Supplies, drugs & other prices at Scenic Mountain Medical Center
Big Spring, TX · every code in this section with a posted price and a Medicare benchmark.
63 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $86 | $172 | 2.4× |
| Admin hepatitis b vaccine (G0010) | $66 | $132 | 1.4× |
| Admin influenza virus vac (G0008) | $96 | $192 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $108.50 | $217 | 2.3× |
| Catheterize for urine spec (P9612) | $80.50 | $161 | 8.6× |
| Chemo extend iv infus w/pump (G0498) | $593.25 | $1,186.50 | 1.8× |
| Covid-19 lab test non-cdc (U0002) | $86 | $172 | 1.7× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$911.40 | $1,822.80 | 0.1× |
| Diab manage trn per indiv (G0108) | $80 | $160 | 1.4× |
| Direct refer hospital observ (G0379) | $62 | $124 | 0.1× |
| Drug test def 1-7 classes (G0480) | $600.50 | $1,201 | 5.2× |
| Elec stim other than wound (G0283) | $19 | $38 | 1.5× |
| Fern test (Q0114) | $54 | $108 | 5.5× |
| Hbot, full body chamber, 30m (G0277) | $590 | $1,180 | 4.3× |
| Home sleep test/type 3 porta (G0399) | $540 | $1,080 | 2.5× |
| Hospital outpt clinic visit (G0463) | $228.50 | $457 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $1,409 | $2,818 | 2.0× |
| Instlj fecal microbiota ssp (0780T) | $190.50 | $381 | 1.4× |
| Mra w/cont, abd (C8900) | $3,425.50 | $6,851 | 9.8× |
| Mra w/cont, chest (C8909) | $3,784.50 | $7,569 | 10.8× |
| Mra w/cont, lwr ext (C8912) | $3,427.50 | $6,855 | 9.8× |
| Mra w/o cont, abd (C8901) | $2,233.75 | $4,467.50 | 9.3× |
| Mra w/o cont, chest (C8910) | $3,046 | $6,092 | 12.7× |
| Mra w/o cont, lwr ext (C8913) | $3,160 | $6,320 | 13.2× |
| Mra w/o fol w/cont, abd (C8902) | $4,403 | $8,806 | 12.6× |
| Mra w/o fol w/cont, chest (C8911) | $3,036.25 | $6,072.50 | 8.7× |
| Mra w/o fol w/cont, lwr ext (C8914) | $4,408.50 | $8,817 | 12.6× |
| Mra, w/dye, upper extremity (C8934) | $3,427.50 | $6,855 | 9.8× |
| Mra, w/o dye, upper extr (C8935) | $3,160 | $6,320 | 13.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $4,408.50 | $8,817 | 12.6× |
| Mri w/cont, breast, bi (C8906) | $2,416.50 | $4,833 | 6.9× |
| Mri w/cont, breast, uni (C8903) | $314.50 | $629 | 1.8× |
| Mri w/o fol w/cont, breast, (C8908) | $3,187.50 | $6,375 | 9.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $659.50 | $1,319 | 1.9× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $423.50 | $847 | 0.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $613.50 | $1,227 | 1.4× |
| Oth resp proc, group (G0239) | $80 | $160 | 2.1× |
| Oth resp proc, indiv (G0238) | $90 | $180 | 3.1× |
| Perc d-e cor revasc chro sin (C9607) | $19,957 | $39,914 | 1.1× |
| Perc d-e cor revasc t cabg s (C9604) | $19,957 | $39,914 | 1.7× |
| Perc d-e cor stent ather s (C9602) | $19,957 | $39,914 | 1.1× |
| Perc drug-el cor stent sing (C9600) | $19,957 | $39,914 | 1.7× |
| Potassium hydroxide preps (Q0112) | $61 | $122 | 10.5× |
| Prostate biopsy, any mthd (G0416) | $697.50 | $1,395 | 1.9× |
| Psa screening (G0103) | $214 | $428 | 11.1× |
| Revasc intra lithotrip-ather (C9766) | $25,570.50 | $51,141 | 1.4× |
| Revasc intra lithotrip-stent (C9765) | $25,570.50 | $51,141 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $16,042.50 | $32,085 | 1.4× |
| Revasc lith-sten-ath tib/per (C9775) | $25,570.50 | $51,141 | 1.4× |
| Revasc lithotr-ather tib/per (C9774) | $25,570.50 | $51,141 | 1.4× |
| Revasc lithotr-stent tib/per (C9773) | $25,570.50 | $51,141 | 1.4× |
| Revasc lithotrip tibi/perone (C9772) | $16,042.50 | $32,085 | 1.4× |
| Revasc lithotrip-stent-ather (C9767) | $25,570.50 | $51,141 | 1.4× |
| Screen pap by tech w md supv (P3000) | $46.50 | $93 | 2.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $28,414.50 | $56,829 | 1.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $28,157.50 | $56,315 | 1.5× |
| Therapeutic procd strg endur (G0237) | $80 | $160 | 2.8× |
| Tomosynthesis, mammo (G0279) | $59 | $118 | 4.6× |
| Trauma respons w/hosp criti (G0390) | $1,838.50 | $3,677 | 1.4× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $27,489.50 | $54,979 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $1,777.50 | $3,555 | 2.3× |
| Tte w or wo fol wcon,doppler (C8929) | $1,777.50 | $3,555 | 2.3× |
| Unsched dialysis esrd pt hos (G0257) | $1,478.25 | $2,956.50 | 2.1× |