Supplies, drugs & other prices at Sidney Health Center
Sidney, MT · every code in this section with a posted price and a Medicare benchmark.
61 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $469.36 | $758 | 1.3× |
| Adm of soc dtr assess 5-15 m (G0136) | $16.10 | $26 | 0.4× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$37.78–$40.25 | $61–$65 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$6.20–$29.11 | $10–$47 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$27.25–$29.11 | $44–$47 | varies |
| Adv prim care mgmt lvl 1 (G0556) | $23.53 | $38 | 0.6× |
| Adv prim care mgmt lvl 2 (G0557) | $75.55 | $122 | 2.0× |
| Adv prim care mgmt lvl 3 (G0558) | $165.33 | $267 | 1.6× |
| Alcohol/subs interv 15-30mn (G0396) | $31.58 | $51 | 0.8× |
| Annual alcohol screen 15 min (G0442) | $18.58 | $30 | 0.5× |
| Arthro/shoul surg; w/spacer (C9781) likely a partial charge, not the full procedure |
$2,778.97 | $4,488 | 0.2× |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$22.92–$24.15 | $37–$39 | varies |
| Brief alcohol misuse counsel (G0443) | $18.58 | $30 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $222.92 | $360 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $77.40 | $125 | 0.7× |
| Cardiokymography (Q0035) | $21.06 | $34 | 0.6× |
| Chemo extend iv infus w/pump (G0498) | $373.38 | $603 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $656.98 | $1,061 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $433.44 | $700 | 0.5× |
| Comm hlth intg svs sdoh 60mn (G0019) | $123.84 | $200 | 1.2× |
| Demonstrate use home inr mon (G0248) range across 2 matching MRF lines |
$265.64–$271.21 | $429–$438 | varies |
| Depression screen annual (G0444) | $18.58 | $30 | 0.5× |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$40.25–$70.59 | $65–$114 | varies |
| Diab manage trn ind/group (G0109) range across 3 matching MRF lines |
$24.15–$56.97 | $39–$92 | varies |
| Direct refer hospital observ (G0379) | $380.19 | $614 | 0.6× |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$24.77–$26.01 | $40–$42 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$8.67–$22.30 | $14–$36 | varies |
| Elec stim unattend for press (G0281) | $21.06 | $34 | 1.8× |
| Extrnl counterpulse, per tx (G0166) | $266.88 | $431 | 2.0× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$14.25–$15.48 | $23–$25 | varies |
| Followup eval of foot pt lop (G0246) | $65.02 | $105 | 0.5× |
| Glaucoma scrn hgh risk direc (G0118) | $53.88 | $87 | 1.4× |
| Glaucoma scrn hgh risk direc (G0117) | $76.79 | $124 | 2.6× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$24.15–$30.96 | $39–$50 | varies |
| Hbot, full body chamber, 30m (G0277) | $268.12 | $433 | 1.9× |
| Hep c screen high risk/other (G0472) | $45.83 | $74 | 1.0× |
| Home sleep test/type 3 porta (G0399) | $314.56 | $508 | 1.4× |
| Initial foot exam pt lops (G0245) | $113.94 | $184 | 0.8× |
| Initial preventive exam (G0402) | $138.71 | $224 | 1.0× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$36.54–$43.97 | $59–$71 | varies |
| Nav srv peer sup 60 min pr m (G0140) | $123.84 | $200 | 1.2× |
| Obtaining screen pap smear (Q0091) | $79.26 | $128 | 2.7× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$21.68–$95.98 | $35–$155 | varies |
| Oth resp proc, indiv (G0238) range across 3 matching MRF lines |
$21.06–$61.92 | $34–$100 | varies |
| Pin service 60m per month (G0023) | $129.42 | $209 | 1.2× |
| Potassium hydroxide preps (Q0112) | $13.63 | $22 | 2.3× |
| Ppps, initial visit (G0438) | $146.76 | $237 | 0.8× |
| Ppps, subseq visit (G0439) | $97.84 | $158 | 0.7× |
| Prolonged iv inf, req pump (C8957) | $544.90 | $880 | 2.5× |
| Provide inr test mater/equip (G0249) | $224.77 | $363 | 1.7× |
| Psa screening (G0103) | $89.17 | $144 | 4.6× |
| Routine footcare pt w lops (G0247) | $72.45 | $117 | 0.4× |
| Screen pap by tech w md supv (P3000) | $45.83 | $74 | 2.5× |
| Single energy x-ray study (G0130) | $57.59 | $93 | 0.5× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$19.82–$61.92 | $32–$100 | varies |
| Tomosynthesis, mammo (G0279) | $95.36 | $154 | 7.5× |
| Tpmt and Nudt15 Genotype (0034U) | $385.15 | $622 | 0.8× |
| Trim nail(s) (G0127) | $33.44 | $54 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) | $975.86 | $1,576 | 1.2× |
| Visit to determ ldct elig (G0296) | $34.68 | $56 | 0.3× |
| Wet mounts/ w preparations (Q0111) range across 2 matching MRF lines |
$13.63–$15.48 | $22–$25 | varies |
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.