Supplies, drugs & other prices at Grafton City Hospital
Grafton, WV · every code in this section with a posted price and a Medicare benchmark.
13 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) | $32.38 | $64.75 | 0.7× |
| Admin influenza virus vac (G0008) | $32.38 | $64.75 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $35.81 | $71.62 | 0.8× |
| Drug test def 1-7 classes (G0480) | $99.88 | $199.75 | 0.9× |
| Drug test def 8-14 classes (G0481) | $50.12 | $100.25 | 0.3× |
| Elec stim other than wound (G0283) | $37.50 | $75 | 3.0× |
| Fecal blood scrn immunoassay (G0328) | $46.50 | $93 | 2.6× |
| Hiv combination assay (G0475) | $98.38 | $196.75 | 4.1× |
| Home sleep test/type 3 porta (G0399) | $245.12 | $490.25 | 1.2× |
| Psa screening (G0103) | $74.88 | $149.75 | 3.9× |
| Screen pap by tech w md supv (P3000) | $65.88 | $131.75 | 3.6× |
| Trim nail(s) (G0127) | $25.38 | $50.75 | 0.4× |
| Visit to determ ldct elig (G0296) | $29.75 | $59.50 | 0.3× |