Supplies, drugs & other prices at Memorial Hospital
Abilene, KS · every code in this section with a posted price and a Medicare benchmark.
67 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × 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) | $30 | $30 | 0.9× |
| Admin influenza virus vac (G0008) | $82.60 | $82.60 | 1.9× |
| Admin pneumococcal vaccine (G0009) | $82.60 | $82.60 | 1.9× |
| Ascvd rsk mng clin stf pr mo (G0538) | $38 | $38 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $40 | $40 | 0.4× |
| Ca screen;flexi sigmoidscope (G0104) | $541.70 | $541.70 | 0.6× |
| Ca screen;pelvic/breast exam (G0101) | $85 | $85 | 0.9× |
| 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× |
| Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) | $256.80 | $256.80 | 0.1× |
| Diab manage trn per indiv (G0108) | $70 | $70 | 1.3× |
| 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) | $268.10 | $268.10 | 2.3× |
| Drug test def 15-21 classes (G0482) | $700 | $700 | 3.5× |
| Drug test def 8-14 classes (G0481) | $700 | $700 | 4.5× |
| 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) | $150 | $150 | 0.7× |
| Extrnl counterpulse, per tx (G0166) | $775.80 | $775.80 | 6.3× |
| 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) | $67.75 | $67.75 | 2.8× |
| Home sleep test/type 3 porta (G0399) | $726.40 | $726.40 | 3.7× |
| 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) | $169.30 | $169.30 | 1.4× |
| Hpv combo assay ca screen (G0476) | $97 | $97 | 2.8× |
| Initial preventive exam (G0402) | $139.10 | $139.10 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $3,007.05 | $3,007.05 | 4.6× |
| Intens behave ther cardio dx (G0446) | $40 | $40 | 1.2× |
| Liver dis 10 assays 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/o cont, pelvis (C8919) | $4,269.60 | $4,269.60 | 19.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $5,657.70 | $5,657.70 | 17.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $380 | $380 | 0.9× |
| Obtaining screen pap smear (Q0091) | $28 | $28 | 1.1× |
| 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) | $2,846.40 | $2,846.40 | 0.9× |
| Oth resp proc, group (G0239) | $92.40 | $92.40 | 2.7× |
| Oth resp proc, indiv (G0238) | $75.30 | $75.30 | 2.8× |
| Pelvic ring fracture uni/bil (G0413) likely a partial charge, not the full procedure |
$1,681.95 | $1,681.95 | 0.3× |
| 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) | $270.30 | $270.30 | 1.6× |
| Ppps, subseq visit (G0439) | $180.90 | $180.90 | 1.3× |
| 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) | $30 | $30 | 0.9× |
| Therapeutic procd strg endur (G0237) | $75.30 | $75.30 | 2.8× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,850 | $3,850 | 1.1× |
| Trim nail(s) (G0127) | $144.80 | $144.80 | 2.7× |
| Trluml peripheral atherectomy iliac artery ea (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× |