Supplies, drugs & other prices at Phelps Memorial Health Center
Holdrege, NE · every code in this section with a posted price and a Medicare benchmark.
29 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $28.80 | $32 | 0.6× |
| Admin influenza virus vac (G0008) | $41.40 | $46 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $41.40 | $46 | 0.9× |
| Colon ca scrn not hi rsk ind (G0121) | $852.30 | $947 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $1,042.20 | $1,158 | 1.1× |
| Covid-19 lab test non-cdc (U0002) | $248.40 | $276 | 4.8× |
| Diab manage trn per indiv (G0108) | $132.75 | $147.50 | 2.4× |
| Direct refer hospital observ (G0379) | $674.10 | $749 | 1.1× |
| Ekg tracing for initial prev (G0404) | $16.20 | $18 | 0.5× |
| Elec stim other than wound (G0283) | $96.30 | $107 | 7.6× |
| Fecal blood scrn immunoassay (G0328) | $69.30 | $77 | 3.8× |
| Initial preventive exam (G0402) | $318.60 | $354 | 2.3× |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) | $2,271.15 | $2,523.50 | 0.7× |
| Insertion of sinus tarsi implant (0335T) likely a partial charge, not the full procedure |
$1,696.50 | $1,885 | 0.2× |
| Liver dis 10 assays w/nash (0003M) | $981 | $1,090 | 1.9× |
| Oth resp proc, group (G0239) | $260.10 | $289 | 6.7× |
| Oth resp proc, indiv (G0238) | $95.40 | $106 | 3.2× |
| Perc drug-el cor stent sing (C9600) | $37,902.60 | $42,114 | 3.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,887.70 | $7,653 | 0.9× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,820.60 | $3,134 | 0.4× |
| Ppps, initial visit (G0438) | $201.60 | $224 | 1.2× |
| Ppps, subseq visit (G0439) | $158.40 | $176 | 1.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $647.10 | $719 | 0.9× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $5,132.70 | $5,703 | 1.3× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $8,089.65 | $8,988.50 | 2.1× |
| Revasc intra lithotrip-stent (C9765) | $25,430.40 | $28,256 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $15,953.40 | $17,726 | 1.3× |
| Therapeutic procd strg endur (G0237) | $145.80 | $162 | 4.9× |
| Trauma respons w/hosp criti (G0390) | $1,669.50 | $1,855 | 1.2× |