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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ProcedurePosted cashPosted gross× 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)
range across 2 matching MRF lines
$9,492.23–$21,039.93 $9,492.23–$21,039.93 varies
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$9,492.23–$15,345.88 $9,492.23–$15,345.88 varies
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)
range across 2 matching MRF lines
$224.76–$280.61 $224.76–$280.61 varies
Admin influenza virus vac (G0008)
range across 3 matching MRF lines
$166–$280.61 $166–$280.61 varies
Admin pneumococcal vaccine (G0009)
range across 3 matching MRF lines
$224.76–$280.61 $224.76–$280.61 varies
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)
range across 6 matching MRF lines
$244.70–$2,185.83 $244.70–$2,185.83 varies
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)
range across 2 matching MRF lines
$989.29–$1,782 $989.29–$1,782 varies
Lev 2 hosp type b ed visit (G0381)
range across 3 matching MRF lines
$1,442.79–$3,574.68 $1,442.79–$3,574.68 varies
Lev 3 hosp type b ed visit (G0382)
range across 3 matching MRF lines
$1,998.04–$5,367.34 $1,998.04–$5,367.34 varies
Lev 4 hosp type b ed visit (G0383)
range across 3 matching MRF lines
$2,503.93–$6,769.77 $2,503.93–$6,769.77 varies
Lev 5 hosp type b ed visit (G0384)
range across 3 matching MRF lines
$3,192.39–$8,457.25 $3,192.39–$8,457.25 varies
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)
range across 3 matching MRF lines
$12,165.57–$13,459.88 $12,165.57–$13,459.88 varies
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)
range across 2 matching MRF lines
$225.12–$344.65 $225.12–$344.65 varies
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)
range across 2 matching MRF lines
$11,266–$13,458 $11,266–$13,458 varies
Trim nail(s) (G0127) $1,538.30 $1,538.30 26.0×
Trluml Perip Athrc Iliac Art (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)
range across 3 matching MRF lines
$2,708.19–$9,492.23 $2,708.19–$9,492.23 varies
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×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.