Supplies, drugs & other prices at UT Health San Antonio Multispecialty & Research Ho

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

47 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) $1,464.60 $2,441 1.9×
2d tte w or w/o fol w/con,co (C8923) $1,444.80 $2,408 1.8×
2d tte w or w/o fol w/con,fu (C8924) $653.40 $1,089 1.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,587.40 $5,979 1.8×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $12,376.80 $20,628 1.4×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $3,587.40 $5,979 1.8×
Admin hepatitis b vaccine (G0010) $88.80 $148 1.9×
Admin influenza virus vac (G0008) $88.80 $148 1.9×
Admin pneumococcal vaccine (G0009) $88.80 $148 1.9×
Ca screen;pelvic/breast exam (G0101) $166.20 $277 1.6×
Chemo extend iv infus w/pump (G0498) $629.40 $1,049 1.9×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $341.40 $569 2.0×
Depression screen annual (G0444) $53.40 $89 1.4×
Diab manage trn per indiv (G0108) $103.20 $172 1.9×
Direct refer hospital observ (G0379) $1,193.40 $1,989 2.0×
Ed svc ckd grp per session (G0421) $51.60 $86 1.9×
Ed svc ckd ind per session (G0420) $206.40 $344 1.8×
Elec stim other than wound (G0283) $22.20 $37 1.7×
Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral (0207T) $237.60 $396 1.8×
Home sleep test/type 4 porta (G0400) $162.60 $271 0.7×
Initial preventive exam (G0402) $246 $410 1.8×
Inj for sacroiliac jt anesth (G0260) $1,285.20 $2,142 1.8×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $238.20 $397 2.0×
Mri w/cont, breast, uni (C8903) $1,621.80 $2,703 9.2×
Njx pltlt plasma w/img harvest/preparation (0232T) $740.40 $1,234 1.6×
Obtaining screen pap smear (Q0091) $55.80 $93 1.9×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T) $36,231 $60,385 1.9×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $36,231 $60,385 1.9×
Oth resp proc, group (G0239) $75 $125 2.0×
Oth resp proc, indiv (G0238) $55.80 $93 1.9×
Pattern erg w/i&r (0509T) $569.40 $949 2.6×
Perq Sacral Augmt Bilat Inj (0201T) $13,292.40 $22,154 1.8×
Perq Sacral Augmt Unilat Inj (0200T) $12,692.40 $21,154 1.7×
Prostate biopsy, any mthd (G0416) $668.40 $1,114 1.9×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,737.60 $2,896 1.9×
Tee w or w/o fol w/cont,cong (C8926) $1,464.60 $2,441 1.9×
Therapeutic procd strg endur (G0237) $55.80 $93 1.9×
Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, initial… (0766T) $403.20 $672 1.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $20,439.60 $34,066 1.8×
Trluml Perip Athrc Renal Art (0234T) $20,439.60 $34,066 1.8×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $20,439.60 $34,066 1.8×
Tte w or w/o contr, cont ecg (C8930) $1,444.80 $2,408 1.8×
Tte w or w/o fol w/con,stres (C8928) $1,444.80 $2,408 1.8×
Tte w or w/o fol w/cont, com (C8921) $1,444.80 $2,408 1.8×
Tte w or w/o fol w/cont, f/u (C8922) $1,444.80 $2,408 1.8×
Tte w or wo fol wcon,doppler (C8929) $1,444.80 $2,408 1.8×
Unsched dialysis esrd pt hos (G0257) $1,298.40 $2,164 1.9×