Supplies, drugs & other prices at Southwest Memorial Hospital

Cortez, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $35.50 $70.50 0.7×
Admin pneumococcal vaccine (G0009) $50.50 $100 1.0×
Direct refer hospital observ (G0379) $35 $70 0.1×
Drug test def 1-7 classes (G0480) $80 $159 0.7×
Drug test def 8-14 classes (G0481) $117 $233 0.7×
Mra w/cont, abd (C8900) $490 $980 1.3×
Mra w/cont, pelvis (C8918) $490 $980 1.3×
Mra w/o fol w/cont, abd (C8902) $1,613 $3,226 4.4×
Mra w/o fol w/cont, lwr ext (C8914) $1,616 $3,232 4.4×
Mra w/o fol w/cont, pelvis (C8920) $1,697 $3,394 4.6×
Oth resp proc, group (G0239) $43 $85 1.1×
Psa screening (G0103) $98.50 $196 5.1×
Trauma respons w/hosp criti (G0390) $1,884 $3,767 1.3×