Supplies, drugs & other prices at Glacial Ridge Hospital

Glenwood, MN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$226.04–$372.94 $301.39–$497.25 varies
Admin hepatitis b vaccine (G0010) $37.50 $50 0.8×
Admin influenza virus vac (G0008) $7.50 $10 0.2×
Admin pneumococcal vaccine (G0009) $37.50 $50 0.8×
Behavior counsel obesity 15m (G0447) $63.28 $84.37 0.6×
Ca screen;pelvic/breast exam (G0101) $114.68 $152.91 1.1×
Chemo extend iv infus w/pump (G0498) $842.04 $1,122.72 2.5×
Colon ca scrn not hi rsk ind (G0121) $1,973.69 $2,631.59 2.1×
Colorectal scrn; hi risk ind (G0105) $607.28 $809.70 0.6×
Diab manage trn per indiv (G0108) $116.61 $155.48 2.1×
Diab manage trn ind/group (G0109) $92.66 $123.55 5.8×
Drug test def 1-7 classes (G0480) $120.86 $161.15 1.1×
Drug test def 15-21 classes (G0482) $251.02 $334.69 1.3×
Drug test def 22+ classes (G0483) $325.40 $433.87 1.3×
Drug test def 8-14 classes (G0481) $185.96 $247.95 1.2×
Elec stim other than wound (G0283)
range across 2 matching MRF lines
$61.76 $82.34–$82.35 4.9×
Fern test (Q0114) $81.06 $108.08 8.3×
Hopd mntl hlt, 15-29 min (C7900) $687.53 $916.70 17.8×
Hopd mntl hlt, 30-60 min (C7901) $861.34 $1,148.45 8.2×
Hopd mntl hlt, grp (C7903) $1,027.43 $1,369.90 26.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $150.38 $200.51 3.5×
Initial preventive exam (G0402) $262.76 $350.35 1.9×
Njx platelet plasma (0232T)
range across 2 matching MRF lines
$383.46–$1,383.20 $511.28–$1,844.26 varies
Obtaining screen pap smear (Q0091) $63.37 $84.49 2.1×
Oth resp proc, group (G0239) $12.65 $16.87 0.3×
Oth resp proc, indiv (G0238) $11.33 $15.10 0.4×
Ppps, initial visit (G0438) $262.76 $350.35 1.5×
Ppps, subseq visit (G0439) $213.08 $284.10 1.5×
Prostate biopsy, any mthd (G0416)
range across 4 matching MRF lines
$616.37–$1,564.58 $821.82–$2,086.10 varies
Psa screening (G0103) $112.63 $150.17 5.8×
Therapeutic procd strg endur (G0237) $10.67 $14.22 0.4×
Tomosynthesis, mammo (G0279)
range across 8 matching MRF lines
$44.25–$141 $59–$188 varies
Trauma respons w/hosp criti (G0390) $796.46 $1,061.94 0.6×
Trim nail(s) (G0127)
range across 2 matching MRF lines
$30.25–$57.18 $40.33–$76.24 varies
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$279.89–$1,054.55 $373.18–$1,406.06 varies
Tte w or wo fol wcon,doppler (C8929) $1,477.42 $1,969.89 1.8×
Warfarin respon genetic test (G9143) $1,537.89 $2,050.52 12.7×

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.