Supplies, drugs & other prices at Grand River Medical Center
Rifle, CO · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Colon ca scrn not hi rsk ind (G0121) | $1,287.50 | $2,575 | 1.3× |
| Colorectal scrn; hi risk ind (G0105) | $1,287.50 | $2,575 | 1.3× |
| Diab manage trn per indiv (G0108) | $132 | $264 | 2.4× |
| Drug test def 1-7 classes (G0480) | $125 | $250 | 1.1× |
| Elec stim other than wound (G0283) | $53 | $106 | 4.2× |
| Followup eval of foot pt lop (G0246) | $34 | $68 | 0.2× |
| Group mnt 2 or more 30 mins (G0271) | $35 | $70 | 2.1× |
| Home sleep test/type 3 porta (G0399) | $366.50 | $733 | 1.6× |
| Hospital outpt clinic visit (G0463) | $74 | $148 | 0.5× |
| Ig paraprotein qual bld/ur (0077U) | $84 | $168 | 1.9× |
| Initial foot exam pt lops (G0245) | $58.50 | $117 | 0.4× |
| Inj for sacroiliac jt anesth (G0260) | $740.50 | $1,481 | 1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $279 | $558 | 2.3× |
| Liver dis 10 assays w/nash (0003M) | $602.75 | $1,205.50 | 1.2× |
| Mnt subs tx for change dx (G0270) | $37 | $74 | 1.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,990 | $3,980 | 5.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $1,000.25 | $2,000.50 | 2.1× |
| Oth resp proc, group (G0239) | $119 | $238 | 3.0× |
| Oth resp proc, indiv (G0238) | $38 | $76 | 1.2× |
| Psa screening (G0103) | $129 | $258 | 6.7× |
| Routine footcare pt w lops (G0247) | $67 | $134 | 0.3× |
| Therapeutic procd strg endur (G0237) | $38 | $76 | 1.2× |
| Tomosynthesis, mammo (G0279) | $37.50 | $75 | 3.0× |
| Trauma respons w/hosp criti (G0390) | $2,514.25 | $5,028.50 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,214.75 | $2,429.50 | 1.5× |