Bellville Medical Center — procedure prices

Published prices for 269 procedures at Bellville Medical Center (Bellville, TX), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $63 $63 $49 $51
Abdominal fluid drain (paracentesis) $225 $221 $60 $284
Abdominal ultrasound $419 $726 $278 $100
Abscess incision and drainage $582 $534 $47 $174
Aldosterone test $153 $235 $41 $41
Alkaline phosphatase test $20 $30 $5 $5
Alpha-fetoprotein (AFP) test $121 $186 $17 $17
ALT liver enzyme test $32 $49 $5 $5
Ammonia blood test $73 $112 $15 $15
Amniocentesis $941 $1,448 $1,448 $120
Amylase test $46 $70 $6 $6
Ankle fracture repair $24,318 — $19,776 $608
Ankle replacement $42,177 — $73,950 $885
Annual physical (established patient) $201 $261 $37 —
Annual physical (new patient) $239 $218 $46 —
Antinuclear antibody (ANA) test $45 $69 $12 $12
Aortic aneurysm repair (AAA) $3,047 $2,937 $515 $1,345
Aortic valve replacement $4,474 $4,474 $577 $1,603
AST liver enzyme test $32 $49 $5 $5
Barium swallow study $573 $882 $397 $107
Benign skin lesion removal $227 $226 $55 $171
Bilirubin blood test $19 $29 $5 $5
Bladder tumor removal (TURBT) $12,055 — $9,607 $236
Blood clotting test (PT/INR) $14 $22 $4 $4
Blood crossmatch $41 $63 $214 —
Blood glucose test $16 $25 $4 $5
Blood transfusion $1,759 $1,873 $1,202 $47
BNP (heart failure) test $112 $172 $39 $39
Bone density scan (DEXA) $495 $761 $285 $39
Bone marrow biopsy $2,469 $3,799 $4,357 $172
Bone scan (nuclear) $778 $1,197 $697 $259
Breast biopsy $2,493 $3,835 $3,835 $478
Breast MRI $4,026 $6,194 $650 $216
Breast reconstruction $29,143 — $37,558 $1,227
Breast ultrasound $344 $529 $130 $92
Breathing tube insertion (intubation) $287 $299 $125 $133
Bronchoscopy $366 $361 $57 $303
Bunion surgery (bunionectomy) $20,591 — $8,917 $883
Burn treatment $298 $654 $25 $129
C-reactive protein (CRP) $45 $69 $5 $5
CA 19-9 tumor marker test $68 $105 $21 $21
CA-125 ovarian marker test $87 $134 $21 $21
Cardiac ablation $18,846 $28,396 $373 $759
Cardiac catheterization $6,747 $6,365 $405 $1,049
Cardiac stress test $140 $140 $61 $39
Cardioversion $1,765 $1,468 $90 $155
Carotid artery ultrasound $534 $821 $36 $156
Carpal tunnel release $7,195 — $5,322 $483
CEA tumor marker test $85 $130 $19 $19
Celiac disease test $45 $69 $12 $12
Cesarean section (C-section) $13,643 — $10,405 $7,552
Chemotherapy infusion $577 $549 $356 $81
Chest fluid drain (thoracentesis) $1,726 $2,104 $676 $311
Chest tube insertion $328 $328 $100 $143
Chest X-ray $277 $405 $16 $37
Chickenpox (varicella) vaccine $242 $328 $52 —
CK-MB heart enzyme test $44 $67 $12 $12
Clotting time test (PTT) $23 $35 $6 $6
Colon resection (colectomy) $2,463 $2,653 $323 $1,238
Colonoscopy $551 $457 $106 $480
Continuous glucose monitor setup $72 $72 $33 $35
Copper blood test $47 $72 $12 $12
Coronary artery bypass (CABG) $69,038 — $46,460 $36,593
Coronary CT angiography $1,485 $2,284 $951 $326
