Supplies, drugs & other prices at UT Health East Texas Quitman Hospital
Quitman, TX · every code in this section with a posted price and a Medicare benchmark.
44 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) | $110.60 | $1,106 | 0.3× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $390.60 | $3,906 | 0.2× |
| Adm tocilizu covid-19 1st (M0249) | $135.20 | $1,352 | 0.3× |
| Adm tocilizu covid-19 2nd (M0250) | $135.20 | $1,352 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $7.32 | $73.25 | 0.2× |
| Admin influenza virus vac (G0008) | $7.32 | $73.25 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $7.32 | $73.25 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $274.99 | $2,749.93 | 0.3× |
| Catheterize for urine spec (P9612) | $2.60 | $26 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $274.99 | $2,749.93 | 0.3× |
| Colorectal scrn; hi risk ind (G0105) | $285.03 | $2,850.35 | 0.3× |
| Covid-19 lab test non-cdc (U0002) | $20.02 | $200.20 | 0.4× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,711.50 | $17,115 | 0.2× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$940.40 | $9,404 | 0.2× |
| Direct refer hospital observ (G0379) | $149.44 | $1,494.45 | 0.2× |
| Drug test def 1-7 classes (G0480) | $43.06 | $430.59 | 0.4× |
| Drug test def 15-21 classes (G0482) | $129.20 | $1,292 | 0.7× |
| Elec stim other than wound (G0283) | $9.92 | $99.19 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $25 | $250 | 0.2× |
| Hospital outpt clinic visit (G0463) | $17.50 | $175 | 0.1× |
| Inj for sacroiliac jt anesth (G0260) | $201.04 | $2,010.42 | 0.3× |
| Mra w/cont, abd (C8900) | $138.58 | $1,385.80 | 0.4× |
| Mra w/cont, chest (C8909) | $138.58 | $1,385.80 | 0.4× |
| Mra w/cont, lwr ext (C8912) | $138.58 | $1,385.80 | 0.4× |
| Mra w/cont, pelvis (C8918) | $138.58 | $1,385.80 | 0.4× |
| Mra w/o cont, abd (C8901) | $86.58 | $865.80 | 0.4× |
| Mra w/o cont, chest (C8910) | $86.58 | $865.80 | 0.4× |
| Mra w/o cont, lwr ext (C8913) | $86.58 | $865.80 | 0.4× |
| Mra w/o cont, pelvis (C8919) | $86.58 | $865.80 | 0.4× |
| Mra w/o fol w/cont, abd (C8902) | $138.58 | $1,385.80 | 0.4× |
| Mra w/o fol w/cont, chest (C8911) | $138.58 | $1,385.80 | 0.4× |
| Mra w/o fol w/cont, lwr ext (C8914) | $138.58 | $1,385.80 | 0.4× |
| Mra w/o fol w/cont, pelvis (C8920) | $138.58 | $1,385.80 | 0.4× |
| Mra, w/dye, upper extremity (C8934) | $138.58 | $1,385.80 | 0.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $138.58 | $1,385.80 | 0.4× |
| N-invs det hrt fail aug echo (0932T) | $90 | $900 | 0.3× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $79.90 | $799 | 0.2× |
| Oth resp proc, group (G0239) | $10.01 | $100.09 | 0.3× |
| Oth resp proc, indiv (G0238) | $7.42 | $74.24 | 0.3× |
| Prostate biopsy, any mthd (G0416) | $109.59 | $1,095.90 | 0.3× |
| Psa screening (G0103) | $25 | $250 | 1.3× |
| Therapeutic procd strg endur (G0237) | $7.42 | $74.24 | 0.3× |
| Trauma respons w/hosp criti (G0390) | $245.50 | $2,455 | 0.2× |
| Tte w or wo fol wcon,doppler (C8929) | $269.10 | $2,691 | 0.3× |