Supplies, drugs & other prices at Boone County Health Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $32 $32 0.7×
Admin influenza virus vac (G0008) $41 $41 0.8×
Admin pneumococcal vaccine (G0009) $48.50 $48.50 1.0×
Annual alcohol screen 15 min (G0442) $36 $36 0.9×
Ca screen;flexi sigmoidscope (G0104) $1,857 $1,857 1.9×
Ca screen;pelvic/breast exam (G0101) $70 $70 0.7×
Colon ca scrn not hi rsk ind (G0121) $2,468 $2,468 2.6×
Colorectal scrn; hi risk ind (G0105) $2,303 $2,303 2.4×
Cysto impl 4 or more (C9740) $7,256 $7,256 0.7×
Cystoscopy prostatic imp 1-3 (C9739) $4,354 $4,354 0.8×
Depression screen annual (G0444) $34 $34 0.9×
Diab manage trn per indiv (G0108) $64 $64 1.1×
Diab manage trn ind/group (G0109) $42 $42 2.6×
Direct refer hospital observ (G0379) $185 $185 0.3×
Drug test def 1-7 classes (G0480) $216 $216 1.9×
Ekg tracing for initial prev (G0404) $15 $15 0.5×
Elec stim other than wound (G0283) $66 $66 5.2×
Fecal blood scrn immunoassay (G0328) $44 $44 2.4×
Home sleep test/type 3 porta (G0399) $750 $750 3.3×
Hopd mntl hlt, 15-29 min (C7900) $860 $860 22.1×
Hopd mntl hlt, 30-60 min (C7901) $720 $720 6.8×
Hospital outpt clinic visit (G0463) $90 $90 0.7×
Initial preventive exam (G0402) $313 $313 2.3×
Obtaining screen pap smear (Q0091) $62 $62 2.1×
Oth resp proc, indiv (G0238) $42 $42 1.4×
Ppps, initial visit (G0438) $330 $330 1.9×
Ppps, subseq visit (G0439) $256 $256 1.9×
Prostate biopsy, any mthd (G0416) $626 $626 1.7×
Psa screening (G0103) $131 $131 6.8×
Therapeutic procd strg endur (G0237) $42 $42 1.4×
Trim nail(s) (G0127) $64 $64 1.0×