Supplies, drugs & other prices at Calhoun-Liberty Hospital
Blountstown, FL · every code in this section with a posted price and a Medicare benchmark.
14 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $28.35 | $40.50 | 0.6× |
| Admin influenza virus vac (G0008) | $29.40 | $42 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $29.40 | $42 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $555.56 | $793.65 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $52.41 | $74.87 | 0.5× |
| Catheterize for urine spec (P9612) | $19.25 | $27.50 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $924 | $1,320 | 1.0× |
| Initial preventive exam (G0402) | $112 | $160 | 0.8× |
| Obtaining screen pap smear (Q0091) | $77 | $110 | 2.5× |
| Ppps, initial visit (G0438) | $173.25 | $247.50 | 1.0× |
| Ppps, subseq visit (G0439) | $154 | $220 | 1.1× |
| Prolonged iv inf, req pump (C8957) | $25.20 | $36 | 0.1× |
| Psa screening (G0103) | $106.95 | $152.79 | 5.5× |
| Tomosynthesis, mammo (G0279) | $55.30 | $79 | 4.4× |