Supplies, drugs & other prices at Black River Memorial Hospital
Black River Falls, WI · every code in this section with a posted price and a Medicare benchmark.
35 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$139.50–$144 | $155–$160 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$137.70–$144 | $153–$160 | varies |
| Admin pneumococcal vaccine (G0009) | $144 | $160 | 3.2× |
| Bia whole body composition assessment w/i&r (0358T) | $63 | $70 | 2.2× |
| Ca screen;flexi sigmoidscope (G0104) | $498.60 | $554 | 0.6× |
| Catheterize for urine spec (P9612) range across 5 matching MRF lines |
$94.50–$225 | $105–$250 | varies |
| Diab manage trn per indiv (G0108) | $141.30 | $157 | 2.5× |
| Drug test def 1-7 classes (G0480) range across 4 matching MRF lines |
$144.90–$277.20 | $161–$308 | varies |
| Drug test def 22+ classes (G0483) | $510.30 | $567 | 2.1× |
| Drug test def 8-14 classes (G0481) | $351.90 | $391 | 2.2× |
| Eia hiv-1/hiv-2 screen (G0432) | $191.70 | $213 | 9.8× |
| Ekg tracing for initial prev (G0404) | $66.60 | $74 | 2.4× |
| Elec stim other than wound (G0283) | $86.40 | $96 | 6.8× |
| Elisa hiv-1/hiv-2 screen (G0433) | $134.10 | $149 | 7.3× |
| Fecal blood scrn immunoassay (G0328) | $205.20 | $228 | 11.4× |
| Group mnt 2 or more 30 mins (G0271) | $63.90 | $71 | 3.8× |
| Hep c screen high risk/other (G0472) | $233.10 | $259 | 5.0× |
| Hepb screen high risk indiv (G0499) | $147.60 | $164 | 5.2× |
| Home sleep test/type 3 porta (G0399) | $846.90 | $941 | 4.0× |
| Hospital outpt clinic visit (G0463) range across 15 matching MRF lines |
$125.10–$782.10 | $139–$869 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $156.60 | $174 | 3.6× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$78.30–$151.20 | $87–$168 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,228.50 | $1,365 | 1.8× |
| Mnt subs tx for change dx (G0270) | $63 | $70 | 2.0× |
| Oral hiv-1/hiv-2 screen (G0435) | $191.70 | $213 | 16.0× |
| Oth resp proc, group (G0239) | $210.60 | $234 | 5.8× |
| Oth resp proc, indiv (G0238) | $127.80 | $142 | 4.5× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$143.10–$219.60 | $159–$244 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$53.10–$106.20 | $59–$118 | varies |
| Psa screening (G0103) | $198 | $220 | 10.3× |
| Screen cerv/vag thin layer (G0123) | $117 | $130 | 5.8× |
| Therapeutic procd strg endur (G0237) | $127.80 | $142 | 4.5× |
| Tomosynthesis, mammo (G0279) range across 3 matching MRF lines |
$395.10–$549 | $439–$610 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$4,090.50–$4,691.70 | $4,545–$5,213 | varies |
| Trim nail(s) (G0127) | $28.80 | $32 | 0.5× |
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.