Supplies, drugs & other prices at Doctors Hosptal at Renaissance

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

116 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) $2,049.27 $2,049.27 2.6×
2d tte w or w/o fol w/con,fu (C8924) $1,436.55 $1,436.55 4.1×
Adm of soc dtr assess 5-15 m (G0136) $98.83 $98.83 2.6×
Admin hepatitis b vaccine (G0010) $168.48 $168.48 3.6×
Admin influenza virus vac (G0008) $185.31 $185.31 3.9×
Admin pneumococcal vaccine (G0009) $186.66 $186.66 4.0×
Annual alcohol screen 15 min (G0442) $284.06 $284.06 7.5×
Arthro/shoul surg; w/spacer (C9781) $26,866.12 $26,866.12 2.1×
Behavior counsel obesity 15m (G0447) $241.45 $241.45 2.4×
Brief alcohol misuse counsel (G0443) $284.06 $284.06 2.8×
Ca screen;flexi sigmoidscope (G0104) $6,391 $6,391 6.8×
Ca screen;pelvic/breast exam (G0101) $270.14 $270.14 2.6×
Catheterize for urine spec (P9612) $426.09 $426.09 45.6×
Colon ca scrn not hi rsk ind (G0121) $8,522.36 $8,522.36 9.1×
Colorectal scrn; hi risk ind (G0105) $8,353.75 $8,353.75 8.9×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $1,707.75 $1,707.75 0.4×
Cysto impl 4 or more (C9740) $21,826.03 $21,826.03 2.3×
Cysto, litho, vacuum kidney (C9761) $18,886.41 $18,886.41 2.0×
Cystoscopy prostatic imp 1-3 (C9739) $11,039.74 $11,039.74 2.0×
Diab manage trn per indiv (G0108) $273.82 $273.82 4.9×
Diab manage trn ind/group (G0109) $147.64 $147.64 9.2×
Direct refer hospital observ (G0379) $657.66 $657.66 1.1×
Drug test def 1-7 classes (G0480) $1,579.13 $1,579.13 13.8×
Elec stim other than wound (G0283) $120.73 $120.73 9.5×
Electrophysiologic eval icds w/ss electrode (0577T) $3,311.43 $3,311.43 2.7×
Esd endoscopy or colonoscopy (C9779) $6,849 $6,849 1.8×
Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral (0207T) $1,136.22 $1,136.22 8.5×
Extraction erupted tooth/exr (D7140) $2,265.36 $2,265.36 3.5×
Extrnl counterpulse, per tx (G0166) $344.59 $344.59 2.6×
Fecal microbiota prep instil (G0455) $2,921.88 $2,921.88 3.1×
Fern test (Q0114) $80.96 $80.96 8.3×
Followup eval of foot pt lop (G0246) $366.40 $366.40 2.7×
Group mnt 2 or more 30 mins (G0271) $91.88 $91.88 5.4×
Hbot, full body chamber, 30m (G0277) $1,158.06 $1,158.06 8.4×
Home sleep test/type 4 porta (G0400) $485.38 $485.38 2.2×
Hospital outpt clinic visit (G0463) $366.40 $366.40 2.7×
Impact tooth remov comp bony (D7240) $2,265.36 $2,265.36 3.5×
Impact tooth remov soft tiss (D7220) $2,265.36 $2,265.36 3.5×
Initial foot exam pt lops (G0245) $366.40 $366.40 2.7×
Initial preventive exam (G0402) $409.71 $409.71 3.1×
Inj for sacroiliac jt anesth (G0260) $1,623.95 $1,623.95 2.3×
Injection(s), bone-substitute material for bone and/or soft tissue hardware fixation augmentation, including… (0869T) $8,835.73 $8,835.73 2.7×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $11,173.23 $11,173.23 2.1×
Insertion of substernal implantable defibrillator electrode (0572T) $22,574.70 $22,574.70 2.7×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $6,258.37 $6,258.37 1.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $84,455.54 $84,455.54 2.7×
Mnt subs tx for change dx (G0270) $167.40 $167.40 5.3×
Mra w/cont, lwr ext (C8912) $3,739.61 $3,739.61 10.7×
Mra w/o cont, abd (C8901) $4,932.81 $4,932.81 20.6×
Mra w/o cont, chest (C8910) $3,758.07 $3,758.07 15.7×
Mra w/o cont, lwr ext (C8913) $4,932.81 $4,932.81 20.6×
Mra w/o cont, pelvis (C8919) $4,932.81 $4,932.81 20.6×
Mra w/o fol w/cont, abd (C8902) $4,809.06 $4,809.06 13.7×
Mra w/o fol w/cont, chest (C8911) $4,833.21 $4,833.21 13.8×
Mra w/o fol w/cont, lwr ext (C8914) $4,833.21 $4,833.21 13.8×
Mra w/o fol w/cont, pelvis (C8920) $4,833.21 $4,833.21 13.8×
Mra, w/o dye, spinal canal (C8932) $3,758.07 $3,758.07 15.7×
Mra, w/o dye, upper extr (C8935) $3,758.07 $3,758.07 15.7×
Mra, w/o&w/dye, spinal canal (C8933) $5,037.73 $5,037.73 14.4×
