Supplies, drugs & other prices at Tri Valley Health System
Cambridge, NE · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin pneumococcal vaccine (G0009) | $27.90 | $31 | 0.6× |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$42.30–$50.40 | $47–$56 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $1,672.20 | $1,858 | 1.7× |
| Colorectal scrn; hi risk ind (G0105) | $1,672.20 | $1,858 | 1.7× |
| Diab manage trn per indiv (G0108) | $90.90 | $101 | 1.6× |
| Diab manage trn ind/group (G0109) | $52.20 | $58 | 3.3× |
| Drug test def 1-7 classes (G0480) | $238.50 | $265 | 2.1× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$99.90–$134.10 | $111–$149 | varies |
| Hopd mntl hlt, 15-29 min (C7900) | $605.70 | $673 | 15.6× |
| Hopd mntl hlt, 30-60 min (C7901) | $749.70 | $833 | 7.1× |
| Hopd mntl hlt, grp (C7903) | $729.90 | $811 | 18.8× |
| Initial preventive exam (G0402) | $410.30 | $455.89 | 3.0× |
| Oth resp proc, indiv (G0238) | $147.60 | $164 | 4.9× |
| Ppps, initial visit (G0438) | $406.56 | $451.73 | 2.3× |
| Ppps, subseq visit (G0439) | $334.68 | $371.87 | 2.4× |
| Psa screening (G0103) | $225.90 | $251 | 11.7× |
| Therapeutic procd strg endur (G0237) | $218.70 | $243 | 7.3× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$56.70–$111.60 | $63–$124 | varies |
| Trauma respons w/hosp criti (G0390) | $2,039.40 | $2,266 | 1.5× |
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.