Supplies, drugs & other prices at Grisell Memorial Hospital

Ransom, KS · every code in this section with a posted price and a Medicare benchmark.

20 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $177.84 $187.20 5.0×
Admin hepatitis b vaccine (G0010) $46.04 $48.46 1.1×
Admin influenza virus vac (G0008) $51.66 $54.38 1.2×
Admin pneumococcal vaccine (G0009) $73.11 $76.96 1.7×
Behavior counsel obesity 15m (G0447) $71.14 $74.88 0.8×
Ca screen;pelvic/breast exam (G0101) $149.39 $157.25 1.6×
Depression screen annual (G0444) $23.71 $24.96 0.7×
Drug test def 1-7 classes (G0480) $74.69 $78.62 0.7×
Ekg tracing for initial prev (G0404) $69.54 $73.20 2.6×
Elec stim other than wound (G0283) $96.03 $101.08 7.6×
Fecal blood scrn immunoassay (G0328) $24.70 $26 1.4×
Hepb screen high risk indiv (G0499) $96.68 $101.77 3.4×
Initial preventive exam (G0402) $199.18 $209.66 1.6×
Obtaining screen pap smear (Q0091) $29.64 $31.20 1.1×
Ppps, initial visit (G0438) $199.18 $209.66 1.1×
Ppps, subseq visit (G0439) $199.18 $209.66 1.4×
Psa screening (G0103) $148.20 $156 7.7×
Trim nail(s) (G0127) $165.98 $174.72 3.1×
Tte w or wo fol wcon,doppler (C8929) $2,274.30 $2,394 3.2×
Visit to determ ldct elig (G0296) $88.92 $93.60 1.0×