Supplies, drugs & other prices at Putnam County Memorial Hospital
Unionville, MO · 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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $466.96 | $466.96 | 13.0× |
| Admin influenza virus vac (G0008) range across 4 matching MRF lines |
$51.36–$135.78 | $51.36–$135.78 | varies |
| Admin pneumococcal vaccine (G0009) range across 5 matching MRF lines |
$51.36–$135.78 | $51.36–$135.78 | varies |
| Covid-19 lab test non-cdc (U0002) | $108.21 | $108.21 | 2.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$91.39–$112.53 | $91.39–$112.53 | varies |
| Diab manage trn ind/group (G0109) | $112.54 | $112.54 | 7.0× |
| Direct refer hospital observ (G0379) | $535.11 | $535.11 | 0.9× |
| Drug test def 22+ classes (G0483) | $3,209.96 | $3,209.96 | 13.0× |
| Elec stim other than wound (G0283) | $25.13 | $25.13 | 2.0× |
| Group mnt 2 or more 30 mins (G0271) | $32.41 | $32.41 | 1.9× |
| Home sleep test/type 4 porta (G0400) | $897.18 | $897.18 | 4.1× |
| Initial preventive exam (G0402) | $275.91 | $275.91 | 2.1× |
| Mnt subs tx for change dx (G0270) | $58.25 | $58.25 | 1.8× |
| Obtaining screen pap smear (Q0091) | $56.31 | $56.31 | 1.9× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$167.19–$360.81 | $167.19–$360.81 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$167.19–$242.75 | $167.19–$242.75 | varies |
| Psa screening (G0103) | $251.03 | $251.03 | 13.0× |
| Tomosynthesis, mammo (G0279) | $214.10 | $214.10 | 16.9× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$49.28–$151.70 | $49.28–$151.70 | varies |
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.