Supplies, drugs & other prices at Shenandoah Medical Center

Shenandoah, IA · every code in this section with a posted price and a Medicare benchmark.

33 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010) $7.15 $11 0.2×
Admin influenza virus vac (G0008) $7.15 $11 0.2×
Admin pneumococcal vaccine (G0009) $7.15 $11 0.2×
Behavior counsel obesity 15m (G0447) $26 $40 0.3×
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$83.20–$85.80 $128–$132 varies
Colon ca scrn not hi rsk ind (G0121) $724.75 $1,115 0.8×
Colorectal scrn; hi risk ind (G0105) $724.75 $1,115 0.8×
Depression screen annual (G0444) $29.25 $45 0.8×
Devlopment test interpt&rep (G0451) $74.75 $115 0.8×
Diab manage trn per indiv (G0108) $65.65 $101 1.2×
Diab manage trn ind/group (G0109) $33.15 $51 2.1×
Direct refer hospital observ (G0379) $410.15 $631 0.7×
Drug test def 1-7 classes (G0480)
range across 5 matching MRF lines
$92.95–$425.75 $143–$655 varies
Drug test def 15-21 classes (G0482) $237.25 $365 1.2×
Drug test def 8-14 classes (G0481) $135.20 $208 0.9×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $325 $500 3.6×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $325 $500 3.6×
Hepb screen high risk indiv (G0499) $55.90 $86 2.0×
Hospital outpt clinic visit (G0463) $109.85 $169 0.9×
Initial preventive exam (G0402)
range across 3 matching MRF lines
$107.25–$180.67 $165–$277.95 varies
Njx platelet plasma (0232T) $108.23 $166.50 0.3×
Non-ophthalmic fva (C9733) $419.04 $644.68 1.2×
Obtaining screen pap smear (Q0091) $85.80 $132 3.1×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T)
range across 2 matching MRF lines
$1,587.95–$2,492.75 $2,443–$3,835 varies
Opps service,sched team conf (G0175) $479.70 $738 1.2×
Oth resp proc, group (G0239) $117.65 $181 3.3×
Ppps, initial visit (G0438) $185.90 $286 1.1×
Ppps, subseq visit (G0439)
range across 2 matching MRF lines
$125.45–$146.25 $193–$225 varies
Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T)
range across 2 matching MRF lines
$1,587.95–$2,492.75 $2,443–$3,835 varies
Trauma respons w/hosp criti (G0390) $1,154.40 $1,776 0.9×
Trim nail(s) (G0127) $27.30 $42 0.5×
Tte w or wo fol wcon,doppler (C8929) $357.50 $550 0.5×
Visit to determ ldct elig (G0296) $44.20 $68 0.5×

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.