Supplies, drugs & other prices at University Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $1,718 $1,718 4.9×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $5,158 $5,158 1.3×
Admin hepatitis b vaccine (G0010) $94 $94 2.0×
Admin influenza virus vac (G0008) $297 $297 6.3×
Admin pneumococcal vaccine (G0009) $297 $297 6.3×
Alcohol/subs interv 15-30mn (G0396) $156 $156 4.1×
Alcohol/subs interv >30 min (G0397) $318 $318 1.8×
Chemo extend iv infus w/pump (G0498) $1,969 $1,969 5.9×
Direct refer hospital observ (G0379) $2,653 $2,653 4.4×
Drug test def 1-7 classes (G0480) $522.50 $522.50 4.6×
Drug test def 22+ classes (G0483) $1,398.50 $1,398.50 5.7×
Drug test def 8-14 classes (G0481) $940 $940 6.0×
Elec stim other than wound (G0283) $79 $79 6.2×
Fecal microbiota prep instil (G0455) $3,139 $3,139 3.4×
Hospital outpt clinic visit (G0463) $491 $491 3.7×
Inj for sacroiliac jt anesth (G0260) $1,913 $1,913 2.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $197.50 $197.50 1.6×
Liver dis 10 assays w/nash (0003M) $2,192 $2,192 4.4×
Mra w/cont, abd (C8900) $3,216 $3,216 9.2×
Mra w/cont, chest (C8909) $3,216 $3,216 9.2×
Mra w/cont, lwr ext (C8912) $3,216 $3,216 9.2×
Mra w/o cont, abd (C8901) $2,981 $2,981 12.4×
Mra w/o cont, chest (C8910) $2,946 $2,946 12.3×
Mra w/o fol w/cont, abd (C8902) $4,035 $4,035 11.5×
Mra w/o fol w/cont, lwr ext (C8914) $4,060 $4,060 11.6×
Mri w/o fol w/cont, breast, (C8908) $4,955 $4,955 14.1×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $764 $764 1.4×
Obtaining screen pap smear (Q0091) $121 $121 4.2×
Oth resp proc, indiv (G0238) $178 $178 6.1×
Perc d-e cor revasc chro sin (C9607) $33,609 $33,609 1.8×
Perc d-e cor revasc t cabg s (C9604) $33,609 $33,609 2.9×
Perc d-e cor stent ather s (C9602) $33,609 $33,609 1.8×
Perc drug-el cor stent sing (C9600) $33,609 $33,609 2.9×
Perq Sacral Augmt Bilat Inj (0201T) $11,735 $11,735 1.6×
Prostate biopsy, any mthd (G0416) $1,809 $1,809 5.0×
Psa screening (G0103) $274.50 $274.50 14.2×
Revasc intra lithotrip-ather (C9766) $26,522 $26,522 1.4×
Revasc intra lithotrip-stent (C9765) $22,544 $22,544 1.2×
Revasc intravasc lithotripsy (C9764) $17,194 $17,194 1.5×
Revasc lithotrip tibi/perone (C9772) $24,031 $24,031 2.1×
Revasc lithotrip-stent-ather (C9767) $19,427 $19,427 1.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $59,409 $59,409 3.1×
Therapeutic procd strg endur (G0237) $159 $159 5.5×
Tomosynthesis, mammo (G0279) $308 $308 24.3×
Trauma respons w/hosp criti (G0390) $15,580.50 $15,580.50 11.6×
Trluml peripheral atherectomy iliac artery ea (0238T) $21,634 $21,634 1.2×
Tte w or wo fol wcon,doppler (C8929) $3,728 $3,728 4.7×
Unsched dialysis esrd pt hos (G0257) $2,724 $2,724 4.0×
Visit to determ ldct elig (G0296) $221 $221 2.2×