CarePrice

Niobrara Community Hospital

, Lusk

ProcedureCodeCash Price
MOBILITY GOAL 0%G8979< $1
BODY POS CURRENT 0%G8981< $1
CARRY CURRENT 0%G8984< $1
CARRY DC 0%G8986< $1
SELF CARE DC 0%G8989< $1
SUB CURRENT 0%G8993< $1
SWALLOW CURRENT 0%G8996< $1
SWALLOW GOAL 0%G8997< $1
SWALLOW DC 0%G8998< $1
MOTOR CURRENT 0%G8999< $1
MOTOR DC 0G9158< $1
LANG CURRENT 0%G9159< $1
LANG GOAL 0%G9160< $1
LANG EXP DC 0%G9164< $1
ATTEN GOAL 0%G9166< $1
ATTEN DC 0%G9167< $1
MEMORY GOAL 0%G9169< $1
MEMORY DC 0%G9170< $1
VOICE CURRENT 0%G9171< $1
VOICE GOAL 0%G9172< $1
SPC LANG CURR 0%G9174< $1
SPC LANG DC 0%G9176< $1
MOBILITY DC 0%G8980< $1
BODY POS GOAL 0%G8982< $1
CARRY GOAL 0%G8985< $1
SELF CARE CURRENT 0%G8987< $1
LANG DC 0%G9161< $1
LANG EXP GOAL 0%G9163< $1
ATTEN CURRENT 0%G9165< $1
MEMORY CURRENT 0%G9168< $1
VOICE DC 0%G9173< $1
MOTOR GOAL 0%G9186< $1
MOBILITY CURR 0%G8978< $1
BODY POS DC 0%G8983< $1
SELF CARE GOAL 0%G8988< $1
OTH CURRENT 0%G8990< $1
OTH GOAL 0%G8991< $1
OTH DC 0%G8992< $1
SUB GOAL 0%G8994< $1
SUB DC 0%G8995< $1
LANG EXP CURRENT 0%G9162< $1
SPC LANG GOAL 0%G9175< $1
IOPAMIDOL 370 MG IODINE/ML (76 %) INTRAVENOUS SOLUTIONQ9967$1.60
INJ METHYLPREDNISOLONE ACETATEJ1050$2.17
PR URINARY CATH LEG STRAPA4334$8
O2 TUBING 50 FT PA4616$8
GAUZE <=16 IN NO W/SAL W/O BA6222$8
PR ABSORPT DRG > 48 SQ IN W/O BA6253$8
PR STERILE GAUZE <= 16 SQ INA6402$8
PR STERILE GAUZE>16 <= 48 SQ INA6403$8
PR STERILE EYE PADA6410$8
PR CONFORM BAND S W>=3" <5"/YDA6446$8
Paraffin bath unit portableE0235$8
PR TRANSPARENT FILM <= 16 SQ INA6257$8.10
LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH LESS THAN THREE INCHES, PER YARDA6448$8.60
LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARDA6450$8.80
STERILE WATER/SALINE, 500 MLA4217$8.80
PR STRAIGHT TIP URINE CATHETERA4351$9.60
SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSINGA6251$10.40
LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARDA6449$10.63
ADM SET PEU NEB DISP 2/MA7003$12.40
Urinalysis81005$12.80
Enteral ng tubing w/o styletB4082$13.60
PR SELF-ADHER BAND W <3"/YDA6453$13.90
WRIST BRACE FORMFIT SMALL RIGHTL3999$13.93
PR SELF-ADHER BAND >=5"/YDA6455$16
HEPARIN PORCINE (PF) 100 UNIT/ML INTRAVENOUS SYRINGEJ1642$16
IM ADMIN EACH ADDL COMPONENT90461$16.80
IM ADMIN 1ST/ONLY COMPONENT90460$16.80
PR GAUZE >16<=48 NO W/SAL W/O BA6223$17.20
NON-COVERED ITEM OR SERVICEA9270$17.53
PR URINARY LEG OR ABDOMEN BAGA4358$17.60
HB CAPILLARY DRAWING CHARGE36416$17.60
DARK FIELD EXAM W/O COLLJ87166$17.60
ADMIN HEPATITIS B VACCINEG0010$17.60
SELF-ADHER BAND W>=3" <5"/YDA6454$17.90
Listeria monocytogenes86723$19.20
URINALYSIS81002$20
O2 CANNULA REG PURCA4615$20.50
Urinalysis volume measure81050$20.80
O2 MASK SIM PURCA4620$21.10
INJECTION VITAMIN B-12J3420$21.46
BLOOD OCCULT PEROX ACTIVITY82270$22.20
URINALYSIS81003$22.40
SPIROMETER, NON-ELECTRONIC, INCLUDES ALL ACCESSORIESA9284$22.80
PR IMPREG GAUZE NO H20/SAL/YARDA6266$22.90
ADMIN PNEUMOCOCCAL VACCINEG0009$22.93
ADMIN INFLUENZA VIRUS VACCINEG0008$22.93
Assay of copper82525$23.20
C-reactive protein hs86141$23.20
ALLERGEN IMMUNOTHRPY SNGL INJ95115$23.20
PR HLTH&BEHAVIOR IVNTJ EA 15 MIN FAM W/O PT96155$23.20
HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSINGA6234$23.60
Automated rbc count85041$24
Treponema pallidum86780$24
PR DRAIN OSTOMY POUCH W/FLANGEA5063$24.20
IMMUNIZATION ADMIN ADDL VACC90472$24.27
Lactate (ld) (ldh) enzyme83615$25.60
HANDLING AND/OR CONVEYANCE OF SPECIMEN FOR TRANSFER FROM THE OFFICE TO A LABORATORY99000$25.60
COLLECTION VENOUS BLOOD36415$26