Cortisol test $85 $130 $16 $16
COVID-19 PCR test $177 $272 $51 $51
CPAP titration study $197 $303 $315 $69
CT angiography of the head $2,924 $2,828 $296 $274
CT colonography (virtual colonoscopy) $774 $1,191 $650 $835
CT scan of the abdomen $1,210 $1,861 $285 $230
CT scan of the abdomen and pelvis $2,345 $3,284 $376 $300
CT scan of the arm $1,786 $2,748 $376 $199
CT scan of the chest $1,359 $2,090 $285 $167
CT scan of the head $1,241 $1,801 $285 $148
CT scan of the leg $1,112 $1,711 $285 $166
CT scan of the lower back (lumbar spine) $1,282 $1,973 $285 $169
CT scan of the neck $1,130 $2,004 $285 $183
CT scan of the neck (cervical spine) $1,210 $1,861 $376 $168
CT scan of the pelvis $1,210 $1,861 $285 $226
CT scan of the sinuses $1,303 $2,004 $285 $152
D-dimer test $56 $86 $10 $10
Developmental screening (child) $33 $67 $16 —
DHEA-sulfate test $86 $133 $22 $22
Diagnostic mammogram $488 $750 $98 $140
Dialysis fistula creation $1,312 $1,312 $162 $601
Dilation and curettage (D&C) $2,442 $2,105 $98 $298
Drug screen (urine) $202 $187 $62 $17
Ear tubes (myringotomy) $620 $620 $102 $174
Echocardiogram $351 $407 $95 $138
Elbow replacement $36,654 — $47,786 $1,301
Electrocardiogram (EKG) $45 $45 $15 $8
Electroencephalogram (EEG) $268 $381 $141 $448
Electrolyte panel $27 $42 $7 $7
Electromyography (EMG) $198 $305 $218 $141
Emergency department visit $360 $367 $156 $69
Endometrial biopsy $138 $138 $26 $98
Epidural steroid injection $928 $1,428 $1,428 $275
Estradiol (estrogen) test $121 $186 $28 $28
Eyelid surgery (blepharoplasty) $7,222 — $5,623 $552
Fallopian tube X-ray (HSG) $373 $539 $25 $164
Family therapy session $211 $211 $97 $110
Fecal occult blood (stool) test $43 $67 $16 $10
Femoral hernia repair $18,963 — $9,758 $584
Ferritin (iron) test $93 $143 $14 $14
Fibrinogen test $57 $88 $10 $10
Flexible sigmoidoscopy $150 $134 $21 $323
Flu test $51 $78 $17 $17
Flu vaccine $33 $50 $21 —
Folate (folic acid) test $56 $86 $15 $15
Foreign body removal (skin) $236 $220 $48 $157
Free T4 thyroid test $34 $52 $9 $9
FSH hormone test $70 $107 $19 $19
Gallbladder removal (laparoscopic) $1,420 $1,305 $200 $658
Gallbladder scan (HIDA) $1,148 $1,766 $1,090 $334
Ganglion cyst removal $8,789 — $4,382 $321
GGT liver test $32 $49 $7 $7
Glucose tolerance test $29 $45 $11 $8
Group therapy session $122 $188 $26 $30
Hammertoe repair $12,251 — $19,776 $548
HDL cholesterol test $31 $47 $8 $8
Hearing test (audiometry) $66 $221 $27 $36
Hemodialysis $1,730 $2,662 $1,870 $75
Hemoglobin A1c (diabetes test) $36 $56 $10 $10
Hepatitis A vaccine $133 $156 $72 —
Hepatitis B test $28 $43 $10 $10
Hepatitis B vaccine $251 $251 $72 —
Hip fracture repair $2,431 $2,431 $344 $1,120
HIV test $90 $117 $24 $19
HPV vaccine $444 $486 $323 —
Hydrocele repair $8,326 — $9,758 $315
Hysteroscopy $498 $498 $71 $1,270
Inguinal hernia repair $684 $1,157 $144 $538
Iron blood test $129 $198 $6 $6
