Supplies, drugs & other prices at Sidney Regional Medical Center
Sidney, NE · every code in this section with a posted price and a Medicare benchmark.
26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $79 | $79 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $85 | $85 | 1.7× |
| Covid-19 lab test non-cdc (U0002) | $269 | $269 | 5.2× |
| Diab manage trn per indiv (G0108) | $166 | $166 | 3.0× |
| Diab manage trn ind/group (G0109) | $88 | $88 | 5.5× |
| Direct refer hospital observ (G0379) | $750 | $750 | 1.2× |
| Drug test def 1-7 classes (G0480) | $305 | $305 | 2.7× |
| Ekg tracing for initial prev (G0404) | $392 | $392 | 13.1× |
| Elec stim unattend for press (G0281) | $123 | $123 | 10.5× |
| Hiv combination assay (G0475) | $199 | $199 | 8.3× |
| Home sleep test/type 4 porta (G0400) | $750 | $750 | 3.3× |
| Hospital outpt clinic visit (G0463) | $120.50 | $120.50 | 0.9× |
| Ig paraprotein qual bld/ur (0077U) | $366 | $366 | 8.4× |
| Mri w/o fol w/cont, breast, (C8908) | $4,356 | $4,356 | 12.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $853 | $853 | 1.8× |
| Oth resp proc, group (G0239) | $202 | $202 | 5.2× |
| Oth resp proc, indiv (G0238) | $110 | $110 | 3.7× |
| Pathogen test for platelets (P9100) | $194 | $194 | 3.2× |
| Psa screening (G0103) | $148 | $148 | 7.7× |
| Therapeutic procd strg endur (G0237) | $127 | $127 | 4.2× |
| Tomosynthesis, mammo (G0279) | $93 | $93 | 7.3× |
| Trauma respons w/hosp criti (G0390) | $4,614.50 | $4,614.50 | 3.3× |
| Tte w or w/o contr, cont ecg (C8930) | $3,632 | $3,632 | 4.5× |
| Tte w or w/o fol w/cont, com (C8921) | $2,608 | $2,608 | 3.2× |
| Tte w or wo fol wcon,doppler (C8929) | $3,454 | $3,454 | 4.2× |
| Visit to determ ldct elig (G0296) | $80 | $80 | 0.8× |