Supplies, drugs & other prices at Perkins County Health Services
Grant, NE · every code in this section with a posted price and a Medicare benchmark.
23 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$52–$108 | $52–$108 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$52–$108 | $52–$108 | varies |
| Brief alcohol misuse counsel (G0443) | $73 | $73 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $126 | $126 | 1.2× |
| Colon ca scrn not hi rsk ind (G0121) | $893 | $893 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $893 | $893 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$228–$289 | $228–$289 | varies |
| Elec stim other than wound (G0283) | $118 | $118 | 9.3× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $94 | $94 | 2.2× |
| Initial preventive exam (G0402) | $299 | $299 | 2.2× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $779 | $779 | 1.5× |
| Mra w/o cont, abd (C8901) | $2,390 | $2,390 | 9.6× |
| Mri w/o fol w/cont, breast, (C8908) | $4,505 | $4,505 | 12.4× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,631 | $3,631 | 10.0× |
| Obtaining screen pap smear (Q0091) | $97 | $97 | 3.2× |
| Oth resp proc, group (G0239) | $268 | $268 | 6.9× |
| Oth resp proc, indiv (G0238) | $85 | $85 | 2.8× |
| Ppps, initial visit (G0438) | $332 | $332 | 1.9× |
| Ppps, subseq visit (G0439) | $264 | $264 | 1.9× |
| Psa screening (G0103) | $202 | $202 | 10.5× |
| Therapeutic procd strg endur (G0237) | $85 | $85 | 2.8× |
| Tomosynthesis, mammo (G0279) range across 6 matching MRF lines |
$90–$108 | $90–$108 | varies |
| Trauma respons w/hosp criti (G0390) | $2,451 | $2,451 | 1.8× |
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.