Supplies, drugs & other prices at Pella Regional Health Center
Pella, IA · every code in this section with a posted price and a Medicare benchmark.
46 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) | — | $31 | — |
| Admin influenza virus vac (G0008) | — | $31 | — |
| Admin pneumococcal vaccine (G0009) | — | $31 | — |
| Ca screen;flexi sigmoidscope (G0104) range across 3 matching MRF lines |
— | $60–$347 | — |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
— | $84–$85 | — |
| Colon ca scrn not hi rsk ind (G0121) | — | $1,245 | — |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
— | $1,215–$1,245 | — |
| Depression screen annual (G0444) | — | $31 | — |
| Diab manage trn per indiv (G0108) | — | $149 | — |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
— | $83–$84 | — |
| Direct refer hospital observ (G0379) | — | $2 | — |
| Drug test def 1-7 classes (G0480) range across 18 matching MRF lines |
— | $96–$413 | — |
| Drug test def 22+ classes (G0483) | — | $169 | — |
| Ekg tracing for initial prev (G0404) | — | $41 | — |
| Hbot, full body chamber, 30m (G0277) | — | $482 | — |
| Hepb screen high risk indiv (G0499) | — | $95 | — |
| Hospital outpt clinic visit (G0463) range across 6 matching MRF lines |
— | $111–$222 | — |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
— | $299–$300 | — |
| Mra w/cont, abd (C8900) | — | $3,422 | — |
| Mra w/cont, chest (C8909) | — | $3,422 | — |
| Mra w/cont, lwr ext (C8912) | — | $3,422 | — |
| Mra w/cont, pelvis (C8918) | — | $3,422 | — |
| Mra w/o cont, abd (C8901) | — | $2,709 | — |
| Mra w/o cont, chest (C8910) | — | $2,709 | — |
| Mra w/o cont, lwr ext (C8913) | — | $2,709 | — |
| Mra w/o cont, pelvis (C8919) | — | $2,690 | — |
| Mra w/o fol w/cont, abd (C8902) | — | $4,500 | — |
| Mra w/o fol w/cont, chest (C8911) | — | $4,500 | — |
| Mra w/o fol w/cont, lwr ext (C8914) | — | $4,500 | — |
| Mra, w/o&w/dye, upper extr (C8936) | — | $4,500 | — |
| Njx platelet plasma (0232T) range across 3 matching MRF lines |
— | $91–$629 | — |
| Non-ophthalmic fva (C9733) | — | $355 | — |
| Obtaining screen pap smear (Q0091) | — | $110 | — |
| Oral hiv-1/hiv-2 screen (G0435) | — | $48 | — |
| Oth resp proc, group (G0239) | — | $214 | — |
| Oth resp proc, indiv (G0238) | — | $121 | — |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
— | $299–$300 | — |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
— | $183–$184 | — |
| Prostate biopsy, any mthd (G0416) | — | $1,351 | — |
| Psa screening (G0103) | — | $176 | — |
| Therapeutic procd strg endur (G0237) | — | $80 | — |
| Tomosynthesis, mammo (G0279) | — | $55 | — |
| Trauma respons w/hosp criti (G0390) | — | $1,673 | — |
| Trim nail(s) (G0127) range across 3 matching MRF lines |
— | $21–$51 | — |
| Tte w or w/o fol w/con,stres (C8928) | — | $1,056 | — |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
— | $48–$49 | — |
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.