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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ProcedureCash priceGross charge× 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) $31.75 $63.50 0.7×
Admin pneumococcal vaccine (G0009) $33 $66 0.7×
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) $89.38 $178.75 0.8×
Elec stim other than wound (G0283) $51.75 $103.50 4.1×
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) $210.75 $421.50 1.6×
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) $168.50 $337 5.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $568.62 $1,137.25 1.3×
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) $69.38 $138.75 2.4×
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) $53.38 $106.75 2.8×
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) $44.62 $89.25 3.5×
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×