Supplies, drugs & other prices at United Regional Health Care System

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

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

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $519.79 $547.15 1.2×
Adm tocilizu covid-19 2nd (M0250) $519.79 $547.15 1.2×
Admin influenza virus vac (G0008) $64.08 $67.45 1.4×
Admin pneumococcal vaccine (G0009) $64.08 $67.45 1.4×
Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) $89.30 $94 2.9×
Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype… (0878T) $1,852.50 $1,950 2.9×
Catheterize for urine spec (P9612) $100.70 $106 10.8×
Covid-19 lab test non-cdc (U0002) $190 $200 3.7×
Diab manage trn per indiv (G0108) $133.76 $140.80 2.4×
Diab manage trn ind/group (G0109) $100.32 $105.60 6.3×
Direct refer hospital observ (G0379) $200.50 $211.05 0.3×
Drug test def 1-7 classes (G0480) $235.60 $248 2.1×
Drug test def 15-21 classes (G0482) $470.25 $495 2.4×
Drug test def 8-14 classes (G0481) $352.45 $371 2.3×
Elec stim other than wound (G0283) $100.32 $105.60 7.9×
Facility svs dental rehab (G0330) $4,502.60 $4,739.58 1.4×
Fecal microbiota prep instil (G0455) $2,755.49 $2,900.52 2.9×
Group mnt 2 or more 30 mins (G0271) $121.60 $128 7.1×
Hbot, full body chamber, 30m (G0277) $359.38 $378.30 2.6×
Hospital outpt clinic visit (G0463) $344.85 $363 2.6×
Inj for sacroiliac jt anesth (G0260) $3,395.20 $3,573.90 4.8×
Intens cardiac rehab no exer (G0423) $350.05 $368.47 2.7×
Intens cardiac rehab w/exerc (G0422) $360.15 $379.11 2.8×
Mnt subs tx for change dx (G0270) $78.85 $83 2.5×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $681.34 $717.20 1.3×
Non-ophthalmic fva (C9733) $832.20 $876 2.4×
Oth resp proc, group (G0239) $183.26 $192.90 4.9×
Oth resp proc, indiv (G0238) $106.50 $112.10 3.7×
Pre 3d mdl w/ccta and/or mri (C9793) $2,839.11 $2,988.54 3.3×
Prostate biopsy, any mthd (G0416) $325.33 $342.45 0.9×
Psa screening (G0103) $232.84 $245.10 12.1×
Revasc intra lithotrip-ather (C9766) $34,969.37 $36,809.86 1.9×
Revasc intra lithotrip-stent (C9765) $33,738.53 $35,514.24 1.8×
Revasc intravasc lithotripsy (C9764) $20,256.21 $21,322.33 1.7×
Revasc lithotr-ather tib/per (C9774) $31,731.33 $33,401.40 1.7×
Revasc lithotrip tibi/perone (C9772) $24,634.02 $25,930.55 2.1×
Revasc lithotrip-stent-ather (C9767) $42,660.22 $44,905.50 2.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $40,782.84 $42,929.31 2.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $46,670.11 $49,126.43 2.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $46,670.11 $49,126.43 2.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $49,382.80 $51,981.90 2.6×
Therapeutic procd strg endur (G0237) $106.50 $112.10 3.7×
Tomosynthesis, mammo (G0279) $56.72 $59.70 4.5×
Trauma respons w/hosp criti (G0390) $2,680.42 $2,821.50 2.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $24,607.85 $25,903 1.3×