Supplies, drugs & other prices at Iowa Specialty Hospital - Clarion

Clarion, IA · every code in this section with a posted price and a Medicare benchmark.

48 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $469.20 $782 13.1×
Adm of soc dtr assess 5-15 m (G0136) $27 $45 0.7×
Admin hepatitis b vaccine (G0010) $45.60 $76 1.0×
Admin influenza virus vac (G0008) $45.60 $76 1.0×
Admin pneumococcal vaccine (G0009) $45.60 $76 1.0×
Annual alcohol screen 15 min (G0442) $24.60 $41 0.7×
Antibody treponema pallidum total & rpr ia qual (0064U) $87 $145 2.8×
Behavior counsel obesity 15m (G0447) $36.60 $61 0.4×
Bia whole body composition assessment w/i&r (0358T) $24 $40 0.9×
Ca screen;flexi sigmoidscope (G0104) $693 $1,155 0.8×
Ca screen;pelvic/breast exam (G0101) $52.80 $88 0.5×
Colon ca scrn not hi rsk ind (G0121) $693 $1,155 0.8×
Colorectal scrn; hi risk ind (G0105) $794.40 $1,324 0.9×
Covid-19 lab test non-cdc (U0002)
range across 2 matching MRF lines
$141.60–$469.20 $236–$782 varies
Cysto, litho, vacuum kidney (C9761) $12,000 $20,000 1.3×
Depression screen annual (G0444) $24.60 $41 0.7×
Diab manage trn per indiv (G0108) $102.60 $171 1.8×
Diab manage trn ind/group (G0109) $57.60 $96 3.6×
Direct refer hospital observ (G0379) $534.60 $891 0.9×
Drug test def 1-7 classes (G0480)
range across 5 matching MRF lines
$45–$225 $75–$375 varies
Drug test def 15-21 classes (G0482) $446.40 $744 2.2×
Drug test def 22+ classes (G0483) $441 $735 1.8×
Drug test def 8-14 classes (G0481) $315.60 $526 2.0×
Ekg tracing for initial prev (G0404) $114.60 $191 4.1×
Followup eval of foot pt lop (G0246) $55.80 $93 0.4×
Group mnt 2 or more 30 mins (G0271) $46.20 $77 2.7×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$117.60–$622.80 $196–$1,038 varies
Home sleep test/type 4 porta (G0400) $568.80 $948 2.7×
Hospital outpt clinic visit (G0463) $165.60 $276 1.3×
Initial foot exam pt lops (G0245) $90.60 $151 0.7×
Initial preventive exam (G0402) $169.80 $283 1.3×
Inj for sacroiliac jt anesth (G0260) $324.60 $541 0.5×
Intens behave ther cardio dx (G0446) $36 $60 1.0×
Mnt subs tx for change dx (G0270) $52.80 $88 1.7×
Njx bone sub matrl into subchondral bone defect (0707T) $4,802.40 $8,004 1.5×
Njx platelet plasma (0232T) $600 $1,000 1.4×
Obtaining screen pap smear (Q0091) $32.40 $54 1.2×
Oth resp proc, group (G0239) $141.60 $236 3.9×
Oth resp proc, indiv (G0238) $97.80 $163 3.5×
Ppps, initial visit (G0438) $222 $370 1.3×
Ppps, subseq visit (G0439) $184.20 $307 1.3×
Prostate biopsy, any mthd (G0416) $3,090 $5,150 9.0×
Psa screening (G0103) $103.20 $172 5.3×
Routine footcare pt w lops (G0247) $100.20 $167 0.5×
Therapeutic procd strg endur (G0237)
range across 2 matching MRF lines
$100.20–$100.80 $167–$168 varies
Tomosynthesis, mammo (G0279) $59.40 $99 4.7×
Trauma respons w/hosp criti (G0390) $4,534.80 $7,558 3.5×
Trim nail(s) (G0127) $43.80 $73 0.8×

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.