Supplies, drugs & other prices at Dallas Medical Center
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $783 | $2,584.13 | 1.0× |
| Admin hepatitis b vaccine (G0010) | $46 | $43.44 | 1.0× |
| Admin influenza virus vac (G0008) | $46 | $173.77 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $46 | $173.77 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $929 | $835.86 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $101 | $81.52 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $929 | $3,968.25 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $929 | $2,507.57 | 1.0× |
| Diab manage trn per indiv (G0108) | $55 | $256 | 1.0× |
| Diab manage trn ind/group (G0109) | $16 | $121.08 | 1.0× |
| Direct refer hospital observ (G0379) | $595 | $2,007.20 | 1.0× |
| Drug test def 1-7 classes (G0480) | $114 | $114.43 | 1.0× |
| Elec stim other than wound (G0283) | $12 | $121.20 | 0.9× |
| Fern test (Q0114) | $9 | $135.20 | 0.9× |
| Group mnt 2 or more 30 mins (G0271) | $12 | $79.02 | 0.7× |
| Hbot, full body chamber, 30m (G0277) | $137 | $1,795.40 | 1.0× |
| Hep c screen high risk/other (G0472) | $46 | $260 | 1.0× |
| Hospital outpt clinic visit (G0463) | $133 | $637.54 | 1.0× |
| Inj for sacroiliac jt anesth (G0260) | $705 | $1,689.33 | 1.0× |
| Liver dis 10 assays w/nash (0003M) | $503 | $2,517 | 1.0× |
| Mnt subs tx for change dx (G0270) | $22 | $98 | 0.7× |
| Mra w/cont, chest (C8909) | $348 | $3,016 | 1.0× |
| Mra w/cont, lwr ext (C8912) | $348 | $3,086.18 | 1.0× |
| Mra w/cont, pelvis (C8918) | $348 | $5,000 | 1.0× |
| Mra w/o fol w/cont, abd (C8902) | $348 | $7,000 | 1.0× |
| Mra, w/dye, spinal canal (C8931) | $348 | $3,638 | 1.0× |
| Mra, w/dye, upper extremity (C8934) | $348 | $4,399.20 | 1.0× |
| Mri w/o fol w/cont, breast, (C8908) | $348 | $2,742.50 | 1.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $446 | $1,821.96 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $11,539 | $10,061.10 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $11,539 | $50,305.30 | 1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $7,253 | $32,713.60 | 1.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $7,253 | $32,713.60 | 1.0× |
| Post op service lvrs min 6 (G0305) | $373 | $918.45 | 1.0× |
| Potassium hydroxide preps (Q0112) | $5 | $141.45 | 0.9× |
| Psa screening (G0103) | $19 | $299.78 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $18,324 | $16,036.70 | 1.0× |
| Trauma respons w/hosp criti (G0390) | — | $8,000 | — |
| Trim nail(s) (G0127) | $58 | $279.70 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $783 | $2,522.66 | 1.0× |
| Tte w or w/o fol w/cont, com (C8921) | $783 | $2,522.66 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $783 | $3,597.10 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $686 | $3,826.69 | 1.0× |