Supplies, drugs & other prices at Liberty Hospital

Liberty, MO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Catheterize for urine spec (P9612) $48 $175 5.1×
Diab manage trn per indiv (G0108) $46 $166 0.8×
Diab manage trn ind/group (G0109) $20 $72 1.2×
Direct refer hospital observ (G0379) $265 $953 0.4×
Drug test def 1-7 classes (G0480) $191 $687 1.7×
Drug test def 15-21 classes (G0482) $556 $1,995 2.8×
Drug test def 22+ classes (G0483) $583 $2,090 2.4×
Drug test def 8-14 classes (G0481) $371 $1,330 2.4×
Drug test def simple all cl (G0659) $31 $114 0.5×
Elec stim other than wound (G0283) $25 $90 2.0×
Hbot, full body chamber, 30m (G0277) $173 $623 1.3×
Home sleep test/type 2 porta (G0398) $216.50 $779 1.0×
Hospital outpt clinic visit (G0463) $55 $198 0.4×
Mri w/cont, breast, bi (C8906) $390 $1,398 1.1×
Mri w/cont, breast, uni (C8903) $196 $703 1.1×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $183 $656 0.3×
Oth resp proc, group (G0239) $80 $290 2.1×
Oth resp proc, indiv (G0238) $41 $149 1.4×
Perc d-e cor revasc chro sin (C9607) $9,460 $33,908 0.5×
Perc d-e cor revasc t cabg s (C9604) $6,976 $25,006 0.6×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure		 $8,909 $31,934 0.5×
Perc drug-el cor stent sing (C9600) $7,540 $27,027 0.7×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure		 $4,679 $16,772 0.4×
Pet not otherwise specified (G0235) $309 $1,111 0.8×
Prostate biopsy, any mthd (G0416) $667 $2,391 1.9×
Psa screening (G0103) $46 $168 2.4×
Quan us tiss charac i&r w/o dx us same anat (0689T) $39 $143 0.4×
Revasc intra lithotrip-stent (C9765) $11,782 $42,231 0.6×
Revasc intravasc lithotripsy (C9764) $8,065 $28,907 0.7×
Therapeutic procd strg endur (G0237) $39 $143 1.3×