Supplies, drugs & other prices at Dundy County Hospital

Benkelman, NE · every code in this section with a posted price and a Medicare benchmark.

19 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $63 $70 1.3×
Annual alcohol screen 15 min (G0442) $16 $18 0.4×
Behavior counsel obesity 15m (G0447) $32 $35 0.3×
Brief alcohol misuse counsel (G0443) $32 $35 0.3×
Ca screen;pelvic/breast exam (G0101) $174 $193 1.6×
Depression screen annual (G0444) $21 $23 0.5×
Diab manage trn per indiv (G0108) $113 $125 2.0×
Elec stim other than wound (G0283) $70 $78 5.5×
High inten beh couns std 30m (G0445) $32 $35 0.3×
Ig paraprotein qual bld/ur (0077U) $347 $386 8.0×
Initial preventive exam (G0402) $186 $207 1.3×
Intens behave ther cardio dx (G0446) $32 $35 0.8×
Obtaining screen pap smear (Q0091) $50 $56 1.7×
Ppps, initial visit (G0438) $174 $193 1.0×
Ppps, subseq visit (G0439) $113 $125 0.8×
Psa screening (G0103) $147 $163 7.6×
Trauma respons w/hosp criti (G0390) $1,906 $2,118 1.4×
Trim nail(s) (G0127) $32 $35 0.5×
Visit to determ ldct elig (G0296) $56 $62 0.5×