Supplies, drugs & other prices at Fort Memorial Hospital
Fort Atkinson, WI · every code in this section with a posted price and a Medicare benchmark.
13 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) | $17.92 | $56 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $17.92 | $56 | 0.4× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$88.32–$114.88 | $276–$359 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $1,328 | $4,150 | 1.4× |
| Diab manage trn per indiv (G0108) range across 8 matching MRF lines |
$40.96–$164.16 | $128–$513 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$74.24–$148.16 | $232–$463 | varies |
| Drug test def 1-7 classes (G0480) | $35.52 | $111 | 0.3× |
| Drug test def 22+ classes (G0483) | $227.52 | $711 | 0.9× |
| Drug test def 8-14 classes (G0481) | $192 | $600 | 1.2× |
| Elec stim unattend for press (G0281) range across 2 matching MRF lines |
$68.48–$71.36 | $214–$223 | varies |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$44.80–$165.44 | $140–$517 | varies |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $164.80 | $515 | 0.8× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $2,754.88 | $8,609 | 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.