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

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

77 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) $10,698 $10,698 13.6×
2d tte w or w/o fol w/con,co (C8923) $4,724 $4,724 6.0×
2d tte w or w/o fol w/con,fu (C8924) $2,741 $2,741 7.8×
Adm tocilizu covid-19 1st (M0249) $562.50 $562.50 1.3×
Adm tocilizu covid-19 2nd (M0250) $562.50 $562.50 1.3×
Admin hepatitis b vaccine (G0010) $81 $81 1.7×
Admin influenza virus vac (G0008) $50 $50 1.1×
Admin pneumococcal vaccine (G0009) $50 $50 1.1×
Catheterize for urine spec (P9612) $9 $9 1.0×
Covid-19 lab test non-cdc (U0002) $104 $104 2.0×
Diab manage trn per indiv (G0108) $185.50 $185.50 3.3×
Diab manage trn ind/group (G0109) $76.50 $76.50 4.8×
Direct refer hospital observ (G0379) $1,039.50 $1,039.50 1.7×
Drug test def 1-7 classes (G0480) $255 $255 2.2×
Elec stim other than wound (G0283) $210.50 $210.50 16.6×
Fern test (Q0114) $431 $431 44.3×
Hbot, full body chamber, 30m (G0277) $2,397 $2,397 17.3×
Home sleep test/type 2 porta (G0398) $2,587 $2,587 11.9×
Home sleep test/type 3 porta (G0399) $2,587 $2,587 11.9×
Home sleep test/type 4 porta (G0400) $2,587 $2,587 11.9×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $58,692 $58,692 1.9×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $29,902 $29,902 3.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $213,628 $213,628 6.8×
Lev 1 hosp type b ed visit (G0380) $369 $369 4.9×
Lev 2 hosp type b ed visit (G0381) $961 $961 10.3×
Lev 3 hosp type b ed visit (G0382) $1,825 $1,825 10.6×
Lev 4 hosp type b ed visit (G0383) $3,745 $3,745 14.1×
Lev 5 hosp type b ed visit (G0384) $5,318 $5,318 12.9×
Mra w/cont, abd (C8900) $6,375 $6,375 18.2×
Mra w/cont, chest (C8909) $6,375 $6,375 18.2×
Mra w/cont, lwr ext (C8912) $6,171 $6,171 17.6×
Mra w/cont, pelvis (C8918) $5,684 $5,684 16.2×
Mra w/o cont, abd (C8901) $5,800 $5,800 24.2×
Mra w/o cont, chest (C8910) $5,800 $5,800 24.2×
Mra w/o cont, lwr ext (C8913) $5,684 $5,684 23.7×
Mra w/o cont, pelvis (C8919) $6,171 $6,171 25.7×
Mra w/o fol w/cont, abd (C8902) $6,645 $6,645 19.0×
Mra w/o fol w/cont, chest (C8911) $6,645 $6,645 19.0×
Mra w/o fol w/cont, lwr ext (C8914) $6,567 $6,567 18.7×
Mra w/o fol w/cont, pelvis (C8920) $6,567 $6,567 18.7×
Mra, w/o&w/dye, spinal canal (C8933) $6,375 $6,375 18.2×
Mra, w/o&w/dye, upper extr (C8936) $6,375 $6,375 18.2×
Oral hiv-1/hiv-2 screen (G0435) $472 $472 39.4×
Perc d-e cor revasc chro sin (C9607) $28,798 $28,798 1.6×
Perc d-e cor revasc t cabg s (C9604) $27,670 $27,670 2.4×
Perc d-e cor stent ather s (C9602) $27,670 $27,670 1.5×
Perc drug-el cor stent sing (C9600) $22,757 $22,757 2.0×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T) $29,126 $29,126 2.5×
Pre 3d mdl w/ccta and/or mri (C9793) $1,639 $1,639 1.9×
Prostate biopsy, any mthd (G0416) $1,131 $1,131 3.1×
Psa screening (G0103) $614 $614 31.8×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $4,920 $4,920 1.3×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $19,574 $19,574 5.2×
Revasc intra lithotrip-ather (C9766) $15,891 $15,891 0.9×
Revasc intra lithotrip-stent (C9765) $52,526 $52,526 2.9×
Revasc intravasc lithotripsy (C9764) $46,140 $46,140 4.0×
Revasc lithotr-ather tib/per (C9774) $22,415 $22,415 1.2×
Revasc lithotr-stent tib/per (C9773) $19,141 $19,141 1.0×
Revasc lithotrip tibi/perone (C9772) $8,739 $8,739 0.8×
Revasc lithotrip-stent-ather (C9767) $52,239 $52,239 2.8×
Screen pap by tech w md supv (P3000) $884 $884 47.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $67,046 $67,046 3.5×
Tee w or w/o fol w/cont, mon (C8927) $5,424 $5,424 6.9×
Tee w or w/o fol w/cont,cong (C8926) $4,928 $4,928 6.3×
Tomosynthesis, mammo (G0279) $64 $64 5.0×
Transcatheter renal sympath denervation unilat (0338T) $46,665 $46,665 8.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $40,988 $40,988 3.5×
Trauma respons w/hosp criti (G0390) $25,079 $25,079 18.7×
Trluml Perip Athrc Renal Art (0234T) $51,235.50 $51,235.50 4.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $51,235.50 $51,235.50 4.4×
Trluml peripheral atherectomy iliac artery ea (0238T) $55,849.50 $55,849.50 3.0×
Tte w or w/o contr, cont ecg (C8930) $6,841 $6,841 8.7×
Tte w or w/o fol w/cont, com (C8921) $4,257 $4,257 5.4×
Tte w or w/o fol w/cont, f/u (C8922) $6,841 $6,841 8.7×
Tte w or wo fol wcon,doppler (C8929) $10,698 $10,698 13.6×
Unsched dialysis esrd pt hos (G0257) $1,503 $1,503 2.2×
Wet mounts/ w preparations (Q0111) $381 $381 20.6×