Supplies, drugs & other prices at Wesley Medical Center
Wichita, KS · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $9,983 | $9,983 | 13.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $4,694 | $4,694 | 14.6× |
| Adm tocilizu covid-19 1st (M0249) | $747.78 | $747.78 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $125.56 | $125.56 | 2.9× |
| Admin influenza virus vac (G0008) | $170.61 | $170.61 | 4.0× |
| Admin pneumococcal vaccine (G0009) | $170.61 | $170.61 | 4.0× |
| Covid-19 lab test non-cdc (U0002) | $143 | $143 | 2.8× |
| Direct refer hospital observ (G0379) | $617 | $617 | 1.1× |
| Drug test def 1-7 classes (G0480) | $460 | $460 | 4.0× |
| Elec stim other than wound (G0283) | $407 | $407 | 32.1× |
| Elisa hiv-1/hiv-2 screen (G0433) | $946 | $946 | 51.7× |
| Fecal blood scrn immunoassay (G0328) | $351 | $351 | 19.4× |
| Fern test (Q0114) | $87 | $87 | 8.9× |
| Hbot, full body chamber, 30m (G0277) | $3,042 | $3,042 | 24.0× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $3,840 | $3,840 | 6.0× |
| Lev 1 hosp type b ed visit (G0380) | $1,219 | $1,219 | 17.8× |
| Lev 2 hosp type b ed visit (G0381) | $2,179 | $2,179 | 25.5× |
| Lev 3 hosp type b ed visit (G0382) | $4,486 | $4,486 | 28.3× |
| Lev 4 hosp type b ed visit (G0383) | $6,537 | $6,537 | 26.8× |
| Lev 5 hosp type b ed visit (G0384) | $9,871 | $9,871 | 26.1× |
| Mra w/cont, abd (C8900) | $19,503 | $19,503 | 60.7× |
| Mra w/cont, chest (C8909) | $19,503 | $19,503 | 60.7× |
| Mra w/cont, pelvis (C8918) | $18,561 | $18,561 | 57.7× |
| Mra w/o cont, abd (C8901) | $18,561 | $18,561 | 84.4× |
| Mra w/o cont, chest (C8910) | $18,561 | $18,561 | 84.4× |
| Mra w/o fol w/cont, abd (C8902) | $20,428 | $20,428 | 63.5× |
| Mra w/o fol w/cont, chest (C8911) | $20,428 | $20,428 | 63.5× |
| Mri w/cont, breast, bi (C8906) | $27,522 | $27,522 | 85.6× |
| Mri w/cont, breast, uni (C8903) | $13,761 | $13,761 | 85.1× |
| Mri w/o fol w/cont, breast, (C8908) | $29,249 | $29,249 | 91.0× |
| Mri w/o fol w/cont, brst, un (C8905) | $14,625 | $14,625 | 45.5× |
| Pathogen test for platelets (P9100) | $311 | $311 | 5.7× |
| Prolonged iv inf, req pump (C8957) | $2,938 | $2,938 | 15.0× |
| Prostate biopsy, any mthd (G0416) | $10,737 | $10,737 | 32.5× |
| Psa screening (G0103) | $815 | $815 | 42.2× |
| Screen cerv/vag thin layer (G0123) | $510 | $510 | 25.2× |
| Tomosynthesis, mammo (G0279) | $793 | $793 | 62.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $1,805 | $1,805 | 3.9× |
| Trauma respons w/hosp criti (G0390) | $48,473 | $48,473 | 39.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $11,358 | $11,358 | 3.2× |
| Tte w or w/o contr, cont ecg (C8930) | $13,647 | $13,647 | 18.9× |
| Tte w or wo fol wcon,doppler (C8929) | $9,384 | $9,384 | 13.0× |
| Unsched dialysis esrd pt hos (G0257) | $9,581 | $9,581 | 15.1× |