Supplies, drugs & other prices at Rolling Plains Memorial Hospital
Sweetwater, TX · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $25 | $39 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $31 | $47.50 | 0.7× |
| Ca screen;pelvic/breast exam (G0101) | $25 | $38 | 0.2× |
| Direct refer hospital observ (G0379) | $83 | $127.50 | 0.1× |
| Drug test def 1-7 classes (G0480) | $221 | $340 | 1.9× |
| Ekg tracing for initial prev (G0404) | $13 | $20 | 0.4× |
| Elec stim other than wound (G0283) | $57 | $87 | 4.5× |
| Elec stim unattend for press (G0281) | $57 | $87 | 4.9× |
| Elisa hiv-1/hiv-2 screen (G0433) | $92 | $141 | 5.0× |
| Followup eval of foot pt lop (G0246) | $95 | $146 | 0.7× |
| Initial foot exam pt lops (G0245) | $95 | $146 | 0.7× |
| Initial preventive exam (G0402) | $99 | $152 | 0.7× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $354 | $545 | 0.8× |
| Obtaining screen pap smear (Q0091) | $16 | $25 | 0.6× |
| Ppps, initial visit (G0438) | $100 | $153.50 | 0.6× |
| Ppps, subseq visit (G0439) | $154 | $237 | 1.1× |
| Psa screening (G0103) | $88 | $136 | 4.6× |
| Routine footcare pt w lops (G0247) | $138 | $213 | 0.7× |
| Tomosynthesis, mammo (G0279) | $42 | $65 | 3.3× |
| Trauma respons w/hosp criti (G0390) | $1,268 | $1,950 | 0.9× |
| Trim nail(s) (G0127) | $61 | $94 | 1.0× |