Supplies, drugs & other prices at Sullivan County Community Hospital
Sullivan, IN · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $17.25 | $23 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $135 | $180 | 2.7× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$25.50–$135 | $34–$180 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$25.50–$135 | $34–$180 | varies |
| Annual alcohol screen 15 min (G0442) | $20.25 | $27 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$142.50–$213.75 | $190–$285 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$137.39–$144 | $183.19–$192 | varies |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$9.75–$19.50 | $13–$26 | varies |
| Direct refer hospital observ (G0379) | $1,245.75 | $1,661 | 2.0× |
| Drug test def 1-7 classes (G0480) | $68.35 | $91.13 | 0.6× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$112.59–$113.54 | $150.12–$151.39 | varies |
| Elec stim unattend for press (G0281) | $111 | $148 | 9.5× |
| Fecal blood scrn immunoassay (G0328) | $70.94 | $94.59 | 3.9× |
| Hep c screen high risk/other (G0472) | $95.27 | $127.02 | 2.1× |
| Home sleep test/type 3 porta (G0399) | $531.75 | $709 | 2.3× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$225–$276.75 | $300–$369 | varies |
| Hpv combo assay ca screen (G0476) | $284.78 | $379.71 | 8.1× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$36.75–$304.50 | $49–$406 | varies |
| Intens behave ther cardio dx (G0446) | $50.25 | $67 | 1.3× |
| Oth resp proc, group (G0239) | $54.75 | $73 | 1.4× |
| Oth resp proc, indiv (G0238) | $66.75 | $89 | 2.2× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$24–$330 | $32–$440 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$18–$484.50 | $24–$646 | varies |
| Psa screening (G0103) | $137.49 | $183.32 | 7.1× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$64.50–$66.75 | $86–$89 | varies |
| Tomosynthesis, mammo (G0279) | $55.16 | $73.54 | 4.3× |
| Trim nail(s) (G0127) range across 3 matching MRF lines |
$16.50–$159.75 | $22–$213 | varies |
| Visit to determ ldct elig (G0296) | $46.50 | $62 | 0.4× |
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.