Supplies, drugs & other prices at Baylor Scott and White Surgical Hospital at Sherma
Sherman, TX · every code in this section with a posted price and a Medicare benchmark.
36 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Arthro/shoul surg; w/spacer (C9781) | $18,869.40 | $31,449 | 1.5× |
| Autolog prp not diab ulcer (G0460) | $3,069.60 | $5,116 | 1.5× |
| Ca screen;flexi sigmoidscope (G0104) | $1,383.60 | $2,306 | 1.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,134.60 | $1,891 | 1.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,134.60 | $1,891 | 1.2× |
| Cysto impl 4 or more (C9740) | $7,919.40 | $13,199 | 0.8× |
| Cystoscopy prostatic imp 1-3 (C9739) | $7,805.40 | $13,009 | 1.4× |
| Direct refer hospital observ (G0379) | $151.80 | $253 | 0.3× |
| Drug test def 1-7 classes (G0480) | $175.20 | $292 | 1.5× |
| Facility svs dental rehab (G0330) | $4,683 | $7,805 | 1.4× |
| Fecal blood scrn immunoassay (G0328) | $58.20 | $97 | 3.2× |
| Home sleep test/type 3 porta (G0399) | $322.20 | $537 | 1.5× |
| Hospital outpt clinic visit (G0463) | $97.20 | $162 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,608.60 | $2,681 | 2.3× |
| Mra w/cont, chest (C8909) | $1,726.20 | $2,877 | 4.9× |
| Mra w/o cont, abd (C8901) | $1,045.20 | $1,742 | 4.3× |
| Mra w/o cont, lwr ext (C8913) | $1,434 | $2,390 | 6.0× |
| Mra w/o cont, pelvis (C8919) | $2,309.40 | $3,849 | 9.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,044.60 | $1,741 | 3.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,044 | $1,740 | 3.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,290.80 | $3,818 | 6.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,063.20 | $1,772 | 3.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,233 | $2,055 | 3.5× |
| Perc d-e cor revasc chro sin (C9607) | $14,438.40 | $24,064 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $15,002.10 | $25,003.50 | 1.3× |
| Perc d-e cor stent ather s (C9602) | $24,268.20 | $40,447 | 1.3× |
| Perc drug-el cor stent sing (C9600) | $15,002.10 | $25,003.50 | 1.3× |
| Prostate biopsy, any mthd (G0416) | $509.40 | $849 | 1.4× |
| Revasc intra lithotrip-ather (C9766) | $14,641.80 | $24,403 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $11,110.20 | $18,517 | 0.6× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$5,484 | $9,140 | 0.5× |
| Revasc lith-sten-ath tib/per (C9775) | $23,410.80 | $39,018 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $14,710.80 | $24,518 | 0.8× |
| Revasc lithotr-stent tib/per (C9773) | $23,410.80 | $39,018 | 1.3× |
| Revasc lithotrip tibi/perone (C9772) | $9,460.20 | $15,767 | 0.8× |
| Revasc lithotrip-stent-ather (C9767) | $23,410.80 | $39,018 | 1.3× |