Supplies, drugs & other prices at UT Health East Texas Jacksonville Hospital
Jacksonville, TX · every code in this section with a posted price and a Medicare benchmark.
36 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $23.30 | $233 | 0.6× |
| Adm tocilizu covid-19 1st (M0249) | $164.50 | $1,645 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $164.50 | $1,645 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $9.50 | $95 | 0.2× |
| Admin influenza virus vac (G0008) | $11.80 | $118 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $11.80 | $118 | 0.3× |
| Catheterize for urine spec (P9612) | $12.30 | $123 | 1.3× |
| Colon ca scrn not hi rsk ind (G0121) | $592.20 | $5,922 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $437.70 | $4,377 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $19.90 | $199 | 0.4× |
| Direct refer hospital observ (G0379) | $189 | $1,890 | 0.3× |
| Drug test def 1-7 classes (G0480) | $86.40 | $864 | 0.8× |
| Drug test def 22+ classes (G0483) | $100.10 | $1,001 | 0.4× |
| Hospital outpt clinic visit (G0463) | $67.20 | $672 | 0.5× |
| Initial foot exam pt lops (G0245) | $41.70 | $417 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) | $236.70 | $2,367 | 0.3× |
| Mra w/cont, abd (C8900) | $137.30 | $1,373 | 0.4× |
| Mra w/cont, chest (C8909) | $422.80 | $4,228 | 1.2× |
| Mra w/cont, lwr ext (C8912) | $752.60 | $7,526 | 2.1× |
| Mra w/cont, pelvis (C8918) | $137.30 | $1,373 | 0.4× |
| Mra w/o cont, abd (C8901) | $85.80 | $858 | 0.4× |
| Mra w/o cont, chest (C8910) | $432.20 | $4,322 | 1.8× |
| Mra w/o cont, lwr ext (C8913) | $437.80 | $4,378 | 1.8× |
| Mra w/o cont, pelvis (C8919) | $85.80 | $858 | 0.4× |
| Mra w/o fol w/cont, abd (C8902) | $1,057.50 | $10,575 | 3.0× |
| Mra w/o fol w/cont, chest (C8911) | $1,018.10 | $10,181 | 2.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $565.90 | $5,659 | 1.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $137.30 | $1,373 | 0.4× |
| Mra, w/dye, upper extremity (C8934) | $403.80 | $4,038 | 1.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $437.80 | $4,378 | 1.2× |
| N-invs det hrt fail aug echo (0932T) | $95.40 | $954 | 0.3× |
| Psa screening (G0103) | $22.90 | $229 | 1.2× |
| Trauma respons w/hosp criti (G0390) | $579 | $5,790 | 0.4× |
| Tte w or w/o contr, cont ecg (C8930) | $506.50 | $5,065 | 0.6× |
| Tte w or wo fol wcon,doppler (C8929) | $356.20 | $3,562 | 0.5× |
| Unsched dialysis esrd pt hos (G0257) | $222.60 | $2,226 | 0.3× |