Supplies, drugs & other prices at Yalobusha General Hospital
Water Valley, MS · every code in this section with a posted price and a Medicare benchmark.
24 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) | $52.50 | $75 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $1.75 | $2.50 | 0.0× |
| Covid-19 lab test non-cdc (U0002) | $87.50 | $125 | 1.7× |
| Direct refer hospital observ (G0379) | $35.52 | $50.75 | 0.1× |
| Drug test def 1-7 classes (G0480) | $56.93 | $81.32 | 0.5× |
| Ekg tracing for initial prev (G0404) | $73.50 | $105 | 2.8× |
| Elec stim other than wound (G0283) | $27.01 | $38.58 | 2.1× |
| Elec stim unattend for press (G0281) | $27.01 | $38.58 | 2.3× |
| Fecal blood scrn immunoassay (G0328) | $31.50 | $45 | 1.7× |
| Hep c screen high risk/other (G0472) | $97.34 | $139.05 | 2.1× |
| Hepb screen high risk indiv (G0499) | $73.29 | $104.70 | 2.6× |
| Hiv combination assay (G0475) | $62.43 | $89.19 | 2.6× |
| Hospital outpt clinic visit (G0463) | $51.45 | $73.50 | 0.4× |
| Mra w/cont, chest (C8909) | $1,452.50 | $2,075 | 4.6× |
| Mra w/cont, lwr ext (C8912) | $1,452.50 | $2,075 | 4.6× |
| Mra w/o fol w/cont, abd (C8902) | $2,464 | $3,520 | 7.8× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,124.50 | $3,035 | 6.7× |
| Mra, w/dye, upper extremity (C8934) | $2,467.50 | $3,525 | 7.8× |
| Oral hiv-1/hiv-2 screen (G0435) | $58.80 | $84 | 4.9× |
| Oth resp proc, group (G0239) | $49.91 | $71.30 | 1.5× |
| Oth resp proc, indiv (G0238) | $49.91 | $71.30 | 1.9× |
| Psa screening (G0103) | $54.60 | $78 | 2.8× |
| Screen cerv/vag thin layer (G0123) | $28 | $40 | 1.4× |
| Therapeutic procd strg endur (G0237) | $49.91 | $71.30 | 1.9× |