Supplies, drugs & other prices at Ascentist Hospital LLC
Leawood, KS · every code in this section with a posted price and a Medicare benchmark.
12 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Colon ca scrn not hi rsk ind (G0121) | $1,584.79 | $2,656 | 1.8× |
| Colorectal scrn; hi risk ind (G0105) | $1,584.79 | $2,656 | 1.8× |
| Depression screen annual (G0444) | $63.85 | $140 | 1.8× |
| Direct refer hospital observ (G0379) | $1,014.88 | $1,771 | 1.8× |
| Drug test def 1-7 classes (G0480) | $205.97 | $580 | 1.8× |
| Esophag muc integ w/eso egd (C9777) | $6,570.31 | $11,104 | 1.8× |
| Hospital outpt clinic visit (G0463) | $226.89 | $500 | 1.8× |
| Inj for sacroiliac jt anesth (G0260) | $1,202.92 | $2,800 | 1.8× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $21,879.07 | $36,770 | 1.8× |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) | $12,365.69 | $20,900 | 1.8× |
| Trim nail(s) (G0127) | $100.53 | $169 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $1,335.92 | $3,710 | 1.8× |