Supplies, drugs & other prices at Texas County Memorial Hospital
Houston, MO · every code in this section with a posted price and a Medicare benchmark.
42 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $20 | $20 | 0.4× |
| Admin influenza virus vac (G0008) | $20 | $20 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $20 | $20 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $50 | $50 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$725–$3,195.50 | $725–$4,565 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$725–$3,236.10 | $725–$4,623 | varies |
| Diab manage trn per indiv (G0108) | $79.10 | $113 | 1.4× |
| Direct refer hospital observ (G0379) | $126 | $180 | 0.2× |
| Elec stim other than wound (G0283) | $67.73 | $96.75 | 5.3× |
| Elec stim unattend for press (G0281) | $67.73 | $96.75 | 5.8× |
| Home sleep test/type 3 porta (G0399) | $175 | $250 | 0.8× |
| Hospital outpt clinic visit (G0463) range across 9 matching MRF lines |
$133.70–$255.50 | $191–$365 | varies |
| Initial preventive exam (G0402) | $255 | $255 | 1.9× |
| Inj for sacroiliac jt anesth (G0260) | $685 | $685 | 1.0× |
| Mra w/cont, abd (C8900) | $1,568 | $2,240 | 4.5× |
| Mra w/cont, chest (C8909) | $1,568 | $2,240 | 4.5× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,568–$2,275 | $2,240–$3,250 | varies |
| Mra w/cont, pelvis (C8918) | $1,568 | $2,240 | 4.5× |
| Mra w/o cont, abd (C8901) | $1,463 | $2,090 | 6.1× |
| Mra w/o cont, chest (C8910) | $1,463 | $2,090 | 6.1× |
| Mra w/o cont, lwr ext (C8913) | $1,463 | $2,090 | 6.1× |
| Mra w/o cont, pelvis (C8919) | $1,463 | $2,090 | 6.1× |
| Mra w/o fol w/cont, abd (C8902) | $2,117.50 | $3,025 | 6.1× |
| Mra w/o fol w/cont, chest (C8911) | $2,117.50 | $3,025 | 6.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,117.50 | $3,025 | 6.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,117.50 | $3,025 | 6.1× |
| Mra, w/dye, spinal canal (C8931) | $1,568 | $2,240 | 4.5× |
| Mra, w/dye, upper extremity (C8934) | $1,568 | $2,240 | 4.5× |
| Mra, w/o dye, spinal canal (C8932) | $1,463 | $2,090 | 6.1× |
| Mra, w/o dye, upper extr (C8935) | $1,463 | $2,090 | 6.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,117.50 | $3,025 | 6.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,117.50 | $3,025 | 6.1× |
| Obtaining screen pap smear (Q0091) | $70 | $70 | 2.4× |
| Oth resp proc, group (G0239) range across 5 matching MRF lines |
$42.70–$63.70 | $61–$91 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$39.20–$65.80 | $56–$94 | varies |
| Prolonged iv inf, req pump (C8957) | $353.50 | $505 | 1.7× |
| Psa screening (G0103) | $181.34 | $259.05 | 9.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $367.61 | $525.15 | 0.5× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$39.20–$65.80 | $56–$94 | varies |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$34.73–$43.40 | $49.61–$62 | varies |
| Trim nail(s) (G0127) | $35 | $35 | 0.6× |
| Visit to determ ldct elig (G0296) | $80 | $80 | 0.8× |
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.