Visits & medical services prices at Sutter Delta Medical Center

Antioch, CA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $31,879 $31,879 2.9×
Admn Sarscov2 Vacc 1 Dose (90480) $101 $101 1.8×
Airway Inhalation Treatment (94640) $685 $685 2.2×
Ans parasymp & symp w/tilt (95924) $427 $427 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $162 $162 11.3×
Application on-body injector (96377) $338 $338 5.1×
Arrhythmia Induction (93618) $7,585 $7,585 4.4×
Behavral qualit analys voice (92524) $614 $614 5.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,449 $1,449 2.7×
C motor evoked uppr limbs (95928) $1,171 $1,171 1.0×
C motor evoked upr&lwr limbs (95939) $2,074 $2,074 1.7×
Car seat/bed test 60 min (94780) $746 $746 14.1×
Cardiac Stress Tst,Tracing Only (93017) $2,345 $2,345 7.7×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines		 $1,034–$2,909 $1,034–$2,909 varies
Cardioversion (92960)
range across 2 matching MRF lines		 $2,168–$4,349 $2,168–$4,349 varies
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $236 $236 9.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $47,393 $47,393 10.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $39,399 $39,399 8.6×
Cbt 1st hour (94644) $690 $690 3.7×
Chemo Anti-Neopl Sq/Im (96401) $715 $715 7.0×
Chemo IV infusion addl hr (96415) $684 $684 6.7×
Chemo IV push addl drug (96411) $812 $812 8.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $842 $842 8.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,768 $1,768 3.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,155 $1,155 2.5×
Chest Wall Manipulation (94668) $350 $350 1.9×
Color/duplex Doppler, complete (93975) $3,124 $3,124 9.3×
Color/duplex Doppler, limited (93976) $2,111 $2,111 14.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $148 $148 4.6×
Coronary Art/Grft Angio S&I (93455) $29,893 $29,893 6.5×
Coronary Artery Angio S&I (93454) $27,999 $27,999 6.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,733 $2,733 8.8×
Cpt initial (94667) $418 $418 2.2×
Critical care first hour (99291) $9,840 $9,840 8.4×
Debridement Open Wound 20 Sq Cm< (97597)
range across 3 matching MRF lines		 $900–$955 $900–$955 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $2,413 $2,413 7.2×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $2,069 $2,069 14.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $2,759 $2,759 8.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,845 $1,845 12.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,871 $2,871 8.5×
Dup-scan xtr veins unilateral/limited study (93971) $2,046 $2,046 13.9×
Duplex Scan Hemodialysis Access (93990) $1,610 $1,610 10.9×
Duplex up extrem art bilat (93930) $2,842 $2,842 8.4×
Duplex up extrem art unilat/ltd (93931) $1,942 $1,942 13.2×
Echo Heart Xthoracic,Limited (93308) $1,923 $1,923 5.7×
Echo transesophageal (93312) $5,451 $5,451 7.1×
Echo Transesophageal - Congenital Tee Complete (93315) $5,480 $5,480 7.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $4,006 $4,006 5.2×
Eeg 41-60 Minutes (95812) $2,466 $2,466 8.1×
EEG awake and asleep (95819) $2,327 $2,327 7.6×
EEG awake drowsy (95816) $2,159 $2,159 7.1×
EEG cont rec w/video by tech min 8 channels (95700) $1,182 $1,182 3.9×
EEG extended monitoring 61-119 minutes (95813) $2,482 $2,482 8.1×
Eeg Sleep Only (95822) $2,785 $2,785 9.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $3,674 $3,674 12.0×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines		 $186–$187 $186–$187 varies
Electrocardiogram Tracing (93005) $614 $614 7.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $7,600 $7,600 0.7×
Electrophysiology Evaluation (93642) $5,803 $5,803 3.4×
