Supplies, drugs & other prices at Methodist Hospital Stone Oak

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $6,407.73 $6,407.73 8.1×
2d tte w or w/o fol w/con,co (C8923) $5,315.11 $5,315.11 6.7×
2d tte w or w/o fol w/con,fu (C8924) $2,762.74 $2,762.74 7.9×
Adm tocilizu covid-19 1st (M0249) $781.22 $781.22 1.8×
Adm tocilizu covid-19 2nd (M0250) $781.22 $781.22 1.8×
Admin hepatitis b vaccine (G0010) $132.28 $132.28 2.8×
Admin influenza virus vac (G0008) $132.28 $132.28 2.8×
Admin pneumococcal vaccine (G0009) $132.28 $132.28 2.8×
Catheterize for urine spec (P9612) $537.76 $537.76 57.6×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) $8,276.30 $8,276.30 23.6×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) $6,368.11 $6,368.11 26.6×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) $9,944.08 $9,944.08 28.4×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) $8,276.30 $8,276.30 47.0×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) $6,368.11 $6,368.11 60.6×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $9,944.08 $9,944.08 56.4×
Covid-19 lab test non-cdc (U0002) $71.36 $71.36 1.4×
Direct refer hospital observ (G0379) $2,127 $2,127 3.6×
Drug test def 1-7 classes (G0480) $773.96 $773.96 6.8×
Eia hiv-1/hiv-2 screen (G0432) $1,200.93 $1,200.93 61.4×
Electrophysiologic eval icds w/ss electrode (0577T) $4,041.40 $4,041.40 3.3×
Elisa hiv-1/hiv-2 screen (G0433) $74.50 $74.50 4.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $117,063.91 $117,063.91 2.6×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $18,562.87 $18,562.87 5.9×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $56,892.62 $56,892.62 4.9×
Fecal blood scrn immunoassay (G0328) $261.61 $261.61 14.5×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $27,885.02 $27,885.02 1.6×
Insert cv cath inf & sup app (C9780) $41,324.67 $41,324.67 5.1×
Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T) $10,933.42 $10,933.42 2.0×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $6,338.45 $6,338.45 3.3×
Insertion of substernal implantable defibrillator electrode (0572T) $30,060.89 $30,060.89 3.6×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $18,553.15 $18,553.15 2.2×
Insertion/replacement complete iims (0525T) $34,004.06 $34,004.06 1.8×
Insertion/replacement iims implantable mntr only (0527T) $15,102.32 $15,102.32 1.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $106,602.53 $106,602.53 3.4×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $32,552.31 $32,552.31 3.9×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $32,552.31 $32,552.31 3.9×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $106,602.53 $106,602.53 4.8×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $179,680.66 $179,680.66 5.7×
Interro Device Evaluation Cardiac Modulj System (0418T) $140.83 $140.83 3.8×
Interrog dev eval iims ip (0529T) $3,413.85 $3,413.85 91.1×
Interrog dev eval wcs ip (0521T) $3,030.20 $3,030.20 104.3×
Interrogation dev eval icds w/ss eltrd in person (0576T) $279.84 $279.84 7.5×
Lev 1 hosp type b ed visit (G0380) $344 $344 4.6×
Lev 2 hosp type b ed visit (G0381) $607.90 $607.90 6.5×
Lev 3 hosp type b ed visit (G0382) $1,357.78 $1,357.78 7.9×
Lev 4 hosp type b ed visit (G0383) $1,781.30 $1,781.30 6.7×
Lev 5 hosp type b ed visit (G0384) $2,378.83 $2,378.83 5.8×
Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0611T) $1,086.82 $1,086.82 4.5×
Magnetic resonance spectroscopy, determination and localization of discogenic pain (cervical, thoracic, or lumbar);… (0609T) $7,754.75 $7,754.75 32.4×
Mra w/cont, abd (C8900) $8,268.76 $8,268.76 23.6×
Mra w/cont, chest (C8909) $8,268.76 $8,268.76 23.6×
Mra w/cont, lwr ext (C8912) $10,056.93 $10,056.93 28.7×
Mra w/cont, pelvis (C8918) $10,056.93 $10,056.93 28.7×
Mra w/o cont, abd (C8901) $9,109.05 $9,109.05 38.0×
Mra w/o cont, chest (C8910) $9,109.05 $9,109.05 38.0×
Mra w/o cont, lwr ext (C8913) $9,109.05 $9,109.05 38.0×
Mra w/o cont, pelvis (C8919) $9,109.05 $9,109.05 38.0×
Mra w/o fol w/cont, abd (C8902) $10,975.15 $10,975.15 31.3×
Mra w/o fol w/cont, chest (C8911) $10,975.15 $10,975.15 31.3×
Mra w/o fol w/cont, lwr ext (C8914) $10,975.15 $10,975.15 31.3×
Mra w/o fol w/cont, pelvis (C8920) $10,975.15 $10,975.15 31.3×
Mra, w/dye, upper extremity (C8934) $10,056.93 $10,056.93 28.7×
Mra, w/o dye, upper extr (C8935) $9,109.05 $9,109.05 38.0×
Mra, w/o&w/dye, upper extr (C8936) $10,975.15 $10,975.15 31.3×