Mra, w/o&w/dye, upper extr (C8936) $4,836.05 $4,836.05 13.8×
Mri w/cont, breast, bi (C8906) $5,141.42 $5,141.42 14.7×
Mri w/cont, breast, uni (C8903) $3,366.07 $3,366.07 19.1×
Mri w/o fol w/cont, breast, (C8908) $5,594.49 $5,594.49 16.0×
Mri w/o fol w/cont, brst, un (C8905) $3,662.90 $3,662.90 10.5×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $210.83 $210.83 3.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $3,155.86 $3,155.86 7.0×
Obtaining screen pap smear (Q0091) $95.73 $95.73 3.3×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $52,030.26 $52,030.26 2.7×
Oth resp proc, indiv (G0238) $409.04 $409.04 14.1×
Pelvic ring fx treat int fix (G0414) $5,681.12 $5,681.12 0.8×
Perc d-e cor revasc chro sin (C9607) $29,488.94 $29,488.94 1.6×
Perc d-e cor revasc t cabg s (C9604) $27,302.21 $27,302.21 2.4×
Perc d-e cor stent ather s (C9602) $29,488.94 $29,488.94 1.6×
Perc drug-el cor stent sing (C9600) $27,302.21 $27,302.21 2.4×
Perq Sacral Augmt Bilat Inj (0201T) $15,075.08 $15,075.08 2.1×
Perq Sacral Augmt Unilat Inj (0200T) $15,075.08 $15,075.08 2.1×
Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) $15,075.08 $15,075.08 2.1×
Ppps, initial visit (G0438) $518.40 $518.40 3.0×
Ppps, subseq visit (G0439) $518.40 $518.40 3.8×
Prolonged iv inf, req pump (C8957) $1,168.89 $1,168.89 5.5×
Psa screening (G0103) $355.30 $355.30 18.4×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T) $15,526.90 $15,526.90 2.5×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $624.02 $624.02 3.1×
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) $1,707.75 $1,707.75 0.4×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $9,927.05 $9,927.05 2.6×
Revasc intra lithotrip-ather (C9766) $56,549.59 $56,549.59 3.1×
Revasc intra lithotrip-stent (C9765) $47,501.65 $47,501.65 2.6×
Revasc intravasc lithotripsy (C9764) $35,196.09 $35,196.09 3.0×
Revasc lith-sten-ath tib/per (C9775) $53,303.41 $53,303.41 2.9×
Revasc lithotr-ather tib/per (C9774) $53,303.41 $53,303.41 2.9×
Revasc lithotr-stent tib/per (C9773) $53,303.41 $53,303.41 2.9×
Revasc lithotrip tibi/perone (C9772) $33,337.50 $33,337.50 2.9×
Revasc lithotrip-stent-ather (C9767) $56,549.59 $56,549.59 3.1×
Rmvl substernal implantable defibrillator eltrd (0573T) $9,927.05 $9,927.05 2.6×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $9,927.05 $9,927.05 2.6×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $74,576.44 $74,576.44 3.3×
Scr c/v cyto,thinlayer,rescr (G0145) $121.85 $121.85 4.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $51,934.68 $51,934.68 2.7×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $8,571.29 $8,571.29 2.7×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $51,934.68 $51,934.68 2.7×
Tear film imaging, unilateral or bilateral, with interpretation and report (0330T) $128.12 $128.12 3.4×
Tee w or w/o fol w/cont, mon (C8927) $2,296.64 $2,296.64 2.9×
Tee w or w/o fol w/cont,cong (C8926) $2,296.64 $2,296.64 2.9×
Therapeutic procd strg endur (G0237) $409.04 $409.04 14.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $16,564.31 $16,564.31 2.9×
Transcatheter renal sympath denervation unilat (0338T) $16,564.31 $16,564.31 2.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $18,330.69 $18,330.69 1.6×
Trauma respons w/hosp criti (G0390) $5,899.73 $5,899.73 4.4×
Trim nail(s) (G0127) $192 $192 3.2×
Trluml Perip Athrc Renal Art (0234T) $18,330.69 $18,330.69 1.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $34,693.69 $34,693.69 3.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $58,059.43 $58,059.43 3.2×
Tte w or w/o contr, cont ecg (C8930) $2,428.55 $2,428.55 3.1×
Tte w or w/o fol w/con,stres (C8928) $2,428.55 $2,428.55 3.1×
Tte w or wo fol wcon,doppler (C8929) $2,151.73 $2,151.73 2.7×
Unsched dialysis esrd pt hos (G0257) $2,714.23 $2,714.23 3.9×