Supplies, drugs & other prices at Memorial Hospital
Abilene, KS · every code in this section with a posted price and a Medicare benchmark.
92 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,210.50 | $3,210.50 | 4.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $972.50 | $972.50 | 3.0× |
| Adm of soc dtr assess 5-15 m (G0136) range across 3 matching MRF lines |
$20.40–$50.30 | $20.40–$50.30 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$72–$93.20 | $72–$93.20 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$72–$93.20 | $72–$93.20 | varies |
| Annual alcohol screen 15 min (G0442) range across 3 matching MRF lines |
$28–$68 | $28–$68 | varies |
| Ascvd rsk mng clin stf pr mo (G0538) | $38 | $38 | 0.4× |
| Behavior counsel obesity 15m (G0447) range across 3 matching MRF lines |
$35–$75 | $35–$75 | varies |
| Brief alcohol misuse counsel (G0443) range across 3 matching MRF lines |
$52–$156 | $52–$156 | varies |
| Ca screen;flexi sigmoidscope (G0104) | $541.70 | $541.70 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$30–$115 | $30–$115 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $935.40 | $935.40 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $990.40 | $990.40 | 1.2× |
| Covid-19 lab test non-cdc (U0002) | $217.80 | $217.80 | 4.2× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $256.80 | $256.80 | 0.1× |
| Depression screen annual (G0444) range across 3 matching MRF lines |
$28–$48 | $28–$48 | varies |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$68.70–$103 | $68.70–$103 | varies |
| Diab manage trn ind/group (G0109) | $45.80 | $45.80 | 2.9× |
| Direct refer hospital observ (G0379) | $136.90 | $136.90 | 0.2× |
| Drug test def 1-7 classes (G0480) range across 24 matching MRF lines |
$24–$902.70 | $24–$902.70 | varies |
| Drug test def 15-21 classes (G0482) | $700 | $700 | 3.5× |
| Drug test def 8-14 classes (G0481) | $700 | $700 | 4.5× |
| Eia hiv-1/hiv-2 screen (G0432) | $66.40 | $66.40 | 3.4× |
| Ekg tracing for initial prev (G0404) | $122.30 | $122.30 | 4.6× |
| Elec stim other than wound (G0283) | $135.10 | $135.10 | 10.6× |
| Elec stim unattend for press (G0281) | $157.40 | $157.40 | 13.5× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $200 | $200 | 0.9× |
| Extrnl counterpulse, per tx (G0166) | $775.80 | $775.80 | 6.3× |
| Fecal blood scrn immunoassay (G0328) | $73.80 | $73.80 | 4.1× |
| Fecal microbiota prep instil (G0455) | $2,019.60 | $2,019.60 | 2.4× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $100 | $100 | 2.9× |
| Group mnt 2 or more 30 mins (G0271) | $93.80 | $93.80 | 5.5× |
| Hep c screen high risk/other (G0472) | $127.40 | $127.40 | 2.7× |
| Hepb screen high risk indiv (G0499) | $316 | $316 | 11.2× |
| Hiv combination assay (G0475) range across 2 matching MRF lines |
$66.40–$69.10 | $66.40–$69.10 | varies |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$662.80–$790 | $662.80–$790 | varies |
| Hopd mntl hlt, 15-29 min (C7900) | $652.70 | $652.70 | 18.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $807.90 | $807.90 | 8.6× |
| Hopd mntl hlt, grp (C7903) | $786.50 | $786.50 | 22.8× |
| Hospital outpt clinic visit (G0463) range across 36 matching MRF lines |
$44.10–$1,859.40 | $44.10–$1,859.40 | varies |
| Hpv combo assay ca screen (G0476) | $97 | $97 | 2.8× |
| Initial preventive exam (G0402) range across 4 matching MRF lines |
$28.70–$200.50 | $28.70–$200.50 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$2,405.70–$3,608.40 | $2,405.70–$3,608.40 | varies |
| Intens behave ther cardio dx (G0446) range across 3 matching MRF lines |
$33–$73 | $33–$73 | varies |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,221.30 | $1,221.30 | 2.4× |
