Bandera Family Hospital

San Antonio, TX

Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
Shoulder arthroscopy with decompression (29826) $12,544.56 $13,938.40
Knee arthroscopy with meniscectomy (29881) $31,617.90 $35,131 9.6×
Laparoscopic gallbladder removal (47562) $47,196 $52,440 7.8×
Epidural injection, lumbar/sacral (with imaging) (62322) $3,385.80 $3,762 3.8×
Transforaminal epidural injection, lumbar/sacral (64483) $30,689.71 $34,099.68 34.5×
CT head/brain without contrast (70450) $6,682.68 $7,425.20 63.6×
MRI brain without contrast (70551) $2,610 $2,900 10.9×
MRI brain without and with contrast (70553) $2,610 $2,900 7.4×
X-ray lower spine, 4+ views (72110) $360 $400 3.4×
MRI lumbar spine without contrast (72148) $2,610 $2,900 10.9×
CT pelvis with contrast (72193) $6,332.64 $7,036.27 35.9×
MRI lower-extremity joint without contrast (73721) $2,610 $2,900 10.9×
CT abdomen and pelvis with contrast (74177) $16,920.45 $18,800.50 48.3×
Ultrasound, abdomen complete (76700) $2,147.76 $2,386.40 20.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $2,513.28 $2,792.53 23.9×
Ultrasound, transvaginal (76830) $1,168.65 $1,298.50 11.1×
Mammography, screening (bilateral) (77067) $906.30 $1,007 9.9×
Basic metabolic panel (80048) $596.79 $663.10 70.5×
Comprehensive metabolic panel (80053) $745.56 $828.40 70.6×
Lipid panel (80061) $1,002.06 $1,113.40 74.8×
Hepatic function panel (80076) $610.47 $678.30 74.7×
Urinalysis, non-automated, without microscopy (81002) $184.68 $205.20 53.1×
PSA, total (84153) $1,374.84 $1,527.60 74.8×
Thyroid stimulating hormone (TSH) (84443) $1,256.85 $1,396.50 74.8×
CBC with automated differential (85025) $581.40 $646 74.8×
CBC, automated (85027) $483.93 $537.70 74.8×
Prothrombin time (PT) (85610) $302.16 $335.73 70.4×
Partial thromboplastin time (PTT) (85730) $448.02 $497.80 74.5×
Electrocardiogram (ECG), complete (93000) $461.70 $513 7.8×
Office visit, new patient (low complexity, ~30 min) (99203) $584.82 $649.80 4.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $841.32 $934.80 6.3×
Office visit, new patient (high complexity, ~60 min) (99205) $1,590.30 $1,767 11.9×
Office consultation (low complexity, ~30 min) (99243) $1,261.98 $1,402.20 9.4×
Office consultation (moderate complexity, ~40 min) (99244) $1,539 $1,710 11.5×
Preventive visit, new patient (age 40–64) (99386) $655.20 $728

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