Supplies, drugs & other prices at El Campo Memorial Hospital (El Campo, TX)

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

Procedure	Cash price	Gross charge	× Medicare
Admin hepatitis b vaccine (G0010)	$14	$14	0.3×
Admin influenza virus vac (G0008)	$70.50	$70.50	1.5×
Admin pneumococcal vaccine (G0009)	$70.50	$70.50	1.5×
Amalgam 4 or > surfaces perm (D2161)	$295	$295	0.5×
Ca screen;flexi sigmoidscope (G0104)	$2,400	$2,400	2.6×
Colon ca scrn not hi rsk ind (G0121)	$1,911	$1,911	2.0×
Colorectal scrn; hi risk ind (G0105)	$1,155.50	$1,155.50	1.2×
Crown resin-based indirect (D2710)	$295	$295	0.5×
Direct refer hospital observ (G0379)	$156.50	$156.50	0.3×
Drug test def 1-7 classes (G0480)	$41	$41	0.4×
Elec stim other than wound (G0283)	$101	$101	8.0×
End thxpy, anterior tooth (D3310)	$712	$712	1.1×
Extraction erupted tooth/exr (D7140)	$395.50	$395.50	0.6×
Hbot, full body chamber, 30m (G0277)	$377	$377	2.7×
Hepb screen high risk indiv (G0499)	$94	$94	3.3×
Hospital outpt clinic visit (G0463)	$375	$375	2.8×
Inj for sacroiliac jt anesth (G0260)	$766	$766	1.1×
Njx pltlt plasma w/img harvest/preparation (0232T)	$1,009	$1,009	2.2×
Non-ophthalmic fva (C9733)	$767	$767	2.2×
Oth resp proc, group (G0239)	$87	$87	2.3×
Oth resp proc, indiv (G0238)	$153	$153	5.3×
Post 3 srfc resinbased cmpst (D2393)	$429	$429	0.7×
Psa screening (G0103)	$84	$84	4.4×
Pulpal therapy posterior pri (D3240)	$574	$574	0.9×
Resin 4/> surf or w incis an (D2335)	$712	$712	1.1×
Therapeutic procd strg endur (G0237)	$153	$153	5.3×
Trauma respons w/hosp criti (G0390)	$3,000	$3,000	2.2×
Unsched dialysis esrd pt hos (G0257)	$1,529	$1,529	2.2×