Supplies, drugs & other prices at Little Colorado Medical Center

Winslow, AZ · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $120 $200 3.3×
Adm tocilizu covid-19 1st (M0249) $835.23 $1,392.05 1.8×
Admin hepatitis b vaccine (G0010) $57.60 $96 1.2×
Admin influenza virus vac (G0008) $12.60 $21 0.3×
Admin pneumococcal vaccine (G0009) $18.60 $31 0.4×
Ca screen;flexi sigmoidscope (G0104) $1,620 $2,700 1.6×
Colon ca scrn not hi rsk ind (G0121) $2,160 $3,600 2.2×
Colorectal scrn; hi risk ind (G0105) $2,160 $3,600 2.2×
Direct refer hospital observ (G0379) $664.20 $1,107 1.0×
Drug test def 1-7 classes (G0480) $391.80 $653 3.4×
Elec stim other than wound (G0283) $57.47 $95.79 4.5×
Psa screening (G0103) $34.10 $56.83 1.8×
Screen cerv/vag thin layer (G0123) $37.70 $62.83 1.9×
Trauma respons w/hosp criti (G0390) $2,032.80 $3,388 1.4×