Supplies, drugs & other prices at Lake Granbury Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $24.12 $134 0.7×
Adm tocilizu covid-19 1st (M0249) $206.82 $1,149 0.5×
Adm tocilizu covid-19 2nd (M0250) $206.82 $1,149 0.5×
Admin hepatitis b vaccine (G0010) $12.60 $70 0.3×
Admin influenza virus vac (G0008) $30.60 $170 0.6×
Admin pneumococcal vaccine (G0009) $28.80 $160 0.6×
Ca screen;flexi sigmoidscope (G0104) $3,143.62 $17,464.55 3.3×
Colon ca scrn not hi rsk ind (G0121) $3,531.19 $19,617.71 3.7×
Colorectal scrn; hi risk ind (G0105) $3,329.72 $18,498.44 3.5×
Direct refer hospital observ (G0379) $155.88 $866 0.3×
Elec stim other than wound (G0283) $72.18 $401 5.7×
Elisa hiv-1/hiv-2 screen (G0433) $89.28 $496 4.9×
Hbot, full body chamber, 30m (G0277) $91.26 $507 0.6×
Hiv combination assay (G0475) $20.34 $113 0.8×
Hospital outpt clinic visit (G0463) $350.10 $1,945 2.6×
Inj for sacroiliac jt anesth (G0260) $1,750.32 $9,723.99 2.4×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $13,973.37 $77,629.85 4.2×
Mra w/o cont, lwr ext (C8913) $2,291.67 $12,731.50 9.4×
Mra w/o fol w/cont, abd (C8902) $2,398.86 $13,327 6.7×
Mra, w/dye, upper extremity (C8934) $920.88 $5,116 2.6×
Mra, w/o dye, upper extr (C8935) $920.88 $5,116 3.8×
Mra, w/o&w/dye, upper extr (C8936) $920.88 $5,116 2.6×
Oral hiv-1/hiv-2 screen (G0435) $31.68 $176 2.6×
Oth resp proc, group (G0239) $35.10 $195 0.9×
Oth resp proc, indiv (G0238) $82.80 $460 2.8×
Perc d-e cor revasc chro sin (C9607) $12,609 $70,050 0.7×
Perc d-e cor revasc t cabg s (C9604) $12,609 $70,050 1.1×
Perc d-e cor stent ather s (C9602) $12,609 $70,050 0.7×
Perc drug-el cor stent sing (C9600) $12,609 $70,050 1.1×
Prostate biopsy, any mthd (G0416) $276.12 $1,534 0.8×
Psa screening (G0103) $19.26 $107 1.0×
Rbc DNA gnotyp 10 bld groups (0084U) $428.58 $2,381 0.6×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $23,766.79 $132,037.73 6.6×
Screen cerv/vag thin layer (G0123) $15.48 $86 0.8×
Therapeutic procd strg endur (G0237) $79.20 $440 2.7×
Tomosynthesis, mammo (G0279) $146.88 $816 11.6×
Trauma respons w/hosp criti (G0390) $712.80 $3,960 0.5×
Tte w or wo fol wcon,doppler (C8929) $2,340.90 $13,005 2.9×
Unsched dialysis esrd pt hos (G0257) $589.23 $3,273.50 0.8×