Supplies, drugs & other prices at Faith Community Hospital
Jacksboro, TX · every code in this section with a posted price and a Medicare benchmark.
16 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Autolog prp not diab ulcer (G0460) | $6.80 | $9.71 | 0.0× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$189–$1,190 | $270–$1,700 | varies |
| Catheterize for urine spec (P9612) range across 3 matching MRF lines |
$3.50–$18.93 | $5–$27.04 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$623–$3,220 | $890–$4,600 | varies |
| Colorectal scrn; hi risk ind (G0105) | $894.04 | $1,277.20 | 1.0× |
| Direct refer hospital observ (G0379) | $9.97 | $14.24 | 0.0× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$30.18–$37.86 | $43.11–$54.08 | varies |
| Hospital outpt clinic visit (G0463) | $3.50 | $5 | 0.0× |
| Inj for sacroiliac jt anesth (G0260) | $2,940 | $4,200 | 4.1× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) range across 2 matching MRF lines |
$371–$1,554.70 | $530–$2,221 | varies |
| Pathogen test for platelets (P9100) | $224 | $320 | 3.8× |
| Psa screening (G0103) | $103.72 | $148.17 | 5.4× |
| Screen cerv/vag thin layer (G0123) | $112.04 | $160.06 | 5.5× |
| Therapeutic procd strg endur (G0237) | $56.78 | $81.11 | 2.0× |
| Trauma respons w/hosp criti (G0390) | $3.50 | $5 | 0.0× |
| Trim nail(s) (G0127) | $3.82 | $5.45 | 0.1× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.