Supplies, drugs & other prices at Memorial Hospital of Texas County Authority
Guymon, OK · every code in this section with a posted price and a Medicare benchmark.
19 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $54.40 | $68 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $54.40 | $68 | 1.2× |
| Colon ca scrn not hi rsk ind (G0121) | $1,440.80 | $1,801 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $2,230.40 | $2,788 | 2.5× |
| Direct refer hospital observ (G0379) | $867.20 | $1,084 | 1.5× |
| Drug test def 1-7 classes (G0480) | $2,377.20 | $2,971.50 | 20.8× |
| Elec stim other than wound (G0283) | $56 | $70 | 4.4× |
| Fecal blood scrn immunoassay (G0328) | $85.60 | $107 | 4.7× |
| Hiv combination assay (G0475) | $169.60 | $212 | 7.0× |
| Mra w/cont, lwr ext (C8912) | $1,168 | $1,460 | 3.5× |
| Mra w/o cont, lwr ext (C8913) | $1,168 | $1,460 | 5.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,547.20 | $1,934 | 4.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,168 | $1,460 | 3.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,704 | $2,130 | 5.1× |
| Oth resp proc, group (G0239) | $97.60 | $122 | 2.7× |
| Oth resp proc, indiv (G0238) | $114.40 | $143 | 4.1× |
| Therapeutic procd strg endur (G0237) | $114.40 | $143 | 4.1× |
| Trauma respons w/hosp criti (G0390) | $2,615.20 | $3,269 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,659.20 | $2,074 | 2.2× |