Supplies, drugs & other prices at Bryan Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,366.40 $3,944 2.9×
2d tte w or w/o fol w/con,fu (C8924) $1,681.80 $2,803 4.6×
Adm tocilizu covid-19 1st (M0249) $451.20 $752 1.0×
Adm tocilizu covid-19 2nd (M0250) $451.20 $752 1.0×
Alcohol/subs interv 15-30mn (G0396) $88.20 $147 2.3×
Alcohol/subs interv >30 min (G0397) $162.60 $271 0.9×
Bia whole body composition assessment w/i&r (0358T) $30 $50 1.0×
Cbc without platelet (G0307) $90.60 $151 14.0×
Diab manage trn per indiv (G0108) $63.60 $106 1.1×
Diab manage trn ind/group (G0109) $47.40 $79 3.0×
Direct refer hospital observ (G0379) $394.80 $658 0.6×
Drug test def 1-7 classes (G0480) $137.40 $229 1.2×
Drug test def 8-14 classes (G0481) $153.60 $256 1.0×
Ephys eval ccm-d ld 1st impl (0930T) $2,220 $3,700 1.8×
Ephys eval ccm-d ld separate (0931T) $2,220 $3,700 1.8×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $13,650 $22,750 0.8×
Home sleep test/type 3 porta (G0399) $805.20 $1,342 3.6×
Hospital outpt clinic visit (G0463) $169.80 $283 1.2×
Insertion perm ccm-d system pulse generator only (0916T) $32,126.40 $53,544 1.4×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $7,500 $12,500 0.9×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $9,336 $15,560 1.1×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $32,820 $54,700 1.0×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $37,598.40 $62,664 1.2×
Interrog dev eval impl ccm-d system in person (0927T) $195 $325 5.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $241.20 $402 2.0×
Mnt subs tx for change dx (G0270) $37.20 $62 1.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $366 $610 0.7×
Oth resp proc, group (G0239) $185.40 $309 4.8×
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) $8,115.60 $13,526 1.1×
Perq Sacral Augmt Bilat Inj (0201T) $8,423.40 $14,039 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $7,578 $12,630 1.0×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,910 $14,850 0.7×
Pet not otherwise specified (G0235) $5,070 $8,450 12.2×
Pre 3d mdl w/ccta and/or mri (C9793) $1,233 $2,055 1.4×
Programming device eval impl ccm-d sys in person (0926T) $195 $325 5.0×
Prostate biopsy, any mthd (G0416) $388.20 $647 1.0×
Psa screening (G0103) $120.60 $201 6.2×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $615 $1,025 0.9×
Quan CT tiss charac w/o CT (0721T) $430.80 $718 0.7×
Rbc DNA gnotyp 10 bld groups (0084U) $240 $400 0.3×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $2,251.80 $3,753 1.1×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $2,251.80 $3,753 1.1×
Relocation skin pocket implanted ccm-d pg (0925T) $3,210 $5,350 1.5×
Removal perm ccm-d system pulse generator only (0919T) $3,840 $6,400 1.0×
Removal Pg Wcs Lv Pacing Both Components (0861T) $3,913.20 $6,522 1.0×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $990 $1,650 1.5×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $4,230 $7,050 1.1×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $3,990 $6,650 1.0×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $4,536 $7,560 1.2×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $32,126.40 $53,544 1.4×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $28,186.20 $46,977 1.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
likely a partial charge, not the full procedure
$3,715.80 $6,193 0.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $16,563 $27,605 0.8×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $16,563 $27,605 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $27,534 $45,890 1.4×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $15,302.40 $25,504 4.7×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,456.20 $7,427 1.4×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,456.20 $7,427 1.4×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $4,456.20 $7,427 1.4×
Therapeutic procd strg endur (G0237) $129.60 $216 4.3×
Transcatheter Renal Sympath Denervation Bilat (0339T) $10,080 $16,800 1.7×
Transcatheter renal sympath denervation unilat (0338T) $8,765.40 $14,609 1.5×
Trauma respons w/hosp criti (G0390) $6,864 $11,440 5.0×
Trluml Perip Athrc Renal Art (0234T) $10,003.20 $16,672 0.8×
Tte w or w/o contr, cont ecg (C8930) $3,234.60 $5,391 4.0×
Tte w or w/o fol w/con,stres (C8928) $2,403.60 $4,006 3.0×
Tte w or w/o fol w/cont, f/u (C8922) $1,399.20 $2,332 1.7×
Tte w or wo fol wcon,doppler (C8929) $2,144.40 $3,574 2.6×
Unsched dialysis esrd pt hos (G0257) $1,197 $1,995 1.7×
Visit esketamine 56m or less (G2082) $2,201.40 $3,669 2.1×
Visit esketamine, > 56m (G2083) $2,992.80 $4,988 1.8×