Mri w/cont, breast, bi (C8906) $3,830.60 $3,830.60 10.9×
Mri w/o fol w/cont, breast, (C8908) $3,830.61 $3,830.61 10.9×
Mri w/o fol w/cont, brst, un (C8905) $3,600.72 $3,600.72 10.3×
Oral hiv-1/hiv-2 screen (G0435) $1,200.93 $1,200.93 100.2×
Oth resp proc, indiv (G0238) $624.76 $624.76 21.5×
Perc d-e cor revasc chro sin (C9607) $49,964.18 $49,964.18 2.7×
Perc d-e cor revasc t cabg s (C9604) $49,964.18 $49,964.18 4.3×
Perc d-e cor stent ather s (C9602) $49,964.18 $49,964.18 2.7×
Perc drug-el cor stent sing (C9600) $49,964.18 $49,964.18 4.3×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $45,519.55 $45,519.55 3.5×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $54,908.85 $54,908.85 3.0×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $14,790.61 $14,790.61 1.3×
Prgrmg dev eval icds ss ip (0575T) $279.84 $279.84 7.5×
Prgrmg dev eval iims ip (0528T) $3,030.20 $3,030.20 80.8×
Prgrmg dev eval wcs ip (0522T) $3,413.85 $3,413.85 91.1×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $140.83 $140.83 3.8×
Psa screening (G0103) $710.37 $710.37 36.8×
Qmrcp w/dx MRI same anatomy (0724T) $1,140.15 $1,140.15 1.2×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $6,859.71 $6,859.71 3.3×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $12,102.41 $12,102.41 3.2×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $11,654.40 $11,654.40 3.1×
Removal complete iims (0530T) $34,913.51 $34,913.51 9.3×
Removal iims electrode only (0531T) $18,274.67 $18,274.67 4.9×
Removal iims implt mntr only (0532T) $16,638.83 $16,638.83 4.4×
Repos Cardiac Modulj Transvenous Electrode (0415T) $4,037.26 $4,037.26 6.4×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $13,432.95 $13,432.95 3.6×
Revasc intra lithotrip-ather (C9766) $68,231.97 $68,231.97 3.7×
Revasc intra lithotrip-stent (C9765) $71,318.02 $71,318.02 3.9×
Revasc intravasc lithotripsy (C9764) $52,828.89 $52,828.89 4.6×
Revasc lith-sten-ath tib/per (C9775) $110,714.25 $110,714.25 6.0×
Revasc lithotr-ather tib/per (C9774) $63,177.74 $63,177.74 3.4×
Revasc lithotr-stent tib/per (C9773) $66,035.18 $66,035.18 3.6×
Revasc lithotrip tibi/perone (C9772) $48,915.66 $48,915.66 4.2×
Revasc lithotrip-stent-ather (C9767) $119,571.39 $119,571.39 6.5×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $106,602.53 $106,602.53 4.8×
Rmvl substernal implantable defibrillator eltrd (0573T) $13,432.95 $13,432.95 3.6×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $13,432.95 $13,432.95 3.6×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $46,492.38 $46,492.38 2.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $67,392.23 $67,392.23 3.5×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $67,392.23 $67,392.23 3.5×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $23,113.43 $23,113.43 1.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $10,208.42 $10,208.42 3.2×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $10,208.42 $10,208.42 3.2×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $12,870.42 $12,870.42 4.1×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $24,577.53 $24,577.53 1.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $67,392.23 $67,392.23 3.5×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $67,392.23 $67,392.23 3.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $40,615.14 $40,615.14 7.1×
Tee w or w/o fol w/cont, mon (C8927) $8,991.31 $8,991.31 11.4×
Tee w or w/o fol w/cont,cong (C8926) $8,592.93 $8,592.93 10.9×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $55,999.77 $55,999.77 3.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $20,954.18 $20,954.18 3.7×
Transcatheter renal sympath denervation unilat (0338T) $20,954.18 $20,954.18 3.7×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $51,335.23 $51,335.23 4.4×
Trauma respons w/hosp criti (G0390) $8,565.45 $8,565.45 6.4×
Trluml Perip Athrc Renal Art (0234T) $51,335.23 $51,335.23 4.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $51,335.23 $51,335.23 4.4×
Trluml peripheral atherectomy iliac artery ea (0238T) $51,335.23 $51,335.23 2.8×
Tte w or w/o fol w/con,stres (C8928) $6,974.52 $6,974.52 8.9×
Tte w or w/o fol w/cont, com (C8921) $6,575.27 $6,575.27 8.3×
Tte w or w/o fol w/cont, f/u (C8922) $5,315.11 $5,315.11 6.7×
Tte w or wo fol wcon,doppler (C8929) $10,088.35 $10,088.35 12.8×
Unsched dialysis esrd pt hos (G0257) $4,342.95 $4,342.95 6.3×