Supplies, drugs & other prices at CCM Health
Montevideo, MN · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $18.85 | $29 | 0.5× |
| Admin hepatitis b vaccine (G0010) | $29.90 | $46 | 0.6× |
| Admin influenza virus vac (G0008) | $29.90 | $46 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $29.90 | $46 | 0.6× |
| Arthro/shoul surg; w/spacer (C9781) likely a partial charge, not the full procedure |
$1,722.50 | $2,650 | 0.1× |
| Cbc/diffwbc w/o platelet (G0306) | $85.80 | $132 | 11.0× |
| Colon ca scrn not hi rsk ind (G0121) | $561.60 | $864 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $561.60 | $864 | 0.6× |
| Depression screen annual (G0444) | $29.25 | $45 | 0.8× |
| Diab manage trn per indiv (G0108) | $148.20 | $228 | 2.7× |
| Diab manage trn ind/group (G0109) | $117 | $180 | 7.3× |
| Drug test def 1-7 classes (G0480) | $912.60 | $1,404 | 8.0× |
| Drug test def 15-21 classes (G0482) | $1,329.25 | $2,045 | 6.7× |
| Drug test def 22+ classes (G0483) | $1,423.50 | $2,190 | 5.8× |
| Drug test def 8-14 classes (G0481) | $1,155.05 | $1,777 | 7.4× |
| Ekg tracing for initial prev (G0404) | $170.95 | $263 | 5.7× |
| Fecal blood scrn immunoassay (G0328) | $175.50 | $270 | 9.7× |
| Hep c screen high risk/other (G0472) | $425.10 | $654 | 9.2× |
| Hiv combination assay (G0475) | $255.45 | $393 | 10.6× |
| Home sleep test/type 3 porta (G0399) | $277.55 | $427 | 1.2× |
| Hpv combo assay ca screen (G0476) | $348.40 | $536 | 9.9× |
| Ig paraprotein qual bld/ur (0077U) | $158.60 | $244 | 3.7× |
| Initial preventive exam (G0402) | $271.05 | $417 | 2.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $1,097.85 | $1,689 | 9.0× |
| Mnt subs tx for change dx (G0270) | $77.35 | $119 | 2.4× |
| Obtaining screen pap smear (Q0091) | $64.35 | $99 | 2.2× |
| Oth resp proc, group (G0239) | $77.35 | $119 | 2.0× |
| Oth resp proc, indiv (G0238) | $91 | $140 | 3.0× |
| Ppps, initial visit (G0438) | $271.05 | $417 | 1.6× |
| Ppps, subseq visit (G0439) | $200.20 | $308 | 1.5× |
| Prostate biopsy, any mthd (G0416) | $194.35 | $299 | 0.5× |
| Psa screening (G0103) | $197.60 | $304 | 10.2× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $481 | $740 | 2.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $627.90 | $966 | 0.9× |
| Therapeutic procd strg endur (G0237) | $89.70 | $138 | 3.0× |
| Trauma respons w/hosp criti (G0390) | $2,130.70 | $3,278 | 1.5× |
| Trim nail(s) (G0127) | $30.55 | $47 | 0.5× |
| Tte w or w/o fol w/con,stres (C8928) | $1,450.15 | $2,231 | 1.8× |
| Ven blood coll snf/hha (G0471) | $50.70 | $78 | 4.5× |