Supplies, drugs & other prices at Willapa Harbor Hospital
South Bend, WA · every code in this section with a posted price and a Medicare benchmark.
14 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $43.75 | $62.50 | 0.8× |
| Colon ca scrn not hi rsk ind (G0121) | $2,219 | $3,170 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $2,079 | $2,970 | 2.0× |
| Diab manage trn per indiv (G0108) | $137.20 | $196 | 2.5× |
| Diab manage trn ind/group (G0109) | $67.90 | $97 | 4.2× |
| Direct refer hospital observ (G0379) | $437.50 | $625 | 0.7× |
| Drug test def 1-7 classes (G0480) | $44.98 | $64.26 | 0.4× |
| Hep c screen high risk/other (G0472) | $70.93 | $101.33 | 1.5× |
| Hiv combination assay (G0475) | $130.20 | $186 | 5.4× |
| Hospital outpt clinic visit (G0463) | $75.25 | $107.50 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,332.45 | $1,903.50 | 1.7× |
| Mra w/o fol w/cont, chest (C8911) | $2,380.70 | $3,401 | 6.1× |
| Psa screening (G0103) | $99.40 | $142 | 5.1× |
| Tomosynthesis, mammo (G0279) | $257.25 | $367.50 | 20.3× |