Supplies, drugs & other prices at Baylor Scott & White Texas Spine & Joint Hospital
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
14 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $31.20 | $52 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $31.20 | $52 | 0.7× |
| Facility svs dental rehab (G0330) | $1,707 | $2,845 | 0.5× |
| Home sleep test/type 3 porta (G0399) | $1,072.80 | $1,788 | 4.9× |
| Hospital outpt clinic visit (G0463) | $834 | $1,390 | 6.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,707 | $2,845 | 2.4× |
| Mra w/cont, abd (C8900) | $3,459.60 | $5,766 | 9.9× |
| Mra w/cont, chest (C8909) | $5,823 | $9,705 | 16.6× |
| Mra w/cont, pelvis (C8918) | $5,823 | $9,705 | 16.6× |
| Mra w/o fol w/cont, abd (C8902) | $3,459.60 | $5,766 | 9.9× |
| Mra w/o fol w/cont, chest (C8911) | $5,823 | $9,705 | 16.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $5,823 | $9,705 | 16.6× |
| Mra, w/dye, spinal canal (C8931) | $5,823 | $9,705 | 16.6× |
| Spine device implant surgery (C9757) likely a partial charge, not the full procedure |
$3,599.40 | $5,999 | 0.3× |