Supplies, drugs & other prices at Niobrara County Hospital District
Lusk, WY · every code in this section with a posted price and a Medicare benchmark.
9 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) | $17.60 | $22 | 0.4× |
| Admin influenza virus vac (G0008) | $21.60 | $27 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $21.60 | $27 | 0.5× |
| Direct refer hospital observ (G0379) | $407.61 | $509.51 | 0.7× |
| Drug test def 1-7 classes (G0480) | $149.86 | $187.33 | 1.3× |
| Drug test def 15-21 classes (G0482) | $300 | $375 | 1.5× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $492.80 | $616 | 11.3× |
| Psa screening (G0103) | $117.60 | $147 | 6.1× |
| Trauma respons w/hosp criti (G0390) | $3,204 | $4,005 | 2.4× |