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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$8.80–$62.40 | $11–$78 | varies |
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$6.40–$24 | $8–$30 | varies |
| Admin pneumococcal vaccine (G0009) range across 7 matching MRF lines |
$6.40–$64 | $8–$80 | varies |
| 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) range across 8 matching MRF lines |
$8–$43.20 | $10–$54 | varies |
| Depression screen annual (G0444) | $16.80 | $21 | 0.4× |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$42.40–$47.20 | $53–$59 | varies |
| Elec stim unattend for press (G0281) range across 3 matching MRF lines |
$38.40–$52 | $48–$65 | varies |
| Hbot, full body chamber, 30m (G0277) | $816 | $1,020 | 5.7× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$75.20–$112 | $94–$140 | varies |
| 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) range across 2 matching MRF lines |
$112.80–$308 | $141–$385 | varies |
| Ppps, subseq visit (G0439) | $208.80 | $261 | 1.5× |
| Psa screening (G0103) range across 3 matching MRF lines |
$18.40–$160.80 | $23–$201 | varies |
| 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× |
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.