Supplies, drugs & other prices at Bothwell Regional Health Center

Sedalia, MO · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $81 $108 2.3×
2d tte w or w/o fol w/con,fu (C8924) $2,860.50 $3,814 8.2×
Admin influenza virus vac (G0008) $14.44 $19.25 0.3×
Arthro/shoul surg; w/spacer (C9781)
likely a partial charge, not the full procedure
$1,321.69 $1,762.25 0.1×
Chemo extend iv infus w/pump (G0498) $931.88 $1,242.50 2.8×
Colon ca scrn not hi rsk ind (G0121) $1,286.62 $1,715.50 1.4×
Colorectal scrn; hi risk ind (G0105) $1,197 $1,596 1.3×
Cysto impl 4 or more (C9740)
likely a partial charge, not the full procedure
$1,728.75 $2,305 0.2×
Cystoscopy prostatic imp 1-3 (C9739) $2,856 $3,808 0.5×
Diab manage trn per indiv (G0108) $61.88 $82.50 1.1×
Diab manage trn ind/group (G0109) $24.75 $33 1.5×
Direct refer hospital observ (G0379) $1,420.88 $1,894.50 2.4×
Drug test def 1-7 classes (G0480) $49.50 $66 0.4×
Drug test def 22+ classes (G0483) $371.25 $495 1.5×
Drug test def 8-14 classes (G0481) $47.25 $63 0.3×
Drug test def simple all cl (G0659) $143.25 $191 2.3×
Ekg tracing for initial prev (G0404) $197.25 $263 6.8×
Elec stim other than wound (G0283) $57.75 $77 4.6×
Fecal blood scrn immunoassay (G0328) $53.62 $71.50 3.0×
Hbot, full body chamber, 30m (G0277) $1,198.50 $1,598 8.7×
Hiv combination assay (G0475) $87.75 $117 3.6×
Hospital outpt clinic visit (G0463) $174 $232 1.3×
Mra w/o fol w/cont, abd (C8902) $964.50 $1,286 2.8×
Mri w/o fol w/cont, breast, (C8908) $2,151 $2,868 6.2×
Mri w/o fol w/cont, brst, un (C8905) $2,301.75 $3,069 6.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $234 $312 0.5×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $559.50 $746 2.3×
Oth resp proc, group (G0239) $161.25 $215 4.3×
Prostate biopsy, any mthd (G0416) $693.75 $925 1.9×
Psa screening (G0103) $80.25 $107 4.2×
Scr c/v cyto,thinlayer,rescr (G0145) $48 $64 1.8×
Tomosynthesis, mammo (G0279) $201 $268 15.8×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $30,955.50 $41,274 2.7×
Trluml Perip Athrc Renal Art (0234T) $30,955.50 $41,274 2.7×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $30,955.50 $41,274 2.7×
Trluml peripheral atherectomy iliac artery ea (0238T) $30,955.50 $41,274 1.7×
Tte w or w/o contr, cont ecg (C8930) $1,794.75 $2,393 2.3×
Tte w or wo fol wcon,doppler (C8929) $2,860.50 $3,814 3.6×