Supplies, drugs & other prices at North Central Kansas Medical Center

Concordia, KS · every code in this section with a posted price and a Medicare benchmark.

63 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,247.35 $3,210.50 3.1×
2d tte w or w/o fol w/con,fu (C8924) $680.75 $972.50 2.1×
Adm of soc dtr assess 5-15 m (G0136) $21 $30 0.6×
Admin hepatitis b vaccine (G0010) $20.93 $29.90 0.5×
Admin influenza virus vac (G0008) $50.40 $72 1.2×
Admin pneumococcal vaccine (G0009) $50.40 $72 1.2×
Ascvd rsk mng clin stf pr mo (G0538) $26.60 $38 0.3×
Behavior counsel obesity 15m (G0447) $28 $40 0.3×
Ca screen;flexi sigmoidscope (G0104) $379.19 $541.70 0.4×
Ca screen;pelvic/breast exam (G0101) $59.50 $85 0.6×
Chemo extend iv infus w/pump (G0498) $300.30 $429 1.0×
Colon ca scrn not hi rsk ind (G0121) $654.78 $935.40 0.8×
Colorectal scrn; hi risk ind (G0105) $693.28 $990.40 0.8×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $179.76 $256.80 0.0×
Diab manage trn per indiv (G0108) $48.54 $69.35 0.9×
Diab manage trn ind/group (G0109) $32.06 $45.80 2.0×
Direct refer hospital observ (G0379) $104.20 $148.85 0.2×
Drug test def 1-7 classes (G0480) $187.67 $268.10 1.6×
Drug test def 15-21 classes (G0482) $490 $700 2.5×
Drug test def 8-14 classes (G0481) $490 $700 3.1×
Ekg tracing for initial prev (G0404) $85.61 $122.30 3.2×
Elec stim other than wound (G0283) $94.57 $135.10 7.5×
Elec stim unattend for press (G0281) $110.18 $157.40 9.4×
Extracorporeal shock wave muscskel sys nos (0101T) $105 $150 0.5×
Extrnl counterpulse, per tx (G0166) $543.06 $775.80 4.4×
Hep c screen high risk/other (G0472) $89.18 $127.40 1.9×
Hepb screen high risk indiv (G0499) $221.20 $316 7.8×
Hiv combination assay (G0475) $47.42 $67.75 2.0×
Home sleep test/type 3 porta (G0399) $508.48 $726.40 2.6×
Hospital outpt clinic visit (G0463) $118.51 $169.30 1.0×
Hpv combo assay ca screen (G0476) $67.90 $97 1.9×
Initial preventive exam (G0402) $97.37 $139.10 0.8×
Inj for sacroiliac jt anesth (G0260) $2,104.94 $3,007.05 3.2×
Intens behave ther cardio dx (G0446) $28 $40 0.8×
Liver dis 10 assays w/nash (0003M) $854.91 $1,221.30 1.7×
Mra w/o cont, pelvis (C8919) $2,988.72 $4,269.60 13.6×
Mra w/o fol w/cont, pelvis (C8920) $3,960.39 $5,657.70 12.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $266 $380 0.6×
Obtaining screen pap smear (Q0091) $19.60 $28 0.7×
Open tx iliac spine uni/bil (G0412)
likely a partial charge, not the full procedure
$1,361.71 $1,945.30 0.2×
Open tx post pelvic fxcture (G0415) $1,992.48 $2,846.40 0.7×
Oth resp proc, group (G0239) $64.68 $92.40 1.9×
Oth resp proc, indiv (G0238) $52.71 $75.30 2.0×
Pelvic ring fracture uni/bil (G0413)
likely a partial charge, not the full procedure
$1,177.36 $1,681.95 0.2×
Pemivibart infusion (M0224) $630 $900 1.6×
Perq Sacral Augmt Bilat Inj (0201T) $7,266.07 $10,380.10 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $7,266.07 $10,380.10 1.1×
Ppps, initial visit (G0438) $189.21 $270.30 1.1×
Ppps, subseq visit (G0439) $126.63 $180.90 0.9×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $41.72 $59.60 1.2×
Prostate biopsy, any mthd (G0416) $235.97 $337.10 0.7×
Psa screening (G0103) $126.21 $180.30 6.5×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T)
likely a partial charge, not the full procedure
$1,094.87 $1,564.10 0.2×
Risk ascvd tst once pr 12 mo (G0537) $21 $30 0.6×
Therapeutic procd strg endur (G0237) $52.71 $75.30 2.0×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,695 $3,850 0.8×
Trim nail(s) (G0127) $60.20 $86 1.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
likely a partial charge, not the full procedure
$1,131.69 $1,616.70 0.1×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$8,042.58 $11,489.40 0.5×
Tte w or w/o fol w/con,stres (C8928) $1,416.59 $2,023.70 2.0×
Tte w or wo fol wcon,doppler (C8929) $3,057.60 $4,368 4.2×
Visit to determ ldct elig (G0296) $55.37 $79.10 0.6×
Wet mounts/ w preparations (Q0111) $28.14 $40.20 1.5×