Supplies, drugs & other prices at Allen County Regional Hospital
Iola, KS · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,125 | $1,875 | 3.5× |
| Admin hepatitis b vaccine (G0010) | $40.20 | $67 | 0.9× |
| Admin influenza virus vac (G0008) | $40.20 | $67 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $40.20 | $67 | 0.9× |
| Catheterize for urine spec (P9612) | $64.20 | $107 | 6.9× |
| Chemo extend iv infus w/pump (G0498) | $393 | $655 | 1.3× |
| Colon ca scrn not hi rsk ind (G0121) | $1,017.60 | $1,696 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,017.60 | $1,696 | 1.2× |
| Diab manage trn per indiv (G0108) | $52.20 | $87 | 0.9× |
| Diab manage trn ind/group (G0109) | $52.20 | $87 | 3.3× |
| Direct refer hospital observ (G0379) | $735.60 | $1,226 | 1.3× |
| Elec stim other than wound (G0283) | $94.80 | $158 | 7.5× |
| Elec stim unattend for press (G0281) | $235.80 | $393 | 20.2× |
| Fecal blood scrn immunoassay (G0328) | $19.20 | $32 | 1.1× |
| Home sleep test/type 3 porta (G0399) | $498 | $830 | 2.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,225.20 | $2,042 | 1.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $231 | $385 | 1.9× |
| Liver dis 10 assays w/nash (0003M) | $396 | $660 | 0.8× |
| Mnt subs tx for change dx (G0270) | $34.80 | $58 | 1.1× |
| Mra w/cont, abd (C8900) | $1,701 | $2,835 | 5.3× |
| Mra w/o cont, abd (C8901) | $1,521 | $2,535 | 6.9× |
| Mri w/cont, breast, bi (C8906) | $2,295 | $3,825 | 7.2× |
| Mri w/cont, breast, uni (C8903) | $1,530 | $2,550 | 9.5× |
| No pt prsnt train initial 30 (G0541) | $66 | $110 | 2.5× |
| Pinworm examinations (Q0113) | $36 | $60 | 8.4× |
| Psa screening (G0103) | $111 | $185 | 5.7× |
| Tomosynthesis, mammo (G0279) | $36 | $60 | 2.8× |
| Trauma respons w/hosp criti (G0390) | $360 | $600 | 0.3× |
| Trim nail(s) (G0127) | $75 | $125 | 1.4× |
| Tte w or w/o fol w/cont, com (C8921) | $1,305 | $2,175 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $2,280 | $3,800 | 3.2× |
| Wet mounts/ w preparations (Q0111) | $85.80 | $143 | 4.6× |