Supplies, drugs & other prices at Brown County Hospital
Ainsworth, NE · every code in this section with a posted price and a Medicare benchmark.
8 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) | $25 | $33 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $24 | $32 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) | $57 | $76 | 0.5× |
| Depression screen annual (G0444) | $28 | $37 | 0.7× |
| Initial preventive exam (G0402) | $251 | $334 | 1.8× |
| Ppps, initial visit (G0438) | $250 | $333 | 1.4× |
| Ppps, subseq visit (G0439) | $197 | $262 | 1.4× |
| Visit to determ ldct elig (G0296) | $43 | $57 | 0.4× |