Supplies, drugs & other prices at Wray Community District Hospital

Wray, CO · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $73.12 $97.50 2.0×
Admin hepatitis b vaccine (G0010) $34.12 $45.50 0.7×
Admin pneumococcal vaccine (G0009) $47.68 $63.57 1.0×
Catheterize for urine spec (P9612) $20.48 $27.30 2.2×
Cbc/diffwbc w/o platelet (G0306) $90.82 $121.10 11.7×
Covid-19 lab test non-cdc (U0002) $181.16 $241.54 3.5×
Direct refer hospital observ (G0379) $212.81 $283.75 0.3×
Fecal blood scrn immunoassay (G0328) $36.66 $48.88 2.0×
Hospital outpt clinic visit (G0463) $130.50 $174 0.9×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $113.98 $151.97 2.6×
Mra w/o fol w/cont, lwr ext (C8914) $1,643.25 $2,191 4.5×
Njx pltlt plasma w/img harvest/preparation (0232T) $370.75 $494.33 0.8×
Oth resp proc, indiv (G0238) $58.36 $77.81 1.9×
Psa screening (G0103) $97.47 $129.96 5.0×
Therapeutic procd strg endur (G0237) $43.20 $57.60 1.4×
Trauma respons w/hosp criti (G0390) $769.13 $1,025.50 0.5×