Supplies, drugs & other prices at Texoma Medical Center
Denison, TX · every code in this section with a posted price and a Medicare benchmark.
70 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) | $118.50 | $158 | 2.5× |
| Admin influenza virus vac (G0008) | $94.50 | $126 | 2.0× |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$83.25–$118.50 | $111–$158 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $164.25 | $219 | 4.4× |
| Alcohol/subs interv >30 min (G0397) | $481.50 | $642 | 2.7× |
| Catheterize for urine spec (P9612) | $692.25 | $923 | 74.1× |
| Covid-19 lab test non-cdc (U0002) | $128.25 | $171 | 2.5× |
| Diab manage trn per indiv (G0108) range across 3 matching MRF lines |
$194.25–$215.25 | $259–$287 | varies |
| Diab manage trn ind/group (G0109) range across 3 matching MRF lines |
$131.25–$182.25 | $175–$243 | varies |
| Direct refer hospital observ (G0379) | $2,274.75 | $3,033 | 3.8× |
| Drug test def 1-7 classes (G0480) range across 2 matching MRF lines |
$351.75–$573 | $469–$764 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$292.50–$313.50 | $390–$418 | varies |
| Elec stim other than wound (G0283) range across 14 matching MRF lines |
$172.50–$264.75 | $230–$353 | varies |
| Elec stim unattend for press (G0281) | $172.50 | $230 | 14.8× |
| Fern test (Q0114) range across 2 matching MRF lines |
$79.50–$581.25 | $106–$775 | varies |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$73.50–$74.25 | $98–$99 | varies |
| Hbot, full body chamber, 30m (G0277) | $1,019.25 | $1,359 | 7.4× |
| Hepb screen high risk indiv (G0499) | $159.75 | $213 | 5.7× |
| Home sleep test/type 2 porta (G0398) | $1,108.50 | $1,478 | 5.1× |
| Home sleep test/type 3 porta (G0399) | $1,108.50 | $1,478 | 5.1× |
| Home sleep test/type 4 porta (G0400) | $1,108.50 | $1,478 | 5.1× |
| Hospital outpt clinic visit (G0463) range across 21 matching MRF lines |
$359.25–$1,006.50 | $479–$1,342 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 9 matching MRF lines |
$1,704.75–$3,178.50 | $2,273–$4,238 | varies |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) | $10,627.50 | $14,170 | 2.4× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0264T) | $8,580 | $11,440 | 2.0× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0265T) | $8,580 | $11,440 | 2.0× |
| Mnt subs tx for change dx (G0270) | $110.25 | $147 | 3.5× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$5,367–$5,367.75 | $7,156–$7,157 | varies |
| Mra w/cont, chest (C8909) | $3,506.25 | $4,675 | 10.0× |
| Mra w/cont, lwr ext (C8912) range across 5 matching MRF lines |
$4,687.50–$9,360.75 | $6,250–$12,481 | varies |
| Mra w/cont, pelvis (C8918) | $3,984 | $5,312 | 11.4× |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$4,932.75–$5,232 | $6,577–$6,976 | varies |
| Mra w/o cont, chest (C8910) | $3,506.25 | $4,675 | 14.6× |
| Mra w/o cont, lwr ext (C8913) range across 5 matching MRF lines |
$4,769.25–$9,537 | $6,359–$12,716 | varies |
| Mra w/o cont, pelvis (C8919) | $3,832.50 | $5,110 | 16.0× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$7,220.25–$7,729.50 | $9,627–$10,306 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$3,733.50–$3,734.25 | $4,978–$4,979 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 5 matching MRF lines |
$4,688.25–$10,858.50 | $6,251–$14,478 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$4,182.75–$4,183.50 | $5,577–$5,578 | varies |
| Mra, w/dye, upper extremity (C8934) range across 4 matching MRF lines |
$4,769.25–$10,117.50 | $6,359–$13,490 | varies |
| Mra, w/o dye, upper extr (C8935) range across 4 matching MRF lines |
$4,769.25–$10,117.50 | $6,359–$13,490 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 4 matching MRF lines |
$4,769.25–$10,117.50 | $6,359–$13,490 | varies |
| Mri w/cont, breast, bi (C8906) | $5,645.25 | $7,527 | 16.1× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$6,742.50–$7,152 | $8,990–$9,536 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 4 matching MRF lines |
$6,210.75–$9,317.25 | $8,281–$12,423 | varies |
| Njx platelet plasma (0232T) | $4,653.75 | $6,205 | 10.4× |
| Oth resp proc, group (G0239) | $472.50 | $630 | 12.6× |
| Oth resp proc, indiv (G0238) | $472.50 | $630 | 16.3× |
| Perc d-e cor revasc chro sin (C9607) range across 5 matching MRF lines |
$27,090–$33,554.25 | $36,120–$44,739 | varies |
| Perc d-e cor revasc t cabg s (C9604) | $35,916.75 | $47,889 | 3.1× |
| Perc d-e cor stent ather s (C9602) | $33,554.25 | $44,739 | 1.8× |
| Perc drug-el cor stent sing (C9600) | $31,840.50 | $42,454 | 2.7× |
| Prostate biopsy, any mthd (G0416) | $436.50 | $582 | 1.2× |
| Psa screening (G0103) range across 2 matching MRF lines |
$276.75–$345.75 | $369–$461 | varies |
| Revasc intra lithotrip-ather (C9766) | $46,093.50 | $61,458 | 2.5× |
| Revasc intra lithotrip-stent (C9765) | $46,093.50 | $61,458 | 2.5× |
| Revasc intravasc lithotripsy (C9764) | $23,062.50 | $30,750 | 2.0× |
| Revasc lith-sten-ath tib/per (C9775) | $37,212.75 | $49,617 | 2.0× |
| Revasc lithotr-ather tib/per (C9774) | $37,212.75 | $49,617 | 2.0× |
| Revasc lithotr-stent tib/per (C9773) | $37,212.75 | $49,617 | 2.0× |
| Revasc lithotrip tibi/perone (C9772) | $23,062.50 | $30,750 | 2.0× |
| Revasc lithotrip-stent-ather (C9767) | $46,093.50 | $61,458 | 2.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $62,928 | $83,904 | 3.3× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$472.50–$489.75 | $630–$653 | varies |
| Tomosynthesis, mammo (G0279) | $165.75 | $221 | 13.1× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $10,210.88 | $13,614.50 | 1.8× |
| Trauma respons w/hosp criti (G0390) | $10,680.75 | $14,241 | 8.0× |
| Trluml Perip Athrc Brchiocph (0237T) | $31,914.75 | $42,553 | 2.8× |
| Trluml Perip Athrc Iliac Art (0238T) range across 3 matching MRF lines |
$31,914.75–$39,531 | $42,553–$52,708 | varies |
| Unsched dialysis esrd pt hos (G0257) | $2,320.50 | $3,094 | 3.4× |
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.