Supplies, drugs & other prices at Memorial Hermann Surgical Hospital Kingwood

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

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

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ProcedureCash priceGross charge× Medicare
Ca screen;flexi sigmoidscope (G0104) $140.70 $402 0.2×
Colon ca scrn not hi rsk ind (G0121) $406 $1,160 0.4×
Colorectal scrn; hi risk ind (G0105) $780.85 $2,231 0.8×
Cysto impl 4 or more (C9740) $7,163.80 $20,468 0.8×
Cysto, litho, vacuum kidney (C9761)
likely a partial charge, not the full procedure
$2,446.50 $6,990 0.3×
Direct refer hospital observ (G0379) $114.10 $326 0.2×
Esophag muc integ w/eso egd (C9777) $1,400.35 $4,001 0.4×
Inj for sacroiliac jt anesth (G0260) $406 $1,160 0.6×
Prostate biopsy, any mthd (G0416) $252 $720 0.7×
Spine device implant surgery (C9757)
unusually low: confirm this is the full procedure
$4,700.85 $13,431 0.4×