Supplies, drugs & other prices at Annie Jeffrey Memorial County Health Center

Osceola, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $19.03 $19.82 0.4×
Colon ca scrn not hi rsk ind (G0121) $1,483.20 $1,545 1.5×
Colorectal scrn; hi risk ind (G0105) $1,483.20 $1,545 1.5×
Drug test def 1-7 classes (G0480) $71.19 $74.16 0.6×
Drug test def 8-14 classes (G0481) $142.39 $148.32 0.9×
Elec stim other than wound (G0283) $86.40 $90 6.8×
Elisa hiv-1/hiv-2 screen (G0433) $93.94 $97.85 5.1×
Liver dis 10 assays w/nash (0003M) $634.81 $661.26 1.3×
Prostate biopsy, any mthd (G0416) $228.41 $237.93 0.6×
Psa screening (G0103) $88.99 $92.70 4.6×
Therapeutic procd strg endur (G0237) $120 $125 4.0×
Tomosynthesis, mammo (G0279) $72 $75 5.7×
Trauma respons w/hosp criti (G0390) $480 $500 0.3×