Supplies, drugs & other prices at Kiowa District Hospital
Kiowa, KS · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $16 | $20 | 0.4× |
| Admin influenza virus vac (G0008) | $16 | $20 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $24 | $30 | 0.6× |
| Brief alcohol misuse counsel (G0443) | $24 | $30 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $39.20 | $49 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,508 | $1,885 | 1.8× |
| Colorectal scrn; hi risk ind (G0105) | $790 | $987.50 | 0.9× |
| Elec stim other than wound (G0283) | $49.60 | $62 | 3.9× |
| Elec stim unattend for press (G0281) | $49.60 | $62 | 4.2× |
| Initial preventive exam (G0402) | $167.20 | $209 | 1.4× |
| Obtaining screen pap smear (Q0091) | $40 | $50 | 1.5× |
| Ppps, initial visit (G0438) | $188 | $235 | 1.1× |
| Ppps, subseq visit (G0439) | $128 | $160 | 0.9× |
| Psa screening (G0103) | $110.40 | $138 | 5.7× |
| Trim nail(s) (G0127) | $52 | $65 | 1.0× |
| Visit to determ ldct elig (G0296) | $116 | $145 | 1.2× |