Supplies, drugs & other prices at Kenmare Community Hospital

Kenmare, ND · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,293.60 $1,617 1.6×
Adm tocilizu covid-19 1st (M0249) $964.80 $1,206 2.1×
Adm tocilizu covid-19 2nd (M0250) $964.80 $1,206 2.1×
Admin hepatitis b vaccine (G0010)
range across 3 matching MRF lines
$47.20–$120 $59–$150 varies
Admin influenza virus vac (G0008)
range across 4 matching MRF lines
$44–$120 $55–$150 varies
Admin pneumococcal vaccine (G0009)
range across 4 matching MRF lines
$47.20–$120 $59–$150 varies
Alcohol/sub misuse assess (G2011) $48 $60 1.6×
Alcohol/subs interv 15-30mn (G0396) $108 $135 2.8×
Alcohol/subs interv >30 min (G0397) $256 $320 1.4×
Antibody treponema pallidum total & rpr ia qual (0064U) $96 $120 3.1×
Behavior counsel obesity 15m (G0447) $132 $165 1.3×
Ca screen;flexi sigmoidscope (G0104)
range across 2 matching MRF lines
$937.60–$1,742.40 $1,172–$2,178 varies
Ca screen;pelvic/breast exam (G0101) $95.20 $119 0.9×
Chemo extend iv infus w/pump (G0498) $448 $560 1.3×
Colon ca scrn not hi rsk ind (G0121) $1,742.40 $2,178 1.8×
Colorectal scrn; hi risk ind (G0105) $1,742.40 $2,178 1.8×
Depression screen annual (G0444) $38.40 $48 1.0×
Diab manage trn per indiv (G0108) $194.40 $243 3.5×
Diab manage trn ind/group (G0109) $48 $60 3.0×
Direct refer hospital observ (G0379) $1,444.80 $1,806 2.4×
Drug test def 1-7 classes (G0480)
range across 93 matching MRF lines
$107.20–$410.40 $134–$513 varies
Drug test def 15-21 classes (G0482) $520 $650 2.6×
Drug test def 22+ classes (G0483) $560 $700 2.3×
Drug test def 8-14 classes (G0481) $480 $600 3.1×
Ekg tracing for initial prev (G0404) $28 $35 0.9×
Elec stim other than wound (G0283) $51.20 $64 4.0×
Fecal blood scrn immunoassay (G0328) $114.40 $143 6.3×
Fecal microbiota prep instil (G0455) $1,256 $1,570 1.3×
Followup eval of foot pt lop (G0246) $132.80 $166 1.0×
Glaucoma scrn hgh risk direc (G0117) $24.80 $31 0.8×
Group behave couns 2-10 (G0473) $30.40 $38 0.8×
Group mnt 2 or more 30 mins (G0271) $188 $235 11.0×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,044 $1,305 1.5×
Hepb screen high risk indiv (G0499) $223.20 $279 7.9×
Hiv combination assay (G0475)
range across 3 matching MRF lines
$64.80–$117.60 $81–$147 varies
Home sleep test/type 3 porta (G0399) $320 $400 1.5×
Hospital outpt clinic visit (G0463)
range across 14 matching MRF lines
$44–$264 $55–$330 varies
Hpv combo assay ca screen (G0476)
range across 3 matching MRF lines
$117.60–$198.40 $147–$248 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
range across 7 matching MRF lines
$128.80–$580.80 $161–$726 varies
Initial foot exam pt lops (G0245) $132.80 $166 1.0×
Initial preventive exam (G0402) $132.80 $166 1.0×
Inj for sacroiliac jt anesth (G0260)
range across 2 matching MRF lines
$712–$1,212 $890–$1,515 varies
Injection posterior chamber eye medication (0699T) $2,344 $2,930 1.0×
Insert drug del implant, >=4 (G0516) $410.40 $513 0.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $23,040 $28,800 1.0×
Insj Wcs Lv Eltrd Only (0516T) $10,800 $13,500 1.0×
Instlj fecal microbiota ssp (0780T) $132.80 $166 1.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
range across 2 matching MRF lines
$364.80–$428 $456–$535 varies
Lev 1 hosp type b ed visit (G0380) $199.20 $249 2.6×
Lev 2 hosp type b ed visit (G0381) $205.60 $257 2.2×
Lev 3 hosp type b ed visit (G0382) $417.60 $522 2.4×
