Supplies, drugs & other prices at Gundersen St. Elizabeth's Hospital
Wabasha, MN · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Behavior counsel obesity 15m (G0447) | $50.55 | $83 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) | $81 | $133 | 0.7× |
| Catheterize for urine spec (P9612) | $30.45 | $50 | 3.3× |
| Chemo extend iv infus w/pump (G0498) | $517.04 | $849 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,631.51 | $2,679 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,631.51 | $2,679 | 1.6× |
| Diab manage trn per indiv (G0108) | $70.04 | $115 | 1.3× |
| Diab manage trn ind/group (G0109) | $60.90 | $100 | 3.8× |
| Direct refer hospital observ (G0379) | $571.24 | $938 | 0.9× |
| Hep c screen high risk/other (G0472) | $324.60 | $533 | 7.0× |
| Home sleep test/type 3 porta (G0399) | $356.87 | $586 | 1.5× |
| Initial preventive exam (G0402) | $347.74 | $571 | 2.4× |
| Oth resp proc, group (G0239) | $131.54 | $216 | 3.3× |
| Oth resp proc, indiv (G0238) | $24.36 | $40 | 0.8× |
| Psa screening (G0103) | $135.20 | $222 | 7.0× |
| Therapeutic procd strg endur (G0237) | $24.36 | $40 | 0.8× |
| Trauma respons w/hosp criti (G0390) | $1,272.50 | $2,089.50 | 0.9× |