Supplies, drugs & other prices at Stephens Memorial Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $105 $150 2.9×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$77.70–$81.59 $111–$116.55 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$77.70–$81.59 $111–$116.55 varies
Behavior counsel obesity 15m (G0447) $54.60 $78 0.5×
Catheterize for urine spec (P9612)
range across 3 matching MRF lines
$6.30–$6.62 $9–$9.45 varies
Covid-19 lab test non-cdc (U0002)
range across 3 matching MRF lines
$105–$107.10 $150–$153 varies
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$1,093.79–$1,148.48 $1,562.55–$1,640.68 varies
Drug test def 1-7 classes (G0480)
range across 27 matching MRF lines
$16.10–$252.32 $23–$360.45 varies
Drug test def 15-21 classes (G0482) $48.30 $69 0.2×
Drug test def 22+ classes (G0483) $518.53 $740.76 2.1×
Drug test def 8-14 classes (G0481) $87.50 $125 0.6×
Ekg tracing for initial prev (G0404)
range across 3 matching MRF lines
$162.23–$175.45 $231.75–$250.64 varies
Group mnt 2 or more 30 mins (G0271) $28.70 $41 1.7×
Hospital outpt clinic visit (G0463)
range across 2 matching MRF lines
$122.38–$167.09 $174.83–$238.70 varies
Mnt subs tx for change dx (G0270) $54.60 $78 1.7×
Oth resp proc, group (G0239)
range across 2 matching MRF lines
$66.33–$124.60 $94.76–$178 varies
Oth resp proc, indiv (G0238)
range across 2 matching MRF lines
$121.13–$131 $173.04–$187.14 varies
Psa screening (G0103) $114.74 $163.91 5.9×
Therapeutic procd strg endur (G0237)
range across 3 matching MRF lines
$198.28–$214.44 $283.25–$306.34 varies
Tomosynthesis, mammo (G0279) $100.28 $143.25 7.9×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$1,529.82–$1,606.30 $2,185.45–$2,294.72 varies
Tte w or wo fol wcon,doppler (C8929) $147.70 $211 0.2×
Warfarin respon genetic test (G9143)
range across 6 matching MRF lines
$13.03–$236.94 $18.62–$338.48 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.