Supplies, drugs & other prices at Madison St. Joseph Health Center
Madisonville, TX · every code in this section with a posted price and a Medicare benchmark.
80 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 2nd (M0250) | $129.15 | $738 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $18.20 | $104 | 0.4× |
| Annual alcohol screen 15 min (G0442) | $4.20 | $24 | 0.1× |
| Brief alcohol misuse counsel (G0443) | $5.95 | $34 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $8.23 | $47 | 0.1× |
| Catheterize for urine spec (P9612) | $4.73 | $27 | 0.5× |
| Cbc/diffwbc w/o platelet (G0306) | $37.45 | $214 | 4.8× |
| Covid-19 lab test non-cdc (U0002) | $39.90 | $228 | 0.8× |
| Depression screen annual (G0444) | $4.20 | $24 | 0.1× |
| Diab manage trn ind/group (G0109) | $3.68 | $21 | 0.2× |
| Direct refer hospital observ (G0379) | $272.65 | $1,558 | 0.5× |
| Drug test def 22+ classes (G0483) | $185.15 | $1,058 | 0.7× |
| Ekg tracing for initial prev (G0404) | $1.93 | $11 | 0.1× |
| Electrophysiologic eval icds w/ss electrode (0577T) | $491.40 | $2,808 | 0.4× |
| Ephys eval ccm-d ld 1st impl (0930T) | $493.50 | $2,820 | 0.4× |
| Ephys eval ccm-d ld separate (0931T) | $493.50 | $2,820 | 0.4× |
| Hbot, full body chamber, 30m (G0277) | $297.50 | $1,700 | 2.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $11.20 | $64 | 0.3× |
| Hopd mntl hlt, 30-60 min (C7901) | $37.10 | $212 | 0.4× |
| Hopd mntl hlt, grp (C7903) | $11.20 | $64 | 0.3× |
| Initial preventive exam (G0402) | $37.45 | $214 | 0.3× |
| Insert palate implants (C9727) | $863.28 | $4,933 | 0.6× |
| Insertion of substernal implantable defibrillator electrode (0572T) unusually low: confirm this is the full procedure |
$3,277.58 | $18,729 | 0.4× |
| Insertion perm ccm-d system pulse generator only (0916T) likely a partial charge, not the full procedure |
$4,381.30 | $25,036 | 0.2× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) | $13,480.08 | $77,029 | 1.6× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $13,480.08 | $77,029 | 1.6× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) likely a partial charge, not the full procedure |
$4,381.30 | $25,036 | 0.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$13,580.35 | $77,602 | 0.4× |
| Intens behave ther cardio dx (G0446) | $5.95 | $34 | 0.2× |
| Interrog dev eval impl ccm-d system in person (0927T) | $15.93 | $91 | 0.4× |
| Mri w/cont, breast, bi (C8906) | $472.50 | $2,700 | 1.3× |
| Mri w/cont, breast, uni (C8903) | $302.40 | $1,728 | 1.7× |
| Mri w/o fol w/cont, breast, (C8908) | $472.50 | $2,700 | 1.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $472.50 | $2,700 | 1.3× |
| Obtaining screen pap smear (Q0091) | $9.98 | $57 | 0.3× |
| Oth resp proc, group (G0239) | $44.80 | $256 | 1.2× |
| Oth resp proc, indiv (G0238) | $35.53 | $203 | 1.2× |
| Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) likely a partial charge, not the full procedure |
$2,830.80 | $16,176 | 0.2× |
| Ppps, initial visit (G0438) | $41.30 | $236 | 0.2× |
| Ppps, subseq visit (G0439) | $27.83 | $159 | 0.2× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $15.75 | $90 | 0.4× |
| Programming device eval impl ccm-d sys in person (0926T) | $1,258.25 | $7,190 | 33.6× |
| Prostate biopsy, any mthd (G0416) | $212.28 | $1,213 | 0.6× |
| Psa screening (G0103) | $56 | $320 | 2.9× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $479.33 | $2,739 | 0.2× |
| Removal perm ccm-d system pulse generator only (0919T) | $1,053.33 | $6,019 | 0.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $1,621.03 | $9,263 | 0.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $1,102.68 | $6,301 | 1.7× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,182.35 | $41,042 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$7,182.35 | $41,042 | 0.4× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$4,438.53 | $25,363 | 0.4× |
| Revasc lith-sten-ath tib/per (C9775) likely a partial charge, not the full procedure |
$4,709.78 | $26,913 | 0.3× |
| Revasc lithotr-ather tib/per (C9774) likely a partial charge, not the full procedure |
$4,959.50 | $28,340 | 0.3× |
| Revasc lithotr-stent tib/per (C9773) likely a partial charge, not the full procedure |
$4,630.68 | $26,461 | 0.3× |
| Revasc lithotrip tibi/perone (C9772) likely a partial charge, not the full procedure |
$2,861.25 | $16,350 | 0.2× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$7,182.35 | $41,042 | 0.4× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) | $1,414.35 | $8,082 | 0.4× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $1,414.35 | $8,082 | 0.4× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) | $1,414.35 | $8,082 | 0.4× |
| Rmvl substernal implantable defibrillator eltrd (0573T) | $1,621.03 | $9,263 | 0.4× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $1,621.03 | $9,263 | 0.4× |
| Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) likely a partial charge, not the full procedure |
$6,496 | $37,120 | 0.3× |
| Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) unusually low: confirm this is the full procedure |
$9,730.18 | $55,601 | 0.4× |
| Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) | $1,151.85 | $6,582 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,332.98 | $7,617 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $1,332.98 | $7,617 | 0.4× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $1,332.98 | $7,617 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$9,018.10 | $51,532 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$9,018.10 | $51,532 | 0.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$7,685.13 | $43,915 | 0.4× |
| Therapeutic procd strg endur (G0237) | $53.73 | $307 | 1.8× |
| Tomosynthesis, mammo (G0279) | $19.78 | $113 | 1.6× |
| Trauma respons w/hosp criti (G0390) | $1,857.63 | $10,615 | 1.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$2,716.18 | $15,521 | 0.1× |
| Visit to determ ldct elig (G0296) | $6.48 | $37 | 0.1× |