Supplies, drugs & other prices at Pulaski Memorial Hospital

Winamac, IN · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ca screen;flexi sigmoidscope (G0104) $84 $120 0.1×
Colon ca scrn not hi rsk ind (G0121) $358.40 $512 0.4×
Colorectal scrn; hi risk ind (G0105) $358.40 $512 0.4×
Diab manage trn per indiv (G0108) $33.95 $48.50 0.6×
Drug test def 1-7 classes (G0480) $257.25 $367.50 2.2×
Drug test def 15-21 classes (G0482) $407.96 $582.80 2.1×
Drug test def 22+ classes (G0483) $551.25 $787.50 2.2×
Drug test def 8-14 classes (G0481) $349.16 $498.80 2.2×
Ekg tracing for initial prev (G0404) $72.17 $103.10 2.4×
Fractional abl lsr fenestration first 100 sqcm (0479T) $1,398.46 $1,997.80 1.8×
Hep c screen high risk/other (G0472) $133.49 $190.70 2.9×
Home sleep test/type 3 porta (G0399) $803.81 $1,148.30 3.5×
Hospital outpt clinic visit (G0463)
range across 5 matching MRF lines
$117.95–$1,282.61 $168.50–$1,832.30 varies
Mra w/cont, abd (C8900) $58.31 $83.30 0.2×
Mra w/o cont, abd (C8901) $58.31 $83.30 0.2×
Oth resp proc, group (G0239) $38.29 $54.70 1.0×
Oth resp proc, indiv (G0238) $53.69 $76.70 1.8×
Psa screening (G0103) $163.66 $233.80 8.5×
Scr c/v cyto,thinlayer,rescr (G0145) $103.04 $147.20 3.9×
Screen pap by tech w md supv (P3000) $47.88 $68.40 2.6×
Therapeutic procd strg endur (G0237) $46.06 $65.80 1.5×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$58.31–$132.72 $83.30–$189.60 varies
Tte w or w/o fol w/con,stres (C8928) $3,351.11 $4,787.30 4.0×
Tte w or wo fol wcon,doppler (C8929) $3,408.72 $4,869.60 4.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.