Supplies, drugs & other prices at Pemiscot Memorial Hospital
Hayti, MO · every code in this section with a posted price and a Medicare benchmark.
29 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $63.35 | $90.50 | 1.4× |
| Admin influenza virus vac (G0008) | $58.45 | $83.50 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $79.80 | $114 | 1.7× |
| Colon ca scrn not hi rsk ind (G0121) | $1,035.30 | $1,479 | 1.1× |
| Colorectal scrn; hi risk ind (G0105) | $1,035.30 | $1,479 | 1.1× |
| Covid-19 lab test non-cdc (U0002) | $91 | $130 | 1.8× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,435 | $2,050 | 0.2× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$1,435 | $2,050 | 0.3× |
| Diab manage trn per indiv (G0108) | $51.10 | $73 | 0.9× |
| Diab manage trn ind/group (G0109) | $34.30 | $49 | 2.1× |
| Direct refer hospital observ (G0379) | $1,059.10 | $1,513 | 1.8× |
| Drug test def 1-7 classes (G0480) | $51.10 | $73 | 0.4× |
| Drug test def 15-21 classes (G0482) | $417.20 | $596 | 2.1× |
| Drug test def 22+ classes (G0483) | $42.70 | $61 | 0.2× |
| Drug test def 8-14 classes (G0481) | $329 | $470 | 2.1× |
| Elec stim other than wound (G0283) | $51.80 | $74 | 4.1× |
| Hospital outpt clinic visit (G0463) | $78.05 | $111.50 | 0.6× |
| Initial preventive exam (G0402) | $230.30 | $329 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,353.10 | $1,933 | 1.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,794.10 | $2,563 | 5.1× |
| Obtaining screen pap smear (Q0091) | $80.50 | $115 | 2.8× |
| Oth resp proc, group (G0239) | $50.40 | $72 | 1.3× |
| Oth resp proc, indiv (G0238) | $50.40 | $72 | 1.7× |
| Ppps, initial visit (G0438) | $230.30 | $329 | 1.3× |
| Ppps, subseq visit (G0439) | $180.60 | $258 | 1.3× |
| Psa screening (G0103) | $41.30 | $59 | 2.1× |
| Resin 4/> surf or w incis an (D2335) | $479.50 | $685 | 0.7× |
| Therapeutic procd strg endur (G0237) | $50.40 | $72 | 1.7× |
| Trim nail(s) (G0127) | $79.10 | $113 | 1.3× |