Supplies, drugs & other prices at Chase County Community Hospital
Imperial, NE · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $142 | $142 | 2.9× |
| Admin influenza virus vac (G0008) | $147 | $147 | 3.0× |
| Admin pneumococcal vaccine (G0009) | $147 | $147 | 3.0× |
| Ca screen;flexi sigmoidscope (G0104) | $162 | $162 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $85 | $85 | 0.8× |
| Catheterize for urine spec (P9612) | $119 | $119 | 12.7× |
| Colon ca scrn not hi rsk ind (G0121) | $2,400 | $2,400 | 2.5× |
| Colorectal scrn; hi risk ind (G0105) | $2,552 | $2,552 | 2.6× |
| Covid-19 lab test non-cdc (U0002) | $432 | $432 | 8.4× |
| Depression screen annual (G0444) | $40 | $40 | 1.0× |
| Diab manage trn per indiv (G0108) | $125 | $125 | 2.2× |
| Hospital outpt clinic visit (G0463) | $235 | $235 | 1.7× |
| Ig paraprotein qual bld/ur (0077U) | $155 | $155 | 3.6× |
| Initial preventive exam (G0402) | $370 | $370 | 2.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,122 | $1,122 | 1.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $1,651 | $1,651 | 3.6× |
| Obtaining screen pap smear (Q0091) | $96 | $96 | 3.2× |
| Oth resp proc, group (G0239) | $249 | $249 | 6.4× |
| Ppps, initial visit (G0438) | $382 | $382 | 2.2× |
| Ppps, subseq visit (G0439) | $382 | $382 | 2.8× |
| Prostate biopsy, any mthd (G0416) | $143 | $143 | 0.4× |
| Tomosynthesis, mammo (G0279) | $72 | $72 | 5.7× |
| Trauma respons w/hosp criti (G0390) | $2,060 | $2,060 | 1.5× |
| Trim nail(s) (G0127) | $5 | $5 | 0.1× |