Supplies, drugs & other prices at Southwest Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $775.20 $969 1.9×
Direct refer hospital observ (G0379) $269.20 $336.50 0.5×
Hbot, full body chamber, 30m (G0277) $712.40 $890.50 5.6×
Inj for sacroiliac jt anesth (G0260) $1,172.40 $1,465.50 1.8×
Mra w/cont, abd (C8900) $3,602 $4,502.50 11.2×
Mra w/cont, chest (C8909) $3,078 $3,847.50 9.6×
Mra w/cont, lwr ext (C8912) $1,956.80 $2,446 6.1×
Mra w/o cont, abd (C8901) $3,365.20 $4,206.50 15.3×
Mra w/o cont, chest (C8910) $2,382.40 $2,978 10.9×
Mra w/o cont, lwr ext (C8913) $2,224.20 $2,780.25 10.1×
Mra w/o fol w/cont, abd (C8902) $3,852.80 $4,816 12.0×
Mra w/o fol w/cont, chest (C8911) $3,786.80 $4,733.50 11.8×
Mra w/o fol w/cont, lwr ext (C8914) $2,382.40 $2,978 7.4×
Potassium hydroxide preps (Q0112) $13.60 $17 2.3×
Psa screening (G0103) $158.80 $198.50 8.2×
Tte w or wo fol wcon,doppler (C8929) $2,586 $3,232.50 3.6×
Wet mounts/ w preparations (Q0111) $13.60 $17 0.7×