Supplies, drugs & other prices at Methodist Fremont Health

Fremont, NE · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
3d anat seg imaging preop (C8001) $498.76 $1,348 3.7×
Adm tocilizu covid-19 1st (M0249) $203.13 $549 0.4×
Adm tocilizu covid-19 2nd (M0250) $203.13 $549 0.4×
Admin influenza virus vac (G0008) $31.45 $85 0.6×
Admin pneumococcal vaccine (G0009) $31.45 $85 0.6×
Ca screen;flexi sigmoidscope (G0104) $754.43 $2,039 0.8×
Colon ca scrn not hi rsk ind (G0121) $984.94 $2,662 1.0×
Colorectal scrn; hi risk ind (G0105) $881.71 $2,383 0.9×
Cysto impl 4 or more (C9740)
likely a partial charge, not the full procedure
$2,518.96 $6,808 0.3×
Diab manage trn per indiv (G0108) $46.25 $125 0.8×
Diab manage trn ind/group (G0109) $28.49 $77 1.8×
Direct refer hospital observ (G0379) $62.53 $169 0.1×
Drug test def 1-7 classes (G0480) $34.41 $93 0.3×
Drug test def 15-21 classes (G0482) $65.49 $177 0.3×
Elec stim unattend for press (G0281) $59.20 $160 5.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$20,901.30 $56,490 0.5×
Esd endoscopy or colonoscopy (C9779) $3,164.24 $8,552 0.8×
Fecal microbiota prep instil (G0455) $2,682.87 $7,251 2.8×
Hepb screen high risk indiv (G0499) $87.32 $236 3.1×
Hospital outpt clinic visit (G0463) $138.75 $375 1.0×
Inj for sacroiliac jt anesth (G0260) $561.66 $1,518 0.8×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $7,652.34 $20,682 2.3×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $9,808.70 $26,510 0.9×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $9,808.70 $26,510 0.9×
Njx pltlt plasma w/img harvest/preparation (0232T) $204.24 $552 0.4×
Oth resp proc, indiv (G0238) $37 $100 1.2×
Perc d-e cor revasc chro sin (C9607) $9,943.01 $26,873 0.5×
Perc d-e cor revasc t cabg s (C9604) $12,389.82 $33,486 1.0×
Perc drug-el cor stent sing (C9600) $10,059.93 $27,189 0.8×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,157.95 $8,535 0.4×
Perq Sacral Augmt Unilat Inj (0200T) $6,538.64 $17,672 0.9×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $557.96 $1,508 0.8×
Rbc DNA gnotyp 10 bld groups (0084U) $117.66 $318 0.2×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $18,862.97 $50,981 1.7×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $11,740.10 $31,730 1.1×
Revasc intravasc lithotripsy (C9764) $15,950.70 $43,110 1.3×
Therapeutic procd strg endur (G0237) $37 $100 1.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $7,296.77 $19,721 0.6×
Trluml Perip Athrc Renal Art (0234T) $7,296.77 $19,721 0.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $7,296.77 $19,721 0.6×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$7,296.77 $19,721 0.4×