Supplies, drugs & other prices at Waverly Health Center

Waverly, IA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$34.32–$50.44 $66–$97 varies
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$26.52–$50.44 $51–$97 varies
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$34.32–$60.32 $66–$116 varies
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$276.12–$278.20 $531–$535 varies
Ca screen;pelvic/breast exam (G0101)
range across 4 matching MRF lines
$44.72–$133.12 $86–$256 varies
Catheterize for urine spec (P9612)
range across 2 matching MRF lines
$22.88–$23.92 $44–$46 varies
Colon ca scrn not hi rsk ind (G0121)
range across 3 matching MRF lines
$810.68–$817.44 $1,559–$1,572 varies
Colorectal scrn; hi risk ind (G0105)
range across 3 matching MRF lines
$810.68–$817.44 $1,559–$1,572 varies
Covid-19 lab test non-cdc (U0002) $102.96 $198 2.0×
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$89.44–$94.64 $172–$182 varies
Diab manage trn ind/group (G0109) $47.84 $92 3.0×
Eia hiv-1/hiv-2 screen (G0432) $40.56 $78 2.1×
Elec stim other than wound (G0283) $71.76 $138 5.7×
Fecal blood scrn immunoassay (G0328) $26.52 $51 1.5×
Hep c screen high risk/other (G0472) $36.92 $71 0.8×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$379.60–$416 $730–$800 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $331.24 $637 7.6×
Initial preventive exam (G0402)
range across 3 matching MRF lines
$144.56–$210.60 $278–$405 varies
Mra w/cont, abd (C8900) $1,921.92 $3,696 5.7×
Mra w/cont, chest (C8909) $965.12 $1,856 2.9×
Mra w/cont, lwr ext (C8912) $965.12 $1,856 2.9×
Mra w/cont, pelvis (C8918) $1,776.32 $3,416 5.3×
Mra w/o cont, abd (C8901) $1,776.32 $3,416 7.7×
Mra w/o cont, chest (C8910) $887.12 $1,706 3.9×
Mra w/o cont, lwr ext (C8913) $887.12 $1,706 3.9×
Mra w/o cont, pelvis (C8919) $887.12 $1,706 3.9×
Mra w/o fol w/cont, abd (C8902) $2,065.44 $3,972 6.2×
Mra w/o fol w/cont, chest (C8911) $1,044.16 $2,008 3.1×
Mra w/o fol w/cont, lwr ext (C8914) $1,122.16 $2,158 3.3×
Mra w/o fol w/cont, pelvis (C8920) $2,065.44 $3,972 6.2×
Njx platelet plasma (0232T) $520 $1,000 1.2×
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$57.72–$92.56 $111–$178 varies
Oth resp proc, group (G0239)
range across 2 matching MRF lines
$37.44–$102.96 $72–$198 varies
Oth resp proc, indiv (G0238)
range across 2 matching MRF lines
$78–$79.04 $150–$152 varies
Ppps, initial visit (G0438) $376.48 $724 2.2×
Ppps, subseq visit (G0439) $255.84 $492 1.9×
Psa screening (G0103)
range across 2 matching MRF lines
$75.40–$97.24 $145–$187 varies
Screen cerv/vag thin layer (G0123) $60.84 $117 3.0×
Therapeutic procd strg endur (G0237)
range across 2 matching MRF lines
$37.44–$79.04 $72–$152 varies
Tomosynthesis, mammo (G0279) $39 $75 3.1×
Tpmt and Nudt15 Genotype (0034U) $465.92 $896 1.0×
Trauma respons w/hosp criti (G0390) $599.04 $1,152 0.5×
Trim nail(s) (G0127) $44.20 $85 0.8×
Wet mounts/ w preparations (Q0111) $33.28 $64 1.8×

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.