Supplies, drugs & other prices at Sarah D Culbertson Memorial Hospital
Rushville, IL · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $79.20 | $88 | 1.6× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$31.50–$79.20 | $35–$88 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$31.50–$79.20 | $35–$88 | varies |
| Ca screen;pelvic/breast exam (G0101) | $190.80 | $212 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) | $1,431.90 | $1,591 | 1.4× |
| Colorectal scrn; hi risk ind (G0105) | $1,431.90 | $1,591 | 1.4× |
| Diab manage trn per indiv (G0108) | $68.40 | $76 | 1.2× |
| Direct refer hospital observ (G0379) | $559.80 | $622 | 0.9× |
| Ekg tracing for initial prev (G0404) | $283.50 | $315 | 9.1× |
| Initial preventive exam (G0402) | $365.40 | $406 | 2.6× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,242 | $1,380 | 2.5× |
| Ppps, initial visit (G0438) | $363.60 | $404 | 2.1× |
| Ppps, subseq visit (G0439) | $363.60 | $404 | 2.6× |
| Prolonged iv inf, req pump (C8957) range across 2 matching MRF lines |
$45.90–$531.90 | $51–$591 | varies |
| Prostate biopsy, any mthd (G0416) | $1,808.10 | $2,009 | 4.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $163.80 | $182 | 6.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.