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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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $466.96 $466.96 13.0×
Admin influenza virus vac (G0008) $68.05 $68.05 1.5×
Admin pneumococcal vaccine (G0009) $80.14 $80.14 1.7×
Covid-19 lab test non-cdc (U0002) $108.21 $108.21 2.1×
Diab manage trn per indiv (G0108) $101.96 $101.96 1.8×
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) $342.78 $342.78 2.0×
Ppps, subseq visit (G0439) $242.75 $242.75 1.8×
Psa screening (G0103) $251.03 $251.03 13.0×
Tomosynthesis, mammo (G0279) $214.10 $214.10 16.9×
Visit to determ ldct elig (G0296) $100.49 $100.49 1.0×