Supplies, drugs & other prices at Perry County Memorial Hospital
Tell City, IN · every code in this section with a posted price and a Medicare benchmark.
22 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) | $23.10 | $33 | 0.5× |
| Admin influenza virus vac (G0008) range across 7 matching MRF lines |
$14.70–$21 | $21–$30 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$17.50–$21 | $25–$30 | varies |
| Diab manage trn per indiv (G0108) | $103.60 | $148 | 1.9× |
| Direct refer hospital observ (G0379) | $30.80 | $44 | 0.0× |
| Drug test def 1-7 classes (G0480) range across 6 matching MRF lines |
$110.60–$174.30 | $158–$249 | varies |
| Drug test def 22+ classes (G0483) | $288.40 | $412 | 1.2× |
| Drug test def 8-14 classes (G0481) range across 10 matching MRF lines |
$18.90–$288.40 | $27–$412 | varies |
| Ekg tracing for initial prev (G0404) | $214.90 | $307 | 7.0× |
| Elec stim other than wound (G0283) | $77.70 | $111 | 6.1× |
| Extrnl counterpulse, per tx (G0166) | $406 | $580 | 2.9× |
| Group mnt 2 or more 30 mins (G0271) | $35 | $50 | 2.1× |
| Hep c screen high risk/other (G0472) | $173.60 | $248 | 3.7× |
| Hiv combination assay (G0475) | $317.10 | $453 | 13.2× |
| Hospital outpt clinic visit (G0463) range across 34 matching MRF lines |
$17.50–$316.40 | $25–$452 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,591.80 | $2,274 | 2.1× |
| Mnt subs tx for change dx (G0270) | $63 | $90 | 2.0× |
| Oth resp proc, group (G0239) | $162.40 | $232 | 4.1× |
| Psa screening (G0103) | $137.90 | $197 | 7.1× |
| Screen cerv/vag thin layer (G0123) | $146.30 | $209 | 7.2× |
| Tomosynthesis, mammo (G0279) | $60.20 | $86 | 4.7× |
| Tte w or wo fol wcon,doppler (C8929) | $1,591.80 | $2,274 | 1.9× |
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.