Supplies, drugs & other prices at Olivia Hospital & Clinic

Olivia, MN · every code in this section with a posted price and a Medicare benchmark.

33 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $30.50 $50 0.6×
Admin influenza virus vac (G0008) $48.80 $80 1.0×
Admin pneumococcal vaccine (G0009) $48.80 $80 1.0×
Annual alcohol screen 15 min (G0442) $54.90 $90 1.4×
Behavior counsel obesity 15m (G0447) $76.25 $125 0.7×
Brief alcohol misuse counsel (G0443) $76.25 $125 0.7×
Catheterize for urine spec (P9612) $56.12 $92 6.0×
Colon ca scrn not hi rsk ind (G0121) $1,191.94 $1,954 1.2×
Colorectal scrn; hi risk ind (G0105) $1,189.50 $1,950 1.2×
Depression screen annual (G0444) $54.90 $90 1.4×
Diab manage trn per indiv (G0108) $64.66 $106 1.2×
Diab manage trn ind/group (G0109) $88.45 $145 5.5×
Drug test def 1-7 classes (G0480) $149.45 $245 1.3×
Drug test def 15-21 classes (G0482) $147.62 $242 0.7×
Drug test def simple all cl (G0659) $122 $200 2.0×
Elec stim other than wound (G0283) $103.70 $170 8.2×
Fecal blood scrn immunoassay (G0328) $43.92 $72 2.4×
Fern test (Q0114) $9.76 $16 1.0×
Hep c screen high risk/other (G0472) $23.79 $39 0.5×
Hospital outpt clinic visit (G0463) $184.22 $302 1.3×
Initial preventive exam (G0402) $153.11 $251 1.1×
Inj for sacroiliac jt anesth (G0260) $471.53 $773 0.6×
Obtaining screen pap smear (Q0091) $125.05 $205 4.2×
Oth resp proc, group (G0239) $34.16 $56 0.9×
Oth resp proc, indiv (G0238) $28.67 $47 1.0×
Ppps, initial visit (G0438) $161.65 $265 0.9×
Ppps, subseq visit (G0439) $120.17 $197 0.9×
Psa screening (G0103) $98.82 $162 5.1×
Screen cerv/vag thin layer (G0123) $35.38 $58 1.7×
Therapeutic procd strg endur (G0237) $26.84 $44 0.9×
Tomosynthesis, mammo (G0279) $112.85 $185 8.9×
Trauma respons w/hosp criti (G0390) $1,759.24 $2,884 1.3×
Visit to determ ldct elig (G0296) $54.90 $90 0.5×