Supplies, drugs & other prices at Providence Medical Center
Wayne, NE · every code in this section with a posted price and a Medicare benchmark.
21 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) | $64.60 | $68 | 1.3× |
| Admin influenza virus vac (G0008) | $54.15 | $57 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $64.12 | $67.50 | 1.3× |
| Alcohol/subs interv >30 min (G0397) | $129.20 | $136 | 0.7× |
| Behavior counsel obesity 15m (G0447) | $76.95 | $81 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $144.40 | $152 | 1.4× |
| Catheterize for urine spec (P9612) | $53.20 | $56 | 5.7× |
| Direct refer hospital observ (G0379) | $872.10 | $918 | 1.4× |
| Elec stim other than wound (G0283) | $39.90 | $42 | 3.1× |
| Elec stim unattend for press (G0281) | $64.60 | $68 | 5.5× |
| Hopd mntl hlt, 15-29 min (C7900) | $363.85 | $383 | 9.4× |
| Hopd mntl hlt, 30-60 min (C7901) | $388.55 | $409 | 3.7× |
| Hopd mntl hlt, grp (C7903) | $343.90 | $362 | 8.8× |
| Hospital outpt clinic visit (G0463) | $53.20 | $56 | 0.4× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) unusually low: confirm this is the full procedure |
$2,052 | $2,160 | 0.4× |
| Oth resp proc, indiv (G0238) | $84.55 | $89 | 2.8× |
| Prostate biopsy, any mthd (G0416) | $450.30 | $474 | 1.2× |
| Therapeutic procd strg endur (G0237) | $81.70 | $86 | 2.7× |
| Trauma respons w/hosp criti (G0390) | $1,853.45 | $1,951 | 1.3× |
| Trim nail(s) (G0127) | $79.80 | $84 | 1.3× |
| Tte w or wo fol wcon,doppler (C8929) | $3,024.32 | $3,183.50 | 3.7× |