Supplies, drugs & other prices at HCA Houston Healthcare Clear Lake
Webster, TX · every code in this section with a posted price and a Medicare benchmark.
59 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $6,784.09 | $6,784.09 | 19.4× |
| Adm tocilizu covid-19 1st (M0249) | $833.33 | $833.33 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $833.33 | $833.33 | 1.9× |
| Admin influenza virus vac (G0008) | $101.05 | $101.05 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $63.62 | $63.62 | 1.4× |
| Covid-19 lab test non-cdc (U0002) | $81.11 | $81.11 | 1.6× |
| Diab manage trn per indiv (G0108) | $350.64 | $350.64 | 6.3× |
| Diab manage trn ind/group (G0109) | $170.96 | $170.96 | 10.7× |
| Direct refer hospital observ (G0379) | $1,068.22 | $1,068.22 | 1.8× |
| Drug test def 1-7 classes (G0480) | $340.70 | $340.70 | 3.0× |
| Drug test def 15-21 classes (G0482) | $340.70 | $340.70 | 1.7× |
| Drug test def 22+ classes (G0483) | $340.70 | $340.70 | 1.4× |
| Drug test def 8-14 classes (G0481) | $340.70 | $340.70 | 2.2× |
| Elec stim other than wound (G0283) | $404.30 | $404.30 | 31.9× |
| Fern test (Q0114) | $687.75 | $687.75 | 70.6× |
| Group mnt 2 or more 30 mins (G0271) | $183.43 | $183.43 | 10.8× |
| Hbot, full body chamber, 30m (G0277) | $771.11 | $771.11 | 5.6× |
| Hepb screen high risk indiv (G0499) | $1,014.47 | $1,014.47 | 35.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $153,165.47 | $153,165.47 | 4.9× |
| Lev 1 hosp type b ed visit (G0380) | $608.99 | $608.99 | 8.2× |
| Lev 2 hosp type b ed visit (G0381) | $1,632.04 | $1,632.04 | 17.5× |
| Lev 3 hosp type b ed visit (G0382) | $2,334.60 | $2,334.60 | 13.5× |
| Lev 4 hosp type b ed visit (G0383) | $3,119.88 | $3,119.88 | 11.8× |
| Lev 5 hosp type b ed visit (G0384) | $4,731.40 | $4,731.40 | 11.5× |
| Mra w/cont, abd (C8900) | $14,792.79 | $14,792.79 | 42.2× |
| Mra w/cont, chest (C8909) | $14,794.04 | $14,794.04 | 42.2× |
| Mra w/cont, pelvis (C8918) | $11,796.19 | $11,796.19 | 33.7× |
| Mra w/o cont, abd (C8901) | $20,488.72 | $20,488.72 | 85.5× |
| Mra w/o cont, chest (C8910) | $1,486.34 | $1,486.34 | 6.2× |
| Mra w/o cont, lwr ext (C8913) | $17,565.17 | $17,565.17 | 73.3× |
| Mra w/o fol w/cont, abd (C8902) | $20,488.72 | $20,488.72 | 58.5× |
| Mra w/o fol w/cont, chest (C8911) | $10,418.18 | $10,418.18 | 29.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $12,728.30 | $12,728.30 | 36.3× |
| Mri w/cont, breast, bi (C8906) | $13,295.12 | $13,295.12 | 37.9× |
| Mri w/cont, breast, uni (C8903) | $11,778.56 | $11,778.56 | 66.8× |
| Mri w/o fol w/cont, breast, (C8908) | $9,109.46 | $9,109.46 | 26.0× |
| Oth resp proc, group (G0239) | $487.56 | $487.56 | 13.0× |
| Oth resp proc, indiv (G0238) | $487.56 | $487.56 | 16.8× |
| Perc d-e cor revasc chro sin (C9607) | $95,192.16 | $95,192.16 | 5.2× |
| Perc d-e cor revasc t cabg s (C9604) | $62,163.93 | $62,163.93 | 5.4× |
| Perc d-e cor stent ather s (C9602) | $95,192.16 | $95,192.16 | 5.2× |
| Perc drug-el cor stent sing (C9600) | $62,163.93 | $62,163.93 | 5.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $15,124.15 | $15,124.15 | 1.3× |
| Psa screening (G0103) | $1,013.20 | $1,013.20 | 52.5× |
| Revasc intra lithotrip-ather (C9766) | $71,486.10 | $71,486.10 | 3.9× |
| Revasc intra lithotrip-stent (C9765) | $89,357.62 | $89,357.62 | 4.9× |
| Revasc intravasc lithotripsy (C9764) | $85,343.32 | $85,343.32 | 7.4× |
| Revasc lithotrip tibi/perone (C9772) | $111,218.09 | $111,218.09 | 9.6× |
| Revasc lithotrip-stent-ather (C9767) | $115,008.86 | $115,008.86 | 6.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $51,870.50 | $51,870.50 | 2.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $81,687.10 | $81,687.10 | 4.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $17,971.80 | $17,971.80 | 3.1× |
| Therapeutic procd strg endur (G0237) | $487.56 | $487.56 | 16.8× |
| Tomosynthesis, mammo (G0279) | $135.96 | $135.96 | 10.7× |
| Trauma respons w/hosp criti (G0390) | $30,418 | $30,418 | 22.7× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $65,704.71 | $65,704.71 | 3.6× |
| Tte w or wo fol wcon,doppler (C8929) | $12,383.32 | $12,383.32 | 15.7× |
| Unsched dialysis esrd pt hos (G0257) | $8,970.33 | $8,970.33 | 13.0× |
| Wet mounts/ w preparations (Q0111) | $714.45 | $714.45 | 38.5× |