Supplies, drugs & other prices at Texas Health Harris Methodist Hospital Southlake
Southlake, TX · every code in this section with a posted price and a Medicare benchmark.
18 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $113.70 | $189.50 | 2.4× |
| Admin influenza virus vac (G0008) | $113.70 | $189.50 | 2.4× |
| Direct refer hospital observ (G0379) | $304.35 | $507.25 | 0.5× |
| Drug test def 1-7 classes (G0480) | $121.80 | $203 | 1.1× |
| Elec stim other than wound (G0283) | $93.90 | $156.50 | 7.4× |
| Inj for sacroiliac jt anesth (G0260) | $2,255.55 | $3,759.25 | 3.2× |
| Mnt subs tx for change dx (G0270) | $90 | $150 | 2.8× |
| Mra w/cont, abd (C8900) | $2,394.15 | $3,990.25 | 6.8× |
| Mra w/cont, pelvis (C8918) | $2,929.95 | $4,883.25 | 8.3× |
| Mra w/o cont, abd (C8901) | $2,274.45 | $3,790.75 | 9.5× |
| Mra w/o cont, pelvis (C8919) | $3,047.25 | $5,078.75 | 12.7× |
| Mra w/o fol w/cont, abd (C8902) | $2,394.15 | $3,990.25 | 6.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,047.25 | $5,078.75 | 8.7× |
| Mri w/cont, breast, bi (C8906) | $2,574.45 | $4,290.75 | 7.3× |
| Mri w/o fol w/cont, breast, (C8908) | $3,209.55 | $5,349.25 | 9.1× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $409.50 | $682.50 | 0.8× |
| Psa screening (G0103) | $154.95 | $258.25 | 8.0× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $680.55 | $1,134.25 | 0.9× |