Supplies, drugs & other prices at Syringa Hospital & Clinics
Grangeville, ID · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,168.20 | $1,298 | 3.4× |
| Admin hepatitis b vaccine (G0010) | $27 | $30 | 0.6× |
| Admin influenza virus vac (G0008) | $27 | $30 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $27 | $30 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $369.90 | $411 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $101.70 | $113 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $715.50 | $795 | 0.8× |
| Colorectal scrn; hi risk ind (G0105) | $715.50 | $795 | 0.8× |
| Diab manage trn per indiv (G0108) | $55.80 | $62 | 1.0× |
| Direct refer hospital observ (G0379) | $608.40 | $676 | 1.0× |
| Elec stim other than wound (G0283) | $37.80 | $42 | 3.0× |
| Initial preventive exam (G0402) | $318.60 | $354 | 2.4× |
| Mnt subs tx for change dx (G0270) | $86.40 | $96 | 2.7× |
| Obtaining screen pap smear (Q0091) | $87.30 | $97 | 3.1× |
| Ppps, initial visit (G0438) | $283.50 | $315 | 1.6× |
| Ppps, subseq visit (G0439) | $236.70 | $263 | 1.7× |
| Trauma respons w/hosp criti (G0390) | $562.50 | $625 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,937.70 | $2,153 | 2.5× |
| Visit to determ ldct elig (G0296) | $26.10 | $29 | 0.3× |