Supplies, drugs & other prices at UT Health East Texas Tyler Regional Hospital
Tyler, TX · every code in this section with a posted price and a Medicare benchmark.
88 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $24.80 | $248 | 0.7× |
| 2d tee w or w/o fol w/con,in (C8925) | $246.70 | $2,467 | 0.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $148.30 | $1,483 | 0.4× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) unusually low: confirm this is the full procedure |
$3,310.80 | $33,108 | 0.3× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $390.60 | $3,906 | 0.2× |
| Adm tocilizu covid-19 1st (M0249) | $145.20 | $1,452 | 0.3× |
| Adm tocilizu covid-19 2nd (M0250) | $145.20 | $1,452 | 0.3× |
| Admin hepatitis b vaccine (G0010) | $14.60 | $146 | 0.3× |
| Admin influenza virus vac (G0008) | $10.10 | $101 | 0.2× |
| Admin pneumococcal vaccine (G0009) | $10 | $100 | 0.2× |
| Ca screen;flexi sigmoidscope (G0104) | $235 | $2,350 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $246.30 | $2,463 | 0.3× |
| Colorectal scrn; hi risk ind (G0105) | $246.30 | $2,463 | 0.3× |
| Covid-19 lab test non-cdc (U0002) | $21.20 | $212 | 0.4× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,385.40 | $13,854 | 0.1× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$728.10 | $7,281 | 0.1× |
| Diab manage trn per indiv (G0108) | $44.50 | $445 | 0.8× |
| Diab manage trn ind/group (G0109) | $35.20 | $352 | 2.2× |
| Direct refer hospital observ (G0379) | $70 | $700 | 0.1× |
| Drug test def 1-7 classes (G0480) | $56 | $560 | 0.5× |
| Drug test def 8-14 classes (G0481) | $66.50 | $665 | 0.4× |
| Elec stim other than wound (G0283) | $19.10 | $191 | 1.5× |
| Endo defect closure gi tract (C9901) unusually low: confirm this is the full procedure |
$3,306.10 | $33,061 | 0.3× |
| Hbot, full body chamber, 30m (G0277) | $276 | $2,760 | 2.0× |
| Home sleep test/type 2 porta (G0398) | $62.60 | $626 | 0.3× |
| Home sleep test/type 3 porta (G0399) | $72.10 | $721 | 0.3× |
| Home sleep test/type 4 porta (G0400) | $118.60 | $1,186 | 0.5× |
| Hospital outpt clinic visit (G0463) | $67.20 | $672 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $293.05 | $2,930.50 | 0.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$10,195.60 | $101,956 | 0.3× |
| Mra w/cont, abd (C8900) | $910.50 | $9,105 | 2.6× |
| Mra w/cont, chest (C8909) | $1,231.70 | $12,317 | 3.5× |
| Mra w/cont, lwr ext (C8912) | $1,083.40 | $10,834 | 3.1× |
| Mra w/cont, pelvis (C8918) | $1,231.70 | $12,317 | 3.5× |
| Mra w/o cont, abd (C8901) | $910.50 | $9,105 | 3.8× |
| Mra w/o cont, chest (C8910) | $1,231.70 | $12,317 | 5.1× |
| Mra w/o cont, lwr ext (C8913) | $1,083.40 | $10,834 | 4.5× |
| Mra w/o cont, pelvis (C8919) | $1,231.70 | $12,317 | 5.1× |
| Mra w/o fol w/cont, abd (C8902) | $910.50 | $9,105 | 2.6× |
| Mra w/o fol w/cont, chest (C8911) | $1,231.70 | $12,317 | 3.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,083.40 | $10,834 | 3.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,231.70 | $12,317 | 3.5× |
| Mra, w/dye, upper extremity (C8934) | $680.80 | $6,808 | 1.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $749 | $7,490 | 2.1× |
| Mri w/cont, breast, bi (C8906) | $152.40 | $1,524 | 0.4× |
| Mri w/cont, breast, uni (C8903) | $74 | $740 | 0.4× |
| Mri w/o fol w/cont, breast, (C8908) | $1,129.70 | $11,297 | 3.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $152.40 | $1,524 | 0.4× |
