Supplies, drugs & other prices at Allendale County Hospital

Fairfax, SC · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $51 $60 1.2×
Admin pneumococcal vaccine (G0009) $38.25 $45 0.9×
Direct refer hospital observ (G0379) $39.83 $46.86 0.1×
Drug test def 1-7 classes (G0480) $150.02 $176.50 1.3×
Drug test def 8-14 classes (G0481) $170 $200 1.1×
Hbot, full body chamber, 30m (G0277) $258.47 $304.08 2.0×
Hospital outpt clinic visit (G0463) $246.24 $289.69 2.0×
Initial preventive exam (G0402) $17 $20 0.1×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $74.70 $87.88 2.2×
Oth resp proc, group (G0239) $86.70 $102 2.5×
Oth resp proc, indiv (G0238) $86.70 $102 3.2×
Ppps, initial visit (G0438) $85 $100 0.5×
Ppps, subseq visit (G0439) $85 $100 0.6×
Psa screening (G0103) $78.20 $92 4.0×
Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) $584.66 $687.84 2.9×
Screen cerv/vag thin layer (G0123) $58.65 $69 2.9×
Therapeutic procd strg endur (G0237) $86.70 $102 3.2×
Tomosynthesis, mammo (G0279) $63.75 $75 5.0×
Trim nail(s) (G0127) $113.93 $134.04 2.1×