Supplies, drugs & other prices at Matagorda Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $70 $140 1.5×
Admin pneumococcal vaccine (G0009) $70 $140 1.5×
Catheterize for urine spec (P9612) $46.50 $93 5.0×
Diab manage trn per indiv (G0108) $102 $204 1.8×
Diab manage trn ind/group (G0109) $37.50 $75 2.3×
Direct refer hospital observ (G0379) $219.74 $439.48 0.4×
Drug test def 1-7 classes (G0480) $164
Drug test def 8-14 classes (G0481) $516
Elec stim other than wound (G0283) $60 $120 4.7×
Fecal blood scrn immunoassay (G0328) $142
Group mnt 2 or more 30 mins (G0271) $50 $100 2.9×
Hiv combination assay (G0475) $236
Hospital outpt clinic visit (G0463) $222.75 $445.50 1.7×
Mnt subs tx for change dx (G0270) $29.50 $59 0.9×
Mra w/cont, abd (C8900) $860 $1,720 2.4×
Mra w/cont, chest (C8909) $860 $1,720 2.4×
Mra w/cont, lwr ext (C8912) $1,105 $2,210 3.1×
Mra w/cont, pelvis (C8918) $860 $1,720 2.4×
Mra w/o cont, abd (C8901) $768 $1,536 3.2×
Mra w/o cont, chest (C8910) $768 $1,536 3.2×
Mra w/o cont, lwr ext (C8913) $768 $1,536 3.2×
Mra w/o cont, pelvis (C8919) $768 $1,536 3.2×
Mra w/o fol w/cont, abd (C8902) $1,149 $2,298 3.3×
Mra w/o fol w/cont, chest (C8911) $1,149 $2,298 3.3×
Mra w/o fol w/cont, lwr ext (C8914) $1,149 $2,298 3.3×
Mra w/o fol w/cont, pelvis (C8920) $1,149 $2,298 3.3×
Prolonged iv inf, req pump (C8957) $406.50 $813 1.9×
Psa screening (G0103) $164
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $67.50 $135 0.1×
Screen cerv/vag thin layer (G0123) $180
Tomosynthesis, mammo (G0279) $62.50 $125 4.9×
Trim nail(s) (G0127) $80 $160 1.3×
Unsched dialysis esrd pt hos (G0257) $704.50 $1,409 1.0×