Supplies, drugs & other prices at Regional West Medical Center

Scottsbluff, NE · every code in this section with a posted price and a Medicare benchmark.

44 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) $750.31 $1,250.51 2.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,863.23 $6,438.71 1.9×
Admin pneumococcal vaccine (G0009) $100.68 $167.80 2.1×
Chemo extend iv infus w/pump (G0498) $416.40 $694 1.2×
Colon ca scrn not hi rsk ind (G0121) $1,306.22 $2,177.03 1.4×
Direct refer hospital observ (G0379) $780 $1,300 1.3×
Drug test def 1-7 classes (G0480) $36.78 $61.30 0.3×
Drug test def 8-14 classes (G0481) $13.92 $23.20 0.1×
Hep c screen high risk/other (G0472) $149.40 $249 3.2×
Hiv combination assay (G0475) $35.58 $59.30 1.5×
Hospital outpt clinic visit (G0463) $95.67 $159.45 0.7×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $76.11 $126.85 1.8×
Inj for sacroiliac jt anesth (G0260) $1,105.38 $1,842.30 1.5×
JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15 Other… (0027U) $182.10 $303.50 1.5×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0003M) $976.20 $1,627 1.9×
Mra w/o cont, chest (C8910) $2,285.34 $3,808.90 9.2×
Mra w/o cont, lwr ext (C8913) $3,829.62 $6,382.70 15.5×
Mra w/o cont, pelvis (C8919) $2,285.34 $3,808.90 9.2×
Mra w/o fol w/cont, abd (C8902) $2,978.64 $4,964.40 8.2×
Mra w/o fol w/cont, lwr ext (C8914) $2,464.14 $4,106.90 6.8×
Mra w/o fol w/cont, pelvis (C8920) $2,565.71 $4,276.17 7.1×
Mra, w/o&w/dye, upper extr (C8936) $2,635.68 $4,392.80 7.3×
Mri w/cont, breast, bi (C8906) $2,543.94 $4,239.90 7.0×
Mri w/o fol w/cont, breast, (C8908) $2,893.38 $4,822.30 8.0×
Oth resp proc, group (G0239) $255.33 $425.55 6.6×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $10,715.60 $17,859.33 1.4×
Prostate biopsy, any mthd (G0416) $249 $415 0.7×
Psa screening (G0103) $153 $255 7.9×
Revasc intra lithotrip-ather (C9766) $26,935.08 $44,891.80 1.4×
Revasc intra lithotrip-stent (C9765) $26,935.08 $44,891.80 1.4×
Revasc intravasc lithotripsy (C9764) $17,010.86 $28,351.43 1.4×
Revasc lith-sten-ath tib/per (C9775) $26,935.08 $44,891.80 1.4×
Revasc lithotr-ather tib/per (C9774) $26,935.08 $44,891.80 1.4×
Revasc lithotr-stent tib/per (C9773) $26,935.08 $44,891.80 1.4×
Revasc lithotrip tibi/perone (C9772) $17,010.86 $28,351.43 1.4×
Revasc lithotrip-stent-ather (C9767) $26,935.08 $44,891.80 1.4×
Screen cerv/vag thin layer (G0123) $102.90 $171.50 5.1×
Screen pap by tech w md supv (P3000) $53.82 $89.70 2.9×
Tpmt nudt15 genes (0034U) $628.20 $1,047 1.3×
Trauma respons w/hosp criti (G0390) $6,615.18 $11,025.30 4.8×
Trluml perip athrc iliac art (0238T) $26,935.08 $44,891.80 1.4×
Tte w or w/o fol w/con,stres (C8928) $1,240.20 $2,067 1.5×
Tte w or wo fol wcon,doppler (C8929) $1,612.20 $2,687 2.0×
Unsched dialysis esrd pt hos (G0257) $1,515.18 $2,525.30 2.1×