Supplies, drugs & other prices at Boys Town National Research Hospital
Boys Town, NE · every code in this section with a posted price and a Medicare benchmark.
9 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $49.60 | $62 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $40 | $50 | 0.8× |
| Catheterize for urine spec (P9612) | $76 | $95 | 8.1× |
| Direct refer hospital observ (G0379) | $104 | $130 | 0.2× |
| Group mnt 2 or more 30 mins (G0271) | $46.40 | $58 | 2.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,660.80 | $2,076 | 2.3× |
| Mnt subs tx for change dx (G0270) | $92.80 | $116 | 2.9× |
| Mra w/o fol w/cont, chest (C8911) | $3,810.40 | $4,763 | 10.5× |
| Therapeutic procd strg endur (G0237) | $171.20 | $214 | 5.7× |