Supplies, drugs & other prices at Fredonia Regional Hospital
Fredonia, KS · every code in this section with a posted price and a Medicare benchmark.
25 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $390.15 | $390.15 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $15.61 | $15.61 | 0.4× |
| Admin influenza virus vac (G0008) | $46.21 | $46.21 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $62.42 | $62.42 | 1.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,534.59 | $1,534.59 | 1.8× |
| Colorectal scrn; hi risk ind (G0105) | $1,378.53 | $1,378.53 | 1.6× |
| Depression screen annual (G0444) | $23.44 | $23.44 | 0.7× |
| Diab manage trn per indiv (G0108) | $22.89 | $22.89 | 0.4× |
| Diab manage trn ind/group (G0109) | $34.33 | $34.33 | 2.1× |
| Elec stim other than wound (G0283) | $74.91 | $74.91 | 5.9× |
| Fecal blood scrn immunoassay (G0328) | $57.22 | $57.22 | 3.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $260.10 | $260.10 | 7.5× |
| Hopd mntl hlt, 30-60 min (C7901) | $520.20 | $520.20 | 5.6× |
| Hopd mntl hlt, grp (C7903) | $764.69 | $764.69 | 22.2× |
| Hospital outpt clinic visit (G0463) | $98.84 | $98.84 | 0.8× |
| Initial preventive exam (G0402) | $268.33 | $268.33 | 2.2× |
| Inj for sacroiliac jt anesth (G0260) | $425 | $425 | 0.7× |
| Oth resp proc, group (G0239) | $70.23 | $70.23 | 2.0× |
| Oth resp proc, indiv (G0238) | $56.18 | $56.18 | 2.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $4,593.37 | $4,593.37 | 0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,418.93 | $2,418.93 | 0.4× |
| Ppps, initial visit (G0438) | $205.39 | $205.39 | 1.2× |
| Ppps, subseq visit (G0439) | $196.25 | $196.25 | 1.4× |
| Psa screening (G0103) | $88.43 | $88.43 | 4.6× |
| Therapeutic procd strg endur (G0237) | $67.63 | $67.63 | 2.5× |