Supplies, drugs & other prices at University of Kansas Health System Great Bend Campus

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $150.20 $751 0.2×
2d tte w or w/o fol w/con,fu (C8924) $200 $1,000 0.6×
Admin hepatitis b vaccine (G0010) $16.40 $82 0.4×
Admin influenza virus vac (G0008) $16.40 $82 0.4×
Admin pneumococcal vaccine (G0009) $17.20 $86 0.4×
Colorectal scrn; hi risk ind (G0105) $747.94 $3,739.71 0.9×
Cyp2d6 gen com&slct rar vrnt (0070U) $308.60 $1,543 0.5×
Direct refer hospital observ (G0379) $577.75 $2,888.75 1.1×
Drug test def 1-7 classes (G0480) $58.60 $293 0.5×
Drug test def 15-21 classes (G0482) $8.60 $43 0.0×
Drug test def 8-14 classes (G0481) $58.60 $293 0.4×
Eia hiv-1/hiv-2 screen (G0432) $16 $80 0.8×
Fecal blood scrn immunoassay (G0328) $26.60 $133 1.5×
Hospital outpt clinic visit (G0463) $54.40 $272 0.4×
Inj for sacroiliac jt anesth (G0260) $366.91 $1,834.54 0.6×
Mri w/cont, breast, uni (C8903) $735.60 $3,678 4.6×
Mri w/o fol w/cont, breast, (C8908) $1,289.20 $6,446 4.0×
Mri w/o fol w/cont, brst, un (C8905) $735.60 $3,678 2.3×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $599 $2,995 1.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $2,815.70 $14,078.50 6.9×
Oth resp proc, group (G0239) $71.40 $357 2.1×
Oth resp proc, indiv (G0238) $21.60 $108 0.8×
Prostate biopsy, any mthd (G0416) $164.40 $822 0.5×
Psa screening (G0103) $32.80 $164 1.7×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $327.70 $1,638.50 0.5×
Screen cerv/vag thin layer (G0123) $42.60 $213 2.1×
Therapeutic procd strg endur (G0237) $18.80 $94 0.7×
Tomosynthesis, mammo (G0279) $20 $100 1.6×
Trauma respons w/hosp criti (G0390) $525 $2,625 0.4×
Tte w or wo fol wcon,doppler (C8929) $540.40 $2,702 0.7×