Supplies, drugs & other prices at Hsa Port Arthur, LLC

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $118.63 $118.63 2.5×
Admin influenza virus vac (G0008) $118.63 $118.63 2.5×
Admin pneumococcal vaccine (G0009) $118.63 $118.63 2.5×
Cbc without platelet (G0307) $19.41 $19.41 3.0×
Cbc/diffwbc w/o platelet (G0306) $23.31 $23.31 3.0×
Colorectal scrn; hi risk ind (G0105) $4,394.46 $4,394.46 4.7×
Drug test def 1-7 classes (G0480) $343.29 $343.29 3.0×
Fecal blood scrn immunoassay (G0328) $54.15 $54.15 3.0×
Fern test (Q0114) $30.68 $30.68 3.1×
Hiv combination assay (G0475) $72.24 $72.24 3.0×
Home sleep test/type 3 porta (G0399) $1,502.27 $1,502.27 6.9×
Hospital outpt clinic visit (G0463) $717.89 $717.89 5.4×
Hpv combo assay ca screen (G0476) $105.27 $105.27 3.0×
Inj for sacroiliac jt anesth (G0260) $2,280.97 $2,280.97 3.2×
Psa screening (G0103) $57.93 $57.93 3.0×
Screen cerv/vag thin layer (G0123) $60.78 $60.78 3.0×
Therapeutic procd strg endur (G0237) $181.25 $181.25 6.2×
Tomosynthesis, mammo (G0279) $100.17 $100.17 7.9×
Unsched dialysis esrd pt hos (G0257) $3,477.73 $3,477.73 5.0×