Supplies, drugs & other prices at Chi St. Luke's Health Brazosport
Lake Jackson, TX · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $12.95 | $37 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $35.35 | $101 | 0.8× |
| Admin influenza virus vac (G0008) | $38.15 | $109 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $38.15 | $109 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $79.80 | $228 | 1.6× |
| Direct refer hospital observ (G0379) | $197.05 | $563 | 0.3× |
| Drug test def 1-7 classes (G0480) | $51.10 | $146 | 0.4× |
| Drug test def 15-21 classes (G0482) | $101.50 | $290 | 0.5× |
| Drug test def 22+ classes (G0483) | $28.70 | $82 | 0.1× |
| Drug test def 8-14 classes (G0481) | $58.10 | $166 | 0.4× |
| Elec stim other than wound (G0283) | $87.26 | $249.30 | 6.9× |
| Elisa hiv-1/hiv-2 screen (G0433) | $45.34 | $129.54 | 2.5× |
| Fern test (Q0114) | $9.80 | $28 | 1.0× |
| Hbot, full body chamber, 30m (G0277) | $478.45 | $1,367 | 3.5× |
| Mra w/cont, abd (C8900) | $760.20 | $2,172 | 2.2× |
| Mra w/cont, chest (C8909) | $1,421.28 | $4,060.80 | 4.1× |
| Mra w/cont, lwr ext (C8912) | $877.91 | $2,508.30 | 2.5× |
| Mra w/cont, pelvis (C8918) | $821.84 | $2,348.10 | 2.3× |
| Mra w/o cont, abd (C8901) | $684.18 | $1,954.80 | 2.9× |
| Mra w/o cont, pelvis (C8919) | $1,366.47 | $3,904.20 | 5.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,636.14 | $4,674.66 | 4.7× |
| Mra w/o fol w/cont, chest (C8911) | $1,851.57 | $5,290.20 | 5.3× |
| Mri w/cont, breast, bi (C8906) | $1,492.40 | $4,264 | 4.3× |
| Mri w/cont, breast, uni (C8903) | $1,014.65 | $2,899 | 5.8× |
| Oth resp proc, group (G0239) | $13.23 | $37.80 | 0.4× |
| Oth resp proc, indiv (G0238) | $68.44 | $195.55 | 2.4× |
| Pathogen test for platelets (P9100) | $84.35 | $241 | 1.4× |
| Perc d-e cor revasc t cabg s (C9604) | $7,345.10 | $20,986 | 0.6× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$5,455.80 | $15,588 | 0.5× |
| Psa screening (G0103) | $89.67 | $256.20 | 4.6× |
| Therapeutic procd strg endur (G0237) | $11.97 | $34.20 | 0.4× |
| Tomosynthesis, mammo (G0279) | $39.55 | $113 | 3.1× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $6,599.88 | $18,856.80 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $2,249.10 | $6,426 | 1.7× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$5,430.92 | $15,516.90 | 0.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$3,514.14 | $10,040.40 | 0.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,465.59 | $4,187.40 | 2.1× |