Supplies, drugs & other prices at Minneola District Hospital Nbr 2
Minneola, KS · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $15.75 | $22.50 | 0.4× |
| Admin influenza virus vac (G0008) | $15.75 | $22.50 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $19.25 | $27.50 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $137.20 | $196 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $710.50 | $1,015 | 0.8× |
| Colorectal scrn; hi risk ind (G0105) | $701.75 | $1,002.50 | 0.8× |
| Comm hlth intg svs sdoh 60mn (G0019) | $87.50 | $125 | 0.9× |
| Depression screen annual (G0444) | $17.50 | $25 | 0.5× |
| Drug test def 1-7 classes (G0480) | $70 | $100 | 0.6× |
| Ekg tracing for initial prev (G0404) | $78.75 | $112.50 | 3.0× |
| Elec stim other than wound (G0283) | $29.40 | $42 | 2.3× |
| Hospital outpt clinic visit (G0463) | $42 | $60 | 0.3× |
| Initial preventive exam (G0402) | $149.80 | $214 | 1.2× |
| Inj for sacroiliac jt anesth (G0260) | $450.80 | $644 | 0.7× |
| Ppps, initial visit (G0438) | $149.80 | $214 | 0.9× |
| Ppps, subseq visit (G0439) | $149.80 | $214 | 1.1× |
| Psa screening (G0103) | $59.50 | $85 | 3.1× |
| Trim nail(s) (G0127) | $73.50 | $105 | 1.4× |
| Visit to determ ldct elig (G0296) | $17.50 | $25 | 0.2× |