Supplies, drugs & other prices at Davis County Hospital
Bloomfield, IA · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $813 | $813 | 2.4× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$19–$59 | $19–$59 | varies |
| Admin pneumococcal vaccine (G0009) | $59 | $59 | 1.3× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$318–$1,353 | $318–$1,353 | varies |
| Ca screen;pelvic/breast exam (G0101) | $111 | $111 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $901 | $901 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $968 | $968 | 1.1× |
| Depression screen annual (G0444) | $38 | $38 | 1.1× |
| Diab manage trn per indiv (G0108) | $73 | $73 | 1.3× |
| Diab manage trn ind/group (G0109) | $25 | $25 | 1.6× |
| Ekg tracing for initial prev (G0404) | $39 | $39 | 1.4× |
| Elec stim other than wound (G0283) | $71 | $71 | 5.6× |
| Group mnt 2 or more 30 mins (G0271) | $43 | $43 | 2.5× |
| Hepb screen high risk indiv (G0499) | $113 | $113 | 4.0× |
| Hopd mntl hlt, 15-29 min (C7900) | $386 | $386 | 10.7× |
| Hopd mntl hlt, 30-60 min (C7901) | $912 | $912 | 9.3× |
| Hopd mntl hlt, grp (C7903) | $310 | $310 | 8.6× |
| Hospital outpt clinic visit (G0463) | $183 | $183 | 1.4× |
| Initial care training 30 m (G0539) | $185 | $185 | 3.5× |
| Initial preventive exam (G0402) | $329 | $329 | 2.6× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$403–$2,140 | $403–$2,140 | varies |
| Mnt subs tx for change dx (G0270) | $45 | $45 | 1.4× |
| No pt prsnt train initial 30 (G0541) | $200 | $200 | 7.2× |
| Obtaining screen pap smear (Q0091) | $84 | $84 | 3.0× |
| Oth resp proc, group (G0239) | $169 | $169 | 4.7× |
| Oth resp proc, indiv (G0238) | $169 | $169 | 6.1× |
| Ppps, initial visit (G0438) | $381 | $381 | 2.2× |
| Ppps, subseq visit (G0439) | $258 | $258 | 1.9× |
| Therapeutic procd strg endur (G0237) | $169 | $169 | 6.1× |
| Train for caregiver add 15 (G0540) | $99 | $99 | 3.8× |
| Trauma respons w/hosp criti (G0390) | $2,549 | $2,549 | 2.0× |
| Tte w or w/o fol w/con,stres (C8928) | $2,728 | $2,728 | 3.6× |
| Tte w or wo fol wcon,doppler (C8929) | $1,885 | $1,885 | 2.5× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$65–$85 | $65–$85 | varies |
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.