Supplies, drugs & other prices at Goodall Witcher Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ca screen;pelvic/breast exam (G0101) $49.70 $71 0.5×
Colon ca scrn not hi rsk ind (G0121) $847 $1,210 0.9×
Colorectal scrn; hi risk ind (G0105) $847 $1,210 0.9×
Direct refer hospital observ (G0379) $135.80 $194 0.2×
Elec stim other than wound (G0283) $24.55 $35.07 1.9×
Hep c screen high risk/other (G0472) $27.73 $39.62 0.6×
Initial preventive exam (G0402) $138.25 $197.50 1.0×
Oth resp proc, indiv (G0238) $16.46 $23.52 0.6×
Ppps, initial visit (G0438) $124.60 $178 0.7×
Ppps, subseq visit (G0439) $112.70 $161 0.8×
Psa screening (G0103) $104.30 $149 5.4×
Visit to determ ldct elig (G0296) $60.90 $87 0.6×