Supplies, drugs & other prices at Northwest Texas Hospital
Amarillo, TX · every code in this section with a posted price and a Medicare benchmark.
70 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) | $96 | $240 | 2.7× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,153.20 | $2,883 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,249.60 | $3,124 | 3.6× |
| Admin hepatitis b vaccine (G0010) | $93.60 | $234 | 2.0× |
| Admin influenza virus vac (G0008) | $51.20 | $128 | 1.1× |
| Admin pneumococcal vaccine (G0009) | $102.80 | $257 | 2.2× |
| Covid-19 lab test non-cdc (U0002) | $96 | $240 | 1.9× |
| Devlopment test interpt&rep (G0451) | $271.20 | $678 | 2.7× |
| Diab manage trn per indiv (G0108) | $58.40 | $146 | 1.0× |
| Diab manage trn ind/group (G0109) | $24.20 | $60.50 | 1.5× |
| Direct refer hospital observ (G0379) | $738.80 | $1,847 | 1.2× |
| Drug test def 1-7 classes (G0480) | $229.80 | $574.50 | 2.0× |
| Drug test def 8-14 classes (G0481) | $286 | $715 | 1.8× |
| Elec stim other than wound (G0283) | $160 | $400 | 12.6× |
| Elec stim unattend for press (G0281) | $157.60 | $394 | 13.5× |
| Fern test (Q0114) | $41.80 | $104.50 | 4.3× |
| Group mnt 2 or more 30 mins (G0271) | $21.20 | $53 | 1.2× |
| Hbot, full body chamber, 30m (G0277) | $507.60 | $1,269 | 3.7× |
| Home sleep test/type 3 porta (G0399) | $245.20 | $613 | 1.1× |
| Home sleep test/type 4 porta (G0400) | $184.40 | $461 | 0.9× |
| Hospital outpt clinic visit (G0463) | $174.80 | $437 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) | $575.60 | $1,439 | 0.8× |
| Mnt subs tx for change dx (G0270) | $28 | $70 | 0.9× |
| Mra w/cont, abd (C8900) | $3,144.80 | $7,862 | 9.0× |
| Mra w/cont, chest (C8909) | $2,976.80 | $7,442 | 8.5× |
| Mra w/cont, lwr ext (C8912) | $3,240.80 | $8,102 | 9.2× |
| Mra w/o cont, abd (C8901) | $5,033.60 | $12,584 | 21.0× |
| Mra w/o cont, chest (C8910) | $3,654.40 | $9,136 | 15.2× |
| Mra w/o cont, lwr ext (C8913) | $3,211.60 | $8,029 | 13.4× |
| Mra w/o cont, pelvis (C8919) | $1,937.20 | $4,843 | 8.1× |
| Mra w/o fol w/cont, abd (C8902) | $6,039.60 | $15,099 | 17.2× |
| Mra w/o fol w/cont, chest (C8911) | $4,281.60 | $10,704 | 12.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,749.20 | $9,373 | 10.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,937.20 | $4,843 | 5.5× |
| Mra, w/dye, upper extremity (C8934) | $2,095.60 | $5,239 | 6.0× |
| Mra, w/o dye, upper extr (C8935) | $3,534.40 | $8,836 | 14.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $3,534.40 | $8,836 | 10.1× |
| Mri w/cont, breast, bi (C8906) | $2,119.20 | $5,298 | 6.0× |
| Mri w/cont, breast, uni (C8903) | $1,281.20 | $3,203 | 7.3× |
| Mri w/o fol w/cont, breast, (C8908) | $2,570.40 | $6,426 | 7.3× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,150 | $5,375 | 6.1× |
| Oth resp proc, group (G0239) | $150 | $375 | 4.0× |
| Oth resp proc, indiv (G0238) | $150 | $375 | 5.2× |
| Perc d-e cor revasc chro sin (C9607) | $21,907.20 | $54,768 | 1.2× |
| Perc d-e cor revasc t cabg s (C9604) | $21,907.20 | $54,768 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $19,765.60 | $49,414 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $16,786.80 | $41,967 | 1.4× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,230.80 | $5,577 | 0.3× |
| Prolonged iv inf, req pump (C8957) | $517.20 | $1,293 | 2.4× |
| Prostate biopsy, any mthd (G0416) | $543.20 | $1,358 | 1.5× |
| Psa screening (G0103) | $265.60 | $664 | 13.8× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $1,415.20 | $3,538 | 5.9× |
| Quan MRI alys brn w/o dx MRI (0865T) | $1,210.40 | $3,026 | 5.0× |
| Revasc intra lithotrip-ather (C9766) | $14,738.40 | $36,846 | 0.8× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,626.80 | $21,567 | 0.5× |
| Revasc intravasc lithotripsy (C9764) | $10,514.80 | $26,287 | 0.9× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $14,852 | $37,130 | 0.8× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $13,745.60 | $34,364 | 0.7× |
| Therapeutic procd strg endur (G0237) | $173 | $432.50 | 6.0× |
| Tomosynthesis, mammo (G0279) | $123.60 | $309 | 9.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $4,032.40 | $10,081 | 0.7× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $16,005.60 | $40,014 | 1.4× |
| Trauma respons w/hosp criti (G0390) | $6,142.20 | $15,355.50 | 4.6× |
| Trim nail(s) (G0127) | $91.20 | $228 | 1.5× |
| Trluml Perip Athrc Renal Art (0234T) | $16,005.60 | $40,014 | 1.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $18,406.40 | $46,016 | 1.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $16,005.60 | $40,014 | 0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,303.20 | $3,258 | 1.7× |
| Tte w or wo fol wcon,doppler (C8929) | $2,623.20 | $6,558 | 3.3× |
| Unsched dialysis esrd pt hos (G0257) | $1,160.60 | $2,901.50 | 1.7× |