Supplies, drugs & other prices at Tops Surgical Specialty Hospital
Houston, 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.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ca screen;flexi sigmoidscope (G0104) | $473.90 | $1,354 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $473.90 | $1,354 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $473.90 | $1,354 | 0.5× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,069.85 | $8,771 | 0.3× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$2,666.65 | $7,619 | 0.3× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$1,236.90 | $3,534 | 0.2× |
| Dermal filler injection(s) (G0429) | $407.40 | $1,164 | 0.2× |
| Direct refer hospital observ (G0379) | $405.30 | $1,158 | 0.7× |
| Drug test def 1-7 classes (G0480) | $114.45 | $327 | 1.0× |
| Esophag muc integ w/eso egd (C9777) | $2,903.25 | $8,295 | 0.7× |
| Fecal microbiota prep instil (G0455) | $405.30 | $1,158 | 0.4× |
| Home sleep test/type 3 porta (G0399) | $437.85 | $1,251 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $473.90 | $1,354 | 0.7× |
| Mri w/cont, breast, bi (C8906) | $2,764.30 | $7,898 | 7.9× |
| Mri w/o fol w/cont, breast, (C8908) | $2,764.30 | $7,898 | 7.9× |
| Pild/placebo control clin tr (G0276) likely a partial charge, not the full procedure |
$1,923.25 | $5,495 | 0.3× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$3,549.35 | $10,141 | 0.3× |
| Spine device implant surgery (C9757) likely a partial charge, not the full procedure |
$2,497.25 | $7,135 | 0.2× |