Supplies, drugs & other prices at St. David's Medical Center

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

87 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) $9,891 $9,891 12.6×
2d tte w or w/o fol w/con,co (C8923) $5,859 $5,859 7.4×
2d tte w or w/o fol w/con,fu (C8924) $3,045 $3,045 8.7×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T)
unusually low: confirm this is the full procedure
$3,797 $3,797 0.4×
Adm tocilizu covid-19 1st (M0249) $512 $512 1.2×
Adm tocilizu covid-19 2nd (M0250) $512 $512 1.2×
Admin hepatitis b vaccine (G0010) $66 $66 1.4×
Admin influenza virus vac (G0008) $70 $70 1.5×
Admin pneumococcal vaccine (G0009) $66 $66 1.4×
Catheterize for urine spec (P9612) $914 $914 97.9×
Covid-19 lab test non-cdc (U0002) $106 $106 2.1×
Diab manage trn per indiv (G0108) $287 $287 5.1×
Diab manage trn ind/group (G0109) $144 $144 9.0×
Direct refer hospital observ (G0379) $1,266 $1,266 2.1×
Drug test def 1-7 classes (G0480) $664 $664 5.8×
Eia hiv-1/hiv-2 screen (G0432) $924 $924 47.2×
Elec stim other than wound (G0283) $202.50 $202.50 16.0×
Elec stim unattend for press (G0281) $181 $181 15.5×
Fern test (Q0114) $16 $16 1.6×
Hbot, full body chamber, 30m (G0277) $2,699 $2,699 19.5×
Home sleep test/type 2 porta (G0398) $2,377 $2,377 11.0×
Home sleep test/type 3 porta (G0399) $2,377 $2,377 11.0×
Home sleep test/type 4 porta (G0400) $2,377 $2,377 11.0×
Inj for sacroiliac jt anesth (G0260) $3,219 $3,219 4.5×
Insertion wrls car stimulator lv pacg compl sys (0515T) $162,145 $162,145 7.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $51,850 $51,850 1.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $150,000 $150,000 4.8×
Intens cardiac rehab no exer (G0423) $647 $647 5.0×
Intens cardiac rehab w/exerc (G0422) $647 $647 5.0×
Lev 1 hosp type b ed visit (G0380) $680 $680 9.1×
Lev 2 hosp type b ed visit (G0381) $1,128 $1,128 12.1×
Lev 3 hosp type b ed visit (G0382) $1,752 $1,752 10.1×
Lev 4 hosp type b ed visit (G0383) $4,540 $4,540 17.1×
Lev 5 hosp type b ed visit (G0384) $6,507 $6,507 15.8×
Mra w/cont, abd (C8900) $5,556 $5,556 15.9×
Mra w/cont, chest (C8909) $6,972 $6,972 19.9×
Mra w/cont, lwr ext (C8912) $5,556 $5,556 15.9×
Mra w/o cont, abd (C8901) $6,001 $6,001 25.0×
Mra w/o cont, chest (C8910) $5,556 $5,556 23.2×
Mra w/o cont, lwr ext (C8913) $5,556 $5,556 23.2×
Mra w/o fol w/cont, abd (C8902) $4,903 $4,903 14.0×
Mra w/o fol w/cont, chest (C8911) $7,488 $7,488 21.4×
Mra w/o fol w/cont, lwr ext (C8914) $4,539 $4,539 13.0×
Mra w/o fol w/cont, pelvis (C8920) $4,903 $4,903 14.0×
Mra, w/dye, upper extremity (C8934) $6,883 $6,883 19.6×
Mra, w/o&w/dye, spinal canal (C8933) $5,035 $5,035 14.4×
Mra, w/o&w/dye, upper extr (C8936) $4,370.50 $4,370.50 12.5×
Mri w/cont, breast, bi (C8906) $5,648 $5,648 16.1×
Mri w/o fol w/cont, breast, (C8908) $5,740 $5,740 16.4×
Mri w/o fol w/cont, brst, un (C8905) $5,508 $5,508 15.7×
Oral hiv-1/hiv-2 screen (G0435) $924 $924 77.1×
Oth resp proc, group (G0239) $758 $758 20.2×
Oth resp proc, indiv (G0238) $758 $758 26.1×
Perc d-e cor revasc chro sin (C9607) $53,043 $53,043 2.9×
Perc d-e cor revasc t cabg s (C9604) $53,043 $53,043 4.6×
Perc d-e cor stent ather s (C9602) $53,043 $53,043 2.9×
Perc drug-el cor stent sing (C9600) $53,043 $53,043 4.6×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $50,532 $50,532 4.4×
Psa screening (G0103) $428 $428 22.2×
Revasc intra lithotrip-ather (C9766) $21,057 $21,057 1.1×
Revasc intra lithotrip-stent (C9765) $20,500 $20,500 1.1×
Revasc intravasc lithotripsy (C9764) $10,527 $10,527 0.9×
Revasc lithotr-ather tib/per (C9774) $21,250 $21,250 1.2×
Revasc lithotr-stent tib/per (C9773) $21,644 $21,644 1.2×
Revasc lithotrip tibi/perone (C9772) $10,527 $10,527 0.9×
Revasc lithotrip-stent-ather (C9767) $33,875 $33,875 1.8×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $73,080 $73,080 3.8×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $31,800 $31,800 1.6×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $32,237 $32,237 1.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $74,098.50 $74,098.50 3.8×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $18,816 $18,816 5.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $18,816 $18,816 5.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $14,933 $14,933 4.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $75,117 $75,117 3.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $32,237 $32,237 1.7×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $32,237 $32,237 1.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $42,459 $42,459 7.4×
Therapeutic procd strg endur (G0237) $758 $758 26.1×
Tomosynthesis, mammo (G0279) $70 $70 5.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $64,649 $64,649 11.3×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $37,267 $37,267 3.2×
Trauma respons w/hosp criti (G0390) $8,503 $8,503 6.4×
Trluml Perip Athrc Renal Art (0234T) $55,903 $55,903 4.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $46,585 $46,585 4.0×
Trluml peripheral atherectomy iliac artery ea (0238T) $55,903 $55,903 3.0×
Tte w or wo fol wcon,doppler (C8929) $6,324 $6,324 8.0×
Unsched dialysis esrd pt hos (G0257) $2,280 $2,280 3.3×