Supplies, drugs & other prices at Burnett Medical Center
Grantsburg, WI · every code in this section with a posted price and a Medicare benchmark.
26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $24 | $30 | 0.5× |
| Ca screen;flexi sigmoidscope (G0104) | $1,086.40 | $1,358 | 1.2× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$996.80–$3,750.40 | $1,246–$4,688 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$996.80–$3,750.40 | $1,246–$4,688 | varies |
| Direct refer hospital observ (G0379) | $192 | $240 | 0.3× |
| Drug test def 1-7 classes (G0480) | $173.60 | $217 | 1.5× |
| Drug test def 15-21 classes (G0482) | $776 | $970 | 3.9× |
| Drug test def 8-14 classes (G0481) | $237.60 | $297 | 1.5× |
| Drug test def simple all cl (G0659) | $173.60 | $217 | 2.8× |
| Ekg tracing for initial prev (G0404) | $244 | $305 | 8.7× |
| Elec stim other than wound (G0283) | $275.20 | $344 | 21.7× |
| Elec stim unattend for press (G0281) | $275.20 | $344 | 23.5× |
| Fecal blood scrn immunoassay (G0328) | $56.80 | $71 | 3.1× |
| Hep c screen high risk/other (G0472) | $479.20 | $599 | 10.3× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$141.60–$221.60 | $177–$277 | varies |
| Oth resp proc, group (G0239) | $64 | $80 | 1.8× |
| Oth resp proc, indiv (G0238) | $59.20 | $74 | 2.1× |
| Prostate biopsy, any mthd (G0416) | $4,222.40 | $5,278 | 12.1× |
| Psa screening (G0103) | $296.80 | $371 | 15.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $91.20 | $114 | 3.4× |
| Screen cerv/vag thin layer (G0123) | $111.20 | $139 | 5.5× |
| Screen pap by tech w md supv (P3000) | $111.20 | $139 | 6.0× |
| Therapeutic procd strg endur (G0237) | $55.20 | $69 | 2.0× |
| Tomosynthesis, mammo (G0279) | $70.40 | $88 | 5.5× |
| Trauma respons w/hosp criti (G0390) | $2,383.20 | $2,979 | 1.8× |
| Tte w or wo fol wcon,doppler (C8929) | $3,216 | $4,020 | 4.2× |
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.