Supplies, drugs & other prices at Dallas Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $783 $4,005.95 1.0×
2d tte w or w/o fol w/con,co (C8923) $783 $3,178.35 1.0×
2d tte w or w/o fol w/con,fu (C8924) $348 $1,063.67 1.0×
Admin hepatitis b vaccine (G0010) $46 $185 1.0×
Admin influenza virus vac (G0008) $46 $211 1.0×
Admin pneumococcal vaccine (G0009) $46 $211 1.0×
Ca screen;flexi sigmoidscope (G0104) $929 $3,552.36 1.0×
Chemo extend iv infus w/pump (G0498) $330 $840.81 1.0×
Colon ca scrn not hi rsk ind (G0121) $929 $3,552.36 1.0×
Colorectal scrn; hi risk ind (G0105) $929 $3,552.36 1.0×
Devlopment test interpt&rep (G0451) $101 $329.12 1.0×
Diab manage trn per indiv (G0108) $55 $137 1.0×
Diab manage trn ind/group (G0109) $16 $84 1.0×
Direct refer hospital observ (G0379) $595 $2,496.54 1.0×
Drug test def 1-7 classes (G0480) $114 $399 1.0×
Drug test def 15-21 classes (G0482) $198 $592.59 1.0×
Drug test def 22+ classes (G0483) $246 $736.22 1.0×
Drug test def 8-14 classes (G0481) $156 $449.94 1.0×
Eia hiv-1/hiv-2 screen (G0432) $19 $270.01 1.0×
Elec stim other than wound (G0283) $12 $180 0.9×
Elec stim unattend for press (G0281) $11 $125 0.9×
Fecal blood scrn immunoassay (G0328) $18 $200.01 1.0×
Fecal microbiota prep instil (G0455) $929 $2,235.82 1.0×
Fern test (Q0114) $9 $470.98 0.9×
Group mnt 2 or more 30 mins (G0271) $12 $67.50 0.7×
Hbot, full body chamber, 30m (G0277) $137 $1,233.42 1.0×
Heart symp image plnr (0331T) $1,294 $3,325.38 1.0×
Heart symp image plnr spect (0332T) $1,294 $3,325.38 1.0×
Hep c screen high risk/other (G0472) $46 $260 1.0×
Hepb screen high risk indiv (G0499) $28 $175.33 1.0×
Home sleep test/type 4 porta (G0400) $215 $389.25 1.0×
Hospital outpt clinic visit (G0463) $133 $1,425.50 1.0×
Hpv combo assay ca screen (G0476) $35 $336.98 1.0×
Initial foot exam pt lops (G0245) $133 $568.45 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 $67.50 0.7×
Mra w/cont, abd (C8900) $348 $3,184.67 1.0×
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 $8,136 1.0×
Mra w/o cont, abd (C8901) $238 $8,408.14 1.0×
Mra w/o cont, chest (C8910) $238 $3,016 1.0×
Mra w/o cont, lwr ext (C8913) $238 $14,892 1.0×
Mra w/o cont, pelvis (C8919) $238 $7,886 1.0×
Mra w/o fol w/cont, abd (C8902) $348 $11,210.90 1.0×
Mra w/o fol w/cont, chest (C8911) $348 $10,019 1.0×
Mra w/o fol w/cont, lwr ext (C8914) $348 $19,856 1.0×
Mra w/o fol w/cont, pelvis (C8920) $348 $10,682.80 1.0×
Mra, w/dye, spinal canal (C8931) $348 $3,638 1.0×
Mra, w/dye, upper extremity (C8934) $348 $3,482 1.0×
Mra, w/o dye, spinal canal (C8932) $238 $3,638 1.0×
Mra, w/o dye, upper extr (C8935) $238 $3,482 1.0×
Mra, w/o&w/dye, spinal canal (C8933) $348 $10,019 1.0×
Mra, w/o&w/dye, upper extr (C8936) $348 $10,019 1.0×
Mri w/cont, breast, bi (C8906) $348 $6,509.70 1.0×
Mri w/cont, breast, uni (C8903) $175 $3,346.40 1.0×
Mri w/o fol w/cont, breast, (C8908) $348 $3,987.35 1.0×
Mri w/o fol w/cont, brst, un (C8905) $348 $3,346.40 1.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $446 $16,130 1.0×
Oral hiv-1/hiv-2 screen (G0435) $11 $202.55 0.9×
Oth resp proc, group (G0239) $37 $794.18 1.0×
Perc d-e cor revasc chro sin (C9607) $18,324 $32,992 1.0×
Perc d-e cor revasc t cabg s (C9604) $11,539 $32,992 1.0×
Perc d-e cor stent ather s (C9602) $18,324 $32,992 1.0×
Perc drug-el cor stent sing (C9600) $11,539 $42,759.60 1.0×
Potassium hydroxide preps (Q0112) $5 $87.90 0.9×
Psa screening (G0103) $19 $380.38 1.0×
Revasc intravasc lithotripsy (C9764) $11,539 $53,076.60 1.0×
Revasc lithotrip tibi/perone (C9772) $11,539 $56,702.80 1.0×
Routine footcare pt w lops (G0247) $200 $844.75 1.0×
Screen cerv/vag thin layer (G0123) $20 $215.98 1.0×
Screen pap by tech w md supv (P3000) $18 $154 1.0×
Therapeutic procd strg endur (G0237) $28 $911.80 1.0×
Tomosynthesis, mammo (G0279) $12 $493.20 0.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $11,539 $9,116.67 1.0×
Trauma respons w/hosp criti (G0390) $6,733
Trim nail(s) (G0127) $58 $119.55 1.0×
Trluml Perip Athrc Renal Art (0234T) $11,539 $47,711.80 1.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $11,539 $15,557.60 1.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $18,324 $13,311 1.0×
Tte w or w/o fol w/con,stres (C8928) $783 $2,515.65 1.0×
Tte w or wo fol wcon,doppler (C8929) $783 $2,414.45 1.0×
Unsched dialysis esrd pt hos (G0257) $686 $4,184 1.0×
Wet mounts/ w preparations (Q0111) $18 $87.90 1.0×