Supplies, drugs & other prices at Guadalupe Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ca screen;pelvic/breast exam (G0101) $66.75 $133.50 0.7×
Colorectal scrn; hi risk ind (G0105) $1,820.88 $3,641.76 1.9×
Depression screen annual (G0444) $31.50 $63 0.8×
Direct refer hospital observ (G0379) $232 $464 0.4×
Drug test def 22+ classes (G0483) $184.50 $369 0.7×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $42,724.50 $85,449 1.0×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $12,611.50 $25,223 1.1×
Fecal blood scrn immunoassay (G0328) $49 $98 2.7×
Hbot, full body chamber, 30m (G0277) $611.75 $1,223.50 4.4×
Home sleep test/type 3 porta (G0399) $361.50 $723 1.7×
Hospital outpt clinic visit (G0463) $187.50 $375 1.4×
Inj for sacroiliac jt anesth (G0260) $1,198 $2,396 1.7×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $6,298.50 $12,597 1.2×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $2,698 $5,396 0.5×
Instlj fecal microbiota ssp (0780T) $1,316 $2,632 9.8×
Mnt subs tx for change dx (G0270) $57.50 $115 1.8×
Mri w/o fol w/cont, breast, (C8908) $3,871.50 $7,743 11.0×
Mri w/o fol w/cont, brst, un (C8905) $3,312.50 $6,625 9.5×
Obtaining screen pap smear (Q0091) $25 $50 0.9×
Oth resp proc, group (G0239) $260 $520 6.9×
Oth resp proc, indiv (G0238) $65 $130 2.2×
Perc d-e cor revasc chro sin (C9607) $19,523 $39,046 1.1×
Perc d-e cor revasc t cabg s (C9604) $15,853.50 $31,707 1.4×
Perc d-e cor stent ather s (C9602) $19,523 $39,046 1.1×
Perc drug-el cor stent sing (C9600) $15,853.50 $31,707 1.4×
Psa screening (G0103) $105.50 $211 5.5×
Revasc intra lithotrip-ather (C9766) $13,641.50 $27,283 0.7×
Revasc intra lithotrip-stent (C9765) $13,641.50 $27,283 0.7×
Revasc intravasc lithotripsy (C9764) $8,472.50 $16,945 0.7×
Revasc lith-sten-ath tib/per (C9775) $21,945 $43,890 1.2×
Revasc lithotr-ather tib/per (C9774) $13,641.50 $27,283 0.7×
Revasc lithotr-stent tib/per (C9773) $13,641.50 $27,283 0.7×
Revasc lithotrip tibi/perone (C9772) $8,472.50 $16,945 0.7×
Revasc lithotrip-stent-ather (C9767) $21,945 $43,890 1.2×
Therapeutic procd strg endur (G0237) $65 $130 2.2×
Transcatheter Renal Sympath Denervation Bilat (0339T) $12,097.50 $24,195 2.1×
Transcatheter renal sympath denervation unilat (0338T) $8,065 $16,130 1.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $13,565 $27,130 1.2×
Trluml Perip Athrc Renal Art (0234T) $10,785 $21,570 0.9×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $13,565 $27,130 1.2×
Trluml peripheral atherectomy iliac artery ea (0238T) $13,565 $27,130 0.7×
Tte w or w/o fol w/cont, f/u (C8922) $1,563 $3,126 2.0×