Supplies, drugs & other prices at Orange City Area Health System
Orange City, IA · every code in this section with a posted price and a Medicare benchmark.
33 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $47.20 | $59 | 1.0× |
| Admin influenza virus vac (G0008) | $47.20 | $59 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $47.20 | $59 | 1.0× |
| Behavior counsel obesity 15m (G0447) | $44.80 | $56 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $475.20 | $594 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) | $72 | $90 | 0.7× |
| Colon ca scrn not hi rsk ind (G0121) | $852 | $1,065 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $864.80 | $1,081 | 1.0× |
| Demonstrate use home inr mon (G0248) | $125.60 | $157 | 1.0× |
| Depression screen annual (G0444) | $32 | $40 | 0.9× |
| Diab manage trn per indiv (G0108) | $60.80 | $76 | 1.1× |
| Diab manage trn ind/group (G0109) | $48 | $60 | 3.0× |
| Direct refer hospital observ (G0379) | $139.20 | $174 | 0.2× |
| Drug test def 1-7 classes (G0480) | $112.80 | $141 | 1.0× |
| Facility svs dental rehab (G0330) | $1,876.80 | $2,346 | 0.6× |
| Group behave couns 2-10 (G0473) | $25.60 | $32 | 0.7× |
| Hep c screen high risk/other (G0472) | $48.80 | $61 | 1.1× |
| Hepb screen high risk indiv (G0499) | $32.80 | $41 | 1.2× |
| Home sleep test/type 3 porta (G0399) | $464.80 | $581 | 2.2× |
| Initial preventive exam (G0402) | $289.60 | $362 | 2.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $281.60 | $352 | 2.3× |
| Njx platelet plasma (0232T) | $360 | $450 | 0.8× |
| Obtaining screen pap smear (Q0091) | $75.20 | $94 | 2.7× |
| Oth resp proc, group (G0239) | $31.20 | $39 | 0.9× |
| Oth resp proc, indiv (G0238) | $24.80 | $31 | 0.9× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$56.80–$189.60 | $71–$237 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$50.40–$168 | $63–$210 | varies |
| Prostate biopsy, any mthd (G0416) | $378.40 | $473 | 1.1× |
| Psa screening (G0103) | $91.20 | $114 | 4.7× |
| Therapeutic procd strg endur (G0237) | $24.80 | $31 | 0.9× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$62.40–$74.40 | $78–$93 | varies |
| Trauma respons w/hosp criti (G0390) | $1,032.80 | $1,291 | 0.8× |
| Visit to determ ldct elig (G0296) | $52.80 | $66 | 0.5× |
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.