Supplies, drugs & other prices at Pawnee County Memorial Hospital
Pawnee City, NE · every code in this section with a posted price and a Medicare benchmark.
30 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $46 | $58 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $46 | $58 | 0.9× |
| Adv prim care mgmt lvl 1 (G0556) | $24 | $30 | 0.6× |
| Adv prim care mgmt lvl 2 (G0557) | $78 | $98 | 2.0× |
| Adv prim care mgmt lvl 3 (G0558) | $171 | $214 | 1.6× |
| Annual alcohol screen 15 min (G0442) | $32 | $40 | 0.8× |
| Behavior counsel obesity 15m (G0447) | $44 | $55 | 0.4× |
| Brief alcohol misuse counsel (G0443) | $44 | $55 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $66 | $83 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $1,601 | $2,001 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,730 | $2,163 | 1.8× |
| Depression screen annual (G0444) | $32 | $40 | 0.8× |
| Direct refer hospital observ (G0379) | $303 | $379 | 0.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $85 | $106 | 4.3× |
| Ekg tracing for initial prev (G0404) | $229 | $286 | 7.6× |
| Elec stim other than wound (G0283) | $61 | $76 | 4.8× |
| Hep c screen high risk/other (G0472) | $82 | $103 | 1.8× |
| Hepb screen high risk indiv (G0499) | $95 | $119 | 3.4× |
| Hiv combination assay (G0475) | $82 | $103 | 3.4× |
| Home sleep test/type 3 porta (G0399) | $433 | $541 | 1.9× |
| Hpv combo assay ca screen (G0476) | $112 | $140 | 3.2× |
| Initial preventive exam (G0402) | $265 | $331 | 1.9× |
| Obtaining screen pap smear (Q0091) | $75 | $94 | 2.5× |
| Ppps, initial visit (G0438) | $264 | $330 | 1.5× |
| Ppps, subseq visit (G0439) | $207 | $259 | 1.5× |
| Psa screening (G0103) | $104 | $130 | 5.4× |
| Tomosynthesis, mammo (G0279) | $69 | $86 | 5.4× |
| Trauma respons w/hosp criti (G0390) | $1,440 | $1,800 | 1.0× |
| Trim nail(s) (G0127) | $65 | $81 | 1.1× |
| Visit to determ ldct elig (G0296) | $50 | $62 | 0.5× |