Supplies, drugs & other prices at Navarro Regional Hospital
Corsicana, TX · every code in this section with a posted price and a Medicare benchmark.
48 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $33.84 | $141 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $275.76 | $1,149 | 0.6× |
| Adm tocilizu covid-19 2nd (M0250) | $275.76 | $1,149 | 0.6× |
| Admin hepatitis b vaccine (G0010) | $76.08 | $317 | 1.6× |
| Admin influenza virus vac (G0008) | $76.08 | $317 | 1.6× |
| Admin pneumococcal vaccine (G0009) | $76.08 | $317 | 1.6× |
| Ca screen;flexi sigmoidscope (G0104) | $2,976.58 | $12,402.40 | 3.2× |
| Colon ca scrn not hi rsk ind (G0121) | $3,180.66 | $13,252.73 | 3.4× |
| Colorectal scrn; hi risk ind (G0105) | $2,805.10 | $11,687.93 | 3.0× |
| Covid-19 lab test non-cdc (U0002) | $33.84 | $141 | 0.7× |
| Diab manage trn per indiv (G0108) | $55.92 | $233 | 1.0× |
| Diab manage trn ind/group (G0109) | $32.40 | $135 | 2.0× |
| Direct refer hospital observ (G0379) | $313.20 | $1,305 | 0.5× |
| Elec stim other than wound (G0283) | $37.92 | $158 | 3.0× |
| Elisa hiv-1/hiv-2 screen (G0433) | $156.48 | $652 | 8.6× |
| Extraction erupted tooth/exr (D7140) | $4,854.02 | $20,225.10 | 7.5× |
| Facility svs dental rehab (G0330) | $4,693.93 | $19,558.05 | 1.4× |
| Hiv combination assay (G0475) | $51.60 | $215 | 2.1× |
| Hospital outpt clinic visit (G0463) | $175.44 | $731 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) | $846.24 | $3,526 | 1.2× |
| Mra w/cont, abd (C8900) | $1,073.76 | $4,474 | 3.1× |
| Mra w/cont, lwr ext (C8912) | $1,122.72 | $4,678 | 3.2× |
| Mra w/cont, pelvis (C8918) | $1,127.28 | $4,697 | 3.2× |
| Mra w/o cont, chest (C8910) | $859.92 | $3,583 | 3.6× |
| Mra w/o cont, pelvis (C8919) | $971.28 | $4,047 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,414.32 | $5,893 | 4.0× |
| Mra w/o fol w/cont, chest (C8911) | $859.92 | $3,583 | 2.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,485.12 | $6,188 | 4.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,485.12 | $6,188 | 4.2× |
| Oral hiv-1/hiv-2 screen (G0435) | $22.80 | $95 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $16,790.64 | $69,961 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $11,817.84 | $49,241 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $19,040.88 | $79,337 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $14,145.60 | $58,940 | 1.2× |
| Post 1 srfc resinbased cmpst (D2391) | $4,991.15 | $20,796.46 | 7.7× |
| Post 2 srfc resinbased cmpst (D2392) | $4,943.37 | $20,597.36 | 7.6× |
| Post 3 srfc resinbased cmpst (D2393) | $4,526.58 | $18,860.76 | 7.0× |
| Prefab steel crown primary (D2934) | $5,530.86 | $23,045.26 | 8.5× |
| Prefab stnlss steel crwn pri (D2930) | $4,841.53 | $20,173.06 | 7.5× |
| Psa screening (G0103) | $288.24 | $1,201 | 14.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $172.80 | $720 | 0.2× |
| Rem imp tooth w mucoper flp (D7210) | $4,674.74 | $19,478.08 | 3.0× |
| Resin one surface-anterior (D2330) | $4,799.25 | $19,996.89 | 7.4× |
| Resin two surfaces-anterior (D2331) | $5,262.67 | $21,927.79 | 8.1× |
| Space maintainer fxd unilat (D1510) | $4,923.68 | $20,515.32 | 7.6× |
| Therapeutic pulpotomy (D3220) | $4,879.28 | $20,330.34 | 7.5× |
| Tomosynthesis, mammo (G0279) | $65.76 | $274 | 5.2× |
| Trauma respons w/hosp criti (G0390) | $1,066.32 | $4,443 | 0.8× |