Supplies, drugs & other prices at University Health System

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $29.25 $117 0.8×
2d tee w or w/o fol w/con,in (C8925) $863.50 $3,454 1.1×
2d tte w or w/o fol w/con,fu (C8924) $435.50 $1,742 1.2×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $687.50 $2,750 0.4×
Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T)
unusually low: confirm this is the full procedure
$3,840.25 $15,361 0.4×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,248.25 $4,993 0.6×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
likely a partial charge, not the full procedure
$1,872.25 $7,489 0.2×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,248.25 $4,993 0.6×
Admin hepatitis b vaccine (G0010) $11.67 $46.67 0.2×
Admin influenza virus vac (G0008) $11.67 $46.67 0.2×
Admin pneumococcal vaccine (G0009) $11.67 $46.67 0.2×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $50 $200 1.3×
Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (bmd), with… (0743T) $125.75 $503 0.5×
Catheterize for urine spec (P9612) $13.75 $55 1.5×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) (0637T) $372.50 $1,490 1.1×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s) (0636T) $233 $932 1.0×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) $372.50 $1,490 1.1×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) (0634T) $239.25 $957 1.4×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material (0633T) $124 $496 1.2×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $299.25 $1,197 1.7×
Covid-19 lab test non-cdc (U0002) $27.50 $110 0.5×
Devlopment test interpt&rep (G0451) $59.75 $239 0.6×
Diab manage trn per indiv (G0108) $51.25 $205 0.9×
Direct refer hospital observ (G0379) $241.50 $966 0.4×
Drug test def 1-7 classes (G0480) $93.50 $374 0.8×
Elec stim other than wound (G0283) $37.25 $149 2.9×
Fecal microbiota prep instil (G0455) $747.75 $2,991 0.8×
Fractional abl lsr fenestration first 100 sqcm (0479T) $179.75 $719 0.2×
Hbot, full body chamber, 30m (G0277) $136.50 $546 1.0×
Heart symp image plnr (0331T) $1,288 $5,152 1.0×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
likely a partial charge, not the full procedure
$4,750 $19,000 0.3×
Home sleep test/type 3 porta (G0399) $257.25 $1,029 1.2×
Inj for sacroiliac jt anesth (G0260) $220 $880 0.3×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $1,137.50 $4,550 0.3×
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation… (0647T) $880 $3,520 0.5×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $16,583 $66,332 0.5×
Magnetically controlled capsule endoscopy w/i&r (0651T) $819.50 $3,278 0.9×
Mra w/cont, abd (C8900) $1,306 $5,224 3.7×
Mra w/cont, chest (C8909) $605 $2,420 1.7×
Mra w/cont, lwr ext (C8912) $680.12 $2,720.50 1.9×
Mra w/cont, pelvis (C8918) $1,257.50 $5,030 3.6×
Mra w/o cont, abd (C8901) $1,518 $6,072 6.3×
Mra w/o cont, chest (C8910) $519.25 $2,077 2.2×
Mra w/o cont, lwr ext (C8913) $630.75 $2,523 2.6×
Mra w/o cont, pelvis (C8919) $1,347.50 $5,390 5.6×
Mra w/o fol w/cont, abd (C8902) $1,790.25 $7,161 5.1×
Mra w/o fol w/cont, chest (C8911) $612.25 $2,449 1.7×
Mra w/o fol w/cont, lwr ext (C8914) $713.12 $2,852.50 2.0×
Mra w/o fol w/cont, pelvis (C8920) $1,361.25 $5,445 3.9×
Mra, w/dye, spinal canal (C8931) $612 $2,448 1.7×
Mra, w/dye, upper extremity (C8934) $603.50 $2,414 1.7×
Mra, w/o dye, spinal canal (C8932) $565.50 $2,262 2.4×
Mra, w/o dye, upper extr (C8935) $633.25 $2,533 2.6×
Mra, w/o&w/dye, spinal canal (C8933) $579.25 $2,317 1.7×
Mra, w/o&w/dye, upper extr (C8936) $914.75 $3,659 2.6×
Mri w/cont, breast, bi (C8906) $857.75 $3,431 2.4×
Mri w/cont, breast, uni (C8903) $726.25 $2,905 4.1×
Mri w/o fol w/cont, breast, (C8908) $945.50 $3,782 2.7×
Mri w/o fol w/cont, brst, un (C8905) $781 $3,124 2.2×
Neuro csf detcj prion prtn quakg conf conv qual (0035U) $442.25 $1,769 0.8×
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) $83.50 $334 0.4×
Obtaining screen pap smear (Q0091) $16.25 $65 0.6×
Oth resp proc, group (G0239) $73.25 $293 2.0×
Oth resp proc, indiv (G0238) $50 $200 1.7×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$9,141 $36,564 0.5×
