Supplies, drugs & other prices at Amery Hospital & Clinic

Amery, WI · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $258.09 $495 0.6×
Admin hepatitis b vaccine (G0010) $11.47 $22 0.3×
Admin influenza virus vac (G0008) $41.71 $80 0.9×
Admin pneumococcal vaccine (G0009) $41.71 $80 0.9×
Annual alcohol screen 15 min (G0442) $45.88 $88 1.3×
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines
$37.54–$49.01 $72–$94 varies
Brief alcohol misuse counsel (G0443) $25.03 $48 0.3×
Ca screen;flexi sigmoidscope (G0104) $189.79 $364 0.2×
Catheterize for urine spec (P9612) $47.45 $91 5.1×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$699.20–$1,773.28 $1,341–$3,401 varies
Colorectal scrn; hi risk ind (G0105)
range across 2 matching MRF lines
$437.45–$1,950.56 $839–$3,741 varies
Covid-19 lab test non-cdc (U0002) $68.82 $132 1.3×
Depression screen annual (G0444) $45.88 $88 1.3×
Diab manage trn per indiv (G0108) $111.06 $213 2.0×
Diab manage trn ind/group (G0109) $46.40 $89 2.9×
Drug test def 1-7 classes (G0480)
range across 3 matching MRF lines
$54.75–$102.72 $105–$197 varies
Drug test def 15-21 classes (G0482) $54.75 $105 0.3×
Drug test def simple all cl (G0659)
range across 2 matching MRF lines
$65.17–$67.26 $125–$129 varies
Ekg tracing for initial prev (G0404) $15.64 $30 0.6×
Fecal blood scrn immunoassay (G0328) $75.08 $144 4.2×
Group mnt 2 or more 30 mins (G0271) $38.06 $73 2.2×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$37.02–$166.85 $71–$320 varies
Intens behave ther cardio dx (G0446) $64.65 $124 1.8×
Mnt subs tx for change dx (G0270) $36.50 $70 1.2×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$41.71–$61 $80–$117 varies
Oth resp proc, group (G0239) $22.42 $43 0.6×
Oth resp proc, indiv (G0238) $61 $117 2.2×
Pathogen test for platelets (P9100) $7.30 $14 0.1×
Ppps, initial visit (G0438) $196.57 $377 1.1×
Ppps, subseq visit (G0439) $131.39 $252 1.0×
Psa screening (G0103) $84.99 $163 4.4×
Screen cerv/vag thin layer (G0123) $67.78 $130 3.3×
Therapeutic procd strg endur (G0237) $58.92 $113 2.1×
Trauma respons w/hosp criti (G0390) $2,169.55 $4,161 1.7×
Trim nail(s) (G0127)
range across 2 matching MRF lines
$17.73–$23.98 $34–$46 varies
Visit to determ ldct elig (G0296)
range across 2 matching MRF lines
$95.42–$142.86 $183–$274 varies

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.