Supplies, drugs & other prices at Faith Health
Norfolk, NE · every code in this section with a posted price and a Medicare benchmark.
77 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) range across 2 matching MRF lines |
$2,324.50–$2,440.97 | $3,792–$3,982 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,071.52 | $1,748 | 3.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $6,230.53 | $10,164 | 1.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $3,106.07 | $5,067 | 1.5× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $13,965.37 | $22,782 | 1.5× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $3,107.30 | $5,069 | 1.5× |
| Admin hepatitis b vaccine (G0010) | $46.59 | $76 | 1.0× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$72.33–$106.66 | $118–$174 | varies |
| Admin pneumococcal vaccine (G0009) | $76.01 | $124 | 1.6× |
| Blind interatrial shunt ide (C9758) | $28,161.22 | $45,940 | 1.6× |
| Ca screen;pelvic/breast exam (G0101) | $138.54 | $226 | 1.3× |
| Catheterize for urine spec (P9612) | $32.49 | $53 | 3.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$1,368.22–$2,511.46 | $2,232–$4,097 | varies |
| Colorectal scrn; hi risk ind (G0105) | $2,120.98 | $3,460 | 2.2× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$950.76 | $1,551 | 0.2× |
| Diab manage trn per indiv (G0108) | $81.53 | $133 | 1.5× |
| Direct refer hospital observ (G0379) range across 3 matching MRF lines |
$920.73–$1,753.18 | $1,502–$2,860 | varies |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$55.78–$155.09 | $91–$253 | varies |
| Drug test def 15-21 classes (G0482) | $155.09 | $253 | 0.8× |
| Drug test def 8-14 classes (G0481) | $198.61 | $324 | 1.3× |
| Elec stim other than wound (G0283) | $67.43 | $110 | 5.3× |
| Fecal blood scrn immunoassay (G0328) | $29.42 | $48 | 1.6× |
| Fecal microbiota prep instil (G0455) | $345.12 | $563 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $1,930.95 | $3,150 | 13.5× |
| Home sleep test/type 3 porta (G0399) | $388.64 | $634 | 1.7× |
| Home sleep test/type 4 porta (G0400) | $501.43 | $818 | 2.2× |
| Hospital outpt clinic visit (G0463) range across 13 matching MRF lines |
$47.81–$481.82 | $78–$786 | varies |
| Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) | $10,566.89 | $17,238 | 1.5× |
| Mra w/cont, abd (C8900) | $1,971.41 | $3,216 | 5.4× |
| Mra w/o cont, abd (C8901) | $1,971.41 | $3,216 | 8.0× |
| Mra w/o cont, lwr ext (C8913) | $1,417.87 | $2,313 | 5.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,971.41 | $3,216 | 5.4× |
| Mra w/o fol w/cont, chest (C8911) | $3,212.73 | $5,241 | 8.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,417.87 | $2,313 | 3.9× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,971.41 | $3,216 | 5.4× |
| Mri w/cont, breast, bi (C8906) | $2,573.37 | $4,198 | 7.1× |
| Mri w/cont, breast, uni (C8903) | $1,653.26 | $2,697 | 9.1× |
| Mri w/o fol w/cont, breast, (C8908) | $2,844.32 | $4,640 | 7.9× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $2,408.89 | $3,929.68 | 0.7× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$711.08–$1,699.44 | $1,160–$2,772.34 | varies |
| Obtaining screen pap smear (Q0091) | $36.78 | $60 | 1.2× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $239.68 | $391 | 0.7× |
| Oth resp proc, group (G0239) | $104.21 | $170 | 2.7× |
| Oth resp proc, indiv (G0238) | $104.21 | $170 | 3.5× |
| Pathogen test for platelets (P9100) | $95.63 | $156 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) | $26,949.93 | $43,964 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $18,249.01 | $29,770 | 1.5× |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$25,666.31–$26,949.93 | $41,870–$43,964 | varies |
| Perc drug-el cor stent sing (C9600) | $17,019.95 | $27,765 | 1.4× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) likely a partial charge, not the full procedure |
$2,395.60 | $3,908 | 0.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $11,495.59 | $18,753 | 1.5× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,174.77 | $14,967 | 0.8× |
| Ppps, initial visit (G0438) | $235.39 | $384 | 1.4× |
| Ppps, subseq visit (G0439) | $186.97 | $305 | 1.4× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$954.44–$1,907.66 | $1,557–$3,112 | varies |
| Psa screening (G0103) range across 4 matching MRF lines |
$61.30–$241.52 | $100–$394 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $267.27 | $436 | 0.4× |
| Revasc intra lithotrip-ather (C9766) | $28,894.98 | $47,137 | 1.5× |
| Revasc intra lithotrip-stent (C9765) | $26,949.93 | $43,964 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $17,019.95 | $27,765 | 1.4× |
| Revasc lith-sten-ath tib/per (C9775) | $28,894.98 | $47,137 | 1.5× |
| Revasc lithotr-ather tib/per (C9774) | $28,894.98 | $47,137 | 1.5× |
| Revasc lithotr-stent tib/per (C9773) | $34,103.64 | $55,634 | 1.8× |
| Revasc lithotrip tibi/perone (C9772) | $20,896.56 | $34,089 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $26,949.93 | $43,964 | 1.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $96.85 | $158 | 3.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $9,057.08 | $14,775 | 1.5× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,571.73 | $2,564 | 1.9× |
| Therapeutic procd strg endur (G0237) | $104.21 | $170 | 3.5× |
| Tomosynthesis, mammo (G0279) | $41.68 | $68 | 3.3× |
| Trauma respons w/hosp criti (G0390) | $1,986.12 | $3,240 | 1.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $28,894.98 | $47,137 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $2,015.54 | $3,288 | 2.5× |
| Tte w or wo fol wcon,doppler (C8929) | $2,166.96 | $3,535 | 2.7× |
| Unsched dialysis esrd pt hos (G0257) | $1,351.67 | $2,205 | 1.9× |
| Visit esketamine 56m or less (G2082) | $1,851.87 | $3,021 | 1.7× |
| Visit esketamine, > 56m (G2083) range across 2 matching MRF lines |
$2,177.38–$5,445.13 | $3,552–$8,882.75 | 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.