Supplies, drugs & other prices at Avera Creighton Hospital
Creighton, NE · every code in this section with a posted price and a Medicare benchmark.
20 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $50.44 | $52 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $49.47 | $51 | 1.0× |
| Catheterize for urine spec (P9612) | $126.10 | $130 | 13.5× |
| Colon ca scrn not hi rsk ind (G0121) | $870.09 | $897 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $870.09 | $897 | 0.9× |
| Direct refer hospital observ (G0379) | $590.73 | $609 | 1.0× |
| Drug test def 1-7 classes (G0480) | $274.51 | $283 | 2.4× |
| Hep c screen high risk/other (G0472) | $238.62 | $246 | 5.1× |
| Hiv combination assay (G0475) | $86.33 | $89 | 3.6× |
| Home sleep test/type 3 porta (G0399) | $1,002.01 | $1,033 | 4.5× |
| Initial preventive exam (G0402) | $378.30 | $390 | 2.7× |
| Obtaining screen pap smear (Q0091) | $76.63 | $79 | 2.6× |
| Ppps, initial visit (G0438) | $170.72 | $176 | 1.0× |
| Ppps, subseq visit (G0439) | $170.72 | $176 | 1.2× |
| Psa screening (G0103) | $157.14 | $162 | 8.1× |
| Tomosynthesis, mammo (G0279) | $76.63 | $79 | 6.0× |
| Trauma respons w/hosp criti (G0390) | $2,166.01 | $2,233 | 1.6× |
| Trim nail(s) (G0127) | $67.90 | $70 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) | $1,980.74 | $2,042 | 2.4× |
| Tte w or wo fol wcon,doppler (C8929) | $3,553.11 | $3,663 | 4.4× |