Bandera Family Hospital
8703 Bandera Rd, San Antonio, TX 78250 · 71 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Bandera Family Hospital prices routine shoppable procedures near 7.7× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 12.7× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (43/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.8× markup over Medicare rates
- Captive ER (11.2×) & laboratory (25.4×) services average 1.65× higher multiples than routine shoppable care (7.7×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 11.7× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Bandera Family Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 71 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $47,196 | 7.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $31,618 | 9.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $16,920 | 37.8× |
| Bunion correction surgery CPT Code: 28296 | $16,245 | 4.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $14,299 | 47.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $9,412 | 36.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $7,633 | 45.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $6,868 | 28.4× |
| CT scan, pelvis CPT Code: 72192 | $6,749 | 41.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $6,749 | 40.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $6,683 | 41.8× |
| CT scan, sinuses CPT Code: 70486 | $6,022 | 36.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $5,267 | 31.5× |
| Blood transfusion CPT Code: 36430 | $2,762 | 5.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,610 | 7.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,610 | 7.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,610 | 7.1× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,610 | 5.1× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $2,148 | 17.0× |
| Ultrasound, pelvis CPT Code: 76856 | $2,148 | 16.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $2,148 | 16.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,052 | 7.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $983 | 7.4× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $906 | 14.2× |
| Screening mammogram (both breasts) CPT Code: 77067 | $906 | 7.4× |
Audit a Bill or Quote at Bandera Family Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($47,196) Beats Your Bill
Bandera Family Hospital's published 45 CFR § 180 self-pay cash rate is $47,196 (vs. $47,196 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($52,440) is $46,331 above the denoised Fair BaseRate ($6,109) and 8.5× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Bandera Family Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bandera Family Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-09-08·administrative_or_closure
Closure Notice
Recorded - 2025-07-28·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bandera Family Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.