Supplies, drugs & other prices at Midland Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,626 $2,168 4.6×
Admin influenza virus vac (G0008) $126.75 $169 2.7×
Admin pneumococcal vaccine (G0009) $126.75 $169 2.7×
Diab manage trn per indiv (G0108) $75.75 $101 1.4×
Direct refer hospital observ (G0379) $1,601.25 $2,135 2.7×
Drug test def 1-7 classes (G0480) $473.25 $631 4.1×
Drug test def 15-21 classes (G0482) $468.75 $625 2.4×
Drug test def 8-14 classes (G0481) $358.50 $478 2.3×
Elec stim other than wound (G0283) $154.88 $206.50 12.2×
Group mnt 2 or more 30 mins (G0271) $50.25 $67 3.0×
Hbot, full body chamber, 30m (G0277) $953.25 $1,271 6.9×
Hospital outpt clinic visit (G0463) $402.75 $537 3.0×
Inj for sacroiliac jt anesth (G0260) $2,289 $3,052 3.2×
Intens cardiac rehab no exer (G0423) $345.75 $461 2.7×
Intens cardiac rehab w/exerc (G0422) $345.75 $461 2.7×
Mnt subs tx for change dx (G0270) $93.75 $125 3.0×
Mra w/cont, abd (C8900) $3,820.50 $5,094 10.9×
Mra w/cont, chest (C8909) $3,076.50 $4,102 8.8×
Mra w/cont, lwr ext (C8912) $4,005.75 $5,341 11.4×
Mra w/cont, pelvis (C8918) $3,451.50 $4,602 9.8×
Mra w/o cont, abd (C8901) $3,498 $4,664 14.6×
Mra w/o cont, chest (C8910) $3,076.50 $4,102 12.8×
Mra w/o cont, lwr ext (C8913) $4,005.75 $5,341 16.7×
Mra w/o cont, pelvis (C8919) $3,451.50 $4,602 14.4×
Mra w/o fol w/cont, abd (C8902) $3,820.50 $5,094 10.9×
Mra w/o fol w/cont, chest (C8911) $3,076.50 $4,102 8.8×
Mra w/o fol w/cont, lwr ext (C8914) $4,005.75 $5,341 11.4×
Mra w/o fol w/cont, pelvis (C8920) $3,451.50 $4,602 9.8×
Mra, w/o&w/dye, upper extr (C8936) $2,424.75 $3,233 6.9×
Mri w/o fol w/cont, breast, (C8908) $5,678.25 $7,571 16.2×
Mri w/o fol w/cont, brst, un (C8905) $4,188.75 $5,585 12.0×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $852 $1,136 1.6×
Oth resp proc, indiv (G0238) $75 $100 2.6×
Perc d-e cor revasc chro sin (C9607) $52,282.50 $69,710 2.8×
Perc d-e cor revasc t cabg s (C9604) $52,282.50 $69,710 4.5×
Perc d-e cor stent ather s (C9602) $52,282.50 $69,710 2.8×
Perc drug-el cor stent sing (C9600) $39,243.75 $52,325 3.4×
Perq Sacral Augmt Bilat Inj (0201T) $10,242 $13,656 1.4×
Perq Sacral Augmt Unilat Inj (0200T) $10,587 $14,116 1.5×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $13,470 $17,960 1.2×
Prostate biopsy, any mthd (G0416) $872.25 $1,163 2.4×
Psa screening (G0103) $171.38 $228.50 8.9×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $2,139 $2,852 2.3×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $2,139 $2,852 2.3×
Revasc intra lithotrip-ather (C9766) $42,609.75 $56,813 2.3×
Revasc intra lithotrip-stent (C9765) $42,609.75 $56,813 2.3×
Revasc intravasc lithotripsy (C9764) $26,332.50 $35,110 2.3×
Revasc lith-sten-ath tib/per (C9775)
likely a partial charge, not the full procedure
$3,969 $5,292 0.2×
Revasc lithotr-ather tib/per (C9774)
likely a partial charge, not the full procedure
$3,969 $5,292 0.2×
Revasc lithotr-stent tib/per (C9773)
likely a partial charge, not the full procedure
$3,969 $5,292 0.2×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$3,969 $5,292 0.3×
Revasc lithotrip-stent-ather (C9767) $42,609.75 $56,813 2.3×
Sim ang w/prs cath rad emb (C8004) $26,792.25 $35,723 2.3×
Tomosynthesis, mammo (G0279) $121.50 $162 9.6×
Tte w or w/o fol w/con,stres (C8928) $2,402.25 $3,203 3.1×
Tte w or wo fol wcon,doppler (C8929) $3,531 $4,708 4.5×
Unsched dialysis esrd pt hos (G0257) $2,382.75 $3,177 3.5×
Vasc emb/occ w/prs cath (C9797) $42,426.75 $56,569 2.3×
Visit to determ ldct elig (G0296) $217.50 $290 2.1×