Supplies, drugs & other prices at Henry County Health Center
Mount Pleasant, IA · every code in this section with a posted price and a Medicare benchmark.
41 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | — | $95 | — |
| Admin pneumococcal vaccine (G0009) | — | $95 | — |
| Ca screen;pelvic/breast exam (G0101) | — | $93 | — |
| Demonstrate use home inr mon (G0248) range across 2 matching MRF lines |
— | $208–$264 | — |
| Depression screen annual (G0444) | — | $40 | — |
| Diab manage trn per indiv (G0108) | — | $264 | — |
| Diab manage trn ind/group (G0109) | — | $133 | — |
| Direct refer hospital observ (G0379) | — | $675 | — |
| Drug test def 1-7 classes (G0480) range across 21 matching MRF lines |
— | $40–$462 | — |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
— | $86–$214 | — |
| Drug test def 8-14 classes (G0481) | — | $75 | — |
| Eia hiv-1/hiv-2 screen (G0432) | — | $41 | — |
| Ekg tracing for initial prev (G0404) | — | $237 | — |
| Elec stim other than wound (G0283) | — | $105 | — |
| Esophag muc integ w/eso egd (C9777) range across 5 matching MRF lines |
— | $7,975–$9,317 | — |
| Fern test (Q0114) | — | $22 | — |
| Followup eval of foot pt lop (G0246) | — | $173 | — |
| Hep c screen high risk/other (G0472) | — | $111 | — |
| Hepb screen high risk indiv (G0499) | — | $34 | — |
| Home sleep test/type 3 porta (G0399) | — | $752 | — |
| Hopd mntl hlt, 15-29 min (C7900) | — | $610 | — |
| Hopd mntl hlt, 30-60 min (C7901) | — | $755 | — |
| Hopd mntl hlt, grp (C7903) | — | $735 | — |
| Hospital outpt clinic visit (G0463) range across 12 matching MRF lines |
— | $172–$440 | — |
| Initial preventive exam (G0402) | — | $382 | — |
| Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines |
— | $1,224–$2,283 | — |
| Obtaining screen pap smear (Q0091) | — | $90 | — |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) | — | $2,138 | — |
| Oth resp proc, group (G0239) | — | $155 | — |
| Oth resp proc, indiv (G0238) | — | $223 | — |
| Pathogen test for platelets (P9100) | — | $72 | — |
| Ppps, initial visit (G0438) | — | $395 | — |
| Ppps, subseq visit (G0439) | — | $262 | — |
| Prolonged iv inf, req pump (C8957) | — | $848 | — |
| Prostate biopsy, any mthd (G0416) | — | $375 | — |
| Provide inr test mater/equip (G0249) | — | $208 | — |
| Psa screening (G0103) | — | $160 | — |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | — | $401 | — |
| Therapeutic procd strg endur (G0237) | — | $223 | — |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
— | $3,160–$3,360 | — |
| Wet mounts/ w preparations (Q0111) | — | $18 | — |
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.