Supplies, drugs & other prices at Ellsworth County Medical Center
Ellsworth, KS · every code in this section with a posted price and a Medicare benchmark.
30 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) range across 2 matching MRF lines |
$58–$61 | $58–$61 | varies |
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$41–$70 | $41–$70 | varies |
| Admin pneumococcal vaccine (G0009) range across 4 matching MRF lines |
$41–$70 | $41–$70 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $28 | $28 | 0.8× |
| Alcohol/subs interv >30 min (G0397) | $143 | $143 | 0.9× |
| Annual alcohol screen 15 min (G0442) | $28 | $28 | 0.8× |
| Behavior counsel obesity 15m (G0447) | $80 | $80 | 0.9× |
| Brief alcohol misuse counsel (G0443) | $80 | $80 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $91 | $91 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,271.18 | $1,271.18 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,271.18 | $1,271.18 | 1.5× |
| Depression screen annual (G0444) | $28 | $28 | 0.8× |
| Diab manage trn per indiv (G0108) | $126 | $126 | 2.3× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$34–$78 | $34–$78 | varies |
| Home sleep test/type 3 porta (G0399) | $525 | $525 | 2.6× |
| Initial preventive exam (G0402) | $380 | $380 | 3.1× |
| Inj for sacroiliac jt anesth (G0260) | $317 | $317 | 0.5× |
| Intens behave ther cardio dx (G0446) | $28 | $28 | 0.8× |
| Mnt subs tx for change dx (G0270) | $19 | $19 | 0.6× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) range across 2 matching MRF lines |
$63.62–$311 | $63.62–$311 | varies |
| Obtaining screen pap smear (Q0091) | $107 | $107 | 4.0× |
| Oth resp proc, group (G0239) | $164.66 | $164.66 | 4.8× |
| Oth resp proc, indiv (G0238) | $164.66 | $164.66 | 6.2× |
| Ppps, initial visit (G0438) | $478.80 | $478.80 | 2.7× |
| Ppps, subseq visit (G0439) | $374.25 | $374.25 | 2.7× |
| Psa screening (G0103) | $159 | $159 | 8.2× |
| Therapeutic procd strg endur (G0237) | $98.80 | $98.80 | 3.7× |
| Trauma respons w/hosp criti (G0390) | $465 | $465 | 0.4× |
| Trim nail(s) (G0127) | $37 | $37 | 0.7× |
| Visit to determ ldct elig (G0296) | $82.30 | $82.30 | 0.9× |
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.