Supplies, drugs & other prices at Melissa Memorial Hospital
Holyoke, CO · 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 influenza virus vac (G0008) | $48 | $60 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $37.60 | $47 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $440.40 | $550.50 | 0.4× |
| Catheterize for urine spec (P9612) | $32 | $40 | 3.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,505.60 | $1,882 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,903.20 | $2,379 | 1.9× |
| Direct refer hospital observ (G0379) | $136.80 | $171 | 0.2× |
| Drug test def 1-7 classes (G0480) | $164 | $205 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $33.60 | $42 | 1.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $2,080 | $2,600 | 4.4× |
| Oth resp proc, group (G0239) | $16.80 | $21 | 0.4× |
| Oth resp proc, indiv (G0238) | $16.80 | $21 | 0.6× |
| Psa screening (G0103) | $133.60 | $167 | 6.9× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $89.60 | $112 | 3.3× |
| Trauma respons w/hosp criti (G0390) | $1,136.80 | $1,421 | 0.8× |
| Trim nail(s) (G0127) | $16 | $20 | 0.3× |