Supplies, drugs & other prices at St. Catherine Hospital - Dodge City
Dodge City, KS · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $56.99 | $142.46 | 1.3× |
| Admin influenza virus vac (G0008) | $30.84 | $77.08 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $30.84 | $77.08 | 0.7× |
| Catheterize for urine spec (P9612) | $116.21 | $290.52 | 12.4× |
| Diab manage trn per indiv (G0108) | $168.25 | $420.61 | 3.0× |
| Diab manage trn ind/group (G0109) | $40.03 | $100.06 | 2.5× |
| Direct refer hospital observ (G0379) | $519.39 | $1,298.47 | 0.9× |
| Drug test def 1-7 classes (G0480) | $41.04 | $102.58 | 0.4× |
| Hospital outpt clinic visit (G0463) | $220.68 | $551.69 | 1.8× |
| Inj for sacroiliac jt anesth (G0260) | $730.87 | $1,827.17 | 1.1× |
| Mra w/cont, abd (C8900) | $1,922.45 | $4,806.12 | 6.0× |
| Mra w/cont, chest (C8909) | $1,922.45 | $4,806.12 | 6.0× |
| Mra w/cont, lwr ext (C8912) | $1,922.45 | $4,806.12 | 6.0× |
| Mra w/cont, pelvis (C8918) | $1,922.45 | $4,806.12 | 6.0× |
| Mra w/o cont, abd (C8901) | $1,196.39 | $2,990.96 | 5.4× |
| Oth resp proc, group (G0239) | $53.13 | $132.81 | 1.5× |
| Oth resp proc, indiv (G0238) | $49.33 | $123.32 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $17,412.66 | $43,531.64 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $15,871.44 | $39,678.59 | 1.5× |
| Perc d-e cor stent ather s (C9602) | $10,776.91 | $26,942.27 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $8,343.40 | $20,858.50 | 0.8× |
| Prolonged iv inf, req pump (C8957) | $850.47 | $2,126.17 | 4.3× |
| Prostate biopsy, any mthd (G0416) | $156.86 | $392.14 | 0.5× |
| Psa screening (G0103) | $59.75 | $149.37 | 3.1× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$7,733.44 | $19,333.58 | 0.5× |
| Screen cerv/vag thin layer (G0123) | $55.76 | $139.38 | 2.8× |
| Tomosynthesis, mammo (G0279) | $16 | $40 | 1.3× |
| Unsched dialysis esrd pt hos (G0257) | $863.15 | $2,157.87 | 1.4× |