Perc d-e cor revasc t cabg s (C9604) $7,102.25 $28,409 0.6×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$7,794.25 $31,177 0.4×
Perc drug-el cor stent sing (C9600)
unusually low: confirm this is the full procedure
$5,434.25 $21,737 0.5×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T)
unusually low: confirm this is the full procedure
$4,625 $18,500 0.4×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $9,650 $38,600 0.7×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,869 $11,476 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$2,163.75 $8,655 0.3×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$3,565 $14,260 0.3×
Pre 3d mdl w/ccta and/or mri (C9793) $875 $3,500 1.0×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $30.25 $121 0.8×
Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the… (0650T) $30.25 $121 0.8×
Prolonged iv inf, req pump (C8957) $330 $1,320 1.5×
Prostate biopsy, any mthd (G0416) $253.75 $1,015 0.7×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0808T) $186.75 $747 0.9×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0807T) $186.75 $747 0.9×
Qmrcp w/dx MRI same anatomy (0724T) $226.75 $907 0.2×
Qmrcp w/o dx MRI sm anat ses (0723T) $962.25 $3,849 1.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $158.25 $633 0.2×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $237.75 $951 0.3×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $356.25 $1,425 0.4×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $233 $932 0.2×
Quan MRI alys brain with diagnostic MRI (0866T) $118.75 $475 0.5×
Quan MRI alys brn w/o dx MRI (0865T) $118.75 $475 0.5×
Quan us tiss charac i&r w/o dx us same anat (0689T) $83.50 $334 1.0×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $588.50 $2,354 0.8×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$4,900.50 $19,602 0.4×
Revasc lith-sten-ath tib/per (C9775)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$4,455 $17,820 0.4×
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure
$6,393.50 $25,574 0.3×
Rpr intst excl anrect fist (C9796) $1,550 $6,200 0.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$8,750 $35,000 0.5×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure
$8,000 $32,000 0.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$8,000 $32,000 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$9,250 $37,000 0.5×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $1,875 $7,500 0.6×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $1,875 $7,500 0.6×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $1,875 $7,500 0.6×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $1,518.75 $6,075 0.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure
$9,125 $36,500 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure
$9,500 $38,000 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$9,125 $36,500 0.5×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$9,125 $36,500 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$2,763.75 $11,055 0.5×
Tee w or w/o fol w/cont,cong (C8926) $696.50 $2,786 0.9×
Therapeutic procd strg endur (G0237) $52.75 $211 1.8×
Tomosynthesis, mammo (G0279) $25.50 $102 2.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,125 $16,500 0.7×
Transcatheter renal sympath denervation unilat (0338T) $3,406.25 $13,625 0.6×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$4,026 $16,104 0.3×
Transperineal focal laser abltj mal prst8 tiss (0655T)
unusually low: confirm this is the full procedure
$1,689.50 $6,758 0.3×
Trauma respons w/hosp criti (G0390) $1,911.25 $7,645 1.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $2,861.25 $11,445 0.8×
Trim nail(s) (G0127) $189.50 $758 3.2×
Trluml Perip Athrc Renal Art (0234T)
unusually low: confirm this is the full procedure
$4,026 $16,104 0.3×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$4,026 $16,104 0.3×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$6,371 $25,484 0.3×
Tte w or w/o contr, cont ecg (C8930) $669 $2,676 0.8×
Tte w or w/o fol w/cont, com (C8921) $800 $3,200 1.0×
Tte w or w/o fol w/cont, f/u (C8922) $519 $2,076 0.7×
Tte w or wo fol wcon,doppler (C8929) $1,261.25 $5,045 1.6×
Unsched dialysis esrd pt hos (G0257) $488 $1,952 0.7×