Supplies, drugs & other prices at Houston Methodist Baytown Hospital

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

100 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) $2,521 $5,042 3.2×
2d tte w or w/o fol w/con,co (C8923) $1,828 $3,656 2.3×
2d tte w or w/o fol w/con,fu (C8924) $1,057.50 $2,115 3.0×
3D cntr simula trgt lvr les (0944T) $417 $834 1.7×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $13,666.50 $27,333 3.5×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $13,850 $27,700 1.6×
Adm tocilizu covid-19 1st (M0249) $480 $960 1.1×
Adm tocilizu covid-19 2nd (M0250) $480 $960 1.1×
Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) $44.50 $89 1.5×
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0877T) $878.50 $1,757 1.4×
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0878T) $878.50 $1,757 1.4×
Ca screen;flexi sigmoidscope (G0104) $261.50 $523 0.3×
Catheterize for urine spec (P9612) $239 $478 25.6×
Colon ca scrn not hi rsk ind (G0121) $782 $1,564 0.8×
Colorectal scrn; hi risk ind (G0105) $547 $1,094 0.6×
Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) $8,036 $16,072 1.3×
Direct refer hospital observ (G0379) $291 $582 0.5×
Drug test def 1-7 classes (G0480) $107 $214 0.9×
Egd flexible transnasal w/insj intral tube/cath (0654T) $1,858.50 $3,717 0.5×
Elec stim other than wound (G0283) $211.50 $423 16.7×
Elec stim unattend for press (G0281) $456 $912 39.0×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) $57 $114 1.5×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) $90.50 $181 1.5×
Electrophysiologic eval icds w/ss electrode (0577T) $5,077 $10,154 4.2×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $23,144 $46,288 0.5×
Ephys eval ccm-d ld 1st impl (0930T) $2,094 $4,188 1.7×
Ephys eval ccm-d ld separate (0931T) $2,094 $4,188 1.7×
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) $8,036 $16,072 1.3×
Group train w/o patient (G0543) $200 $400 6.9×
Hbot, full body chamber, 30m (G0277) $702 $1,404 5.1×
Hopd mntl hlt, 15-29 min (C7900) $128 $256 3.4×
Hopd mntl hlt, 30-60 min (C7901) $327 $654 3.2×
Insertion of substernal implantable defibrillator electrode (0572T) $10,599.50 $21,199 1.3×
Insertion perm ccm-d system pulse generator only (0916T) $38,720 $77,440 1.7×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $14,276 $28,552 1.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $14,276 $28,552 1.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $55,306.50 $110,613 1.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $33,174.50 $66,349 1.1×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $44,773.50 $89,547 1.4×
Intens cardiac rehab no exer (G0423) $461 $922 3.6×
Intens cardiac rehab w/exerc (G0422) $433 $866 3.3×
Interrogation dev eval icds w/ss eltrd in person (0576T) $50.50 $101 1.3×
Mra, w/dye, upper extremity (C8934) $874.50 $1,749 2.5×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,211.50 $2,423 2.7×
No pt prsnt train initial 30 (G0541) $200 $400 6.9×
Onc hmtlmf neo RNA bcr/abl1 bld/bne marrow (0016U) $951 $1,902 5.8×
Onc Merkel Cll Carc Srm Quan (0058U) $341.50 $683 1.1×
Oth resp proc, group (G0239) $231 $462 6.2×
Oth resp proc, indiv (G0238) $214.50 $429 7.4×
Perc d-e cor revasc chro sin (C9607) $13,404.50 $26,809 0.7×
Perc d-e cor revasc t cabg s (C9604) $13,915.50 $27,831 1.2×
Perc d-e cor stent ather s (C9602) $12,870 $25,740 0.7×
Perc drug-el cor stent sing (C9600) $14,546.50 $29,093 1.3×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) $30,378 $60,756 2.4×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $30,378 $60,756 2.4×
Perq Sacral Augmt Bilat Inj (0201T) $8,149 $16,298 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $8,499.50 $16,999 1.2×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $9,835.50 $19,671 0.8×
Place device/marker, non pro (C9728) $1,564 $3,128 1.1×
Prgrmg dev eval icds ss ip (0575T) $50.50 $101 1.3×
Programming device eval impl ccm-d sys in person (0926T) $61.50 $123 1.6×
Prostate biopsy, any mthd (G0416) $132 $264 0.4×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $340.50 $681 0.4×
Relocation skin pocket implanted ccm-d pg (0925T) $3,155.50 $6,311 1.5×
Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) $6,695.50 $13,391 178.6×
Removal perm ccm-d system pulse generator only (0919T) $6,278 $12,556 1.7×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $4,139.50 $8,279 1.1×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $1,066.50 $2,133 1.7×
Revasc intra lithotrip-ather (C9766) $26,595.50 $53,191 1.4×
Revasc intra lithotrip-stent (C9765) $21,644.50 $43,289 1.2×
Revasc intravasc lithotripsy (C9764) $8,820 $17,640 0.8×
Revasc lithotrip tibi/perone (C9772) $7,669.50 $15,339 0.7×
Revasc lithotrip-stent-ather (C9767) $28,933 $57,866 1.6×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $6,278 $12,556 1.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $6,278 $12,556 1.7×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $6,278 $12,556 1.7×
Rmvl substernal implantable defibrillator eltrd (0573T) $4,139.50 $8,279 1.1×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $329 $658 0.1×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $38,720 $77,440 1.7×
Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) $8,036 $16,072 1.3×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $5,548 $11,096 1.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $22,992.50 $45,985 1.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $25,978 $51,956 1.3×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $25,978 $51,956 1.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $25,978 $51,956 1.3×
Tee w or w/o fol w/cont, mon (C8927) $2,873.50 $5,747 3.6×
Tee w or w/o fol w/cont,cong (C8926) $2,487.50 $4,975 3.2×
Therapeutic procd strg endur (G0237) $191 $382 6.6×
Tomosynthesis, mammo (G0279) $63.50 $127 5.0×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,163 $4,326 0.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$5,348.50 $10,697 0.5×
Trluml peripheral atherectomy iliac artery ea (0238T) $35,387 $70,774 1.9×
Tte w or w/o contr, cont ecg (C8930) $4,293 $8,586 5.5×
Tte w or w/o fol w/con,stres (C8928) $2,272 $4,544 2.9×
Tte w or w/o fol w/cont, com (C8921) $718.50 $1,437 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $1,218.50 $2,437 1.5×
Tte w or wo fol wcon,doppler (C8929) $3,529 $7,058 4.5×
U/s trtmt, not leiomyomata (C9734) $32,401 $64,802 2.5×
Unsched dialysis esrd pt hos (G0257) $2,406.50 $4,813 3.5×
Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) $1,390 $2,780 1.5×