Lev 4 hosp type b ed visit (G0383) $577.60 $722 2.1×
Lev 5 hosp type b ed visit (G0384) $719.20 $899 1.7×
Mnt subs tx for change dx (G0270) $188 $235 5.9×
Mra w/cont, abd (C8900) $2,320 $2,900 6.5×
Mra w/cont, chest (C8909) $2,320 $2,900 6.5×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$2,320–$2,576.80 $2,900–$3,221 varies
Mra w/cont, pelvis (C8918) $2,320 $2,900 6.5×
Mra w/o cont, chest (C8910) $1,932.80 $2,416 7.9×
Mra w/o cont, lwr ext (C8913) $1,932.80 $2,416 7.9×
Mra w/o cont, pelvis (C8919) $1,932.80 $2,416 7.9×
Mra w/o fol w/cont, abd (C8902) $2,576.80 $3,221 7.2×
Mra w/o fol w/cont, chest (C8911) $2,576.80 $3,221 7.2×
Mra w/o fol w/cont, pelvis (C8920) $2,576.80 $3,221 7.2×
Mri w/cont, breast, bi (C8906) $2,320 $2,900 6.5×
Mri w/cont, breast, uni (C8903) $2,320 $2,900 12.9×
Mri w/o fol w/cont, breast, (C8908) $2,576.80 $3,221 7.2×
Mri w/o fol w/cont, brst, un (C8905) $2,576.80 $3,221 7.2×
Neuro csf prion prtn qual (0035U) $1,196.80 $1,496 2.2×
Njx platelet plasma (0232T) $692.80 $866 1.5×
Obtaining screen pap smear (Q0091) $28 $35 0.9×
Oth resp proc, group (G0239) $144 $180 3.8×
Oth resp proc, indiv (G0238) $114.40 $143 3.9×
Pathogen test for platelets (P9100) $128 $160 2.1×
Perc d-e cor revasc chro sin (C9607) $16,467.20 $20,584 0.9×
Perc d-e cor revasc t cabg s (C9604) $13,219.20 $16,524 1.1×
Perc d-e cor stent ather s (C9602) $16,467.20 $20,584 0.9×
Perc drug-el cor stent sing (C9600) $13,219.20 $16,524 1.1×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $12,212 $15,265 1.0×
Prolonged iv inf, req pump (C8957) $432 $540 2.0×
Psa screening (G0103) $117.60 $147 6.1×
Remove drug implant (G0517) $410.40 $513 0.9×
Remove w insert drug implant (G0518) $410.40 $513 0.9×
Revasc intra lithotrip-ather (C9766) $35,787.20 $44,734 1.9×
Revasc intra lithotrip-stent (C9765) $35,787.20 $44,734 1.9×
Revasc intravasc lithotripsy (C9764) $22,052 $27,565 1.9×
Revasc lith-sten-ath tib/per (C9775) $35,787.20 $44,734 1.9×
Revasc lithotr-ather tib/per (C9774) $35,787.20 $44,734 1.9×
Revasc lithotr-stent tib/per (C9773) $35,787.20 $44,734 1.9×
Revasc lithotrip-stent-ather (C9767) $35,787.20 $44,734 1.9×
Routine footcare pt w lops (G0247) $204 $255 1.0×
Screen cerv/vag thin layer (G0123) $128.80 $161 6.4×
Screen pap by tech w md supv (P3000) $64 $80 3.5×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $49.60 $62 2.7×
Therapeutic procd strg endur (G0237) $114.40 $143 3.9×
Tomosynthesis, mammo (G0279) $103.20 $129 8.1×
Tpmt and Nudt15 Genotype (0034U) $1,241.60 $1,552 2.7×
Transcatheter Renal Sympath Denervation Bilat (0339T) $41,400 $51,750 7.1×
Transcatheter renal sympath denervation unilat (0338T) $41,400 $51,750 7.1×
Trauma respons w/hosp criti (G0390)
range across 6 matching MRF lines
$800–$6,400 $1,000–$8,000 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $9,317.60 $11,647 2.7×
Trim nail(s) (G0127) $60.80 $76 1.0×
Trluml perip athrc abd aorta (0236T) $11,366.40 $14,208 1.0×
Trluml Perip Athrc Brchiocph (0237T) $11,366.40 $14,208 1.0×
Trluml Perip Athrc Iliac Art (0238T) $14,158.40 $17,698 0.8×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $16,699.20 $20,874 1.4×
Tte w or w/o contr, cont ecg (C8930) $1,304.80 $1,631 1.6×
Tte w or wo fol wcon,doppler (C8929) $1,100 $1,375 1.4×
Visit to determ ldct elig (G0296) $95.20 $119 0.9×
Visual ep test for glaucoma (0464T) $160.80 $201 1.2×

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.