Supplies, drugs & other prices at Ste. Genevieve County Memorial Hospital
Ste. Genevieve, MO · every code in this section with a posted price and a Medicare benchmark.
44 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $25 | $50 | 0.7× |
| Admin hepatitis b vaccine (G0010) | $37.50 | $75 | 0.8× |
| Admin influenza virus vac (G0008) range across 3 matching MRF lines |
$14–$35.50 | $28–$71 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$6–$35.50 | $12–$71 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $33 | $66 | 0.9× |
| Alcohol/subs interv >30 min (G0397) | $65 | $130 | 0.4× |
| Annual alcohol screen 15 min (G0442) | $18 | $36 | 0.5× |
| Behavior counsel obesity 15m (G0447) | $24.50 | $49 | 0.2× |
| Brief alcohol misuse counsel (G0443) | $24.50 | $49 | 0.2× |
| Brief chkin by md/qhp, 11-20 (G2252) | $32 | $64 | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $85.50 | $171 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $64.50 | $129 | 0.6× |
| Catheterize for urine spec (P9612) | $64.75 | $129.50 | 6.9× |
| Colon ca scrn not hi rsk ind (G0121) | $647.50 | $1,295 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $599 | $1,198 | 0.6× |
| Direct refer hospital observ (G0379) | $31.50 | $63 | 0.1× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$76–$102.75 | $152–$205.50 | varies |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$36–$67.50 | $72–$135 | varies |
| Fecal microbiota prep instil (G0455) | $1,250 | $2,500 | 1.3× |
| Group behave couns 2-10 (G0473) | $12 | $24 | 0.3× |
| High inten beh couns std 30m (G0445) | $25 | $50 | 0.2× |
| Home sleep test/type 2 porta (G0398) | $150 | $300 | 0.7× |
| Home sleep test/type 3 porta (G0399) | $82 | $164 | 0.4× |
| Hospital outpt clinic visit (G0463) range across 19 matching MRF lines |
$42.25–$460.75 | $84.50–$921.50 | varies |
| Initial preventive exam (G0402) | $86.50 | $173 | 0.6× |
| Intens behave ther cardio dx (G0446) | $24.50 | $49 | 0.7× |
| Intens cardiac rehab no exer (G0423) | $62.50 | $125 | 0.5× |
| Intens cardiac rehab w/exerc (G0422) | $62.50 | $125 | 0.5× |
| Mnt subs tx for change dx (G0270) range across 9 matching MRF lines |
$30–$337 | $60–$674 | varies |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$292.50–$844.75 | $585–$1,689.50 | varies |
| Obtaining screen pap smear (Q0091) | $11.50 | $23 | 0.4× |
| Oth resp proc, group (G0239) | $232.25 | $464.50 | 6.2× |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$62.25–$76.50 | $124.50–$153 | varies |
| Ppps, initial visit (G0438) | $81.50 | $163 | 0.5× |
| Ppps, subseq visit (G0439) | $55 | $110 | 0.4× |
| Prostate biopsy, any mthd (G0416) | $347 | $694 | 1.0× |
| Psa screening (G0103) range across 2 matching MRF lines |
$12.50–$94.25 | $25–$188.50 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $297 | $594 | 0.4× |
| Remot img sub by pt, non e/m (G2250) | $8.50 | $17 | 0.7× |
| Routine footcare pt w lops (G0247) | $75 | $150 | 0.4× |
| Therapeutic procd strg endur (G0237) | $60.25 | $120.50 | 2.1× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$40.25–$49 | $80.50–$98 | varies |
| Tte w or w/o fol w/cont, com (C8921) | $1,635.50 | $3,271 | 2.1× |
| Visit to determ ldct elig (G0296) | $29.50 | $59 | 0.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.