Supplies, drugs & other prices at Dallas County Hospital
Perry, IA · every code in this section with a posted price and a Medicare benchmark.
27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$21–$36 | $33–$56 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$13–$66 | $20–$101 | varies |
| Catheterize for urine spec (P9612) | $8 | $13 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $798 | $1,227 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $892 | $1,372 | 1.0× |
| Covid-19 lab test non-cdc (U0002) range across 3 matching MRF lines |
$107–$109 | $164–$167 | varies |
| Diab manage trn per indiv (G0108) | $37 | $57 | 0.7× |
| Diab manage trn ind/group (G0109) | $31 | $47 | 1.9× |
| Direct refer hospital observ (G0379) | $481 | $740 | 0.8× |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$46–$49 | $71–$76 | varies |
| Facility svs dental rehab (G0330) | $4,516 | $6,948 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $59 | $90 | 3.3× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$532–$664 | $819–$1,021 | varies |
| Hopd mntl hlt, 15-29 min (C7900) | $436 | $671 | 12.0× |
| Hopd mntl hlt, 30-60 min (C7901) | $540 | $830 | 5.5× |
| Hopd mntl hlt, grp (C7903) | $525 | $808 | 14.5× |
| Hospital outpt clinic visit (G0463) range across 4 matching MRF lines |
$64–$187 | $99–$287 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $210 | $323 | 4.8× |
| Initial preventive exam (G0402) range across 3 matching MRF lines |
$26–$132 | $40–$203 | varies |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$12–$57 | $18–$88 | varies |
| Oth resp proc, indiv (G0238) | $114 | $176 | 4.1× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$55–$274 | $85–$422 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$42–$204 | $64–$314 | varies |
| Psa screening (G0103) | $114 | $175 | 5.9× |
| Therapeutic procd strg endur (G0237) range across 3 matching MRF lines |
$83–$114 | $128–$176 | varies |
| Tpmt and Nudt15 Genotype (0034U) | $336 | $517 | 0.7× |
| Trauma respons w/hosp criti (G0390) | $3,155 | $4,854 | 2.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.