Supplies, drugs & other prices at Tmc- Bonham Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
2019-ncov diagnostic p (U0001) $35.20 $118.80 1.0×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$49.50–$55 $165–$181.50 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$49.50–$55 $165–$181.50 varies
Ca screen;flexi sigmoidscope (G0104) $459.80 $1,534.50 0.5×
Ca screen;pelvic/breast exam (G0101) $39.60 $130.90 0.4×
Colon ca scrn not hi rsk ind (G0121) $723.80 $2,414.50 0.8×
Colorectal scrn; hi risk ind (G0105) $723.80 $2,414.50 0.8×
Diab manage trn per indiv (G0108)
range across 3 matching MRF lines
$60.50–$89.10 $201.30–$297 varies
Diab manage trn ind/group (G0109) $28.60 $95.70 1.8×
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$14.30–$78.10 $48.40–$261.80 varies
Elec stim other than wound (G0283)
range across 3 matching MRF lines
$51.70–$104.50 $171.60–$348.70 varies
Followup eval of foot pt lop (G0246)
range across 2 matching MRF lines
$28.60–$37.40 $96.80–$124.30 varies
Home sleep test/type 3 porta (G0399) $239.80 $800.80 1.1×
Hospital outpt clinic visit (G0463)
range across 5 matching MRF lines
$172.70–$302.50 $575.30–$1,007.60 varies
Initial foot exam pt lops (G0245)
range across 2 matching MRF lines
$49.50–$62.70 $163.90–$211.20 varies
Initial preventive exam (G0402)
range across 2 matching MRF lines
$149.60–$228.80 $498.30–$763.40 varies
Mnt subs tx for change dx (G0270) $60.50 $200.20 1.9×
Obtaining screen pap smear (Q0091) $20.90 $69.30 0.7×
Oth resp proc, group (G0239) $84.70 $282.70 2.3×
Oth resp proc, indiv (G0238) $37.40 $125.40 1.3×
Ppps, initial visit (G0438) $228.80 $761.20 1.3×
Ppps, subseq visit (G0439) $228.80 $763.40 1.7×
Psa screening (G0103) $200.20 $667.70 10.4×
Routine footcare pt w lops (G0247)
range across 2 matching MRF lines
$53.90–$69.30 $180.40–$231 varies
Therapeutic procd strg endur (G0237) $37.40 $125.40 1.3×
Trauma respons w/hosp criti (G0390) $1,543.30 $5,144.70 1.2×
Trim nail(s) (G0127) $14.30 $49.50 0.2×

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.