IUD insertion $490 $490 $49 —
IUD removal $135 $135 $27 $112
Kidney biopsy $4,291 $6,602 $4,501 $492
Kidney removal (nephrectomy) $1,570 $1,570 $409 $1,164
Kidney scan (nuclear) $948 $1,458 $1,039 $172
Kidney stone shock-wave (lithotripsy) $5,668 — $9,607 $760
Kidney ultrasound $506 $731 $144 $84
Knee joint injection $309 $330 $28 $69
Knee replacement $36,604 — $24,101 $18,054
Laminectomy (spine) $1,464 $2,469 $298 $1,157
LDH test $32 $49 $6 $6
Leg vein ultrasound (Doppler) $404 $609 $46 $150
LH hormone test $70 $107 $19 $19
Lipid (cholesterol) panel $68 $104 $13 $13
Liver biopsy $2,861 $4,402 $4,501 $288
Liver function panel $49 $75 $8 $8
Lumpectomy (breast) $1,617 $1,451 $203 $750
Lung function test (PFT) $98 $220 $27 $37
Lung scan (V/Q) $1,105 $1,700 $1,211 $291
Mastectomy $2,485 $2,379 $293 $1,021
Meniscus repair (knee) $1,567 $1,567 $196 $714
MMR vaccine $156 $164 $43 —
MRA of the brain $1,687 $3,605 $650 $226
MRA of the neck $1,823 $2,804 $650 $245
MRI of the abdomen $1,700 $2,615 $650 $300
MRI of the ankle $1,944 $2,990 $650 $261
MRI of the brain $1,612 $2,480 $650 $269
MRI of the chest $1,517 $2,334 $650 $371
MRI of the knee $2,049 $3,152 $650 $315
MRI of the lower back (lumbar spine) $1,622 $2,495 $650 $270
MRI of the mid-back (thoracic spine) $1,622 $2,495 $650 $271
MRI of the neck (cervical spine) $1,714 $2,495 $650 $274
MRI of the pelvis $1,463 $2,251 $650 $268
MRI of the shoulder $1,891 $2,909 $650 $313
MRI of the wrist $1,788 $2,751 $650 $330
Nebulizer breathing treatment $177 $272 $8 $9
Neck (cervical) spinal fusion $3,326 $3,326 $338 $1,410
Nerve conduction study $163 $362 $77 $118
Newborn hospital care $190 $190 $45 $58
Nuclear cardiac stress test $1,542 $2,373 $1,637 $428
Occupational therapy evaluation $343 $528 $215 $101
Office visit (new patient) $295 $256 $111 $177
Orthopedic hardware removal $933 $884 $109 $632
Pacemaker insertion $43,647 — $25,360 $15,506
Pap smear (cervical screening) $88 $135 $27 $20
Parathyroid hormone (PTH) test $148 $227 $41 $41
Pelvic ultrasound $354 $545 $237 $78
Phosphorus blood test $25 $39 $5 $5
Physical therapy evaluation $342 $526 $209 $98
Platelet count $33 $51 $4 $4
Pneumonia vaccine $192 $214 $123 —
Pregnancy blood test (hCG) $24 $29 $7 $8
Pregnancy ultrasound $390 $534 $278 $126
Procalcitonin test $314 $483 $27 $27
Prolactin test $85 $130 $19 $19
Prostate removal (prostatectomy) $3,254 $2,906 $441 $1,063
Prostate surgery (TURP) $17,960 — $14,613 $526
Prostate test (PSA) $21 $33 $18 $18
Psychiatric evaluation $216 $327 $160 $188
Psychotherapy session $250 $293 $109 $140
RSV vaccine $523 $805 $322 —
Scoliosis spine X-ray $285 $439 $145 $58
Screening mammogram $211 $280 $75 $126
Scrotal ultrasound $569 $876 $258 $99
Sedimentation rate (ESR) test $23 $35 $4 $3
Semen analysis $78 $120 $12 $12
Sex hormone binding globulin test $82 $126 $22 $22
Shingles vaccine $175 $279 $226 —
