Supplies, drugs & other prices at Glen Rose Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ca screen;flexi sigmoidscope (G0104) $2,804 $2,804 3.0×
Colon ca scrn not hi rsk ind (G0121) $2,804 $2,804 3.0×
Colorectal scrn; hi risk ind (G0105) $2,804 $2,804 3.0×
Covid-19 lab test non-cdc (U0002) $118 $118 2.3×
Direct refer hospital observ (G0379) $2,322 $2,322 3.9×
Ekg tracing for initial prev (G0404) $113 $113 3.9×
Elec stim other than wound (G0283) $43 $43 3.4×
Fecal blood scrn immunoassay (G0328) $117 $117 6.5×
Inj for sacroiliac jt anesth (G0260) $2,244 $2,244 3.2×
Mra w/cont, abd (C8900) $1,301 $1,301 3.7×
Mra w/cont, pelvis (C8918) $1,301 $1,301 3.7×
Mra w/o fol w/cont, abd (C8902) $1,301 $1,301 3.7×
Oth resp proc, group (G0239) $118 $118 3.1×
Oth resp proc, indiv (G0238) $82 $82 2.8×
Psa screening (G0103) $126 $126 6.5×
Therapeutic procd strg endur (G0237) $82 $82 2.8×
Tomosynthesis, mammo (G0279) $96 $96 7.6×