Supplies, drugs & other prices at Gritman Medical Center
Moscow, ID · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $41 | $41 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $47 | $47 | 1.0× |
| Admin influenza virus vac (G0008) | $47 | $47 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $47 | $47 | 1.0× |
| Annual alcohol screen 15 min (G0442) | $19.89 | $19.89 | 0.5× |
| Behavior counsel obesity 15m (G0447) | $26 | $26 | 0.3× |
| Brief alcohol misuse counsel (G0443) | $49.38 | $49.38 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $316.91 | $316.91 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $67.36 | $67.36 | 0.7× |
| Catheterize for urine spec (P9612) | $10 | $10 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $527.74 | $527.74 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $527.60 | $527.60 | 0.6× |
| Comm hlth intg svs sdoh 60mn (G0019) | $173 | $173 | 1.7× |
| Depression screen annual (G0444) | $29.36 | $29.36 | 0.8× |
| Diab manage trn per indiv (G0108) | $108 | $108 | 1.9× |
| Diab manage trn ind/group (G0109) | $33 | $33 | 2.1× |
| Direct refer hospital observ (G0379) | $1,593 | $1,593 | 2.7× |
| Ekg tracing for initial prev (G0404) | $12 | $12 | 0.4× |
| Elec stim other than wound (G0283) | $26 | $26 | 2.0× |
| Fecal blood scrn immunoassay (G0328) | $20 | $20 | 1.1× |
| Hbot, full body chamber, 30m (G0277) | $364 | $364 | 2.7× |
| High inten beh couns std 30m (G0445) | $50.06 | $50.06 | 0.5× |
| Home sleep test/type 3 porta (G0399) | $102 | $102 | 0.5× |
| Hospital outpt clinic visit (G0463) | $198.03 | $198.03 | 1.5× |
| Initial preventive exam (G0402) | $307.40 | $307.40 | 2.3× |
| Inj for sacroiliac jt anesth (G0260) | $1,095.50 | $1,095.50 | 1.6× |
| Mnt subs tx for change dx (G0270) | $63 | $63 | 2.0× |
| Obtaining screen pap smear (Q0091) | $62 | $62 | 2.2× |
| Oth resp proc, group (G0239) | $104 | $104 | 2.8× |
| Pin service 60m per month (G0023) | $173 | $173 | 1.7× |
| Ppps, initial visit (G0438) | $342 | $342 | 2.0× |
| Ppps, subseq visit (G0439) | $268 | $268 | 1.9× |
| Prostate biopsy, any mthd (G0416) | $889 | $889 | 2.5× |
| Psa screening (G0103) | $101 | $101 | 5.2× |
| Routine footcare pt w lops (G0247) | $171 | $171 | 0.9× |
| Tomosynthesis, mammo (G0279) | $47 | $47 | 3.7× |
| Trauma respons w/hosp criti (G0390) | $2,905 | $2,905 | 2.2× |
| Trim nail(s) (G0127) | $40.94 | $40.94 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) | $2,181 | $2,181 | 2.8× |