Supplies, drugs & other prices at OrthoNebraska Hospital
Omaha, NE · every code in this section with a posted price and a Medicare benchmark.
14 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) | — | $91.90 | — |
| Admin pneumococcal vaccine (G0009) | — | $74 | — |
| Drug test def 1-7 classes (G0480) | — | $224 | — |
| Elec stim other than wound (G0283) | — | $77 | — |
| Inj for sacroiliac jt anesth (G0260) | — | $881 | — |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) | — | $3,914 | — |
| Njx pltlt plasma w/img harvest/preparation (0232T) | — | $699 | — |
| Pelvic ring fx treat int fix (G0414) | — | $3,758 | — |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | — | $2,109 | — |
| Perq Sacral Augmt Bilat Inj (0201T) | — | $11,373 | — |
| Perq Sacral Augmt Unilat Inj (0200T) | — | $11,373 | — |
| Prolonged iv inf, req pump (C8957) | — | $408 | — |
| Psa screening (G0103) | — | $79 | — |
| Transperineal laser ablation of benign prostatic hyperplasia, including imaging guidance; prostate volume greater or… (0867T) | — | $12,049 | — |