Supplies, drugs & other prices at Nemaha Valley Community Hospital
Seneca, KS · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $18 | $20 | 0.4× |
| Admin influenza virus vac (G0008) | $27 | $30 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $27 | $30 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $45.90 | $51 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $911.25 | $1,012.50 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $911.25 | $1,012.50 | 1.1× |
| Depression screen annual (G0444) | $48.60 | $54 | 1.4× |
| Diab manage trn per indiv (G0108) | $54 | $60 | 1.0× |
| Diab manage trn ind/group (G0109) | $18 | $20 | 1.1× |
| Drug test def 8-14 classes (G0481) | $49.05 | $54.50 | 0.3× |
| Ekg tracing for initial prev (G0404) | $145.35 | $161.50 | 5.5× |
| Initial preventive exam (G0402) | $247.50 | $275 | 2.0× |
| Obtaining screen pap smear (Q0091) | $27.90 | $31 | 1.0× |
| Ppps, initial visit (G0438) | $225.90 | $251 | 1.3× |
| Ppps, subseq visit (G0439) | $202.50 | $225 | 1.5× |
| Tomosynthesis, mammo (G0279) | $86.63 | $96.25 | 6.8× |
| Trauma respons w/hosp criti (G0390) | $342.90 | $381 | 0.3× |
| Trim nail(s) (G0127) | $23.40 | $26 | 0.4× |
| Visit to determ ldct elig (G0296) | $202.50 | $225 | 2.2× |