Supplies, drugs & other prices at Coffey County Hospital
Burlington, KS · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $375.60 | $1,252 | 1.2× |
| Admin influenza virus vac (G0008) | $10.20 | $27.30 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $10.20 | $23.18 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | — | $241.02 | — |
| Catheterize for urine spec (P9612) | $10.20 | $34 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | — | $1,069.66 | — |
| Colorectal scrn; hi risk ind (G0105) | — | $1,069.66 | — |
| Depression screen annual (G0444) | — | $15 | — |
| Direct refer hospital observ (G0379) | $183.60 | $612 | 0.3× |
| Drug test def 22+ classes (G0483) | $70.50 | $235 | 0.3× |
| Drug test def 8-14 classes (G0481) | $40.20 | $134 | 0.3× |
| Initial preventive exam (G0402) | — | $241.02 | — |
| Inj for sacroiliac jt anesth (G0260) | — | $388 | — |
| Mnt subs tx for change dx (G0270) | $9 | $30 | 0.3× |
| Mri w/o fol w/cont, breast, (C8908) | $386.11 | $1,287.04 | 1.2× |
| Obtaining screen pap smear (Q0091) | — | $18.54 | — |
| Ppps, initial visit (G0438) | — | $247.20 | — |
| Ppps, subseq visit (G0439) | — | $247.20 | — |
| Psa screening (G0103) | $54 | $180 | 2.8× |
| Tomosynthesis, mammo (G0279) | $26.10 | $87 | 2.1× |
| Trim nail(s) (G0127) | — | $61.80 | — |
| Tte w or wo fol wcon,doppler (C8929) | $825 | $2,750 | 1.1× |