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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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $105 $150 2.9×
Admin influenza virus vac (G0008) $79.64 $113.78 1.7×
Admin pneumococcal vaccine (G0009) $79.64 $113.78 1.7×
Behavior counsel obesity 15m (G0447) $54.60 $78 0.5×
Catheterize for urine spec (P9612) $6.30 $9 0.7×
Covid-19 lab test non-cdc (U0002) $105 $150 2.0×
Direct refer hospital observ (G0379) $1,121.14 $1,601.62 1.9×
Drug test def 1-7 classes (G0480) $240.30 $343.29 2.1×
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) $167.09 $238.70 5.7×
Group mnt 2 or more 30 mins (G0271) $28.70 $41 1.7×
Hospital outpt clinic visit (G0463) $144.74 $206.76 1.1×
Mnt subs tx for change dx (G0270) $54.60 $78 1.7×
Oth resp proc, group (G0239) $95.46 $136.38 2.5×
Oth resp proc, indiv (G0238) $126.06 $180.09 4.3×
Psa screening (G0103) $114.74 $163.91 5.9×
Therapeutic procd strg endur (G0237) $204.23 $291.75 7.0×
Tomosynthesis, mammo (G0279) $100.28 $143.25 7.9×
Trauma respons w/hosp criti (G0390) $1,568.06 $2,240.08 1.2×
Tte w or wo fol wcon,doppler (C8929) $147.70 $211 0.2×
Warfarin respon genetic test (G9143) $14.10 $20.14 0.1×