Emergency Dept Visit Level 2 (99282) $1,527 $1,527 7.0×
Emergency Dept Visit Level 3 (99283) $3,093 $3,093 8.0×
Emergency Dept Visit Level 4 (99284) $5,214 $5,214 8.8×
Emg 3 Extremities (95863) $1,832 $1,832 10.1×
Emg 4 Extremities (95864) $470 $470 2.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $29,957 $29,957 2.7×
Er level 1 (99281) $603 $603 5.1×
Er level v (99285) $8,003 $8,003 9.5×
Evaluate pt use of inhaler (94664) $555 $555 1.8×
Evaluate Speech Production (92522) $607 $607 5.4×
Evaluate Swallowing Function (92610) $826 $826 9.7×
Evaluation of speech fluency (92521) $573 $573 4.3×
Evoked Auditory Test,Limited (92587) $834 $834 2.7×
Exercise test for bronchospasm (94617) $632 $632 3.4×
External Ecg Scanning Analysis Report (93226) $947 $947 11.4×
Extracranial Bilat Study (93880) $2,747 $2,747 8.2×
Extracranial Uni/Ltd Study (93882) $1,468 $1,468 9.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,840 $3,840 7.3×
Gi tract capsule endoscopy (91110) $6,187 $6,187 4.8×
Group Therapeutic Procedures (97150) $211 $211 11.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $45,969 $45,969 10.0×
Immunization administration (90471) $204 $204 2.0×
Iontophoresis 15 min (97033) $158 $158 8.3×
Irrig Drug Delivery Device (96523) $380 $380 4.6×
IV infusion hydration each additional hour (96361) $490 $490 7.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,160 $1,160 3.9×
IV infusion ther proph addl sequential to 1 hr (96367) $549 $549 5.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $589 $589 8.9×
IV push initial (96374) $647 $647 2.2×
L Hrt Art/Grft Angio (93459) $46,421 $46,421 10.1×
Lung Function Test (Mbc/Mvv) (94200) $312 $312 3.7×
Lwr Xtr Vasc Stdy Bilat (93924) $2,400 $2,400 7.9×
Mechanical chest wall oscillation per session (94669) $523 $523 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $149 $149 4.1×
Motion Fluoroscopy/Swallow (92611) $1,137 $1,137 12.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $444 $444 0.7×
Muscle Test 2 Limbs (95861) $534 $534 2.8×
Muscle Test Nonparaspinal (95870) $443 $443 2.4×
Muscle Test One Limb (95860) $337 $337 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $6,116 $6,116 20.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $4,005 $4,005 13.1×
Needle electromyography larynx (95865) $4,898 $4,898 26.1×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $94 $94 0.3×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $525 $525 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,155 $1,155 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $733 $733 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $954 $954 1.7×
Nerve Conduction Studies 1-2 Studies (95907) $208 $208 0.7×
Nerve Conduction Studies 11-12 Studies (95912) $474 $474 0.9×
Nerve conduction studies 13 or more studies (95913) $527 $527 1.0×
Nerve Conduction Studies 3-4 Studies (95908) $261 $261 0.9×
Nerve conduction studies 5-6 studies (95909) $314 $314 1.0×
Nerve conduction studies 7-8 studies (95910) $368 $368 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $421 $421 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $528 $528 2.9×
Neuromuscular Reeducation (97112) $236 $236 7.2×
Oral Function Therapy (92526) $539 $539 6.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $221 $221 4.8×
Ot Contrast Bath Ea 15 Min (97034) $123 $123 8.8×
Ot eval high complexity (97167) $646 $646 6.4×
Ot Eval Low Complex (97165) $508 $508 5.1×
Ot Eval Moderate Complexity (97166) $624 $624 6.2×
Ot manual therapy 15 min (97140) $246 $246 8.9×
Ot paraffin bath (97018) $141 $141 23.5×
Ot Prosthetic Training, Each 15 Min (97761) $191 $191 4.7×
