Supplies, drugs & other prices at Niobrara Valley Hospital
Lynch, NE · every code in this section with a posted price and a Medicare benchmark.
15 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,155 | $1,155 | 3.2× |
| Admin hepatitis b vaccine (G0010) | $22 | $22 | 0.5× |
| Admin influenza virus vac (G0008) | $21 | $21 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $23 | $23 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $2,416 | $2,416 | 2.5× |
| Colorectal scrn; hi risk ind (G0105) | $2,416 | $2,416 | 2.5× |
| Diab manage trn per indiv (G0108) | $87 | $87 | 1.6× |
| Drug test def 1-7 classes (G0480) | $210 | $210 | 1.8× |
| Ekg tracing for initial prev (G0404) | $45 | $45 | 1.5× |
| Elec stim other than wound (G0283) | $142 | $142 | 11.2× |
| Initial preventive exam (G0402) | $300 | $300 | 2.2× |
| Ppps, initial visit (G0438) | $310 | $310 | 1.8× |
| Ppps, subseq visit (G0439) | $209 | $209 | 1.5× |
| Psa screening (G0103) | $173.50 | $173.50 | 9.0× |
| Tte w or wo fol wcon,doppler (C8929) | $3,649 | $3,649 | 4.5× |