Supplies, drugs & other prices at Cheyenne County Hospital
St. Francis, KS · every code in this section with a posted price and a Medicare benchmark.
24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $20 | $20 | 0.5× |
| Admin influenza virus vac (G0008) | $20 | $20 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $20 | $20 | 0.5× |
| Catheterize for urine spec (P9612) | $50 | $50 | 5.4× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$1,016.94 | $399.02–$1,196.40 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,016.94 | $398.74–$1,196.40 | 1.2× |
| Diab manage trn per indiv (G0108) | $46 | $46 | 0.8× |
| Diab manage trn ind/group (G0109) | $13.20 | $13.20 | 0.8× |
| Elec stim other than wound (G0283) | $78 | $78 | 6.1× |
| Hbot, full body chamber, 30m (G0277) | $1,967.83 | $2,315.09 | 15.5× |
| Hopd mntl hlt, 15-29 min (C7900) range across 2 matching MRF lines |
$255–$297.50 | $300–$350 | varies |
| Hopd mntl hlt, 30-60 min (C7901) range across 2 matching MRF lines |
$297.50–$935 | $350–$1,100 | varies |
| Hopd mntl hlt, grp (C7903) | $276.25 | $325 | 8.0× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$20–$95 | $20–$95 | varies |
| Initial preventive exam (G0402) | $200.60 | $236 | 1.6× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $475.04 | $558.87 | 0.9× |
| Obtaining screen pap smear (Q0091) | — | $24 | — |
| Ppps, initial visit (G0438) | $200.60 | $236 | 1.2× |
| Ppps, subseq visit (G0439) | $200.60 | $236 | 1.5× |
| Psa screening (G0103) | $106.41 | $106.41 | 5.5× |
| Therapeutic procd strg endur (G0237) | $255 | $300 | 9.6× |
| Tomosynthesis, mammo (G0279) | $42.95 | $42.95 | 3.4× |
| Trauma respons w/hosp criti (G0390) | $850 | $1,000 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,891.25–$2,191.30 | $2,225–$2,578 | varies |
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.