Supplies, drugs & other prices at Scott & White Hospital-round Rock
Round Rock, TX · every code in this section with a posted price and a Medicare benchmark.
193 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $1,724.39 | $2,873.98 | 1.0× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $3,604.51 | $6,007.52 | 0.9× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $2,157.02 | $3,595.04 | 1.1× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $7,785.10 | $12,975.17 | 0.9× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $2,157.02 | $3,595.04 | 1.1× |
| Adm of soc dtr assess 5-15 m (G0136) | $35.43 | $59.05 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $540 | $900 | 1.2× |
| Adm tocilizu covid-19 2nd (M0250) | $540 | $900 | 1.2× |
| Admin hepatitis b vaccine (G0010) | $44.44 | $74.06 | 0.9× |
| Admin influenza virus vac (G0008) | $15 | $25 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $45.91 | $76.51 | 1.0× |
| Alcohol/subs interv 15-30mn (G0396) | $112.58 | $187.64 | 3.0× |
| Alcohol/subs interv >30 min (G0397) | $128.30 | $213.83 | 0.7× |
| Annual alcohol screen 15 min (G0442) | $36.22 | $60.37 | 1.0× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) | $45.64 | $76.06 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $101 | $168.33 | 1.0× |
| Blind interatrial shunt ide (C9758) | $14,874 | $24,790 | 0.9× |
| Brief alcohol misuse counsel (G0443) | $85.67 | $142.78 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $1,058.74 | $1,764.57 | 1.1× |
| Ca screen;pelvic/breast exam (G0101) | $118.51 | $197.51 | 1.2× |
| Catheterize for urine spec (P9612) | $30.70 | $51.16 | 3.3× |
| Chemo extend iv infus w/pump (G0498) | $814.80 | $1,358 | 2.5× |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $3,803.84 | $6,339.74 | 1.6× |
| Colorectal scrn; hi risk ind (G0105) | $2,269.03 | $3,781.71 | 2.4× |
| Comt gene analysis c.472g>a variant (0032U) | $1,011 | $1,685 | 5.8× |
| Covid-19 lab test non-cdc (U0002) | $58.32 | $97.20 | 1.1× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $756.71 | $1,261.18 | 0.2× |
| Cysto impl 4 or more (C9740) | $6,860.21 | $11,433.69 | 0.7× |
| Cystoscopy prostatic imp 1-3 (C9739) | $6,200.71 | $10,334.52 | 1.2× |
| Demonstrate use home inr mon (G0248) | $330.17 | $550.28 | 2.5× |
| Depression screen annual (G0444) | $45.32 | $75.54 | 1.2× |
| Dermal filler injection(s) (G0429) | $1,646.85 | $2,744.75 | 0.8× |
| Devlopment test interpt&rep (G0451) | $75.54 | $125.90 | 0.7× |
| Diab manage trn per indiv (G0108) | $122.01 | $203.35 | 2.2× |
| Diab manage trn ind/group (G0109) | $69.32 | $115.53 | 4.3× |
| Direct refer hospital observ (G0379) | $602.45 | $1,004.09 | 1.0× |
| Drug test def 1-7 classes (G0480) range across 61 matching MRF lines |
$68.66–$330 | $114.43–$550 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$203.97–$402.75 | $339.95–$671.25 | varies |
| Drug test def 22+ classes (G0483) | $526.27 | $877.12 | 2.1× |
| Drug test def 8-14 classes (G0481) | $298.34 | $497.24 | 1.9× |
| Ed svc ckd grp per session (G0421) | $53.10 | $88.50 | 1.9× |
| Ed svc ckd ind per session (G0420) | $76.27 | $127.12 | 0.7× |
| Ekg tracing for initial prev (G0404) | $103.95 | $173.25 | 3.6× |
| Elec stim other than wound (G0283) | $115.46 | $192.44 | 9.1× |
| Elec stim unattend for press (G0281) | $105.34 | $175.56 | 9.0× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,391.76 | $2,319.60 | 1.1× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $1,391.76 | $2,319.60 | 1.1× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $34,319.09 | $57,198.48 | 0.8× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $4,154.16 | $6,923.60 | 0.7× |
