Supplies, drugs & other prices at Brodstone Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
Adm of soc dtr assess 5-15 m (G0136) $26 $27 0.7×
Ca screen;pelvic/breast exam (G0101) $69 $73 0.7×
Chemo extend iv infus w/pump (G0498) $261 $275 0.8×
Colon ca scrn not hi rsk ind (G0121) $1,028 $1,082 1.1×
Colorectal scrn; hi risk ind (G0105) $994 $1,046 1.0×
Depression screen annual (G0444) $29 $30 0.7×
Diab manage trn per indiv (G0108) $109 $115 2.0×
Diab manage trn ind/group (G0109) $39 $41 2.4×
Drug test def 22+ classes (G0483) $11 $12 0.0×
Elec stim other than wound (G0283) $90 $95 7.1×
Ig paraprotein qual bld/ur (0077U) $86 $90 2.0×
Initial preventive exam (G0402) $371 $391 2.7×
Inj for sacroiliac jt anesth (G0260) $1,799 $1,894 2.5×
Liver dis 10 assays w/nash (0003M) $1,139 $1,199 2.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $160 $168 0.3×
Obtaining screen pap smear (Q0091) $63 $66 2.1×
Ppps, initial visit (G0438) $356 $375 2.0×
Ppps, subseq visit (G0439) $239 $252 1.7×
Prolonged iv inf, req pump (C8957) $1,064 $1,120 4.8×
Prostate biopsy, any mthd (G0416) $962 $1,013 2.6×
Psa screening (G0103) $48 $50 2.5×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $988 $1,040 1.4×
Trauma respons w/hosp criti (G0390) $2,832 $2,981 2.0×
Trim nail(s) (G0127) $110 $116 1.8×
Visit esketamine 56m or less (G2082) $1,806 $1,901 1.7×
Visit esketamine, > 56m (G2083) $2,708 $2,851 1.6×