Supplies, drugs & other prices at Northwest Florida Community Hospital
Chipley, FL · every code in this section with a posted price and a Medicare benchmark.
26 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) | $35.60 | $44.50 | 0.7× |
| Admin influenza virus vac (G0008) | $17.20 | $21.50 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $8.80 | $11 | 0.2× |
| Alcohol/subs interv 15-30mn (G0396) | $60.80 | $76 | 1.6× |
| Alcohol/subs interv >30 min (G0397) | $120 | $150 | 0.6× |
| Annual alcohol screen 15 min (G0442) | $16.80 | $21 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $42.40 | $53 | 0.4× |
| Brief alcohol misuse counsel (G0443) | $42.40 | $53 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $25.20 | $31.50 | 0.2× |
| Depression screen annual (G0444) | $16.80 | $21 | 0.4× |
| Elec stim other than wound (G0283) | $47.20 | $59 | 3.7× |
| Elec stim unattend for press (G0281) | $48.80 | $61 | 4.2× |
| Hbot, full body chamber, 30m (G0277) | $816 | $1,020 | 5.7× |
| Hospital outpt clinic visit (G0463) | $93.60 | $117 | 0.7× |
| Initial preventive exam (G0402) | $229.60 | $287 | 1.7× |
| Obtaining screen pap smear (Q0091) | $43.20 | $54 | 1.4× |
| Oth resp proc, indiv (G0238) | $51.20 | $64 | 1.7× |
| Ppps, initial visit (G0438) | $210.40 | $263 | 1.2× |
| Ppps, subseq visit (G0439) | $208.80 | $261 | 1.5× |
| Psa screening (G0103) | $41.60 | $52 | 2.2× |
| Risk ascvd tst once pr 12 mo (G0537) | $16 | $20 | 0.4× |
| Therapeutic procd strg endur (G0237) | $51.20 | $64 | 1.7× |
| Tomosynthesis, mammo (G0279) | $105.60 | $132 | 8.3× |
| Trim nail(s) (G0127) | $16 | $20 | 0.3× |
| Visit to determ ldct elig (G0296) | $48 | $60 | 0.5× |
| Wet mounts/ w preparations (Q0111) | $68 | $85 | 3.7× |