Supplies, drugs & other prices at Throckmorton County Memorial Hospital

Throckmorton, TX · every code in this section with a posted price and a Medicare benchmark.

16 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $69.50 $69.50 1.5×
Admin pneumococcal vaccine (G0009) $83 $83 1.8×
Ca screen;pelvic/breast exam (G0101) $119.50 $119.50 1.2×
Catheterize for urine spec (P9612) $146 $146 15.6×
Direct refer hospital observ (G0379) $57 $57 0.1×
Drug test def 1-7 classes (G0480) $294 $294 2.6×
Drug test def 8-14 classes (G0481) $315 $315 2.0×
Initial preventive exam (G0402) $200 $200 1.5×
Mra w/o cont, chest (C8910) $2,781 $2,781 11.6×
Mra w/o cont, lwr ext (C8913) $565 $565 2.4×
Mra w/o cont, pelvis (C8919) $565 $565 2.4×
Mra w/o fol w/cont, abd (C8902) $4,978 $4,978 14.2×
Ppps, initial visit (G0438) $195 $195 1.1×
Ppps, subseq visit (G0439) $176 $176 1.3×
Psa screening (G0103) $127 $127 6.6×
Trauma respons w/hosp criti (G0390) $4,785 $4,785 3.6×