| N-invs det hrt fail aug echo (0932T) | $107.10 | $1,071 | 0.3× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) | $313.20 | $3,132 | 0.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $79.90 | $799 | 0.2× |
| Oth resp proc, indiv (G0238) | $9.90 | $99 | 0.3× |
| Pef bronch ablt 3d nav ebus (C8005) unusually low: confirm this is the full procedure |
$5,565.20 | $55,652 | 0.3× |
| Perc d-e cor revasc chro sin (C9607) likely a partial charge, not the full procedure |
$3,465.90 | $34,659 | 0.2× |
| Perc d-e cor revasc t cabg s (C9604) likely a partial charge, not the full procedure |
$3,465.90 | $34,659 | 0.3× |
| Perc d-e cor stent ather s (C9602) likely a partial charge, not the full procedure |
$3,465.90 | $34,659 | 0.2× |
| Perc drug-el cor stent sing (C9600) unusually low: confirm this is the full procedure |
$4,124.10 | $41,241 | 0.4× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) unusually low: confirm this is the full procedure |
$4,091.70 | $40,917 | 0.3× |
| Prostate biopsy, any mthd (G0416) | $90.50 | $905 | 0.3× |
| Psa screening (G0103) | $21.40 | $214 | 1.1× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $257.40 | $2,574 | 0.4× |
| Revasc intra lithotrip-ather (C9766) likely a partial charge, not the full procedure |
$5,279.50 | $52,795 | 0.3× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$6,599.38 | $65,993.75 | 0.4× |
| Revasc intravasc lithotripsy (C9764) likely a partial charge, not the full procedure |
$3,302.10 | $33,021 | 0.3× |
| Revasc lith-sten-ath tib/per (C9775) unusually low: confirm this is the full procedure |
$5,710.30 | $57,103 | 0.3× |
| Revasc lithotr-ather tib/per (C9774) unusually low: confirm this is the full procedure |
$5,710.30 | $57,103 | 0.3× |
| Revasc lithotr-stent tib/per (C9773) unusually low: confirm this is the full procedure |
$5,710.30 | $57,103 | 0.3× |
| Revasc lithotrip tibi/perone (C9772) unusually low: confirm this is the full procedure |
$3,606.30 | $36,063 | 0.3× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$5,807.50 | $58,075 | 0.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$6,428.60 | $64,286 | 0.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$6,064.70 | $60,647 | 0.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$6,428.60 | $64,286 | 0.3× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $1,001 | $10,010 | 0.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $1,001 | $10,010 | 0.3× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $1,001 | $10,010 | 0.3× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$7,382.60 | $73,826 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$7,382.60 | $73,826 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$6,064.70 | $60,647 | 0.3× |
| Therapeutic procd strg endur (G0237) | $9.90 | $99 | 0.3× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) unusually low: confirm this is the full procedure |
$1,835.80 | $18,358 | 0.3× |
| Transcatheter renal sympath denervation unilat (0338T) likely a partial charge, not the full procedure |
$1,611.10 | $16,111 | 0.3× |
| Trauma respons w/hosp criti (G0390) | $2,483.60 | $24,836 | 1.9× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $1,250.60 | $12,506 | 0.4× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) unusually low: confirm this is the full procedure |
$3,533.30 | $35,333 | 0.3× |
| Tte w or w/o contr, cont ecg (C8930) | $246.70 | $2,467 | 0.3× |
| Tte w or wo fol wcon,doppler (C8929) | $643.10 | $6,431 | 0.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,212.90 | $12,129 | 1.8× |
| Visit to determ ldct elig (G0296) | $28.70 | $287 | 0.3× |