24 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Abd paracentesis w/imaging (49083) |
$1,165 |
$1,456.25 |
1.3× |
| Arterial puncture (36600) |
$84.80 |
$106 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$408.80 |
$511 |
1.4× |
| Blood transfusion service (36430) |
$579.40 |
$724.25 |
1.4× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$512.20 |
$640.25 |
2.5× |
| Declot vascular device (36593) |
$388 |
$485 |
1.2× |
| Draw blood off venous device (36591) |
$40.90 |
$51.12 |
0.3× |
| Fetal non-stress test (59025) |
$231.80 |
$289.75 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,389.20 |
$1,736.50 |
2.1× |
| Injection anes other peripheral nerve/branch (64450) |
$139.20 |
$174 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$1,033.20 |
$1,291.50 |
8.4× |
| Insert non-tunnel cv cath (36556) |
$799.60 |
$999.50 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$139 |
$173.75 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$75.30 |
$94.12 |
0.6× |
| Intubation endotracheal emergency procedure (31500) |
$708.20 |
$885.25 |
3.1× |
| Lithotripsy (50590) |
$8,265.60 |
$10,332 |
2.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$510.80 |
$638.50 |
1.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,042.40 |
$2,553 |
3.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$2,285.60 |
$2,857 |
3.4× |
| Perq device breast 1st imag (19281) |
$422.20 |
$527.75 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$452.20 |
$565.25 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$298.80 |
$373.50 |
0.4× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$1,165 |
$1,456.25 |
1.9× |
| Venipuncture (36415) |
$11.20 |
$14 |
1.2× |