Supplies, drugs & other prices at Memorial Hermann Texas Medical Center
Houston, TX · every code in this section with a posted price and a Medicare benchmark.
94 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | — | $1.25 | — |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $6,431.52 | $20,098.50 | 3.3× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) | $6,431.52 | $20,098.50 | 0.7× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $6,520.96 | $20,378 | 3.3× |
| Adm tocilizu covid-19 1st (M0249) | $162.08 | $506.50 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $162.08 | $506.50 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $60.80 | $190 | 1.3× |
| Admin influenza virus vac (G0008) | $50.96 | $159.25 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $48.72 | $152.25 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $604.32 | $1,888.50 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $679.84 | $2,124.50 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $629.12 | $1,966 | 0.7× |
| Comt gene (0032U) | $170.56 | $533 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $70.96 | $221.75 | 1.4× |
| Diab manage trn per indiv (G0108) | $98.24 | $307 | 1.8× |
| Diab manage trn ind/group (G0109) | $80.96 | $253 | 5.1× |
| Direct refer hospital observ (G0379) | $163.84 | $512 | 0.3× |
| Drug test def 1-7 classes (G0480) | $156.72 | $489.75 | 1.4× |
| Drug test def 15-21 classes (G0482) | $300.08 | $937.75 | 1.5× |
| Drug test def 22+ classes (G0483) | $298.24 | $932 | 1.2× |
| Drug test def 8-14 classes (G0481) | $214.40 | $670 | 1.4× |
| Elec stim other than wound (G0283) | $182.64 | $570.75 | 14.4× |
| Elec stim unattend for press (G0281) | $184.16 | $575.50 | 15.8× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$12,028.72 | $37,589.75 | 0.3× |
| Esd endoscopy or colonoscopy (C9779) | $1,031.84 | $3,224.50 | 0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $7,564.16 | $23,638 | 0.7× |
| Group train w/o patient (G0543) | $39.52 | $123.50 | 1.4× |
| Hbot, full body chamber, 30m (G0277) | $825.68 | $2,580.25 | 6.0× |
| Home sleep test/type 3 porta (G0399) | $202.64 | $633.25 | 0.9× |
| Initial care training 30 m (G0539) | $197.60 | $617.50 | 3.7× |
| Inj for sacroiliac jt anesth (G0260) | $2,955.60 | $9,236.25 | 4.2× |
| Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) | $1,719.60 | $5,373.75 | 0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $15,912.48 | $49,726.50 | 0.5× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $5,304.72 | $16,577.25 | 0.6× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $5,304.72 | $16,577.25 | 0.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $15,912.48 | $49,726.50 | 0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $22,750.56 | $71,095.50 | 0.7× |
| Instill pharm renal pelvis (C9789) | $84 | $262.50 | 0.1× |
| Mra w/cont, abd (C8900) | $1,665.44 | $5,204.50 | 4.8× |
| Mra w/cont, chest (C8909) | $1,638 | $5,118.75 | 4.7× |
| Mra w/cont, lwr ext (C8912) | $2,159.12 | $6,747.25 | 6.2× |
| Mra w/o cont, abd (C8901) | $1,514 | $4,731.25 | 6.3× |
| Mra w/o cont, chest (C8910) | $1,426.96 | $4,459.25 | 6.0× |
| Mra w/o cont, lwr ext (C8913) | $1,807.44 | $5,648.25 | 7.5× |
| Mra w/o cont, pelvis (C8919) | $1,164.56 | $3,639.25 | 4.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,745.52 | $5,454.75 | 5.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,956.64 | $6,114.50 | 5.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,670.16 | $8,344.25 | 7.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,631.92 | $5,099.75 | 4.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,821.44 | $5,692 | 5.2× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $519.36 | $1,623 | 1.0× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $276 | $862.50 | 0.6× |
| No pt prsnt train initial 30 (G0541) | $171.84 | $537 | 5.9× |
| Oth resp proc, group (G0239) | $56.64 | $177 | 1.5× |
| Oth resp proc, indiv (G0238) | $57.12 | $178.50 | 2.0× |
| Pathogen test for platelets (P9100) | $45.20 | $141.25 | 0.8× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,781.84 | $21,193.25 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $6,781.84 | $21,193.25 | 0.6× |
| Perc d-e cor stent ather s (C9602) unusually low: confirm this is the full procedure |
$6,781.84 | $21,193.25 | 0.4× |
| Perc drug-el cor stent sing (C9600) | $7,343.20 | $22,947.50 | 0.6× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) unusually low: confirm this is the full procedure |
$4,535.36 | $14,173 | 0.4× |
| Place endorectal app (C9725) | $1,560.48 | $4,876.50 | 1.7× |
| Prgrmg dev eval wcs ip (0522T) | $278.96 | $871.75 | 7.4× |
| Prostate biopsy, any mthd (G0416) | $547.36 | $1,710.50 | 1.5× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $161.76 | $505.50 | 1.9× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,387.76 | $7,461.75 | 1.2× |
| Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) unusually low: confirm this is the full procedure |
$3,479.52 | $10,873.50 | 0.3× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $4,366.16 | $13,644.25 | 1.2× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $4,366.16 | $13,644.25 | 1.2× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $932.56 | $2,914.25 | 1.5× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,046.08 | $25,144 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,750.80 | $27,346.25 | 0.5× |
| Revasc intravasc lithotripsy (C9764) | $6,358.16 | $19,869.25 | 0.5× |
| Revasc lith-sten-ath tib/per (C9775) | $11,731.28 | $36,660.25 | 0.6× |
| Revasc lithotr-ather tib/per (C9774) | $11,664.16 | $36,450.50 | 0.6× |
| Revasc lithotr-stent tib/per (C9773) | $11,664.16 | $36,450.50 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $11,070.88 | $34,596.50 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) | $11,731.28 | $36,660.25 | 0.6× |
| Screen cerv/vag thin layer (G0123) | $225.92 | $706 | 11.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$1,985.60 | $6,205 | 0.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $11,050.32 | $34,532.25 | 0.6× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $3,131.20 | $9,785 | 1.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $4,420.72 | $13,814.75 | 0.8× |
| Therapeutic procd strg endur (G0237) | $302 | $943.75 | 10.4× |
| Tomosynthesis, mammo (G0279) | $32 | $100 | 2.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) | $447.52 | $1,398.50 | 1.0× |
| Train for caregiver add 15 (G0540) | $106.72 | $333.50 | 4.1× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) unusually low: confirm this is the full procedure |
$9,063.90 | $28,324.69 | 0.5× |
| Trluml Perip Athrc Renal Art (0234T) likely a partial charge, not the full procedure |
$3,218.64 | $10,058.25 | 0.3× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$3,634.40 | $11,357.50 | 0.3× |
| Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$3,887.76 | $12,149.25 | 0.2× |
| Tte w or w/o contr, cont ecg (C8930) | $3,237.76 | $10,118 | 4.1× |
| Unsched dialysis esrd pt hos (G0257) | $2,709.76 | $8,468 | 3.9× |
| Warfarin response genotype (0030U) | $309.28 | $966.50 | 2.3× |