Supplies, drugs & other prices at Grover C. Dils Medical Center
Caliente, NV · every code in this section with a posted price and a Medicare benchmark.
10 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) | $26.25 | $35 | 0.5× |
| Admin influenza virus vac (G0008) | $8.25 | $11 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $12 | $16 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $161.25 | $215 | 1.5× |
| Initial preventive exam (G0402) | $160.50 | $214 | 1.1× |
| Obtaining screen pap smear (Q0091) | $67.50 | $90 | 2.2× |
| Ppps, initial visit (G0438) | $160.50 | $214 | 0.9× |
| Ppps, subseq visit (G0439) | $183.75 | $245 | 1.3× |
| Trim nail(s) (G0127) | $27 | $36 | 0.4× |
| Visit to determ ldct elig (G0296) | $66 | $88 | 0.6× |