Supplies, drugs & other prices at University of Texas Health Science Center at Tyler
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $54.30 | $543 | 0.2× |
| Adm tocilizu covid-19 1st (M0249) | $188.70 | $1,887 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $188.70 | $1,887 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $15.90 | $159 | 0.3× |
| Admin influenza virus vac (G0008) | $11 | $110 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $11 | $110 | 0.2× |
| Alcohol/subs interv 15-30mn (G0396) | $16.20 | $162 | 0.4× |
| Alcohol/subs interv >30 min (G0397) | $28.70 | $287 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $184 | $1,840 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $11.20 | $112 | 0.1× |
| Chemo extend iv infus w/pump (G0498) | $53.80 | $538 | 0.2× |
| Colon ca scrn not hi rsk ind (G0121) | $216.50 | $2,165 | 0.2× |
| Colorectal scrn; hi risk ind (G0105) | $216.50 | $2,165 | 0.2× |
| Covid-19 lab test non-cdc (U0002) | $21.70 | $217 | 0.4× |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,077.60 | $30,776 | 0.3× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$1,501.50 | $15,015 | 0.3× |
| Demonstrate use home inr mon (G0248) | $61.20 | $612 | 0.5× |
| Depression screen annual (G0444) | $7.60 | $76 | 0.2× |
| Diab manage trn per indiv (G0108) | $11.70 | $117 | 0.2× |
| Diab manage trn ind/group (G0109) | $4.70 | $47 | 0.3× |
| Direct refer hospital observ (G0379) | $195 | $1,950 | 0.3× |
| Drug test def 1-7 classes (G0480) | $68.90 | $689 | 0.6× |
| Eia hiv-1/hiv-2 screen (G0432) | $30.50 | $305 | 1.6× |
| Fecal blood scrn immunoassay (G0328) | $7.80 | $78 | 0.4× |
| Followup eval of foot pt lop (G0246) | $16.10 | $161 | 0.1× |
| Hospital outpt clinic visit (G0463) | $47.50 | $475 | 0.4× |
| Initial foot exam pt lops (G0245) | $39.10 | $391 | 0.3× |
| Initial preventive exam (G0402) | $39.10 | $391 | 0.3× |
| Instlj fecal microbiota ssp (0780T) | $43.60 | $436 | 0.3× |
| Mnt subs tx for change dx (G0270) | $8.20 | $82 | 0.3× |
| Mra w/cont, abd (C8900) | $114.40 | $1,144 | 0.3× |
| Mra w/cont, chest (C8909) | $114.40 | $1,144 | 0.3× |
| Mra w/o cont, abd (C8901) | $71.60 | $716 | 0.3× |
| Mra w/o cont, chest (C8910) | $71.60 | $716 | 0.3× |
| Mra w/o cont, lwr ext (C8913) | $71.60 | $716 | 0.3× |
| Mra w/o cont, pelvis (C8919) | $71.60 | $716 | 0.3× |
| Mra w/o fol w/cont, abd (C8902) | $114.40 | $1,144 | 0.3× |
| Mra w/o fol w/cont, chest (C8911) | $114.40 | $1,144 | 0.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $221.60 | $2,216 | 0.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $114.40 | $1,144 | 0.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $114.40 | $1,144 | 0.3× |
| Mri w/cont, breast, bi (C8906) | $114.40 | $1,144 | 0.3× |
| Mri w/cont, breast, uni (C8903) | $55.50 | $555 | 0.3× |
| Mri w/o fol w/cont, breast, (C8908) | $300.30 | $3,003 | 0.9× |
| Mri w/o fol w/cont, brst, un (C8905) | $114.40 | $1,144 | 0.3× |
| N-invs det hrt fail aug echo (0932T) | $94.20 | $942 | 0.3× |
| Obtaining screen pap smear (Q0091) | $6.60 | $66 | 0.2× |
| Pin service 60m per month (G0023) | $28.70 | $287 | 0.3× |
| Ppps, initial visit (G0438) | $58.70 | $587 | 0.3× |
| Prostate biopsy, any mthd (G0416) | $100.50 | $1,005 | 0.3× |
| Psa screening (G0103) | $20.20 | $202 | 1.0× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $410.80 | $4,108 | 0.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $77.30 | $773 | 0.1× |
| Routine footcare pt w lops (G0247) | $59.10 | $591 | 0.3× |
| Screen cerv/vag thin layer (G0123) | $8.90 | $89 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $320.70 | $3,207 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $245.20 | $2,452 | 0.3× |
| Visit to determ ldct elig (G0296) | $22.30 | $223 | 0.2× |