Supplies, drugs & other prices at Ozarks Healthcare
West Plains, MO · every code in this section with a posted price and a Medicare benchmark.
44 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $412.50 | $825 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $40 | $80 | 0.4× |
| Blind interatrial shunt ide (C9758) likely a partial charge, not the full procedure |
$483.50 | $967 | 0.0× |
| Ca screen;pelvic/breast exam (G0101) | $59 | $118 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $458.50 | $917 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $79 | $158 | 0.1× |
| Depression screen annual (G0444) | $14.75 | $29.50 | 0.4× |
| Direct refer hospital observ (G0379) | $354 | $708 | 0.6× |
| Elec stim other than wound (G0283) | $17.60 | $35.20 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $29.70 | $59.40 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $217.80 | $435.60 | 1.6× |
| Home sleep test/type 3 porta (G0399) | $147.25 | $294.50 | 0.7× |
| Hospital outpt clinic visit (G0463) | $73.50 | $147 | 0.6× |
| Inj for sacroiliac jt anesth (G0260) | $548 | $1,096 | 0.8× |
| Mra w/o fol w/cont, chest (C8911) | $403.15 | $806.30 | 1.2× |
| Obtaining screen pap smear (Q0091) | $17.50 | $35 | 0.6× |
| Oth resp proc, group (G0239) | $63.25 | $126.50 | 1.7× |
| Oth resp proc, indiv (G0238) | $42.50 | $85 | 1.5× |
| Perc d-e cor revasc chro sin (C9607) | $15,000 | $30,000 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) unusually low: confirm this is the full procedure |
$5,521 | $11,042 | 0.5× |
| Perc d-e cor stent ather s (C9602) | $16,000 | $32,000 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $12,605 | $25,210 | 1.1× |
| Place endorectal app (C9725) | $2,660 | $5,320 | 2.9× |
| Post op service lvrs min 6 (G0305) | $852.50 | $1,705 | 2.3× |
| Ppps, initial visit (G0438) | $134 | $268 | 0.8× |
| Ppps, subseq visit (G0439) | $104.50 | $209 | 0.8× |
| Psa screening (G0103) | $31.90 | $63.80 | 1.7× |
| Revasc intra lithotrip-ather (C9766) | $13,527.50 | $27,055 | 0.7× |
| Revasc intra lithotrip-stent (C9765) | $13,527.50 | $27,055 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $8,359.50 | $16,719 | 0.7× |
| Revasc lith-sten-ath tib/per (C9775) | $13,527.50 | $27,055 | 0.7× |
| Revasc lithotr-ather tib/per (C9774) | $13,527.50 | $27,055 | 0.7× |
| Revasc lithotr-stent tib/per (C9773) | $13,527.50 | $27,055 | 0.7× |
| Revasc lithotrip tibi/perone (C9772) | $8,359.50 | $16,719 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $13,527.50 | $27,055 | 0.7× |
| Therapeutic procd strg endur (G0237) | $42.50 | $85 | 1.5× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $7,445.50 | $14,891 | 0.6× |
| Trim nail(s) (G0127) | $5.50 | $11 | 0.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $7,445.50 | $14,891 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $16,000 | $32,000 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $825 | $1,650 | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $700 | $1,400 | 1.0× |
| Visit to determ ldct elig (G0296) | $40 | $80 | 0.4× |
| Wet mounts/ w preparations (Q0111) | $12.38 | $24.75 | 0.7× |