Supplies, drugs & other prices at Palacios Community Medical Center
Palacios, TX · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $14 | $14 | 0.3× |
| Admin influenza virus vac (G0008) | $70.50 | $70.50 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $70.50 | $70.50 | 1.5× |
| Amalgam 4 or > surfaces perm (D2161) | $295 | $295 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $1,911 | $1,911 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) | $1,911 | $1,911 | 2.0× |
| Crown resin-based indirect (D2710) | $295 | $295 | 0.5× |
| Direct refer hospital observ (G0379) | $156.50 | $156.50 | 0.3× |
| Drug test def 1-7 classes (G0480) | $101 | $101 | 0.9× |
| Elec stim other than wound (G0283) | $84 | $84 | 6.6× |
| End thxpy, anterior tooth (D3310) | $712 | $712 | 1.1× |
| Extraction erupted tooth/exr (D7140) | $395.50 | $395.50 | 0.6× |
| Hbot, full body chamber, 30m (G0277) | $377 | $377 | 2.7× |
| Hepb screen high risk indiv (G0499) | $94 | $94 | 3.3× |
| Home sleep test/type 3 porta (G0399) | $430 | $430 | 2.0× |
| Hospital outpt clinic visit (G0463) | $375 | $375 | 2.8× |
| Inj for sacroiliac jt anesth (G0260) | $766 | $766 | 1.1× |
| Mra w/o cont, lwr ext (C8913) | $1,100 | $1,100 | 4.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,628 | $1,628 | 4.6× |
| Mra w/o fol w/cont, chest (C8911) | $1,409 | $1,409 | 4.0× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,628 | $1,628 | 4.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,628 | $1,628 | 4.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $870 | $870 | 1.9× |
| Non-ophthalmic fva (C9733) | $767 | $767 | 2.2× |
| Obtaining screen pap smear (Q0091) | $20 | $20 | 0.7× |
| Oth resp proc, group (G0239) | $87 | $87 | 2.3× |
| Oth resp proc, indiv (G0238) | $153 | $153 | 5.3× |
| Post 3 srfc resinbased cmpst (D2393) | $429 | $429 | 0.7× |
| Psa screening (G0103) | $84 | $84 | 4.4× |
| Pulpal therapy posterior pri (D3240) | $574 | $574 | 0.9× |
| Resin 4/> surf or w incis an (D2335) | $712 | $712 | 1.1× |
| Therapeutic procd strg endur (G0237) | $153 | $153 | 5.3× |
| Trauma respons w/hosp criti (G0390) | $3,000 | $3,000 | 2.2× |
| Unsched dialysis esrd pt hos (G0257) | $1,529 | $1,529 | 2.2× |