| Extracorporeal shock wave muscskel sys nos (0101T) | $3,730.12 | $6,216.87 | 15.1× |
| Extrnl counterpulse, per tx (G0166) | $283.46 | $472.43 | 2.1× |
| Eye mvmt analysis w/o spatial calibration i&r (0615T) | $130.84 | $218.06 | 1.0× |
| Fecal blood scrn immunoassay (G0328) | $57.83 | $96.38 | 3.2× |
| Fecal microbiota prep instil (G0455) | $743.49 | $1,239.15 | 0.8× |
| Fern test (Q0114) range across 3 matching MRF lines |
$30.26–$52.87 | $50.44–$88.12 | varies |
| Flt3 gene int tandem dupl variants quantitative (0046U) | $3,382.50 | $5,637.50 | 8.3× |
| Followup eval of foot pt lop (G0246) | $172.31 | $287.19 | 1.3× |
| Glaucoma scrn hgh risk direc (G0118) | $76.08 | $126.80 | 2.0× |
| Glaucoma scrn hgh risk direc (G0117) | $116.17 | $193.61 | 4.0× |
| Group behave couns 2-10 (G0473) | $91.82 | $153.04 | 2.4× |
| Group mnt 2 or more 30 mins (G0271) | $53.02 | $88.36 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $640.36 | $1,067.27 | 4.6× |
| High inten beh couns std 30m (G0445) | $75.54 | $125.90 | 0.7× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) | $15,000.60 | $25,001 | 0.9× |
| Hiv combination assay (G0475) | $28.90 | $48.16 | 1.2× |
| Home sleep test/type 2 porta (G0398) | $519.06 | $865.10 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $503.12 | $838.53 | 2.3× |
| Hopd mntl hlt, 15-29 min (C7900) | $102.51 | $170.85 | 2.7× |
| Hopd mntl hlt, 30-60 min (C7901) | $205.02 | $341.70 | 2.0× |
| Hospital outpt clinic visit (G0463) range across 26 matching MRF lines |
$140.72–$227.22 | $234.53–$378.70 | varies |
| Init/sub psych care m 1st 30 (G2214) | $94.34 | $157.23 | 0.9× |
| Initial foot exam pt lops (G0245) | $193.85 | $323.09 | 1.4× |
| Initial preventive exam (G0402) | $188.86 | $314.76 | 1.4× |
| Inj for sacroiliac jt anesth (G0260) | $1,491.47 | $2,485.79 | 2.1× |
| Injection posterior chamber eye medication (0699T) | $2,545.03 | $4,241.72 | 1.1× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $901.34 | $1,502.24 | 1.0× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) | $5,709.53 | $9,515.88 | 1.1× |
| Insertion of sinus tarsi implant (0335T) | $5,886.74 | $9,811.23 | 0.8× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $9,537.90 | $15,896.50 | 1.1× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $26,949.80 | $44,916.34 | 1.2× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $36,756.42 | $61,260.70 | 1.2× |
| Insj Wcs Lv Eltrd Only (0516T) | $9,535.98 | $15,893.30 | 0.9× |
| Insj Wcs Lv Pg Compnt (0517T) | $9,535.98 | $15,893.30 | 0.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) range across 2 matching MRF lines |
$18,910.40–$36,885.60 | $31,517.34–$61,476 | varies |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $12,531.34 | $20,885.57 | 1.5× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $13,116.75 | $21,861.25 | 1.6× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$9,668 | $16,113.34 | 0.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $53,171.40 | $88,619 | 1.7× |
| Instlj fecal microbiota ssp (0780T) | $147.78 | $246.30 | 1.1× |
| Intens behave ther cardio dx (G0446) | $36.22 | $60.37 | 1.0× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $134.96 | $224.93 | 3.6× |
| Interrog dev eval impl ccm-d system in person (0927T) | $42.76 | $71.26 | 1.1× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $10,915.75 | $18,192.92 | 1.0× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $481.34 | $802.23 | 3.9× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $754.50 | $1,257.50 | 1.5× |
| Mnt subs tx for change dx (G0270) | $64.70 | $107.83 | 2.0× |
| Mra w/cont, lwr ext (C8912) | $2,007.60 | $3,346 | 5.7× |
