Supplies, drugs & other prices at Plains Memorial Hospital
Dimmitt, TX · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $33 | $44 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $15 | $20 | 0.3× |
| Admin influenza virus vac (G0008) | $15 | $20 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $15 | $20 | 0.3× |
| Annual alcohol screen 15 min (G0442) | $26 | $35 | 0.7× |
| Behavior counsel obesity 15m (G0447) | $26 | $35 | 0.3× |
| Catheterize for urine spec (P9612) | $17 | $22 | 1.8× |
| Depression screen annual (G0444) | $26 | $35 | 0.7× |
| Direct refer hospital observ (G0379) | $563 | $750 | 0.9× |
| Ekg tracing for initial prev (G0404) | $17 | $22 | 0.6× |
| Initial preventive exam (G0402) | $161 | $215 | 1.2× |
| Pne flu hepb cov home admin (M0201) | $69 | $92 | 1.9× |
| Ppps, initial visit (G0438) | $158 | $210 | 0.9× |
| Ppps, subseq visit (G0439) | $113 | $150 | 0.8× |
| Psa screening (G0103) | $88 | $117 | 4.6× |
| Trauma respons w/hosp criti (G0390) | $2,446 | $3,261 | 1.8× |
| Visit to determ ldct elig (G0296) | $40 | $53 | 0.4× |