| Mnt subs tx for change dx (G0270) | $93.80 | $93.80 | 3.0× |
| Mra w/cont, abd (C8900) | $4,269.60 | $4,269.60 | 13.3× |
| Mra w/cont, lwr ext (C8912) | $3,917 | $3,917 | 12.2× |
| Mra w/cont, pelvis (C8918) | $4,269.60 | $4,269.60 | 13.3× |
| Mra w/o cont, abd (C8901) | $4,269.60 | $4,269.60 | 19.5× |
| Mra w/o cont, chest (C8910) | $4,269.60 | $4,269.60 | 19.5× |
| Mra w/o cont, lwr ext (C8913) | $3,917 | $3,917 | 17.9× |
| Mra w/o cont, pelvis (C8919) | $4,269.60 | $4,269.60 | 19.5× |
| Mra w/o fol w/cont, abd (C8902) | $5,657.70 | $5,657.70 | 17.6× |
| Mra w/o fol w/cont, chest (C8911) | $5,657.70 | $5,657.70 | 17.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,550.10 | $4,550.10 | 14.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $5,657.70 | $5,657.70 | 17.6× |
| Mra, w/dye, upper extremity (C8934) | $3,408.10 | $3,408.10 | 10.6× |
| Mra, w/o dye, upper extr (C8935) | $3,408.10 | $3,408.10 | 15.5× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,917 | $3,917 | 12.2× |
| Mri w/cont, breast, bi (C8906) | $4,269.60 | $4,269.60 | 13.3× |
| Mri w/cont, breast, uni (C8903) | $4,269.60 | $4,269.60 | 26.5× |
| Mri w/o fol w/cont, breast, (C8908) | $5,657.70 | $5,657.70 | 17.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,657.70 | $5,657.70 | 17.6× |
| Njx platelet plasma (0232T) | $380 | $380 | 0.9× |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$19.30–$49.30 | $19.30–$49.30 | varies |
| Open tx iliac spine uni/bil (G0412) likely a partial charge, not the full procedure |
$1,945.30 | $1,945.30 | 0.3× |
| Open tx post pelvic fxcture (G0415) range across 3 matching MRF lines |
$917–$3,667.30 | $917–$3,667.30 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$82.50–$102.30 | $82.50–$102.30 | varies |
| Oth resp proc, indiv (G0238) range across 3 matching MRF lines |
$34.40–$82.50 | $34.40–$82.50 | varies |
| Pelvic ring fracture uni/bil (G0413) range across 2 matching MRF lines |
$673.30–$2,690.60 | $673.30–$2,690.60 | varies |
| Pemivibart infusion (M0224) | $900 | $900 | 2.2× |
| Perc d-e cor revasc chro sin (C9607) | $20,007.70 | $20,007.70 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $20,007.70 | $20,007.70 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $49,822.60 | $49,822.60 | 3.0× |
| Perc drug-el cor stent sing (C9600) | $32,536.40 | $32,536.40 | 3.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $10,380.10 | $10,380.10 | 1.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $10,380.10 | $10,380.10 | 1.6× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$28.70–$280 | $28.70–$280 | varies |
| Ppps, subseq visit (G0439) range across 4 matching MRF lines |
$28.70–$203.30 | $28.70–$203.30 | varies |
| Prostate biopsy, any mthd (G0416) | $337.10 | $337.10 | 1.0× |
| Psa screening (G0103) | $180.30 | $180.30 | 9.3× |
| Risk ascvd tst once pr 12 mo (G0537) range across 3 matching MRF lines |
$18–$46 | $18–$46 | varies |
| Therapeutic procd strg endur (G0237) | $75.30 | $75.30 | 2.8× |
| Tomosynthesis, mammo (G0279) | $57.50 | $57.50 | 4.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,850 | $3,850 | 1.1× |
| Trim nail(s) (G0127) range across 4 matching MRF lines |
$50–$203.60 | $50–$203.60 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $21,362.10 | $21,362.10 | 1.3× |
| Tte w or w/o fol w/con,stres (C8928) | $2,023.70 | $2,023.70 | 2.8× |
| Tte w or wo fol wcon,doppler (C8929) | $4,368 | $4,368 | 6.1× |
| Visit to determ ldct elig (G0296) | $79.10 | $79.10 | 0.8× |
| Wet mounts/ w preparations (Q0111) | $40.20 | $40.20 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.