Supplies, drugs & other prices at Salina Regional Health Center

Salina, KS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,247.35 $3,210.50 3.1×
2d tte w or w/o fol w/con,fu (C8924) $680.75 $972.50 2.1×
Adm of soc dtr assess 5-15 m (G0136) $21 $30 0.6×
Admin hepatitis b vaccine (G0010) $32.20 $46 0.7×
Admin influenza virus vac (G0008) $57.82 $82.60 1.3×
Admin pneumococcal vaccine (G0009) $57.82 $82.60 1.3×
Behavior counsel obesity 15m (G0447) $28 $40 0.3×
Ca screen;pelvic/breast exam (G0101) $59.50 $85 0.6×
Chemo extend iv infus w/pump (G0498) $241.22 $344.60 0.8×
Diab manage trn per indiv (G0108) $72.10 $103 1.3×
Direct refer hospital observ (G0379) $104.20 $148.85 0.2×
Drug test def 1-7 classes (G0480) $180.98 $258.55 1.6×
Drug test def 15-21 classes (G0482) $490 $700 2.5×
Drug test def 8-14 classes (G0481) $490 $700 3.1×
Ekg tracing for initial prev (G0404) $85.61 $122.30 3.2×
Elec stim other than wound (G0283) $94.57 $135.10 7.5×
Elec stim unattend for press (G0281) $110.18 $157.40 9.4×
Extracorporeal shock wave muscskel sys nos (0101T) $105 $150 0.5×
Extrnl counterpulse, per tx (G0166) $543.06 $775.80 4.4×
Group mnt 2 or more 30 mins (G0271) $65.66 $93.80 3.9×
Hep c screen high risk/other (G0472) $89.18 $127.40 1.9×
Hepb screen high risk indiv (G0499) $221.20 $316 7.8×
Hiv combination assay (G0475) $47.42 $67.75 2.0×
Home sleep test/type 3 porta (G0399) $508.48 $726.40 2.6×
Hospital outpt clinic visit (G0463) $137.20 $196 1.1×
Initial preventive exam (G0402) $94.43 $134.90 0.8×
Inj for sacroiliac jt anesth (G0260) $2,104.94 $3,007.05 3.2×
Intens behave ther cardio dx (G0446) $28 $40 0.8×
Liver dis 10 assays w/nash (0003M) $854.91 $1,221.30 1.7×
Mnt subs tx for change dx (G0270) $65.66 $93.80 2.1×
Mra w/o cont, pelvis (C8919) $2,988.72 $4,269.60 13.6×
Mra w/o fol w/cont, pelvis (C8920) $3,960.39 $5,657.70 12.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $266 $380 0.6×
Obtaining screen pap smear (Q0091) $19.60 $28 0.7×
Oth resp proc, group (G0239) $64.68 $92.40 1.9×
Oth resp proc, indiv (G0238) $55.23 $78.90 2.1×
Perc d-e cor revasc chro sin (C9607) $14,005.39 $20,007.70 0.8×
Perc d-e cor revasc t cabg s (C9604) $14,005.39 $20,007.70 1.3×
Perc d-e cor stent ather s (C9602) $34,875.82 $49,822.60 2.1×
Perc drug-el cor stent sing (C9600) $22,775.48 $32,536.40 2.1×
Perq Sacral Augmt Bilat Inj (0201T) $7,266.07 $10,380.10 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $7,266.07 $10,380.10 1.1×
Ppps, initial visit (G0438) $108.04 $154.35 0.6×
Ppps, subseq visit (G0439) $81.20 $116 0.6×
Prostate biopsy, any mthd (G0416) $235.97 $337.10 0.7×
Psa screening (G0103) $126.21 $180.30 6.5×
Revasc intra lithotrip-ather (C9766) $25,027.10 $35,753 1.5×
Revasc intra lithotrip-stent (C9765) $25,027.10 $35,753 1.5×
Revasc intravasc lithotripsy (C9764) $15,700.58 $22,429.40 1.5×
Revasc lith-sten-ath tib/per (C9775) $31,423 $44,890 1.9×
Revasc lithotr-ather tib/per (C9774) $31,423 $44,890 1.9×
Revasc lithotr-stent tib/per (C9773) $31,423 $44,890 1.9×
Revasc lithotrip tibi/perone (C9772) $19,845 $28,350 1.9×
Revasc lithotrip-stent-ather (C9767) $25,027.10 $35,753 1.5×
Risk ascvd tst once pr 12 mo (G0537) $21 $30 0.6×
Therapeutic procd strg endur (G0237) $52.71 $75.30 2.0×
Trauma respons w/hosp criti (G0390) $8,145.41 $11,636.30 6.6×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,695 $3,850 0.8×
Trim nail(s) (G0127) $101.36 $144.80 1.9×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $14,953.47 $21,362.10 1.4×
Trluml peripheral atherectomy iliac artery ea (0238T) $14,953.47 $21,362.10 0.9×
Tte w or w/o fol w/con,stres (C8928) $1,416.59 $2,023.70 2.0×
Tte w or wo fol wcon,doppler (C8929) $3,057.60 $4,368 4.2×
Visit to determ ldct elig (G0296) $63.70 $91 0.7×