Shoulder replacement $33,322 — $47,786 $1,300
Skin cancer lesion removal $376 $321 $64 $240
Skin graft $12,263 — $9,658 $898
Skin lesion freezing (cryotherapy) $127 $196 $263 $36
Skin tag removal $188 $296 $31 $92
Sleep study (polysomnography) $1,916 $2,768 $478 $691
Small bowel resection $424 $424 $328 $1,136
Soft tissue ultrasound $83 $323 $31 $64
Speech therapy $153 $235 $162 $76
Spinal tap (lumbar puncture) $153 $153 $27 $165
Spine fracture repair (kyphoplasty) $7,489 $11,522 $15,887 $5,803
Strep throat test $25 $39 $17 $17
Stress echocardiogram $1,068 $1,242 $158 $209
Swallow study $219 $337 $122 $85
T3 thyroid test $53 $82 $14 $14
Tdap (tetanus) vaccine $75 $99 $39 —
Testosterone test $82 $126 $26 $26
Thyroid removal (thyroidectomy) $2,215 $1,817 $308 $1,004
Thyroid test (TSH) $64 $98 $17 $17
Thyroid ultrasound $508 $782 $278 $109
Thyroid uptake scan $563 $866 $585 $145
Tilt table test $795 $1,223 $868 $168
Tonsillectomy $584 $546 $122 $252
Total IgE allergy test $61 $94 $16 $16
Tracheostomy $670 $670 $127 $273
Transesophageal echocardiogram (TEE) $662 $1,378 $221 $239
Transvaginal ultrasound $332 $510 $130 $118
Trigger finger release $8,784 — $8,917 $630
Trigger point injection $78 $78 $17 $56
Triglycerides test $32 $49 $6 $6
Turning a breech baby (version) $223 $223 $86 $94
Ulnar nerve surgery (elbow) $10,930 — $9,310 $575
Upper GI endoscopy (EGD) $290 $262 $52 $371
Upper GI series (barium) $515 $792 $478 $128
Ureteral stent placement $8,214 — $9,607 $373
Ureteroscopy (stone removal) $11,643 — $14,613 $365
Uric acid (gout) test $25 $39 $5 $5
Urinalysis $25 $38 $2 $3
Urine microalbumin test $22 $32 $5 $5
Urine pregnancy test $18 $46 $8 $9
Vaccine administration $70 $63 $78 $19
Vaginal delivery $9,801 — $8,692 $5,487
Varicose vein ablation $1,482 $3,888 $171 $1,018
Vitamin B12 test $73 $113 $15 $15
Vitamin D test $180 $277 $30 $30
Wart removal $181 $318 $29 $121
Weight-loss (bariatric) surgery $19,860 — $12,077 $11,645
Well-child visit $154 $154 $29 —
Wrist fracture repair $30,544 — $34,990 $735
X-ray of the abdomen $277 $406 $166 $36
X-ray of the ankle $492 $520 $111 $37
X-ray of the collarbone $172 $265 $109 $33
X-ray of the elbow $284 $437 $197 $33
X-ray of the facial bones $247 $380 $197 $39
X-ray of the foot $554 $710 $94 $34
X-ray of the forearm $267 $410 $197 $29
X-ray of the hand $284 $437 $94 $38
X-ray of the hip $315 $258 $197 $49
X-ray of the lower back (lumbar spine) $351 $540 $285 $47
X-ray of the mid-back (thoracic spine) $245 $377 $219 $36
X-ray of the neck (cervical spine) $310 $478 $227 $47
X-ray of the pelvis $322 $437 $285 $36
X-ray of the ribs $317 $488 $190 $42
X-ray of the shoulder $454 $611 $104 $36
X-ray of the skull $193 $298 $174 $40
X-ray of the upper arm $224 $345 $165 $32
X-ray of the wrist $428 $460 $94 $43
Zinc blood test $13 $20 $11 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.