Supplies, drugs & other prices at Holton Community Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Adm of soc dtr assess 5-15 m (G0136) $60 $80 1.7×
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$6–$9.75 $8–$13 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$6–$9.75 $8–$13 varies
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$123.75–$900 $165–$1,200 varies
Ca screen;pelvic/breast exam (G0101) $54 $72 0.6×
Catheterize for urine spec (P9612) $5.25 $7 0.6×
Colorectal scrn; hi risk ind (G0105) $603 $804 0.7×
Diab manage trn per indiv (G0108) $57.75 $77 1.0×
Diab manage trn ind/group (G0109) $12.75 $17 0.8×
Direct refer hospital observ (G0379) $600 $800 1.1×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$81.75–$134.25 $109–$179 varies
Ekg tracing for initial prev (G0404) $127.50 $170 4.8×
Elec stim other than wound (G0283)
range across 3 matching MRF lines
$35.25–$82.50 $47–$110 varies
Elec stim unattend for press (G0281) $46.88 $62.50 4.0×
Fecal blood scrn immunoassay (G0328) $38.25 $51 2.1×
Hepb screen high risk indiv (G0499) $68.25 $91 2.4×
Hopd mntl hlt, 15-29 min (C7900) $262.50 $350 7.6×
Hopd mntl hlt, 30-60 min (C7901) $281.25 $375 3.0×
Hopd mntl hlt, grp (C7903) $183.75 $245 5.3×
Hospital outpt clinic visit (G0463)
range across 11 matching MRF lines
$96.75–$652.50 $129–$870 varies
Initial preventive exam (G0402) $156.75 $209 1.3×
Obtaining screen pap smear (Q0091) $63 $84 2.4×
Oth resp proc, group (G0239) $49.50 $66 1.4×
Oth resp proc, indiv (G0238) $49.50 $66 1.9×
Ppps, initial visit (G0438) $178.69 $238.25 1.0×
Ppps, subseq visit (G0439) $119.25 $159 0.9×
Psa screening (G0103) $92.06 $122.75 4.8×
Screen cerv/vag thin layer (G0123) $78.75 $105 3.9×
Therapeutic procd strg endur (G0237) $49.50 $66 1.9×
Trauma respons w/hosp criti (G0390) $993 $1,324 0.8×
Trim nail(s) (G0127) $49.50 $66 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.