Supplies, drugs & other prices at Madison Healthcare Services - Madison Hospital
Madison, MN · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $42.50 | $50 | 1.1× |
| Admin hepatitis b vaccine (G0010) | $21.25 | $25 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $21.25 | $25 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $28.05 | $33 | 0.3× |
| Ca screen;flexi sigmoidscope (G0104) | $1,112.65 | $1,309 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) | $86.70 | $102 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $374 | $440 | 0.4× |
| Colorectal scrn; hi risk ind (G0105) | $408 | $480 | 0.4× |
| Diab manage trn per indiv (G0108) | $52.70 | $62 | 0.9× |
| Diab manage trn ind/group (G0109) | $30.60 | $36 | 1.9× |
| Direct refer hospital observ (G0379) | $232.05 | $273 | 0.4× |
| Ekg tracing for initial prev (G0404) | $132.60 | $156 | 4.4× |
| Group mnt 2 or more 30 mins (G0271) | $28.90 | $34 | 1.7× |
| Hiv combination assay (G0475) | $99.45 | $117 | 4.1× |
| Ig paraprotein qual bld/ur (0077U) | $89.25 | $105 | 2.1× |
| Initial preventive exam (G0402) | $316.20 | $372 | 2.3× |
| Intens behave ther cardio dx (G0446) | $26.35 | $31 | 0.7× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $718.25 | $845 | 5.9× |
| Mnt subs tx for change dx (G0270) | $40.80 | $48 | 1.3× |
| Obtaining screen pap smear (Q0091) | $18.70 | $22 | 0.6× |
| Ppps, initial visit (G0438) | $335.75 | $395 | 1.9× |
| Ppps, subseq visit (G0439) | $265.20 | $312 | 1.9× |
| Prostate biopsy, any mthd (G0416) | $1,215.50 | $1,430 | 3.3× |
| Trauma respons w/hosp criti (G0390) | $2,090.15 | $2,459 | 1.5× |