Supplies, drugs & other prices at Golden Plains Community Hospital
Borger, TX · every code in this section with a posted price and a Medicare benchmark.
14 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $59.90 | $85.56 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $79.14 | $113.05 | 1.7× |
| Annual alcohol screen 15 min (G0442) | $11.76 | $16.80 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $116.80 | $166.85 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $1,117.90 | $1,597 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $452.20 | $646 | 0.5× |
| Depression screen annual (G0444) | $11.76 | $16.80 | 0.3× |
| Diab manage trn per indiv (G0108) | $67.46 | $96.38 | 1.2× |
| Elec stim other than wound (G0283) | $81.20 | $116 | 6.4× |
| Initial preventive exam (G0402) | $280.70 | $401 | 2.1× |
| Obtaining screen pap smear (Q0091) | $57.91 | $82.73 | 2.0× |
| Ppps, initial visit (G0438) | $236.92 | $338.45 | 1.4× |
| Ppps, subseq visit (G0439) | $149.17 | $213.10 | 1.1× |
| Trauma respons w/hosp criti (G0390) | $877.80 | $1,254 | 0.7× |