Supplies, drugs & other prices at Texas Health Heart & Vascular Hospital Arlington
Arlington, TX · every code in this section with a posted price and a Medicare benchmark.
55 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,375.05 | $2,291.75 | 1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,375.05 | $2,291.75 | 3.9× |
| Diab manage trn per indiv (G0108) | $144.60 | $241 | 2.6× |
| Diab manage trn ind/group (G0109) | $84 | $140 | 5.2× |
| Direct refer hospital observ (G0379) | $304.35 | $507.25 | 0.5× |
| Drug test def 1-7 classes (G0480) | $109.80 | $183 | 1.0× |
| Drug test def 15-21 classes (G0482) | $442.80 | $738 | 2.2× |
| Elec stim other than wound (G0283) | $93.90 | $156.50 | 7.4× |
| Hep c screen high risk/other (G0472) | $225.45 | $375.75 | 4.9× |
| 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, chest (C8910) | $2,939.25 | $4,898.75 | 12.2× |
| Mra w/o cont, lwr ext (C8913) | $3,082.65 | $5,137.75 | 12.8× |
| 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, lwr ext (C8914) | $3,023.32 | $5,038.88 | 8.6× |
| 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× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $1,278.90 | $2,131.50 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $18,808.65 | $31,347.75 | 1.0× |
| Perc d-e cor revasc t cabg s (C9604) | $18,808.65 | $31,347.75 | 1.6× |
| Perc d-e cor stent ather s (C9602) | $18,808.65 | $31,347.75 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $18,808.65 | $31,347.75 | 1.6× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,284.40 | $10,474 | 0.9× |
| Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) | $18,228 | $30,380 | 1.6× |
| Psa screening (G0103) | $154.95 | $258.25 | 8.0× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $680.55 | $1,134.25 | 0.9× |
| Revasc intra lithotrip-ather (C9766) | $18,808.65 | $31,347.75 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $18,808.65 | $31,347.75 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $9,041.40 | $15,069 | 0.8× |
| Revasc lithotr-ather tib/per (C9774) | $18,808.65 | $31,347.75 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $18,808.65 | $31,347.75 | 1.6× |
| Revasc lithotrip-stent-ather (C9767) | $18,808.65 | $31,347.75 | 1.0× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $40,546.80 | $67,578 | 2.1× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $40,546.80 | $67,578 | 2.1× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $40,546.80 | $67,578 | 2.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $40,546.80 | $67,578 | 2.1× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $6,633 | $11,055 | 2.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $6,633 | $11,055 | 2.1× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $6,633 | $11,055 | 2.1× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $6,633 | $11,055 | 2.1× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $40,546.80 | $67,578 | 2.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $40,546.80 | $67,578 | 2.1× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $40,546.80 | $67,578 | 2.1× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $40,546.80 | $67,578 | 2.1× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $17,591.70 | $29,319.50 | 1.5× |
| Trluml peripheral atherectomy iliac artery ea (0238T) | $17,591.70 | $29,319.50 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $1,348.88 | $2,248.12 | 1.7× |
| Tte w or wo fol wcon,doppler (C8929) | $1,859.40 | $3,099 | 2.4× |
| Unsched dialysis esrd pt hos (G0257) | $2,127.45 | $3,545.75 | 3.1× |