Supplies, drugs & other prices at Steele Memorial Medical Center

Salmon, ID · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $1,617 $2,156 2.1×
2d tte w or w/o fol w/con,fu (C8924) $958.50 $1,278 2.8×
Admin pneumococcal vaccine (G0009) $10.50 $14 0.2×
Annual alcohol screen 15 min (G0442) $41.25 $55 1.1×
Ca screen;flexi sigmoidscope (G0104) $426.75 $569 0.5×
Ca screen;pelvic/breast exam (G0101) $75 $100 0.7×
Colon ca scrn not hi rsk ind (G0121) $735.75 $981 0.8×
Colorectal scrn; hi risk ind (G0105) $2,094.75 $2,793 2.3×
Diab manage trn per indiv (G0108) $60.75 $81 1.1×
Direct refer hospital observ (G0379) $243.75 $325 0.4×
Ekg tracing for initial prev (G0404) $145.50 $194 5.1×
Elec stim other than wound (G0283) $77.25 $103 6.1×
Elec stim unattend for press (G0281) $81 $108 6.9×
Hospital outpt clinic visit (G0463) $84.38 $112.50 0.6×
Initial preventive exam (G0402) $147 $196 1.1×
Inj for sacroiliac jt anesth (G0260) $386.25 $515 0.6×
Intens behave ther cardio dx (G0446) $36.75 $49 1.0×
Mnt subs tx for change dx (G0270) $33 $44 1.0×
Obtaining screen pap smear (Q0091) $106.50 $142 3.7×
Oth resp proc, group (G0239) $87.75 $117 2.4×
Oth resp proc, indiv (G0238) $98.25 $131 3.4×
Ppps, initial visit (G0438) $147 $196 0.8×
Ppps, subseq visit (G0439) $147 $196 1.1×
Prostate biopsy, any mthd (G0416) $411 $548 1.2×
Psa screening (G0103) $93 $124 4.8×
Scr c/v cyto,thinlayer,rescr (G0145) $108 $144 4.1×
Therapeutic procd strg endur (G0237) $60 $80 2.1×
Tomosynthesis, mammo (G0279) $128.25 $171 10.1×
Trauma respons w/hosp criti (G0390) $1,266 $1,688 1.0×
Trim nail(s) (G0127) $93 $124 1.6×
Tte w or w/o contr, cont ecg (C8930) $637.50 $850 0.8×
Tte w or w/o fol w/con,stres (C8928) $1,617 $2,156 2.1×
Tte w or w/o fol w/cont, com (C8921) $1,529.25 $2,039 2.0×
Tte w or w/o fol w/cont, f/u (C8922) $944.25 $1,259 1.2×
Tte w or wo fol wcon,doppler (C8929) $637.50 $850 0.8×
Visit to determ ldct elig (G0296) $104.25 $139 1.0×