Supplies, drugs & other prices at Sistersville General Hospital
Sistersville, WV · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $138 | $230 | 3.1× |
| Admin pneumococcal vaccine (G0009) | $25.29 | $42.15 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $83.18 | $138.64 | 0.9× |
| Direct refer hospital observ (G0379) | $1,186.58 | $1,977.63 | 2.1× |
| Drug test def 1-7 classes (G0480) range across 8 matching MRF lines |
$103.96–$336.89 | $173.26–$561.49 | varies |
| Ekg tracing for initial prev (G0404) | $11.46 | $19.10 | 0.4× |
| Elec stim other than wound (G0283) | $114.84 | $191.40 | 9.0× |
| Fecal blood scrn immunoassay (G0328) | $28.95 | $48.25 | 1.6× |
| Hospital outpt clinic visit (G0463) range across 20 matching MRF lines |
$72.59–$444.89 | $120.99–$741.49 | varies |
| Initial preventive exam (G0402) | $235.88 | $393.14 | 1.8× |
| Obtaining screen pap smear (Q0091) | $33.71 | $56.18 | 1.2× |
| Oth resp proc, group (G0239) | $152.03 | $253.38 | 4.2× |
| Oth resp proc, indiv (G0238) | $152.03 | $253.38 | 5.5× |
| Perq Sacral Augmt Unilat Inj (0200T) range across 2 matching MRF lines |
$118.12–$590.58 | $196.86–$984.30 | varies |
| Potassium hydroxide preps (Q0112) | $10.07 | $16.78 | 1.7× |
| Ppps, initial visit (G0438) | $217.26 | $362.10 | 1.2× |
| Ppps, subseq visit (G0439) | $146.63 | $244.38 | 1.1× |
| Psa screening (G0103) | $80.18 | $133.64 | 4.2× |
| Therapeutic procd strg endur (G0237) | $152.03 | $253.38 | 5.5× |
| Trauma respons w/hosp criti (G0390) | $373.01 | $621.68 | 0.3× |
| Trim nail(s) (G0127) | $129.38 | $215.63 | 2.3× |
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.