Supplies, drugs & other prices at Eastland Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $275 $549 0.8×
Annual alcohol screen 15 min (G0442) $14 $27 0.4×
Behavior counsel obesity 15m (G0447) $20 $40 0.2×
Brief alcohol misuse counsel (G0443) $20 $40 0.2×
Ca screen;pelvic/breast exam (G0101) $30 $60 0.3×
Depression screen annual (G0444) $14 $27 0.4×
Direct refer hospital observ (G0379) $263 $525 0.4×
Drug test def 1-7 classes (G0480) $140 $280 1.2×
Ekg tracing for initial prev (G0404) $21 $41 0.7×
Elec stim other than wound (G0283) $19 $38 1.5×
Elec stim unattend for press (G0281) $39 $77 3.3×
Fecal blood scrn immunoassay (G0328) $13 $25 0.7×
Followup eval of foot pt lop (G0246) $30 $59 0.2×
Glaucoma scrn hgh risk direc (G0118) $33 $66 0.9×
Glaucoma scrn hgh risk direc (G0117) $42 $84 1.4×
High inten beh couns std 30m (G0445) $21 $42 0.2×
Hospital outpt clinic visit (G0463) $137 $273 1.0×
Initial foot exam pt lops (G0245) $50 $100 0.4×
Initial preventive exam (G0402) $81 $161 0.6×
Intens behave ther cardio dx (G0446) $20 $40 0.5×
Mra w/o fol w/cont, abd (C8902) $579 $1,158 1.7×
Obtaining screen pap smear (Q0091) $33 $65 1.1×
Ppps, initial visit (G0438) $83 $165 0.5×
Ppps, subseq visit (G0439) $71.50 $143 0.5×
Routine footcare pt w lops (G0247) $61 $121 0.3×
Therapeutic procd strg endur (G0237) $16 $31 0.6×
Tomosynthesis, mammo (G0279) $26 $52 2.0×
Trauma respons w/hosp criti (G0390) $861 $1,721 0.6×
Trim nail(s) (G0127) $18 $36 0.3×
Tte w or wo fol wcon,doppler (C8929) $810 $1,620 1.0×
Visit to determ ldct elig (G0296) $22 $44 0.2×