Supplies, drugs & other prices at Womans Hospital of Texas,the

Houston, TX · every code in this section with a posted price and a Medicare benchmark.

31 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Adm tocilizu covid-19 1st (M0249) $743.58 $743.58 1.7×
Adm tocilizu covid-19 2nd (M0250) $743.58 $743.58 1.7×
Admin influenza virus vac (G0008) $452.09 $452.09 9.6×
Admin pneumococcal vaccine (G0009) $361.54 $361.54 7.7×
Catheterize for urine spec (P9612) $839.90 $839.90 89.9×
Covid-19 lab test non-cdc (U0002) $79.54 $79.54 1.6×
Diab manage trn per indiv (G0108) $203.23 $203.23 3.6×
Diab manage trn ind/group (G0109) $99.72 $99.72 6.2×
Direct refer hospital observ (G0379) $406.31 $406.31 0.7×
Drug test def 1-7 classes (G0480) $3,932 $3,932 34.4×
Drug test def 15-21 classes (G0482) $3,590.61 $3,590.61 18.1×
Drug test def 22+ classes (G0483) $3,611.98 $3,611.98 14.6×
Drug test def 8-14 classes (G0481) $3,590.61 $3,590.61 22.9×
Elec stim other than wound (G0283) $219.24 $219.24 17.3×
Elec stim unattend for press (G0281) $291.08 $291.08 24.9×
Mra w/cont, chest (C8909) $9,503.68 $9,503.68 27.1×
Mra w/cont, lwr ext (C8912) $9,503.68 $9,503.68 27.1×
Mra w/o cont, abd (C8901) $9,503.68 $9,503.68 39.6×
Mra w/o cont, lwr ext (C8913) $9,503.68 $9,503.68 39.6×
Mra w/o fol w/cont, abd (C8902) $9,503.68 $9,503.68 27.1×
Mra w/o fol w/cont, lwr ext (C8914) $9,503.68 $9,503.68 27.1×
Mra, w/dye, upper extremity (C8934) $9,503.68 $9,503.68 27.1×
Mra, w/o dye, spinal canal (C8932) $9,503.68 $9,503.68 39.6×
Mra, w/o dye, upper extr (C8935) $9,503.68 $9,503.68 39.6×
Mra, w/o&w/dye, spinal canal (C8933) $9,503.68 $9,503.68 27.1×
Mra, w/o&w/dye, upper extr (C8936) $9,503.68 $9,503.68 27.1×
Mri w/o fol w/cont, breast, (C8908) $27,645.06 $27,645.06 78.9×
Mri w/o fol w/cont, brst, un (C8905) $17,276.70 $17,276.70 49.3×
Pathogen test for platelets (P9100) $225.84 $225.84 3.8×
Tomosynthesis, mammo (G0279) $94.21 $94.21 7.4×
Trauma respons w/hosp criti (G0390) $2,646 $2,646 2.0×