Supplies, drugs & other prices at Kansas Medical Center LLC

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,944 $3,240 6.0×
Admin influenza virus vac (G0008) $29.13 $48.55 0.7×
Admin pneumococcal vaccine (G0009) $29.13 $48.55 0.7×
Direct refer hospital observ (G0379) $117.36 $195.60 0.2×
Drug test def 1-7 classes (G0480) $450 $750 3.9×
Drug test def 15-21 classes (G0482) $1,371.60 $2,286 6.9×
Drug test def 22+ classes (G0483) $1,800 $3,000 7.3×
Drug test def 8-14 classes (G0481) $921.60 $1,536 5.9×
Hospital outpt clinic visit (G0463) $108 $180 0.9×
Inj for sacroiliac jt anesth (G0260) $498.24 $830.40 0.8×
Perc d-e cor revasc chro sin (C9607) $12,600 $21,000 0.7×
Perc d-e cor revasc t cabg s (C9604) $9,720 $16,200 0.9×
Perc d-e cor stent ather s (C9602) $24,084 $40,140 1.4×
Perc drug-el cor stent sing (C9600) $9,536.37 $15,893.95 0.9×
Perq Sacral Augmt Unilat Inj (0200T) $5,869.65 $9,782.75 0.9×
Psa screening (G0103) $101.46 $169.10 5.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$7,200 $12,000 0.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$5,040 $8,400 0.5×
Trluml peripheral atherectomy iliac artery ea (0238T) $9,824.76 $16,374.60 0.6×
Tte w or wo fol wcon,doppler (C8929) $1,944 $3,240 2.7×
Unsched dialysis esrd pt hos (G0257) $1,277.64 $2,129.40 2.0×