Supplies, drugs & other prices at Johnson County Hospital
Tecumseh, NE · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $40 | $40 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $51 | $51 | 1.0× |
| Admin influenza virus vac (G0008) | $51 | $51 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $51 | $51 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $98 | $98 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $2,237 | $2,237 | 2.3× |
| Colorectal scrn; hi risk ind (G0105) | $2,237 | $2,237 | 2.3× |
| Diab manage trn per indiv (G0108) | $92 | $92 | 1.6× |
| Diab manage trn ind/group (G0109) | $99 | $99 | 6.2× |
| Ekg tracing for initial prev (G0404) | $66 | $66 | 2.2× |
| Fecal blood scrn immunoassay (G0328) | $67 | $67 | 3.7× |
| Hopd mntl hlt, 15-29 min (C7900) | $659 | $659 | 16.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $816 | $816 | 7.7× |
| Hopd mntl hlt, grp (C7903) | $795 | $795 | 20.4× |
| Hospital outpt clinic visit (G0463) | $98 | $98 | 0.7× |
| Initial preventive exam (G0402) | $331 | $331 | 2.4× |
| Obtaining screen pap smear (Q0091) | $77 | $77 | 2.6× |
| Ppps, initial visit (G0438) | $326 | $326 | 1.9× |
| Ppps, subseq visit (G0439) | $260 | $260 | 1.9× |
| Psa screening (G0103) | $145 | $145 | 7.5× |
| Therapeutic procd strg endur (G0237) | $96 | $96 | 3.2× |
| Tomosynthesis, mammo (G0279) | $74 | $74 | 5.8× |