Supplies, drugs & other prices at Shannon Medical Center
San Angelo, 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 | Posted cash | Posted gross | × 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) range across 2 matching MRF lines |
$592.50–$594 | $1,185–$1,188 | varies |
| 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) range across 3 matching MRF lines |
$19–$71 | $38–$142 | varies |
| 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) range across 2 matching MRF lines |
$471–$609 | $942–$1,218 | varies |
| 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) range across 3 matching MRF lines |
$3,426–$3,427.50 | $6,852–$6,855 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$1,778–$2,689.50 | $3,556–$5,379 | varies |
| Mra w/o cont, chest (C8910) | $3,046 | $6,092 | 12.7× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$3,159.50–$3,160 | $6,319–$6,320 | varies |
| Mra w/o fol w/cont, abd (C8902) | $4,403 | $8,806 | 12.6× |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$2,156.50–$3,916 | $4,313–$7,832 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$4,407.50–$4,408.50 | $8,815–$8,817 | varies |
| Mra, w/dye, upper extremity (C8934) range across 3 matching MRF lines |
$3,426–$3,427.50 | $6,852–$6,855 | varies |
| Mra, w/o dye, upper extr (C8935) range across 3 matching MRF lines |
$3,159.50–$3,160 | $6,319–$6,320 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 3 matching MRF lines |
$4,407.50–$4,408.50 | $8,815–$8,817 | varies |
| 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 prion prtn qual (0035U) | $423.50 | $847 | 0.8× |
| Njx platelet plasma (0232T) | $613.50 | $1,227 | 1.4× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$58–$102 | $116–$204 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$58–$122 | $116–$244 | varies |
| 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) range across 2 matching MRF lines |
$58–$102 | $116–$204 | varies |
| Tomosynthesis, mammo (G0279) | $59 | $118 | 4.6× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$1,536.50–$8,559.50 | $3,073–$17,119 | varies |
| Trluml Perip Athrc Iliac Art (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) range across 2 matching MRF lines |
$1,159.50–$1,797 | $2,319–$3,594 | varies |
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.