Supplies, drugs & other prices at Medicine Lodge Memorial Hospital
Medicine Lodge, 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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $20 | $20 | 0.5× |
| Admin influenza virus vac (G0008) | $34 | $34 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $51.50 | $51.50 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) | $788 | $788 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $107 | $107 | 1.1× |
| Colon ca scrn not hi rsk ind (G0121) | $1,261.70 | $1,261.70 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,266.10 | $1,266.10 | 1.5× |
| Depression screen annual (G0444) | $28.87 | $28.87 | 0.8× |
| Elec stim other than wound (G0283) | $48.75 | $48.75 | 3.8× |
| Fecal blood scrn immunoassay (G0328) | $44.62 | $44.62 | 2.5× |
| Hospital outpt clinic visit (G0463) | $90 | $90 | 0.7× |
| Initial preventive exam (G0402) | $100 | $100 | 0.8× |
| Ppps, initial visit (G0438) | $100 | $100 | 0.6× |
| Ppps, subseq visit (G0439) | $100 | $100 | 0.7× |
| Psa screening (G0103) | $91.81 | $91.81 | 4.8× |
| Trim nail(s) (G0127) | $55.48 | $55.48 | 1.0× |