Supplies, drugs & other prices at Starr County Memorial Hospital

Rio Grande City, TX · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $8 $8 0.2×
Colorectal scrn; hi risk ind (G0105) $3,000 $3,000 3.2×
Depression screen annual (G0444) $25 $25 0.7×
Direct refer hospital observ (G0379) $1,158.96 $1,158.96 1.9×
Drug test def 1-7 classes (G0480) $372 $372 3.3×
Facility svs dental rehab (G0330) $3,000 $3,000 0.9×
Hospital outpt clinic visit (G0463) $475 $475 3.6×
Initial preventive exam (G0402) $175 $175 1.3×
Mnt subs tx for change dx (G0270) $56.58 $56.58 1.8×
Mra w/o fol w/cont, pelvis (C8920) $1,685 $1,685 4.8×
Obtaining screen pap smear (Q0091) $40.02 $40.02 1.4×
Ppps, initial visit (G0438) $177.50 $177.50 1.0×
Ppps, subseq visit (G0439) $165 $165 1.2×
Trauma respons w/hosp criti (G0390) $4,500 $4,500 3.4×