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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Autolog prp not diab ulcer (G0460) | $6.80 | $9.71 | 0.0× |
| Ca screen;flexi sigmoidscope (G0104) | $689.50 | $985 | 0.7× |
| Catheterize for urine spec (P9612) | $3.50 | $5 | 0.4× |
| Colon ca scrn not hi rsk ind (G0121) | $1,921.50 | $2,745 | 2.1× |
| 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) | $34.02 | $48.60 | 2.7× |
| 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) | $962.85 | $1,375.50 | 1.1× |
| 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× |