Supplies, drugs & other prices at Belton Regional Medical Center

Belton, MO · 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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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $5,323.41 $5,323.41 6.8×
2d tte w or w/o fol w/con,co (C8923) $5,322.11 $5,322.11 6.8×
2d tte w or w/o fol w/con,fu (C8924) $7,041.98 $7,041.98 20.2×
Adm tocilizu covid-19 1st (M0249) $735.08 $735.08 1.7×
Admin hepatitis b vaccine (G0010) $808.63 $808.63 17.2×
Admin influenza virus vac (G0008) $29 $29 0.6×
Admin pneumococcal vaccine (G0009) $412.69 $412.69 8.8×
Chemo extend iv infus w/pump (G0498) $1,363.27 $1,363.27 4.1×
Covid-19 lab test non-cdc (U0002) $216.49 $216.49 4.2×
Diab manage trn per indiv (G0108) $391.54 $391.54 7.0×
Diab manage trn ind/group (G0109) $150.78 $150.78 9.4×
Direct refer hospital observ (G0379) $251.33 $251.33 0.4×
Drug test def 1-7 classes (G0480) $2,002.46 $2,002.46 17.5×
Drug test def 15-21 classes (G0482) $5,511.12 $5,511.12 27.7×
Drug test def 22+ classes (G0483) $7,265.46 $7,265.46 29.4×
Drug test def 8-14 classes (G0481) $3,756.80 $3,756.80 24.0×
Eia hiv-1/hiv-2 screen (G0432) $390.61 $390.61 20.0×
Elec stim other than wound (G0283) $605.83 $605.83 47.7×
Elec stim unattend for press (G0281) $605.83 $605.83 51.8×
Elisa hiv-1/hiv-2 screen (G0433) $390.61 $390.61 21.4×
Mra w/cont, abd (C8900) $13,039.38 $13,039.38 37.3×
Mra w/cont, chest (C8909) $14,327.08 $14,327.08 41.0×
Mra w/cont, lwr ext (C8912) $12,157.66 $12,157.66 34.8×
Mra w/cont, pelvis (C8918) $12,643.59 $12,643.59 36.2×
Mra w/o cont, abd (C8901) $11,991.57 $11,991.57 50.2×
Mra w/o cont, pelvis (C8919) $11,644.35 $11,644.35 48.7×
Mra w/o fol w/cont, abd (C8902) $15,339.09 $15,339.09 43.9×
Mra w/o fol w/cont, chest (C8911) $14,873.50 $14,873.50 42.6×
Mra w/o fol w/cont, lwr ext (C8914) $14,300.11 $14,300.11 40.9×
Mra w/o fol w/cont, pelvis (C8920) $15,339.09 $15,339.09 43.9×
Mra, w/dye, upper extremity (C8934) $4,868.01 $4,868.01 13.9×
Mri w/cont, breast, bi (C8906) $9,212.12 $9,212.12 26.4×
Mri w/cont, breast, uni (C8903) $6,986.61 $6,986.61 39.8×
Mri w/o fol w/cont, breast, (C8908) $10,836.85 $10,836.85 31.0×
Mri w/o fol w/cont, brst, un (C8905) $8,231.46 $8,231.46 23.6×
Oral hiv-1/hiv-2 screen (G0435) $390.61 $390.61 32.6×
Psa screening (G0103) $736.27 $736.27 38.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $428.81 $428.81 0.6×
Tomosynthesis, mammo (G0279) $131.67 $131.67 10.4×
Trauma respons w/hosp criti (G0390) $17,000.47 $17,000.47 12.7×
Tte w or w/o fol w/con,stres (C8928) $7,570.58 $7,570.58 9.6×
Tte w or wo fol wcon,doppler (C8929) $12,248.51 $12,248.51 15.6×
Unsched dialysis esrd pt hos (G0257) $7,998.31 $7,998.31 11.6×