Supplies, drugs & other prices at Amberwell Hiawatha
Hiawatha, KS · every code in this section with a posted price and a Medicare benchmark.
43 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) | $2,628 | $2,628 | 8.2× |
| Admin hepatitis b vaccine (G0010) | $163 | $163 | 3.8× |
| Admin influenza virus vac (G0008) | $71 | $71 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $73.50 | $73.50 | 1.7× |
| Behavior counsel obesity 15m (G0447) | $270 | $270 | 2.9× |
| Ca screen;flexi sigmoidscope (G0104) | $253 | $253 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $99 | $99 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $947 | $947 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $947 | $947 | 1.1× |
| Covid-19 lab test non-cdc (U0002) | $202 | $202 | 3.9× |
| Diab manage trn per indiv (G0108) | $56 | $56 | 1.0× |
| Diab manage trn ind/group (G0109) | $53 | $53 | 3.3× |
| Direct refer hospital observ (G0379) | $555 | $555 | 1.0× |
| Drug test def 1-7 classes (G0480) | $242.50 | $242.50 | 2.1× |
| Drug test def 22+ classes (G0483) | $1,700 | $1,700 | 6.9× |
| Drug test def 8-14 classes (G0481) | $208 | $208 | 1.3× |
| Eia hiv-1/hiv-2 screen (G0432) | $135 | $135 | 6.9× |
| Elec stim other than wound (G0283) | $142 | $142 | 11.2× |
| Elisa hiv-1/hiv-2 screen (G0433) | $127 | $127 | 6.9× |
| Endo defect closure gi tract (C9901) likely a partial charge, not the full procedure |
$1,262 | $1,262 | 0.1× |
| Fecal blood scrn immunoassay (G0328) | $35 | $35 | 1.9× |
| Group behave couns 2-10 (G0473) | $27 | $27 | 0.8× |
| Group mnt 2 or more 30 mins (G0271) | $61 | $61 | 3.6× |
| Hep c screen high risk/other (G0472) | $319 | $319 | 6.9× |
| Hiv combination assay (G0475) | $166 | $166 | 6.9× |
| Hospital outpt clinic visit (G0463) | $220 | $220 | 1.8× |
| Initial preventive exam (G0402) | $316 | $316 | 2.6× |
| Inj for sacroiliac jt anesth (G0260) | $734 | $734 | 1.1× |
| Mnt subs tx for change dx (G0270) | $111 | $111 | 3.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $821 | $821 | 2.0× |
| Obtaining screen pap smear (Q0091) | $54 | $54 | 2.0× |
| Oral hiv-1/hiv-2 screen (G0435) | $83 | $83 | 6.9× |
| Oth resp proc, group (G0239) | $375 | $375 | 10.9× |
| Ppps, initial visit (G0438) | $311 | $311 | 1.8× |
| Ppps, subseq visit (G0439) | $260.50 | $260.50 | 1.9× |
| Psa screening (G0103) | $303 | $303 | 15.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $176 | $176 | 6.6× |
| Single energy x-ray study (G0130) | $772 | $772 | 8.0× |
| Therapeutic procd strg endur (G0237) | $66 | $66 | 2.5× |
| Tomosynthesis, mammo (G0279) | $82 | $82 | 6.5× |
| Trauma respons w/hosp criti (G0390) | $3,963.50 | $3,963.50 | 3.2× |
| Tte w or w/o contr, cont ecg (C8930) | $4,685 | $4,685 | 6.5× |
| Tte w or wo fol wcon,doppler (C8929) | $4,685 | $4,685 | 6.5× |