Supplies, drugs & other prices at Memorial Hospital of Converse County
Douglas, WY · every code in this section with a posted price and a Medicare benchmark.
21 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) | $12.54 | $22 | 0.3× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$11.40–$12.54 | $20–$22 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$11.40–$12.54 | $20–$22 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $2,009.25 | $3,525 | 2.1× |
| Colon ca scrn not hi rsk ind (G0121) | $2,009.25 | $3,525 | 2.1× |
| Colorectal scrn; hi risk ind (G0105) | $2,009.25 | $3,525 | 2.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$87.78–$94.05 | $154–$165 | varies |
| Diab manage trn ind/group (G0109) | $30.21 | $53 | 1.9× |
| Drug test def 1-7 classes (G0480) | $78.66 | $138 | 0.7× |
| Ekg tracing for initial prev (G0404) | $100.32 | $176 | 3.4× |
| Esophag muc integ w/eso egd (C9777) range across 2 matching MRF lines |
$959.31–$5,893.80 | $1,683–$10,340 | varies |
| Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence… (0036U) | $375.63 | $659 | 0.1× |
| Group mnt 2 or more 30 mins (G0271) | $36.48 | $64 | 2.1× |
| Hospital outpt clinic visit (G0463) range across 6 matching MRF lines |
$52.44–$231.99 | $92–$407 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 2 matching MRF lines |
$120.27–$218.31 | $211–$383 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) range across 2 matching MRF lines |
$493.05–$527.82 | $865–$926 | varies |
| Mnt subs tx for change dx (G0270) | $50.73 | $89 | 1.6× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$1,436.40–$1,547.55 | $2,520–$2,715 | varies |
| Oth resp proc, group (G0239) | $93.48 | $164 | 2.4× |
| Psa screening (G0103) | $110.01 | $193 | 5.7× |
| Trauma respons w/hosp criti (G0390) | $3,193.71 | $5,603 | 2.3× |
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.