Supplies, drugs & other prices at Grand Island Regional Medical Center

Grand Island, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,366.40 $3,944 2.9×
2d tte w or w/o fol w/con,fu (C8924) $1,681.80 $2,803 4.6×
Cbc without platelet (G0307) $90.60 $151 14.0×
Diab manage trn per indiv (G0108) $123 $205 2.2×
Diab manage trn ind/group (G0109) $47.40 $79 3.0×
Direct refer hospital observ (G0379) $394.80 $658 0.6×
Drug test def 1-7 classes (G0480) $141.90 $236.50 1.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $37,598.40 $62,664 1.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $305.40 $509 0.6×
Perq Sacral Augmt Bilat Inj (0201T) $8,423.40 $14,039 1.1×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $8,910 $14,850 0.7×
Psa screening (G0103) $120.60 $201 6.2×
Rbc DNA gnotyp 10 bld groups (0084U) $334.80 $558 0.5×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $28,186.20 $46,977 1.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $16,563 $27,605 0.8×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $16,563 $27,605 0.8×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $27,534 $45,890 1.4×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,456.20 $7,427 1.4×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,456.20 $7,427 1.4×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $4,456.20 $7,427 1.4×
Trauma respons w/hosp criti (G0390) $3,943.50 $6,572.50 2.8×
Trluml peripheral atherectomy iliac artery ea (0238T) $18,600 $31,000 1.0×
Tte w or w/o contr, cont ecg (C8930) $3,234.60 $5,391 4.0×
Tte w or wo fol wcon,doppler (C8929) $2,144.40 $3,574 2.6×