Supplies, drugs & other prices at Round Rock Medical Center

Round Rock, TX · every code in this section with a posted price and a Medicare benchmark.

73 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $8,640 $8,640 11.0×
2d tte w or w/o fol w/con,fu (C8924) $4,171 $4,171 11.9×
Adm tocilizu covid-19 1st (M0249) $686 $686 1.5×
Adm tocilizu covid-19 2nd (M0250) $686 $686 1.5×
Admin hepatitis b vaccine (G0010) $73 $73 1.6×
Admin influenza virus vac (G0008) $73 $73 1.6×
Admin pneumococcal vaccine (G0009) $68.50 $68.50 1.5×
Catheterize for urine spec (P9612) $371.50 $371.50 39.8×
Covid-19 lab test non-cdc (U0002) $103 $103 2.0×
Diab manage trn per indiv (G0108) $140 $140 2.5×
Diab manage trn ind/group (G0109) $98 $98 6.1×
Direct refer hospital observ (G0379) $1,003 $1,003 1.7×
Drug test def 1-7 classes (G0480) $1,151 $1,151 10.1×
Eia hiv-1/hiv-2 screen (G0432) $944 $944 48.2×
Elec stim other than wound (G0283) $277 $277 21.8×
Elec stim unattend for press (G0281) $257 $257 22.0×
Elisa hiv-1/hiv-2 screen (G0433) $944 $944 51.6×
Hbot, full body chamber, 30m (G0277) $2,640 $2,640 19.1×
Home sleep test/type 2 porta (G0398) $2,373 $2,373 10.9×
Home sleep test/type 3 porta (G0399) $2,373 $2,373 10.9×
Home sleep test/type 4 porta (G0400) $2,373 $2,373 10.9×
Inj for sacroiliac jt anesth (G0260) $2,805 $2,805 4.0×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $52,756 $52,756 1.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $162,000 $162,000 5.1×
Lev 1 hosp type b ed visit (G0380) $713 $713 9.5×
Lev 2 hosp type b ed visit (G0381) $1,191 $1,191 12.8×
Lev 3 hosp type b ed visit (G0382) $1,851 $1,851 10.7×
Lev 4 hosp type b ed visit (G0383) $4,795 $4,795 18.1×
Lev 5 hosp type b ed visit (G0384) $6,867 $6,867 16.6×
Mra w/cont, abd (C8900) $13,015 $13,015 37.1×
Mra w/cont, chest (C8909) $1,956 $1,956 5.6×
Mra w/cont, lwr ext (C8912) $1,956 $1,956 5.6×
Mra w/cont, pelvis (C8918) $10,750.50 $10,750.50 30.7×
Mra w/o cont, abd (C8901) $1,593 $1,593 6.6×
Mra w/o cont, chest (C8910) $1,593 $1,593 6.6×
Mra w/o cont, lwr ext (C8913) $1,988.50 $1,988.50 8.3×
Mra w/o cont, pelvis (C8919) $1,593 $1,593 6.6×
Mra w/o fol w/cont, abd (C8902) $2,462 $2,462 7.0×
Mra w/o fol w/cont, chest (C8911) $7,148 $7,148 20.4×
Mra w/o fol w/cont, lwr ext (C8914) $2,462 $2,462 7.0×
Mra w/o fol w/cont, pelvis (C8920) $2,462 $2,462 7.0×
Mra, w/o&w/dye, upper extr (C8936) $10,710 $10,710 30.6×
Mri w/cont, breast, bi (C8906) $5,961.50 $5,961.50 17.0×
Mri w/cont, breast, uni (C8903) $3,260.50 $3,260.50 18.5×
Mri w/o fol w/cont, breast, (C8908) $2,462 $2,462 7.0×
Mri w/o fol w/cont, brst, un (C8905) $2,462 $2,462 7.0×
Oral hiv-1/hiv-2 screen (G0435) $944 $944 78.8×
Perc d-e cor revasc chro sin (C9607) $43,448 $43,448 2.4×
Perc d-e cor revasc t cabg s (C9604) $43,448 $43,448 3.7×
Perc d-e cor stent ather s (C9602) $43,448 $43,448 2.4×
Perc drug-el cor stent sing (C9600) $43,448 $43,448 3.7×
Perq Sacral Augmt Bilat Inj (0201T) $16,064 $16,064 2.2×
Perq Sacral Augmt Unilat Inj (0200T) $10,924 $10,924 1.5×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $30,597 $30,597 2.6×
Pre 3d mdl w/ccta and/or mri (C9793) $1,582 $1,582 1.8×
Psa screening (G0103) $1,258 $1,258 65.1×
Revasc intra lithotrip-ather (C9766) $29,093 $29,093 1.6×
Revasc intra lithotrip-stent (C9765) $41,829.50 $41,829.50 2.3×
Revasc intravasc lithotripsy (C9764) $25,389 $25,389 2.2×
Revasc lithotrip-stent-ather (C9767) $36,733 $36,733 2.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $70,567 $70,567 3.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $42,205 $42,205 7.4×
Tee w or w/o fol w/cont, mon (C8927) $11,650 $11,650 14.8×
Tomosynthesis, mammo (G0279) $75.50 $75.50 5.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $39,003 $39,003 3.4×
Trauma respons w/hosp criti (G0390) $31,192.50 $31,192.50 23.3×
Trluml Perip Athrc Renal Art (0234T) $58,501 $58,501 5.0×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $48,754.50 $48,754.50 4.2×
Trluml peripheral atherectomy iliac artery ea (0238T) $58,501 $58,501 3.2×
Tte w or w/o fol w/cont, com (C8921) $4,674 $4,674 5.9×
Tte w or wo fol wcon,doppler (C8929) $5,221 $5,221 6.6×
Unsched dialysis esrd pt hos (G0257) $1,955 $1,955 2.8×
Wet mounts/ w preparations (Q0111) $48 $48 2.6×