Supplies, drugs & other prices at Lindsborg Community Hospital
Lindsborg, KS · every code in this section with a posted price and a Medicare benchmark.
47 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,247.35 | $3,210.50 | 3.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $680.75 | $972.50 | 2.1× |
| Adm of soc dtr assess 5-15 m (G0136) | $21 | $30 | 0.6× |
| Admin influenza virus vac (G0008) | $50.40 | $72 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $50.40 | $72 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $28 | $40 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $59.50 | $85 | 0.6× |
| Direct refer hospital observ (G0379) | $95.83 | $136.90 | 0.2× |
| Drug test def 1-7 classes (G0480) | $187.67 | $268.10 | 1.6× |
| Drug test def 15-21 classes (G0482) | $490 | $700 | 2.5× |
| Drug test def 8-14 classes (G0481) | $490 | $700 | 3.1× |
| Ekg tracing for initial prev (G0404) | $85.61 | $122.30 | 3.2× |
| Elec stim other than wound (G0283) | $94.57 | $135.10 | 7.5× |
| Elec stim unattend for press (G0281) | $110.18 | $157.40 | 9.4× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $105 | $150 | 0.5× |
| Extrnl counterpulse, per tx (G0166) | $543.06 | $775.80 | 4.4× |
| Hep c screen high risk/other (G0472) | $89.18 | $127.40 | 1.9× |
| Hepb screen high risk indiv (G0499) | $221.20 | $316 | 7.8× |
| Hiv combination assay (G0475) | $47.42 | $67.75 | 2.0× |
| Hospital outpt clinic visit (G0463) | $118.51 | $169.30 | 1.0× |
| Initial preventive exam (G0402) | $117.39 | $167.70 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $2,104.94 | $3,007.05 | 3.2× |
| Intens behave ther cardio dx (G0446) | $28 | $40 | 0.8× |
| Liver dis 10 assays w/nash (0003M) | $854.91 | $1,221.30 | 1.7× |
| Mra w/o cont, pelvis (C8919) | $2,988.72 | $4,269.60 | 13.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,960.39 | $5,657.70 | 12.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $266 | $380 | 0.6× |
| Obtaining screen pap smear (Q0091) | $19.60 | $28 | 0.7× |
| Oth resp proc, group (G0239) | $64.68 | $92.40 | 1.9× |
| Oth resp proc, indiv (G0238) | $55.23 | $78.90 | 2.1× |
| Pemivibart infusion (M0224) | $630 | $900 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) | $14,005.39 | $20,007.70 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $14,005.39 | $20,007.70 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $34,875.82 | $49,822.60 | 2.1× |
| Perc drug-el cor stent sing (C9600) | $22,775.48 | $32,536.40 | 2.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $7,266.07 | $10,380.10 | 1.1× |
| Perq Sacral Augmt Unilat Inj (0200T) | $7,266.07 | $10,380.10 | 1.1× |
| Ppps, initial visit (G0438) | $195.51 | $279.30 | 1.1× |
| Ppps, subseq visit (G0439) | $131.11 | $187.30 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $235.97 | $337.10 | 0.7× |
| Psa screening (G0103) | $126.21 | $180.30 | 6.5× |
| Risk ascvd tst once pr 12 mo (G0537) | $21 | $30 | 0.6× |
| Therapeutic procd strg endur (G0237) | $52.71 | $75.30 | 2.0× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,695 | $3,850 | 0.8× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $14,953.47 | $21,362.10 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $1,416.59 | $2,023.70 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $3,057.60 | $4,368 | 4.2× |