Supplies, drugs & other prices at Citizens Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $70 $140 1.5×
Admin pneumococcal vaccine (G0009) $78 $156 1.7×
Catheterize for urine spec (P9612) $13.50 $27 1.4×
Direct refer hospital observ (G0379) $850 $1,700 1.4×
Drug test def 1-7 classes (G0480) $83 $166 0.7×
Elec stim other than wound (G0283) $62.50 $125 4.9×
Hbot, full body chamber, 30m (G0277) $471 $942 3.4×
Home sleep test/type 3 porta (G0399) $181 $362 0.8×
Perc d-e cor stent ather s (C9602) $19,935.50 $39,871 1.1×
Perc drug-el cor stent sing (C9600) $12,928 $25,856 1.1×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $17,231 $34,462 1.3×
Prostate biopsy, any mthd (G0416) $370.50 $741 1.0×
Psa screening (G0103) $46.50 $93 2.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $12,928 $25,856 1.1×
Trluml peripheral atherectomy iliac artery ea (0238T) $19,935.50 $39,871 1.1×