Supplies, drugs & other prices at Altus Houston Hospital, Lp

Houston, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Colon ca scrn not hi rsk ind (G0121) $3,174 $3,174 3.4×
Colorectal scrn; hi risk ind (G0105) $3,174 $3,174 3.4×
Direct refer hospital observ (G0379) $1,000 $1,000 1.7×
Inj for sacroiliac jt anesth (G0260) $9,420 $9,420 13.3×
Mri w/o fol w/cont, breast, (C8908) $5,224 $5,224 14.9×
Mri w/o fol w/cont, brst, un (C8905) $9,328 $9,328 26.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $25,390.50 $25,390.50 56.6×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $25,390.50 $25,390.50 2.0×
Place device/marker, non pro (C9728) $11,002 $11,002 7.9×