Supplies, drugs & other prices at Callaway District Hospital
Callaway, NE · every code in this section with a posted price and a Medicare benchmark.
18 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) | $55 | $61 | 1.1× |
| Admin influenza virus vac (G0008) | $47.50 | $52.50 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $47.50 | $52.50 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $90 | $100 | 0.9× |
| Catheterize for urine spec (P9612) | $101 | $112 | 10.8× |
| Colon ca scrn not hi rsk ind (G0121) | $2,106 | $2,340 | 2.2× |
| Colorectal scrn; hi risk ind (G0105) | $2,590 | $2,878 | 2.7× |
| Ekg tracing for initial prev (G0404) | $264 | $293 | 8.8× |
| Hopd mntl hlt, 15-29 min (C7900) | $452.50 | $502.50 | 11.6× |
| Hopd mntl hlt, 30-60 min (C7901) | $860 | $955 | 8.2× |
| Hopd mntl hlt, grp (C7903) | $662 | $735 | 17.0× |
| Ig paraprotein qual bld/ur (0077U) | $224 | $249 | 5.2× |
| Initial preventive exam (G0402) | $366 | $407 | 2.6× |
| Mnt subs tx for change dx (G0270) | $47 | $52 | 1.5× |
| Ppps, initial visit (G0438) | $365 | $406 | 2.1× |
| Ppps, subseq visit (G0439) | $286 | $318 | 2.1× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $60 | $67 | 2.2× |
| Trim nail(s) (G0127) | $73 | $81 | 1.2× |