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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $60 | $80 | 1.7× |
| Admin influenza virus vac (G0008) | $8.63 | $11.50 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $7.88 | $10.50 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $511.88 | $682.50 | 0.6× |
| 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) | $108 | $144 | 0.9× |
| Ekg tracing for initial prev (G0404) | $127.50 | $170 | 4.8× |
| Elec stim other than wound (G0283) | $46.88 | $62.50 | 3.7× |
| 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) | $337.50 | $450 | 2.8× |
| 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× |