Supplies, drugs & other prices at Samaritan Hospital

Moses Lake, WA · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedureCash priceGross charge× Medicare
Adm of soc dtr assess 5-15 m (G0136) $31 $31 0.7×
Admin hepatitis b vaccine (G0010) $56 $56 1.1×
Admin influenza virus vac (G0008) $44 $44 0.8×
Admin pneumococcal vaccine (G0009) $44 $44 0.8×
Adv prim care mgmt lvl 1 (G0556) $24 $24 0.6×
Adv prim care mgmt lvl 2 (G0557) $75 $75 1.8×
Adv prim care mgmt lvl 3 (G0558) $163 $163 1.4×
Ca screen;pelvic/breast exam (G0101) $97 $97 0.9×
Care manage beh svs 20mins (G0323) $64 $64 1.5×
Catheterize for urine spec (P9612) $137 $137 14.7×
Colon ca scrn not hi rsk ind (G0121) $672 $672 0.6×
Colorectal scrn; hi risk ind (G0105) $672 $672 0.6×
Comm hlth intg svs sdoh 60mn (G0019) $120 $120 1.1×
Depression screen annual (G0444) $109 $109 2.6×
Diab manage trn per indiv (G0108) $143 $143 2.6×
Diab manage trn ind/group (G0109) $70 $70 4.4×
Direct refer hospital observ (G0379) $570 $570 0.9×
Drug test def 1-7 classes (G0480) $248 $248 2.2×
Ekg tracing for initial prev (G0404) $291 $291 9.0×
Group train w/o patient (G0543) $39 $39 1.2×
Hospital outpt clinic visit (G0463) $438 $438 3.0×
Ig paraprotein qual bld/ur (0077U) $290 $290 6.7×
Initial preventive exam (G0402) $284 $284 1.9×
Mnt subs tx for change dx (G0270) $55 $55 1.7×
Njx pltlt plasma w/img harvest/preparation (0232T) $75 $75 0.2×
No pt prsnt train initial 30 (G0541) $92 $92 2.9×
Obtaining screen pap smear (Q0091) $81 $81 2.5×
Oth resp proc, group (G0239) $254 $254 6.1×
Oth resp proc, indiv (G0238) $271 $271 8.4×
Ppps, initial visit (G0438) $323 $323 1.9×
Ppps, subseq visit (G0439) $284 $284 2.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $2,423 $2,423 3.4×
Tomosynthesis, mammo (G0279) $94.50 $94.50 7.4×
Trauma respons w/hosp criti (G0390) $4,093 $4,093 2.8×
Trim nail(s) (G0127) $57 $57 0.9×
Tte w or wo fol wcon,doppler (C8929) $1,980 $1,980 2.3×
Visit to determ ldct elig (G0296) $73 $73 0.6×