Supplies, drugs & other prices at Mobridge Regional Hospital - Cah

Mobridge, SD · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $628 $628 1.8×
Admin hepatitis b vaccine (G0010) $32 $32 0.7×
Admin influenza virus vac (G0008) $28 $28 0.6×
Admin pneumococcal vaccine (G0009) $30 $30 0.6×
Behavior counsel obesity 15m (G0447) $70 $70 0.7×
Ca screen;pelvic/breast exam (G0101) $82 $82 0.8×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$1,544–$1,787 $1,544–$1,787 varies
Colorectal scrn; hi risk ind (G0105) $2,350 $2,350 2.5×
Diab manage trn per indiv (G0108)
range across 3 matching MRF lines
$78–$103 $78–$103 varies
Diab manage trn ind/group (G0109) $53 $53 3.3×
Elisa hiv-1/hiv-2 screen (G0433) $161 $161 8.8×
Fecal blood scrn immunoassay (G0328) $108 $108 6.0×
Hep c screen high risk/other (G0472) $83 $83 1.8×
Hepb screen high risk indiv (G0499) $185 $185 6.5×
Hospital outpt clinic visit (G0463)
range across 4 matching MRF lines
$522–$628 $522–$628 varies
Hpv combo assay ca screen (G0476) $240 $240 6.8×
Initial preventive exam (G0402)
range across 2 matching MRF lines
$162–$325 $162–$325 varies
Mra w/cont, abd (C8900) $3,998 $3,998 11.2×
Mra w/cont, chest (C8909) $5,217 $5,217 14.6×
Mra w/o cont, abd (C8901) $3,864 $3,864 15.9×
Mra w/o cont, chest (C8910) $5,081 $5,081 20.8×
Mra w/o fol w/cont, abd (C8902) $5,160 $5,160 14.5×
Mra w/o fol w/cont, chest (C8911)
range across 2 matching MRF lines
$6,451–$7,820 $6,451–$7,820 varies
Mra w/o fol w/cont, lwr ext (C8914) $5,160 $5,160 14.5×
Mri w/cont, breast, bi (C8906) $4,070 $4,070 11.4×
Mri w/cont, breast, uni (C8903) $2,779 $2,779 15.5×
Mri w/o fol w/cont, breast, (C8908) $6,102 $6,102 17.1×
Mri w/o fol w/cont, brst, un (C8905) $4,167 $4,167 11.7×
Oth resp proc, indiv (G0238) $153 $153 5.2×
Ppps, initial visit (G0438) $325 $325 1.9×
Ppps, subseq visit (G0439) $208 $208 1.5×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$410–$660 $410–$660 varies
Psa screening (G0103) $192 $192 9.9×
Scr c/v cyto,thinlayer,rescr (G0145) $186 $186 7.0×
Therapeutic procd strg endur (G0237) $153 $153 5.2×
Trauma respons w/hosp criti (G0390) $1,278 $1,278 0.9×
Trim nail(s) (G0127) $53 $53 0.9×
Tte w or wo fol wcon,doppler (C8929) $1,129 $1,129 1.4×

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.