× |
| Perc drug-el cor stent sing (C9600) | $46,398 | $46,398 | 2.8× |
| Prostate biopsy, any mthd (G0416) | $757 | $757 | 1.5× |
| Psa screening (G0103) | $253 | $253 | 13.1× |
| Revasc intra lithotrip-ather (C9766) | $37,710 | $37,710 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $27,307 | $27,307 | 1.7× |
| Revasc lithotrip tibi/perone (C9772) | $31,943 | $31,943 | 2.0× |
| Therapeutic procd strg endur (G0237) | $188 | $188 | 4.6× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$188–$282 | $188–$282 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $40,084 | $40,084 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $6,498 | $6,498 | 5.9× |
| Tte w or wo fol wcon,doppler (C8929) | $5,934 | $5,934 | 5.4× |
| Unsched dialysis esrd pt hos (G0257) | $3,085 | $3,085 | 3.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.