Supplies, drugs & other prices at Kingman Regional Medical Center
Kingman, AZ · every code in this section with a posted price and a Medicare benchmark.
64 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,177.40 | $3,364 | 3.2× |
| Admin hepatitis b vaccine (G0010) | $14.70 | $42 | 0.3× |
| Admin influenza virus vac (G0008) | $28.35 | $81 | 0.6× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) | $37.45 | $107 | 1.2× |
| Arthro/shoul surg; w/spacer (C9781) | $15,434.65 | $44,099 | 1.1× |
| Brief alcohol misuse counsel (G0443) | $27.30 | $78 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $43.40 | $124 | 0.4× |
| Catheterize for urine spec (P9612) | $3.32 | $9.50 | 0.4× |
| Chemo extend iv infus w/pump (G0498) | $338.10 | $966 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $430.15 | $1,229 | 0.4× |
| Colorectal scrn; hi risk ind (G0105) | $429.45 | $1,227 | 0.4× |
| Diab manage trn per indiv (G0108) | $46.90 | $134 | 0.8× |
| Diab manage trn ind/group (G0109) | $43.05 | $123 | 2.7× |
| Direct refer hospital observ (G0379) | $454.65 | $1,299 | 0.7× |
| Drug test def 1-7 classes (G0480) | $123.02 | $351.50 | 1.1× |
| Drug test def 15-21 classes (G0482) | $184.98 | $528.50 | 0.9× |
| Drug test def 22+ classes (G0483) | $233.45 | $667 | 0.9× |
| Drug test def 8-14 classes (G0481) | $148.05 | $423 | 0.9× |
| Ekg tracing for initial prev (G0404) | $10.15 | $29 | 0.3× |
| Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) | $91.70 | $262 | 0.9× |
| Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) | $91.70 | $262 | 0.9× |
| Elec stim other than wound (G0283) | $45.15 | $129 | 3.6× |
| Group mnt 2 or more 30 mins (G0271) | $43.05 | $123 | 2.5× |
| Hbot, full body chamber, 30m (G0277) | $385.70 | $1,102 | 2.6× |
| Home sleep test/type 3 porta (G0399) | $145.60 | $416 | 0.6× |
| Hospital outpt clinic visit (G0463) | $136.85 | $391 | 1.0× |
| Ig paraprotein qual bld/ur (0077U) | $47.78 | $136.50 | 1.1× |
| Init/sub psych care m 1st 30 (G2214) | $54.08 | $154.50 | 0.5× |
| Initial preventive exam (G0402) | $187.60 | $536 | 1.3× |
| Liver dis 10 assays w/nash (0003M) | $395.85 | $1,131 | 0.8× |
| Mra w/cont, chest (C8909) | $1,156.05 | $3,303 | 3.1× |
| Mra w/o cont, abd (C8901) | $1,586.55 | $4,533 | 6.2× |
| Mra w/o cont, chest (C8910) | $1,080.80 | $3,088 | 4.2× |
| Mra w/o cont, lwr ext (C8913) | $800.45 | $2,287 | 3.1× |
| Mra w/o fol w/cont, chest (C8911) | $2,305.80 | $6,588 | 6.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,489.95 | $4,257 | 4.0× |
| Mri w/cont, breast, bi (C8906) | $2,026.50 | $5,790 | 5.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $473.55 | $1,353 | 1.0× |
| Obtaining screen pap smear (Q0091) | $44.80 | $128 | 1.5× |
| Oth resp proc, group (G0239) | $43.05 | $123 | 1.1× |
| Oth resp proc, indiv (G0238) | $66.50 | $190 | 2.2× |
| Perc d-e cor revasc chro sin (C9607) | $17,321.15 | $49,489 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $16,241.05 | $46,403 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $18,485.25 | $52,815 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $20,301.05 | $58,003 | 1.6× |
| Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T) unusually low: confirm this is the full procedure |
$2,745.40 | $7,844 | 0.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$4,509.05 | $12,883 | 0.4× |
| Ppps, initial visit (G0438) | $193.90 | $554 | 1.1× |
| Ppps, subseq visit (G0439) | $131.25 | $375 | 1.0× |
| Prolonged iv inf, req pump (C8957) | $499.10 | $1,426 | 2.2× |
| Prostate biopsy, any mthd (G0416) | $209.30 | $598 | 0.5× |
| Psa screening (G0103) | $36.22 | $103.50 | 1.9× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,479.80 | $24,228 | 0.4× |
| Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) | $1,365.70 | $3,902 | 0.4× |
| Routine footcare pt w lops (G0247) | $75.60 | $216 | 0.4× |
| Therapeutic procd strg endur (G0237) | $98.35 | $281 | 3.2× |
| Tomosynthesis, mammo (G0279) | $19.60 | $56 | 1.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $282.28 | $806.50 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $2,722.65 | $7,779 | 1.9× |
| Trim nail(s) (G0127) | $28.18 | $80.50 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $1,333.15 | $3,809 | 1.6× |
| Tte w or w/o fol w/con,stres (C8928) | $1,144.50 | $3,270 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $1,022.35 | $2,921 | 1.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,352.40 | $3,864 | 1.8× |