Supplies, drugs & other prices at Rock County Hospital
Bassett, NE · every code in this section with a posted price and a Medicare benchmark.
15 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,807 | $1,902 | 5.0× |
| Admin hepatitis b vaccine (G0010) | $57 | $60 | 1.2× |
| Admin influenza virus vac (G0008) | $57 | $60 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $57 | $60 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) | $116 | $122 | 1.1× |
| Catheterize for urine spec (P9612) | $237.50 | $250 | 25.4× |
| Colorectal scrn; hi risk ind (G0105) | $1,762 | $1,855 | 1.8× |
| Initial preventive exam (G0402) | $342 | $360 | 2.5× |
| Mnt subs tx for change dx (G0270) | $51 | $54 | 1.6× |
| Ppps, initial visit (G0438) | $356 | $375 | 2.0× |
| Ppps, subseq visit (G0439) | $285 | $300 | 2.1× |
| Psa screening (G0103) | $124 | $130 | 6.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $658 | $693 | 0.9× |
| Tomosynthesis, mammo (G0279) | $105 | $110 | 8.3× |
| Tte w or wo fol wcon,doppler (C8929) | $2,872 | $3,023 | 3.5× |