Supplies, drugs & other prices at Gordon Memorial Hospital District
Gordon, NE · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $28 | $28 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $43 | $43 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $154 | $154 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $285 | $285 | 0.3× |
| Colorectal scrn; hi risk ind (G0105) | $287 | $287 | 0.3× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $215 | $215 | 0.3× |
| Diab manage trn per indiv (G0108) | $1,688 | $1,688 | 30.3× |
| Diab manage trn ind/group (G0109) | $838 | $838 | 52.3× |
| Group mnt 2 or more 30 mins (G0271) | $1,470 | $1,470 | 86.3× |
| Ig paraprotein qual bld/ur (0077U) | $159 | $159 | 3.7× |
| Initial preventive exam (G0402) | $64 | $64 | 0.5× |
| Mnt subs tx for change dx (G0270) | $1,079 | $1,079 | 34.0× |
| Obtaining screen pap smear (Q0091) | $249 | $249 | 8.3× |
| Oth resp proc, indiv (G0238) | $300 | $300 | 10.0× |
| Ppps, initial visit (G0438) | $106 | $106 | 0.6× |
| Ppps, subseq visit (G0439) | $53 | $53 | 0.4× |
| Visit to determ ldct elig (G0296) | $2,226 | $2,226 | 21.1× |