Supplies, drugs & other prices at Livingston Hospital
Salem, KY · every code in this section with a posted price and a Medicare benchmark.
23 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $63.45 | $105.75 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $63.45 | $105.75 | 1.4× |
| Alcohol/subs interv >30 min (G0397) | $85.20 | $142 | 0.5× |
| Annual alcohol screen 15 min (G0442) | $31.80 | $53 | 0.9× |
| Behavior counsel obesity 15m (G0447) | $34.35 | $57.25 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $59.10 | $98.50 | 0.6× |
| Depression screen annual (G0444) | $26.40 | $44 | 0.8× |
| Diab manage trn per indiv (G0108) | $68.85 | $114.75 | 1.2× |
| Direct refer hospital observ (G0379) | $176.85 | $294.75 | 0.3× |
| Ekg tracing for initial prev (G0404) | $61.28 | $102.12 | 2.3× |
| Elec stim other than wound (G0283) | $72.90 | $121.50 | 5.7× |
| Followup eval of foot pt lop (G0246) | $23.10 | $38.50 | 0.2× |
| Hep c screen high risk/other (G0472) | $91.50 | $152.50 | 2.0× |
| Hospital outpt clinic visit (G0463) | $73.50 | $122.50 | 0.6× |
| Initial foot exam pt lops (G0245) | $41.10 | $68.50 | 0.3× |
| Initial preventive exam (G0402) | $127.50 | $212.50 | 1.0× |
| Intens behave ther cardio dx (G0446) | $31.80 | $53 | 0.9× |
| Mnt subs tx for change dx (G0270) | $24.30 | $40.50 | 0.8× |
| Obtaining screen pap smear (Q0091) | $19.20 | $32 | 0.7× |
| Ppps, initial visit (G0438) | $132.45 | $220.75 | 0.8× |
| Ppps, subseq visit (G0439) | $84.08 | $140.12 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $498.38 | $830.62 | 0.4× |
| Visit to determ ldct elig (G0296) | $35.40 | $59 | 0.4× |