| Mra w/o cont, lwr ext (C8913) | $1,754.28 | $2,923.80 | 7.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,160.19 | $3,600.32 | 6.2× |
| Mra, w/dye, spinal canal (C8931) | $1,033.39 | $1,722.32 | 2.9× |
| Mra, w/o dye, spinal canal (C8932) | $1,033.39 | $1,722.32 | 4.3× |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,590.76 | $2,651.26 | 4.5× |
| Mri w/cont, breast, bi (C8906) | $2,119.87 | $3,533.12 | 6.0× |
| Mri w/cont, breast, uni (C8903) | $1,567.09 | $2,611.82 | 8.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,049.50 | $3,415.83 | 5.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,410.38 | $2,350.64 | 4.0× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $357 | $595 | 1.6× |
| Neuro csf prion prtn qual (0035U) | $130.74 | $217.90 | 0.2× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $3,470.74 | $5,784.56 | 1.1× |
| Njx platelet plasma (0232T) | $412.60 | $687.66 | 0.9× |
| Obtaining screen pap smear (Q0091) | $18.46 | $30.76 | 0.6× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $512.07 | $853.45 | 1.6× |
| Oth resp proc, group (G0239) | $138.85 | $231.42 | 3.7× |
| Oth resp proc, indiv (G0238) | $116.83 | $194.71 | 4.0× |
| Pathogen test for platelets (P9100) | $56.35 | $93.92 | 1.0× |
| Pattern erg w/i&r (0509T) | $574.20 | $957 | 2.6× |
| Pelvic ring fracture uni/bil (G0413) unusually low: confirm this is the full procedure |
$2,550.56 | $4,250.93 | 0.3× |
| Pemivibart infusion (M0224) | $520.56 | $867.60 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $24,710.85 | $41,184.75 | 1.3× |
| Perc d-e cor revasc t cabg s (C9604) | $21,754.07 | $36,256.78 | 1.9× |
| Perc d-e cor stent ather s (C9602) | $23,740.59 | $39,567.65 | 1.3× |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$22,567.84–$24,039.61 | $37,613.07–$40,066.02 | varies |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) | $7,173.10 | $11,955.17 | 1.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $5,262.95 | $8,771.58 | 0.7× |
| Perq Sacral Augmt Unilat Inj (0200T) | $4,462.55 | $7,437.58 | 0.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $6,536.40 | $10,894 | 0.6× |
| Pinworm examinations (Q0113) | $5.70 | $9.50 | 1.3× |
| Place device/marker, non pro (C9728) | $2,039.82 | $3,399.70 | 1.5× |
| Place endorectal app (C9725) | $1,438.99 | $2,398.32 | 1.5× |
| Post op service lvrs min 6 (G0305) | $948.13 | $1,580.22 | 2.5× |
| Potassium hydroxide preps (Q0112) | $51.47 | $85.79 | 8.8× |
| Pre-op service lvrs complete (G0302) | $948.13 | $1,580.22 | 2.5× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $41.52 | $69.20 | 1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $121.79 | $202.98 | 3.2× |
| Programming device eval impl ccm-d sys in person (0926T) | $42.76 | $71.26 | 1.1× |
| Prostate biopsy, any mthd (G0416) | $586.20 | $977 | 1.6× |
| Provide inr test mater/equip (G0249) | $163.23 | $272.05 | 1.2× |
| Psa screening (G0103) | $136.69 | $227.81 | 7.1× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) range across 2 matching MRF lines |
$282–$1,272 | $470–$2,120 | varies |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,140.60 | $1,901 | 1.2× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $99.13 | $165.22 | 1.1× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) | $33.39 | $55.65 | 0.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $403.50 | $672.50 | 0.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$360–$387.31 | $600–$645.51 | varies |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $3,026.50 | $5,044.16 | 1.5× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) | $42.76 | $71.26 | 1.1× |
