Supplies, drugs & other prices at Bandera Family Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ca screen;pelvic/breast exam (G0101) $180 $200 1.8×
Direct refer hospital observ (G0379) $11,154.67 $12,394.08 18.6×
Eye mvmt alys w/o calbrj i&r (0615T) $2,520 $2,800 18.9×
Hospital outpt clinic visit (G0463) $4,056.12 $4,506.80 30.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $7,558.20 $8,398 16.8×
Obtaining screen pap smear (Q0091) $180 $200 6.2×
Tmpst auto tube dlvr sys (0583T) $3,420 $3,800 2.2×