Supplies, drugs & other prices at White Rock Medical Center
Dallas, TX · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Colon ca scrn not hi rsk ind (G0121) | $465.80 | $685 | 0.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,695.32 | $2,493.12 | 1.8× |
| Direct refer hospital observ (G0379) | $541.29 | $796.02 | 0.9× |
| Drug test def 1-7 classes (G0480) | $311.25 | $457.72 | 2.7× |
| Drug test def 15-21 classes (G0482) | $540.57 | $794.96 | 2.7× |
| Drug test def 22+ classes (G0483) | $671.62 | $987.68 | 2.7× |
| Drug test def 8-14 classes (G0481) | $425.92 | $626.36 | 2.7× |
| Endo defect closure gi tract (C9901) likely a partial charge, not the full procedure |
$74.13 | $109.02 | 0.0× |
| Home sleep test/type 3 porta (G0399) | $556.92 | $819 | 2.6× |
| Hospital outpt clinic visit (G0463) | $342.58 | $503.80 | 2.6× |
| Inj for sacroiliac jt anesth (G0260) | $1,677.82 | $2,467.38 | 2.4× |
| Ncntc R-T Fluor Wnd Img 1st (0598T) | $847.01 | $1,245.60 | 3.9× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $5,900.25 | $8,676.84 | 1.8× |
| Njx platelet plasma (0232T) | $1,071 | $1,575 | 2.4× |
| Oth resp proc, indiv (G0238) | $107.44 | $158 | 3.7× |
| Perc drug-el cor stent sing (C9600) | $28,510.52 | $41,927.24 | 2.5× |
| Perq Sacral Augmt Bilat Inj (0201T) | $14,296.32 | $21,024 | 2.0× |
| Perq Sacral Augmt Unilat Inj (0200T) | $9,530.88 | $14,016 | 1.3× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $567.12 | $834 | 0.8× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$3,614.88–$4,819.84 | $5,316–$7,088 | varies |
| Trluml Perip Athrc Iliac Art (0238T) | $11,899.32 | $17,499 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.