| Remove drug implant (G0517) | $397.79 | $662.99 | 0.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $4,075.06 | $6,791.77 | 6.5× |
| Revasc intra lithotrip-ather (C9766) | $19,250.53 | $32,084.22 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $25,523.12 | $42,538.53 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $12,425.16 | $20,708.60 | 1.1× |
| Revasc lith-sten-ath tib/per (C9775) | $18,789.86 | $31,316.44 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $18,789.86 | $31,316.44 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $19,729.36 | $32,882.26 | 1.1× |
| Revasc lithotrip tibi/perone (C9772) | $13,321.23 | $22,202.05 | 1.1× |
| Revasc lithotrip-stent-ather (C9767) | $32,613.73 | $54,356.21 | 1.8× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$10,980.55 | $18,300.91 | 0.5× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $4,538.63 | $7,564.38 | 1.2× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $6,916.93 | $11,528.22 | 1.8× |
| Rmvl Pg Compnt Wcs (0518T) | $3,517.86 | $5,863.10 | 0.9× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $26,949.80 | $44,916.34 | 2.6× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $26,949.80 | $44,916.34 | 1.2× |
| Routine footcare pt w lops (G0247) | $248.64 | $414.40 | 1.2× |
| Screen cerv/vag thin layer (G0123) | $90.88 | $151.47 | 4.5× |
| Sim ang w/prs cath rad emb (C8004) | $13,001.06 | $21,668.44 | 1.1× |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) | $57.61 | $96.02 | 1.5× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $30,934.42 | $51,557.37 | 1.6× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $21,863.78 | $36,439.64 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $21,452.34 | $35,753.90 | 1.1× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $3,608.40 | $6,014 | 1.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $21,863.78 | $36,439.64 | 1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $21,452.34 | $35,753.90 | 1.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $21,863.78 | $36,439.64 | 1.1× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $6,497.32 | $10,828.87 | 1.1× |
| Therapeutic procd strg endur (G0237) | $119.55 | $199.25 | 4.1× |
| Therapeutic ultrafiltration (0692T) | $3,745.15 | $6,241.91 | 2.4× |
| Tpmt and Nudt15 Genotype (0034U) range across 2 matching MRF lines |
$650.76–$666 | $1,084.60–$1,110 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $8,377.80 | $13,963 | 1.5× |
| Transcatheter renal sympath denervation unilat (0338T) | $6,292.69 | $10,487.82 | 1.1× |
| Transperineal focal laser abltj mal prst8 tiss (0655T) | $3,724.85 | $6,208.08 | 0.7× |
| Trauma respons w/hosp criti (G0390) range across 8 matching MRF lines |
$591.43–$8,026.96 | $985.71–$13,378.27 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $2,520 | $4,200 | 0.7× |
| Trim nail(s) (G0127) | $88.22 | $147.04 | 1.5× |
| Trluml Perip Athrc Brchiocph (0237T) | $10,894.02 | $18,156.70 | 0.9× |
| Trluml Perip Athrc Iliac Art (0238T) | $13,889.68 | $23,149.46 | 0.8× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $8,304.86 | $13,841.44 | 0.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,266.62 | $2,111.03 | 1.6× |
| Unsched dialysis esrd pt hos (G0257) | $789.50 | $1,315.83 | 1.1× |
| Vasc emb/occ w/prs cath (C9797) | $13,549.31 | $22,582.18 | 0.7× |
| Visit esketamine 56m or less (G2082) | $780.60 | $1,301 | 0.8× |
| Visit esketamine, > 56m (G2083) | $1,165.44 | $1,942.40 | 0.7× |
| Visit to determ ldct elig (G0296) | $102.60 | $171 | 1.0× |
| Wet mounts/ w preparations (Q0111) | $54.13 | $90.22 | 2.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.