Supplies, drugs & other prices at Optim Medical Center-Screven
Sylvania, GA · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $17 | $17 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $54.82 | $54.82 | 1.3× |
| Catheterize for urine spec (P9612) | $80 | $80 | 8.6× |
| Colon ca scrn not hi rsk ind (G0121) | $11,628.80 | $11,628.80 | 14.3× |
| Colorectal scrn; hi risk ind (G0105) | $11,628.80 | $11,628.80 | 14.3× |
| Direct refer hospital observ (G0379) | $250 | $250 | 0.5× |
| Drug test def 1-7 classes (G0480) | $59.40 | $59.40 | 0.5× |
| Drug test def 8-14 classes (G0481) | $394.60 | $394.60 | 2.5× |
| Elec stim other than wound (G0283) | $114.40 | $114.40 | 9.0× |
| Hospital outpt clinic visit (G0463) | $75.88 | $75.88 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) | $6,067.20 | $6,067.20 | 9.8× |
| Oth resp proc, group (G0239) | $287 | $287 | 8.8× |
| Oth resp proc, indiv (G0238) | $420 | $420 | 16.6× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $75,341 | $75,341 | 6.7× |
| Psa screening (G0103) | $151.74 | $151.74 | 7.9× |
| Therapeutic procd strg endur (G0237) | $1,680 | $1,680 | 66.3× |