Supplies, drugs & other prices at Dimmit Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $24 $40 0.5×
Admin pneumococcal vaccine (G0009) $25.50 $42.50 0.5×
Annual alcohol screen 15 min (G0442) $24 $40 0.6×
Behavior counsel obesity 15m (G0447) $30 $50 0.3×
Ca screen;pelvic/breast exam (G0101) $60 $100 0.6×
Catheterize for urine spec (P9612) $22 $36 2.4×
Depression screen annual (G0444) $40 $66 1.1×
Diab manage trn per indiv (G0108) $125 $208 2.2×
Direct refer hospital observ (G0379) $987 $1,645 1.6×
Followup eval of foot pt lop (G0246) $45 $75 0.3×
Hbot, full body chamber, 30m (G0277) $510 $850 3.7×
Initial foot exam pt lops (G0245) $72 $120 0.5×
Intens behave ther cardio dx (G0446) $30 $50 0.8×
Mnt subs tx for change dx (G0270) $91 $151 2.9×
Obtaining screen pap smear (Q0091) $102 $170 3.5×
Ppps, initial visit (G0438) $180 $300 1.0×
Ppps, subseq visit (G0439) $120 $200 0.9×
Routine footcare pt w lops (G0247) $84 $140 0.4×
Therapeutic procd strg endur (G0237) $76 $126 2.6×
Trauma respons w/hosp criti (G0390) $3,573 $5,954.50 2.7×