Supplies, drugs & other prices at Fisher County Hospital District

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $4 $5 0.1×
Admin influenza virus vac (G0008) $30 $35 0.6×
Admin pneumococcal vaccine (G0009) $25.50 $30 0.5×
Ca screen;pelvic/breast exam (G0101) $34 $40 0.3×
Diab manage trn per indiv (G0108) $76 $89 1.4×
Ekg tracing for initial prev (G0404) $162 $190 5.6×
Elec stim other than wound (G0283) $37 $43 2.9×
Hep c screen high risk/other (G0472) $122 $144 2.6×
Initial preventive exam (G0402) $111 $130 0.8×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M) $519 $611 1.0×
Obtaining screen pap smear (Q0091) $27 $32 0.9×
Oth resp proc, indiv (G0238) $26 $30 0.9×
Ppps, initial visit (G0438) $163 $192 0.9×
Ppps, subseq visit (G0439) $170 $200 1.2×
Psa screening (G0103) $88 $104 4.6×
Routine footcare pt w lops (G0247) $43 $50 0.2×
Therapeutic procd strg endur (G0237) $47 $55 1.6×
Trim nail(s) (G0127) $55 $65 0.9×