Supplies, drugs & other prices at HCA Houston Healthcare Southeast

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $26,861.67 $26,861.67 34.1×
2d tte w or w/o fol w/con,co (C8923) $15,266.08 $15,266.08 19.4×
2d tte w or w/o fol w/con,fu (C8924) $12,419.06 $12,419.06 35.4×
Adm tocilizu covid-19 1st (M0249) $826.36 $826.36 1.9×
Adm tocilizu covid-19 2nd (M0250) $826.36 $826.36 1.9×
Admin hepatitis b vaccine (G0010) $252.68 $252.68 5.4×
Admin influenza virus vac (G0008) $224.76 $224.76 4.8×
Admin pneumococcal vaccine (G0009) $270.30 $270.30 5.7×
Catheterize for urine spec (P9612) $1,022.93 $1,022.93 109.5×
Covid-19 lab test non-cdc (U0002) $100.19 $100.19 2.0×
Diab manage trn per indiv (G0108) $547.79 $547.79 9.8×
Diab manage trn ind/group (G0109) $169.12 $169.12 10.6×
Direct refer hospital observ (G0379) $1,834.38 $1,834.38 3.1×
Drug test def 1-7 classes (G0480) $3,030.33 $3,030.33 26.5×
Elec stim other than wound (G0283) $318.84 $318.84 25.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $45,845.81 $45,845.81 4.0×
Extrnl counterpulse, per tx (G0166) $3,169.40 $3,169.40 23.7×
Fern test (Q0114) $924.49 $924.49 94.9×
Group mnt 2 or more 30 mins (G0271) $140.69 $140.69 8.3×
Hbot, full body chamber, 30m (G0277) $1,235.78 $1,235.78 8.9×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $6,496.34 $6,496.34 9.3×
Initial preventive exam (G0402) $538 $538 4.0×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $188,908.90 $188,908.90 6.0×
Lev 1 hosp type b ed visit (G0380) $1,385.64 $1,385.64 18.6×
Lev 2 hosp type b ed visit (G0381) $2,357.88 $2,357.88 25.3×
Lev 3 hosp type b ed visit (G0382) $3,272.83 $3,272.83 19.0×
Lev 4 hosp type b ed visit (G0383) $4,095.87 $4,095.87 15.4×
Lev 5 hosp type b ed visit (G0384) $5,228.83 $5,228.83 12.7×
Mnt subs tx for change dx (G0270) $269.41 $269.41 8.5×
Mra w/cont, abd (C8900) $10,737.11 $10,737.11 30.6×
Mra w/cont, chest (C8909) $11,220.39 $11,220.39 32.0×
Mra w/cont, lwr ext (C8912) $13,459.88 $13,459.88 38.4×
Mra w/cont, pelvis (C8918) $1,516.88 $1,516.88 4.3×
Mra w/o cont, abd (C8901) $10,285.86 $10,285.86 42.9×
Mra w/o cont, chest (C8910) $10,824.01 $10,824.01 45.2×
Mra w/o cont, lwr ext (C8913) $11,627.43 $11,627.43 48.5×
Mra w/o fol w/cont, abd (C8902) $11,670.11 $11,670.11 33.3×
Mra w/o fol w/cont, chest (C8911) $11,685.36 $11,685.36 33.3×
Mra w/o fol w/cont, lwr ext (C8914) $15,022.51 $15,022.51 42.9×
Mra w/o fol w/cont, pelvis (C8920) $21,676.97 $21,676.97 61.9×
Mri w/cont, breast, bi (C8906) $11,921.64 $11,921.64 34.0×
Mri w/o fol w/cont, breast, (C8908) $12,965.94 $12,965.94 37.0×
Oth resp proc, group (G0239) $284.88 $284.88 7.6×
Oth resp proc, indiv (G0238) $330.67 $330.67 11.4×
Perc d-e cor revasc chro sin (C9607) $77,339 $77,339 4.2×
Perc d-e cor revasc t cabg s (C9604) $50,739.05 $50,739.05 4.4×
Perc d-e cor stent ather s (C9602) $77,339 $77,339 4.2×
Perc drug-el cor stent sing (C9600) $50,739.05 $50,739.05 4.4×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $15,532.50 $15,532.50 1.3×
Revasc intra lithotrip-ather (C9766) $40,068.29 $40,068.29 2.2×
Revasc intra lithotrip-stent (C9765) $40,068.29 $40,068.29 2.2×
Revasc intravasc lithotripsy (C9764) $19,776.81 $19,776.81 1.7×
Revasc lith-sten-ath tib/per (C9775) $64,090.10 $64,090.10 3.5×
Revasc lithotr-ather tib/per (C9774) $64,090.10 $64,090.10 3.5×
Revasc lithotr-stent tib/per (C9773) $64,090.10 $64,090.10 3.5×
Revasc lithotrip tibi/perone (C9772) $40,068.29 $40,068.29 3.5×
Revasc lithotrip-stent-ather (C9767) $64,090.10 $64,090.10 3.5×
Tee w or w/o fol w/cont, mon (C8927) $26,872.84 $26,872.84 34.1×
Tee w or w/o fol w/cont,cong (C8926) $26,872.84 $26,872.84 34.1×
Therapeutic procd strg endur (G0237) $330.67 $330.67 11.4×
Tomosynthesis, mammo (G0279) $1,903.77 $1,903.77 150.0×
Trauma respons w/hosp criti (G0390) $12,362 $12,362 9.2×
Trim nail(s) (G0127) $1,538.30 $1,538.30 26.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $82,413.44 $82,413.44 4.5×
Tte w or w/o fol w/con,stres (C8928) $15,345.88 $15,345.88 19.5×
Tte w or w/o fol w/cont, com (C8921) $21,035.15 $21,035.15 26.7×
Tte w or w/o fol w/cont, f/u (C8922) $15,345.88 $15,345.88 19.5×
Tte w or wo fol wcon,doppler (C8929) $8,951.23 $8,951.23 11.4×
Unsched dialysis esrd pt hos (G0257) $3,833.37 $3,833.37 5.6×
Wet mounts/ w preparations (Q0111) $156.90 $156.90 8.5×