Supplies, drugs & other prices at Wickenburg Community Hospital

Wickenburg, AZ · every code in this section with a posted price and a Medicare benchmark.

31 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) $31.85 $49 0.8×
Admin hepatitis b vaccine (G0010) $89.70 $138 1.8×
Admin influenza virus vac (G0008) $53.95 $83 1.1×
Admin pneumococcal vaccine (G0009) $53.95 $83 1.1×
Annual alcohol screen 15 min (G0442) $39 $60 1.0×
Arthro/shoul surg; w/spacer (C9781)
likely a partial charge, not the full procedure
$3,489.85 $5,369 0.3×
Behavior counsel obesity 15m (G0447) $53.95 $83 0.5×
Ca screen;flexi sigmoidscope (G0104) $173.55 $267 0.2×
Ca screen;pelvic/breast exam (G0101) $85.15 $131 0.8×
Colon ca scrn not hi rsk ind (G0121) $8,152.10 $12,541.69 8.2×
Colorectal scrn; hi risk ind (G0105) $8,169.15 $12,567.93 8.2×
Depression screen annual (G0444) $39 $60 1.0×
Drug test def 1-7 classes (G0480) $155.35 $239 1.4×
Ekg tracing for initial prev (G0404) $352.95 $543 11.4×
Elec stim other than wound (G0283) $60.45 $93 4.8×
Ig paraprotein qual bld/ur (0077U) $325 $500 7.5×
Initial preventive exam (G0402) $367.90 $566 2.6×
Inj for sacroiliac jt anesth (G0260) $113.10 $174 0.2×
Njx pltlt plasma w/img harvest/preparation (0232T) $687.05 $1,057 1.4×
Obtaining screen pap smear (Q0091) $100.10 $154 3.2×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$1,657.50 $2,550 0.2×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,649.05 $2,537 0.2×
Ppps, initial visit (G0438) $377.65 $581 2.2×
Ppps, subseq visit (G0439) $255.45 $393 1.9×
Psa screening (G0103) $123.50 $190 6.4×
Therapeutic procd strg endur (G0237) $14.30 $22 0.5×
Tomosynthesis, mammo (G0279) $232.05 $357 18.3×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $877.50 $1,350 1.9×
Trauma respons w/hosp criti (G0390) $2,590.90 $3,986 1.8×
Tte w or wo fol wcon,doppler (C8929) $3,916.25 $6,025 4.7×
Visit to determ ldct elig (G0296) $60.45 $93 0.6×