Supplies, drugs & other prices at Antelope Memorial Hospital
Neligh, NE · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | — | $84 | — |
| Admin pneumococcal vaccine (G0009) | — | $137 | — |
| Behavior counsel obesity 15m (G0447) | — | $86 | — |
| Ca screen;pelvic/breast exam (G0101) | — | $61 | — |
| Colon ca scrn not hi rsk ind (G0121) range across 4 matching MRF lines |
— | $723–$2,754 | — |
| Colorectal scrn; hi risk ind (G0105) range across 4 matching MRF lines |
— | $723–$2,888 | — |
| Diab manage trn per indiv (G0108) | — | $124 | — |
| Direct refer hospital observ (G0379) | — | $359 | — |
| Drug test def 1-7 classes (G0480) | — | $309 | — |
| Ekg tracing for initial prev (G0404) | — | $42 | — |
| Elec stim other than wound (G0283) | — | $109 | — |
| Hep c screen high risk/other (G0472) | — | $279 | — |
| Hopd mntl hlt, 15-29 min (C7900) | — | $641 | — |
| Hopd mntl hlt, 30-60 min (C7901) | — | $793 | — |
| Hopd mntl hlt, grp (C7903) | — | $772 | — |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
— | $80–$246 | — |
| Initial preventive exam (G0402) | — | $320 | — |
| Mnt subs tx for change dx (G0270) | — | $62 | — |
| Oth resp proc, indiv (G0238) | — | $129 | — |
| Ppps, initial visit (G0438) | — | $330 | — |
| Ppps, subseq visit (G0439) | — | $225 | — |
| Prostate biopsy, any mthd (G0416) | — | $357 | — |
| Psa screening (G0103) range across 3 matching MRF lines |
— | $30–$193 | — |
| Single energy x-ray study (G0130) | — | $21 | — |
| Therapeutic procd strg endur (G0237) | — | $90 | — |
| Tomosynthesis, mammo (G0279) | — | $128 | — |
| Trim nail(s) (G0127) | — | $52 | — |
| Visit to determ ldct elig (G0296) | — | $130 | — |
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.