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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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $2,628 $2,628 8.2×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$36–$290 $36–$290 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$30–$112 $30–$112 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$35–$112 $35–$112 varies
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)
range across 18 matching MRF lines
$69–$789 $69–$789 varies
Drug test def 22+ classes (G0483) $1,700 $1,700 6.9×
Drug test def 8-14 classes (G0481)
range across 4 matching MRF lines
$69–$541 $69–$541 varies
Eia hiv-1/hiv-2 screen (G0432) $135 $135 6.9×
Elec stim other than wound (G0283)
range across 2 matching MRF lines
$128–$156 $128–$156 varies
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)
range across 2 matching MRF lines
$24–$30 $24–$30 varies
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)
range across 2 matching MRF lines
$92–$348 $92–$348 varies
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 platelet plasma (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)
range across 2 matching MRF lines
$230–$291 $230–$291 varies
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)
range across 2 matching MRF lines
$55–$109 $55–$109 varies
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$2,643–$5,284 $2,643–$5,284 varies
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×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.