21 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Admin hepatitis b vaccine (G0010) |
$21.06 |
$60 |
0.4× |
| Admin influenza virus vac (G0008) |
$21.06 |
$60 |
0.4× |
| Admin pneumococcal vaccine (G0009) |
$21.06 |
$60 |
0.4× |
| Catheterize for urine spec (P9612) |
$5.50 |
$12 |
0.6× |
| Diab manage trn per indiv (G0108) |
$58.83 |
$104 |
1.1× |
| Diab manage trn ind/group (G0109) |
$15.84 |
$28 |
1.0× |
| Direct refer hospital observ (G0379) |
$620.65 |
$654 |
1.0× |
| Fern test (Q0114) |
$31.02 |
$66 |
3.2× |
| Flt3 gene itd variants quan (0046U) |
$806.40 |
$1,800 |
2.0× |
| Instlj fecal microbiota ssp (0780T) |
$335.80 |
$584 |
2.4× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$727.10 |
$1,623 |
1.3× |
| NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Other Outpatient (0049U) |
$1,019.20 |
$2,275 |
2.5× |
| Oth resp proc, group (G0239) |
$61.62 |
$125 |
1.5× |
| Prostate biopsy, any mthd (G0416) |
$228.96 |
$457 |
0.6× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$790.56 |
$2,160 |
1.1× |
| Therapeutic procd strg endur (G0237) |
$32.05 |
$65 |
1.0× |
| Tomosynthesis, mammo (G0279) |
$34.89 |
$56 |
2.7× |
| Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) |
$4,246.59 |
$9,479 |
1.3× |
| Trauma respons w/hosp criti (G0390) |
$1,545.57 |
$3,302.50 |
1.1× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) |
$4,704 |
$10,500 |
1.3× |
| Tte w or wo fol wcon,doppler (C8929) |
$815.88 |
$1,560 |
1.0× |