Ot Re-Eval Est Plan Care (97168) $372 $372 5.4×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $28,817 $28,817 3.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $48,953 $48,953 3.0×
Phlebotomy therapeutic (99195) $646 $646 3.4×
Plethysmography (94726) $992 $992 1.9×
Pm device progr eval dual (93280) $284 $284 5.4×
Prq Card Angio/Athrect 1 Art (92924) $53,609 $53,609 3.3×
Prq Card Stent W/Angio 1 Vsl (92928) $47,101 $47,101 2.9×
Prq Card Stent/Ath/Angio (92933) $57,972 $57,972 2.2×
Prq Revasc Byp Graft 1 Vsl (92937) $44,625 $44,625 2.7×
Psychiatric diagnostic evaluation (90791) $597 $597 2.4×
Pt Eval High Complex (97163) $629 $629 6.4×
Pt eval low complex 20 min (97161) $495 $495 5.1×
Pt Eval Mod Complex (97162) $558 $558 5.7×
Pt gait training 15 min (97116) $239 $239 8.2×
Pt group caregiver training (97552) $211 $211 9.6×
Pt mechanical traction (97012) $186 $186 13.0×
Pt Re-Eval Est Plan Care (97164) $330 $330 4.9×
Pulm function test by gas (94727) $627 $627 2.1×
Pulmonary service/procedure (94799) $308 $308 1.7×
Pulmonary Stress Testing (94618) $662 $662 3.5×
R Hrt Art/Grft Angio (93457) $46,213 $46,213 10.1×
R hrt coronary artery angio (93456) $43,888 $43,888 9.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $37,116 $37,116 8.1×
Remote 30 Day Ecg Rev/Report (93270) $461 $461 8.7×
Respiratory flow volume loop (94375) $750 $750 2.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $230 $230 2.8×
Right Heart Cath (93451) $18,918 $18,918 4.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $631 $631 2.2×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $538 $538 4.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $129 $129 2.7×
Self Care Mngment Training (97535) $240 $240 7.4×
Short-Latency Somatosens Ep Std Trnk/Head (95927) $2,961 $2,961 9.7×
Short-latency somatosens ep std upr limbs (95925) $6,853 $6,853 22.5×
Slp caregiver training 1st 30 min (97550) $471 $471 8.9×
Somatosensory Testing (95938)
range across 2 matching MRF lines		 $2,432–$3,648 $2,432–$3,648 varies
Speech sound lang comprehen (92523) $803 $803 3.5×
Spirometry (94010) $653 $653 2.1×
Ssep lower limbs (95926) $5,486 $5,486 18.0×
Stress Tte Only (93350) $4,326 $4,326 5.6×
Subcutaneous Infusion Each Additional Hour (96370) $154 $154 2.3×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $522 $522 1.7×
Subq Infusion Additional Pump Infusion Site (96371) $1,197 $1,197 11.8×
Surfactant Admin Thru Tube (94610) $427 $427 1.4×
Temp transcutaneous pacing (92953)
range across 2 matching MRF lines		 $1,825–$2,581 $1,825–$2,581 varies
Testing Autonomic Nervous System Function (95923) $438 $438 2.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $446 $446 4.3×
Ther/Proph/Diag Inj Sc/Im (96372) $345 $345 3.4×
Ther/Proph/Diag Iv Inf Init (96365) $1,214 $1,214 4.0×
Therapeutic Activities (97530) $253 $253 7.2×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $4,199 $4,199 8.0×
Transcranial Doppler Intracran Art Emboli Detect (93892) $4,034 $4,034 27.3×
Tte w/doppler, complete (93306) $4,223 $4,223 5.5×
Tte W/O Doppler Complete (93307) $2,776 $2,776 8.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $578 $578 7.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $170 $170 7.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $484 $484 7.3×
Unlis neurological/neuromuscular dx px (95999) $798 $798 4.4×
Upr/L Xtremity Art 2 Levels (93922) $1,093 $1,093 5.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,677 $1,677 5.5×
Vent Mgmt Inpat Init Day (94002) $5,784 $5,784 6.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $4,298 $4,298 4.9×
Vital capacity, total (94150) $243 $243 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $200 $200 6.4×

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.