27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Admin influenza virus vac (G0008) |
— |
$80 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$130 |
— |
| Behavior counsel obesity 15m (G0447) |
— |
$82 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$61 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$1,673 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$1,736.50 |
— |
| Diab manage trn per indiv (G0108) |
— |
$118 |
— |
| Direct refer hospital observ (G0379) |
— |
$342 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$294 |
— |
| Ekg tracing for initial prev (G0404) |
— |
$42 |
— |
| Elec stim other than wound (G0283) |
— |
$104 |
— |
| Hep c screen high risk/other (G0472) |
— |
$266 |
— |
| Hopd mntl hlt, 15-29 min (C7900) |
— |
$641 |
— |
| Hopd mntl hlt, 30-60 min (C7901) |
— |
$793 |
— |
| Hopd mntl hlt, grp (C7903) |
— |
$772 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$111 |
— |
| Initial preventive exam (G0402) |
— |
$320 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$59 |
— |
| Oth resp proc, indiv (G0238) |
— |
$123 |
— |
| Ppps, initial visit (G0438) |
— |
$330 |
— |
| Ppps, subseq visit (G0439) |
— |
$225 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$340 |
— |
| Psa screening (G0103) |
— |
$30 |
— |
| Single energy x-ray study (G0130) |
— |
$21 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$86 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$122 |
— |
| Visit to determ ldct elig (G0296) |
— |
$130 |
— |