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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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $299.49 $399.32 0.8×
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) $61.76 $82.34 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 bld/ur (0077U) $150.38 $200.51 3.5×
Initial preventive exam (G0402) $262.76 $350.35 1.9×
Njx pltlt plasma w/img harvest/preparation (0232T) $883.33 $1,177.77 1.9×
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) $1,090.47 $1,453.96 2.9×
Psa screening (G0103) $112.63 $150.17 5.8×
Therapeutic procd strg endur (G0237) $10.67 $14.22 0.4×
Tomosynthesis, mammo (G0279) $57.38 $76.50 4.5×
Trauma respons w/hosp criti (G0390) $796.46 $1,061.94 0.6×
Trim nail(s) (G0127) $43.72 $58.28 0.7×
Tte w or w/o contr, cont ecg (C8930) $667.22 $889.62 0.8×
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×