Supplies, drugs & other prices at Perham Health

Perham, MN · every code in this section with a posted price and a Medicare benchmark.

30 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $902.20 $1,388 2.5×
Adm of soc dtr assess 5-15 m (G0136) $40.30 $62 1.0×
Admin hepatitis b vaccine (G0010) $42.25 $65 0.9×
Admin influenza virus vac (G0008) $20.80 $32 0.4×
Admin pneumococcal vaccine (G0009) $41.60 $64 0.9×
Behavior counsel obesity 15m (G0447) $45.82 $70.50 0.4×
Ca screen;flexi sigmoidscope (G0104) $286 $440 0.3×
Ca screen;pelvic/breast exam (G0101) $83.85 $129 0.8×
Catheterize for urine spec (P9612) $120.58 $185.50 12.9×
Colon ca scrn not hi rsk ind (G0121) $845 $1,300 0.9×
Colorectal scrn; hi risk ind (G0105) $845 $1,300 0.9×
Diab manage trn per indiv (G0108) $81.25 $125 1.5×
Diab manage trn ind/group (G0109) $31.20 $48 1.9×
Direct refer hospital observ (G0379) $376.35 $579 0.6×
Ekg tracing for initial prev (G0404) $49.40 $76 1.7×
Fecal blood scrn immunoassay (G0328) $59.15 $91 3.3×
Initial preventive exam (G0402) $120.25 $185 0.9×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $689.65 $1,061 5.7×
Obtaining screen pap smear (Q0091) $48.10 $74 1.6×
Ppps, initial visit (G0438) $237.58 $365.50 1.4×
Ppps, subseq visit (G0439) $224.25 $345 1.6×
Prolonged iv inf, req pump (C8957) $780.65 $1,201 3.6×
Psa screening (G0103) $136.50 $210 7.1×
Risk ascvd tst once pr 12 mo (G0537) $26.32 $40.50 0.7×
Tomosynthesis, mammo (G0279) $74.75 $115 5.9×
Trauma respons w/hosp criti (G0390) $3,811.60 $5,864 2.8×
Trim nail(s) (G0127) $27.95 $43 0.5×
Tte w or w/o contr, cont ecg (C8930) $1,350.05 $2,077 1.7×
Tte w or wo fol wcon,doppler (C8929) $1,553.50 $2,390 1.9×
Visit to determ ldct elig (G0296) $45.18 $69.50 0.4×