Supplies, drugs & other prices at Pipestone County Medical Center & Family Clinic Avera

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

25 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) $1,275 $1,275 3.5×
Admin hepatitis b vaccine (G0010) $30 $30 0.6×
Admin pneumococcal vaccine (G0009) $54 $54 1.1×
Ca screen;flexi sigmoidscope (G0104) $56 $56 0.1×
Catheterize for urine spec (P9612) $174.50 $174.50 18.7×
Colon ca scrn not hi rsk ind (G0121) $598 $598 0.6×
Colorectal scrn; hi risk ind (G0105) $178 $178 0.2×
Drug test def 1-7 classes (G0480) $177.50 $177.50 1.6×
Drug test def 15-21 classes (G0482) $281 $281 1.4×
Ekg tracing for initial prev (G0404) $124.50 $124.50 4.2×
Hep c screen high risk/other (G0472) $45 $45 1.0×
Hiv combination assay (G0475) $143 $143 5.9×
Home sleep test/type 3 porta (G0399) $459 $459 2.1×
Hopd mntl hlt, 15-29 min (C7900) $567 $567 14.7×
Hopd mntl hlt, grp (C7903) $464 $464 12.0×
Hospital outpt clinic visit (G0463) $101 $101 0.7×
Initial preventive exam (G0402) $134.41 $134 1.0×
Obtaining screen pap smear (Q0091) $62.39 $62 2.1×
Ppps, initial visit (G0438) $158.26 $158 0.9×
Ppps, subseq visit (G0439) $124.79 $124 0.9×
Psa screening (G0103) $212 $212 11.0×
Tomosynthesis, mammo (G0279) $85 $85 6.7×
Trauma respons w/hosp criti (G0390) $843 $843 0.6×
Trim nail(s) (G0127) $29.52 $29 0.5×
Tte w or wo fol wcon,doppler (C8929) $2,343 $2,343 2.9×