Supplies, drugs & other prices at Gundersen Palmer Lutheran Hospital and Clinics
West Union, IA · 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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ca screen;pelvic/breast exam (G0101) | $32.67 | $55 | 0.3× |
| Catheterize for urine spec (P9612) | $32.67 | $55 | 3.5× |
| Chemo extend iv infus w/pump (G0498) | $312.44 | $526 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,849.12 | $3,113 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $1,849.12 | $3,113 | 2.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$62.96–$65.34 | $106–$110 | varies |
| Diab manage trn ind/group (G0109) | $35.64 | $60 | 2.2× |
| Direct refer hospital observ (G0379) | $515 | $867 | 0.9× |
| Ekg tracing for initial prev (G0404) | $59.99 | $101 | 2.2× |
| Elec stim other than wound (G0283) | $47.52 | $80 | 3.7× |
| Fern test (Q0114) | $66.53 | $112 | 6.8× |
| Hep c screen high risk/other (G0472) | $315.41 | $531 | 6.8× |
| Hepb screen high risk indiv (G0499) | $192.46 | $324 | 6.8× |
| Home sleep test/type 3 porta (G0399) | $615.38 | $1,036 | 3.0× |
| Hopd mntl hlt, 15-29 min (C7900) | $136.62 | $230 | 3.8× |
| Hopd mntl hlt, 30-60 min (C7901) | $196.61 | $331 | 2.0× |
| Hopd mntl hlt, grp (C7903) | $126.52 | $213 | 3.5× |
| Hpv combo assay ca screen (G0476) | $238.79 | $402 | 6.8× |
| Initial preventive exam (G0402) | $128.90 | $217 | 1.0× |
| Oth resp proc, group (G0239) | $235.22 | $396 | 6.6× |
| Oth resp proc, indiv (G0238) | $77.81 | $131 | 2.8× |
| Psa screening (G0103) | $131.27 | $221 | 6.8× |
| Therapeutic procd strg endur (G0237) | $77.81 | $131 | 2.8× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$1,082.86–$2,165.72 | $1,823–$3,646 | varies |
| Visit to determ ldct elig (G0296) | $83.75 | $141 | 0.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.