Supplies, drugs & other prices at JPS Health Network
Fort Worth, TX · every code in this section with a posted price and a Medicare benchmark.
89 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $502.80 | $838 | 0.6× |
| 2d tte w or w/o fol w/con,fu (C8924) | $907.20 | $1,512 | 2.6× |
| Admin hepatitis b vaccine (G0010) | $65.40 | $109 | 1.4× |
| Admin influenza virus vac (G0008) | $66.60 | $111 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $97.20 | $162 | 2.1× |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$132–$191.40 | $220–$319 | varies |
| Alcohol/subs interv >30 min (G0397) range across 2 matching MRF lines |
$202.80–$234 | $338–$390 | varies |
| Annual alcohol screen 15 min (G0442) | $106.80 | $178 | 2.8× |
| Brief alcohol misuse counsel (G0443) | $106.80 | $178 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $202.80 | $338 | 2.0× |
| Catheterize for urine spec (P9612) | $44.40 | $74 | 4.8× |
| Depression screen annual (G0444) | $43.20 | $72 | 1.1× |
| Drug test def 1-7 classes (G0480) range across 47 matching MRF lines |
$24.60–$484.80 | $41–$808 | varies |
| Drug test def 15-21 classes (G0482) range across 3 matching MRF lines |
$79.80–$620.40 | $133–$1,034 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$49.20–$553.20 | $82–$922 | varies |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$114–$198 | $190–$330 | varies |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,050.60 | $1,751 | 0.9× |
| Elisa hiv-1/hiv-2 screen (G0433) | $162.60 | $271 | 8.9× |
| Facility svs dental rehab (G0330) | $1,962 | $3,270 | 0.6× |
| Fecal blood scrn immunoassay (G0328) | $54.60 | $91 | 3.0× |
| Fern test (Q0114) | $6.60 | $11 | 0.7× |
| Hepb screen high risk indiv (G0499) | $275.40 | $459 | 9.7× |
| Init/sub psych care m 1st 30 (G2214) | $147 | $245 | 1.4× |
| Initial preventive exam (G0402) | $279 | $465 | 2.1× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $7,163.40 | $11,939 | 0.9× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $27,750.60 | $46,251 | 0.9× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $32.40 | $54 | 0.9× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) | $7,289.40 | $12,149 | 1.7× |
| Mra w/cont, abd (C8900) | $908.40 | $1,514 | 2.6× |
| Mra w/cont, chest (C8909) | $986.40 | $1,644 | 2.8× |
| Mra w/cont, lwr ext (C8912) range across 9 matching MRF lines |
$1,031.40–$2,059.80 | $1,719–$3,433 | varies |
| Mra w/cont, pelvis (C8918) | $986.40 | $1,644 | 2.8× |
| Mra w/o cont, abd (C8901) | $986.40 | $1,644 | 4.1× |
| Mra w/o cont, chest (C8910) | $986.40 | $1,644 | 4.1× |
| Mra w/o cont, lwr ext (C8913) range across 9 matching MRF lines |
$1,031.40–$2,059.80 | $1,719–$3,433 | varies |
| Mra w/o cont, pelvis (C8919) | $986.40 | $1,644 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,042.20 | $1,737 | 3.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,042.20 | $1,737 | 3.0× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,042.20–$1,114.80 | $1,737–$1,858 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,042.20 | $1,737 | 3.0× |
| Mra, w/dye, spinal canal (C8931) | $939 | $1,565 | 2.7× |
| Mra, w/dye, upper extremity (C8934) range across 9 matching MRF lines |
$1,031.40–$2,059.80 | $1,719–$3,433 | varies |
| Mra, w/o dye, spinal canal (C8932) | $939 | $1,565 | 3.9× |
| Mra, w/o dye, upper extr (C8935) range across 9 matching MRF lines |
$1,031.40–$2,059.80 | $1,719–$3,433 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,005.60 | $1,676 | 2.9× |
| Mri w/cont, breast, bi (C8906) | $279 | $465 | 0.8× |
| Mri w/cont, breast, uni (C8903) | $259.80 | $433 | 1.5× |
| Mri w/o fol w/cont, breast, (C8908) | $529.80 | $883 | 1.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $327.60 | $546 | 0.9× |
| Neuro csf prion prtn qual (0035U) | $324 | $540 | 0.6× |
| Njx platelet plasma (0232T) | $1,380.60 | $2,301 | 3.1× |
| Obtaining screen pap smear (Q0091) | $98.40 | $164 | 3.4× |
| Perc d-e cor revasc chro sin (C9607) | $32,400.60 | $54,001 | 1.8× |
| Perc d-e cor revasc t cabg s (C9604) | $12,925.80 | $21,543 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $19,930.80 | $33,218 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $12,804 | $21,340 | 1.1× |
| Perq Sacral Augmt Bilat Inj (0201T) | $11,013.60 | $18,356 | 1.5× |
| Perq Sacral Augmt Unilat Inj (0200T) | $11,013.60 | $18,356 | 1.5× |
| Place device/marker, non pro (C9728) | $2,368.80 | $3,948 | 1.7× |
| Ppps, initial visit (G0438) | $330.60 | $551 | 1.9× |
| Ppps, subseq visit (G0439) | $211.20 | $352 | 1.5× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $32.40 | $54 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $385.80 | $643 | 1.1× |
| Psa screening (G0103) | $92.40 | $154 | 4.8× |
| Removal Ss Dfb Electrode (0573T) | $3,150 | $5,250 | 0.8× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,150 | $5,250 | 0.8× |
| Revasc intra lithotrip-ather (C9766) | $25,929.60 | $43,216 | 1.4× |
| Revasc intra lithotrip-stent (C9765) | $25,929.60 | $43,216 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $16,216.80 | $27,028 | 1.4× |
| Revasc lith-sten-ath tib/per (C9775) | $25,929.60 | $43,216 | 1.4× |
| Revasc lithotr-ather tib/per (C9774) | $25,929.60 | $43,216 | 1.4× |
| Revasc lithotr-stent tib/per (C9773) | $25,929.60 | $43,216 | 1.4× |
| Revasc lithotrip tibi/perone (C9772) | $16,216.80 | $27,028 | 1.4× |
| Revasc lithotrip-stent-ather (C9767) | $25,929.60 | $43,216 | 1.4× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,150 | $5,250 | 0.8× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $33,013.80 | $55,023 | 1.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $8,001.60 | $13,336 | 1.4× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$37.20–$89.40 | $62–$149 | varies |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$4,138.20–$17,132.40 | $6,897–$28,554 | varies |
| Trim nail(s) (G0127) | $239.40 | $399 | 4.0× |
| Trluml perip athrc abd aorta (0236T) | $17,775.60 | $29,626 | 1.5× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,668.80 | $24,448 | 1.3× |
| Trluml Perip Athrc Iliac Art (0238T) | $38,447.40 | $64,079 | 2.1× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $22,956 | $38,260 | 2.0× |
| Tte w or w/o fol w/con,stres (C8928) | $2,199 | $3,665 | 2.8× |
| Tte w or w/o fol w/cont, com (C8921) | $1,772.40 | $2,954 | 2.3× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,772.40 | $2,954 | 2.3× |
| Tte w or wo fol wcon,doppler (C8929) | $2,214.60 | $3,691 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $4,114.20 | $6,857 | 6.0× |
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.