Supplies, drugs & other prices at Box Butte General Hospital
Alliance, NE · every code in this section with a posted price and a Medicare benchmark.
23 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $19.80 | $22 | 0.4× |
| Admin influenza virus vac (G0008) | $47.70 | $53 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $42.30 | $47 | 0.9× |
| Catheterize for urine spec (P9612) | $209.70 | $233 | 22.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,879.20 | $2,088 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $2,144.25 | $2,382.50 | 2.2× |
| Diab manage trn per indiv (G0108) | $155.70 | $173 | 2.8× |
| Diab manage trn ind/group (G0109) | $45.45 | $50.50 | 2.8× |
| Direct refer hospital observ (G0379) | $171.90 | $191 | 0.3× |
| Drug test def 1-7 classes (G0480) | $262.80 | $292 | 2.3× |
| Elec stim other than wound (G0283) | $86.40 | $96 | 6.8× |
| Fern test (Q0114) | $27.90 | $31 | 2.9× |
| Hbot, full body chamber, 30m (G0277) | $257.40 | $286 | 1.8× |
| Hepb screen high risk indiv (G0499) | $139.95 | $155.50 | 5.0× |
| Liver dis 10 assays w/nash (0003M) | $1,090.80 | $1,212 | 2.2× |
| Mnt subs tx for change dx (G0270) | $360 | $400 | 11.3× |
| Oral hiv-1/hiv-2 screen (G0435) | $132.30 | $147 | 11.0× |
| Prostate biopsy, any mthd (G0416) | $853.20 | $948 | 2.3× |
| Psa screening (G0103) | $135.45 | $150.50 | 7.0× |
| Tomosynthesis, mammo (G0279) | $56.25 | $62.50 | 4.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $844.20 | $938 | 1.8× |
| Trauma respons w/hosp criti (G0390) | $989.10 | $1,099 | 0.7× |
| Warfarin response genotype (0030U) | $1,344.60 | $1,494 | 10.0× |