Supplies, drugs & other prices at Wyandot Memorial Hospital

Upper Sandusky, OH · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,fu (C8924) $876.01 $973.35 2.7×
Admin influenza virus vac (G0008) $6.62 $7.36 0.1×
Annual alcohol screen 15 min (G0442) $4.41 $4.90 0.1×
Behavior counsel obesity 15m (G0447) $7.17 $7.97 0.1×
Ca screen;pelvic/breast exam (G0101) $7.82 $8.69 0.1×
Catheterize for urine spec (P9612) $3.14 $3.48 0.3×
Colon ca scrn not hi rsk ind (G0121)
range across 2 matching MRF lines
$356.67–$2,030.68 $396.29–$2,256.31 varies
Colorectal scrn; hi risk ind (G0105) $2,030.68 $2,256.31 2.3×
Depression screen annual (G0444) $3.40 $3.78 0.1×
Diab manage trn per indiv (G0108) $40.04 $44.49 0.7×
Diab manage trn ind/group (G0109) $40.04 $44.49 2.5×
Direct refer hospital observ (G0379) $105.54 $117.27 0.2×
Drug test def 1-7 classes (G0480)
range across 13 matching MRF lines
$72.29–$228.44 $80.32–$253.82 varies
Elec stim other than wound (G0283) $70.18 $77.98 5.5×
Fecal blood scrn immunoassay (G0328) $82.66 $91.84 4.6×
Hbot, full body chamber, 30m (G0277) $502.59 $558.44 3.9×
Hep c screen high risk/other (G0472) $150.38 $167.10 3.2×
Home sleep test/type 3 porta (G0399) $741.98 $824.42 3.6×
Impact tooth remov soft tiss (D7220) $119.82 $133.13 0.2×
Initial preventive exam (G0402) $233 $258.89 1.8×
Intens behave ther cardio dx (G0446) $4.41 $4.90 0.1×
Mra w/cont, abd (C8900) $3,560.22 $3,955.81 10.8×
Mra w/o cont, abd (C8901) $3,560.22 $3,955.81 15.8×
Mra w/o fol w/cont, abd (C8902) $3,560.22 $3,955.81 10.8×
Obtaining screen pap smear (Q0091) $5.31 $5.91 0.2×
Onc Merkel Cll Carc Srm Quan (0058U) $523.15 $581.28 1.6×
Oth resp proc, group (G0239) $224.23 $249.15 6.3×
Perq Sacral Augmt Bilat Inj (0201T)
range across 2 matching MRF lines
$3,426.70–$14,252.91 $3,807.44–$15,836.57 varies
Perq Sacral Augmt Unilat Inj (0200T)
range across 2 matching MRF lines
$1,465.83–$12,152.73 $1,628.69–$13,503.04 varies
Ppps, initial visit (G0438) $304.98 $338.86 1.7×
Ppps, subseq visit (G0439) $226.77 $251.97 1.6×
Psa screening (G0103) $148.16 $164.62 7.7×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $770 $855.55 1.1×
Screen pap by tech w md supv (P3000) $44.90 $49.89 2.4×
Tte w or wo fol wcon,doppler (C8929) $2,518.80 $2,798.66 3.4×
Unsched dialysis esrd pt hos (G0257) $1,259.25 $1,399.16 1.9×
Urine specimen collect mult (P9615) $2.53 $2.81 0.3×
Visit to determ ldct elig (G0296) $1.72 $1.90 0.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.