Supplies, drugs & other prices at Smith County Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $25 $25 0.6×
Admin influenza virus vac (G0008) $17.50 $17.50 0.4×
Admin pneumococcal vaccine (G0009) $10 $10 0.2×
Ca screen;flexi sigmoidscope (G0104) $1,050 $1,050 1.2×
Colon ca scrn not hi rsk ind (G0121) $1,546.35 $1,546.35 1.8×
Colorectal scrn; hi risk ind (G0105) $1,546.35 $1,546.35 1.8×
Diab manage trn per indiv (G0108) $42 $42 0.8×
Drug test def 1-7 classes (G0480) $159 $159 1.4×
Elec stim other than wound (G0283) $57 $57 4.5×
Fecal blood scrn immunoassay (G0328) $43 $43 2.4×
Hospital outpt clinic visit (G0463) $65 $65 0.5×
Oth resp proc, group (G0239) $69 $69 2.0×
Oth resp proc, indiv (G0238) $70.95 $70.95 2.7×
Prolonged iv inf, req pump (C8957) $310 $310 1.6×
Psa screening (G0103) $107.47 $107.47 5.6×
Therapeutic procd strg endur (G0237) $84.92 $84.92 3.2×
Tomosynthesis, mammo (G0279) $270 $270 21.3×
Trauma respons w/hosp criti (G0390) $465.30 $465.30 0.4×