Supplies, drugs & other prices at Refugio County Memorial Hospital
Refugio, TX · every code in this section with a posted price and a Medicare benchmark.
18 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $80 | $100 | 1.7× |
| Admin pneumococcal vaccine (G0009) | $55.50 | $69.38 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) | $112.60 | $140.75 | 1.1× |
| Catheterize for urine spec (P9612) | $137.38 | $171.73 | 14.7× |
| Colon ca scrn not hi rsk ind (G0121) | $2,790.40 | $3,488 | 3.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,790.40 | $3,488 | 3.0× |
| Covid-19 lab test non-cdc (U0002) | $58.40 | $73 | 1.1× |
| Ekg tracing for initial prev (G0404) | $146 | $182.50 | 5.0× |
| Elec stim other than wound (G0283) | $99.20 | $124 | 7.8× |
| Fecal blood scrn immunoassay (G0328) | $60.36 | $75.45 | 3.3× |
| Home sleep test/type 3 porta (G0399) | $400 | $500 | 1.8× |
| Hospital outpt clinic visit (G0463) | $312.32 | $390.40 | 2.3× |
| Obtaining screen pap smear (Q0091) | $59.20 | $74 | 2.0× |
| Ppps, initial visit (G0438) | $240 | $300 | 1.4× |
| Ppps, subseq visit (G0439) | $152 | $190 | 1.1× |
| Psa screening (G0103) | $255.20 | $319 | 13.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $52.60 | $65.75 | 2.0× |
| Trauma respons w/hosp criti (G0390) | $2,400 | $3,000 | 1.8× |