Supplies, drugs & other prices at Boca Raton Regional Hospital
Boca Raton, FL · every code in this section with a posted price and a Medicare benchmark.
75 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,717.65 | $4,181 | 3.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $762.45 | $1,173 | 2.1× |
| Adm tocilizu covid-19 1st (M0249) | $939.90 | $1,446 | 2.0× |
| Adm tocilizu covid-19 2nd (M0250) | $939.90 | $1,446 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $154.70 | $238 | 3.2× |
| Admin influenza virus vac (G0008) | $104.65 | $161 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $104.65 | $161 | 2.1× |
| Catheterize for urine spec (P9612) | $31.85 | $49 | 3.4× |
| Diab manage trn per indiv (G0108) | $133.25 | $205 | 2.4× |
| Diab manage trn ind/group (G0109) | $69.22 | $106.50 | 4.3× |
| Direct refer hospital observ (G0379) | $1,196.65 | $1,841 | 1.9× |
| Drug test def 1-7 classes (G0480) | $124.80 | $192 | 1.1× |
| Drug test def 15-21 classes (G0482) | $261.62 | $402.50 | 1.3× |
| Drug test def 8-14 classes (G0481) | $42.90 | $66 | 0.3× |
| Eia hiv-1/hiv-2 screen (G0432) | $43.55 | $67 | 2.2× |
| Elec stim other than wound (G0283) | $126.10 | $194 | 9.9× |
| Group mnt 2 or more 30 mins (G0271) | $33.80 | $52 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $647.40 | $996 | 4.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,474.20 | $2,268 | 2.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $67,683.85 | $104,129 | 2.1× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $23,949.25 | $36,845 | 2.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $23,949.25 | $36,845 | 2.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $67,683.85 | $104,129 | 2.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $276.90 | $426 | 2.3× |
| Mnt subs tx for change dx (G0270) | $66.30 | $102 | 2.1× |
| Mra w/cont, abd (C8900) | $3,120 | $4,800 | 8.6× |
| Mra w/cont, chest (C8909) | $2,041 | $3,140 | 5.6× |
| Mra w/cont, lwr ext (C8912) | $2,683.85 | $4,129 | 7.4× |
| Mra w/cont, pelvis (C8918) | $1,142.70 | $1,758 | 3.1× |
| Mra w/o cont, abd (C8901) | $2,492.75 | $3,835 | 10.0× |
| Mra w/o cont, chest (C8910) | $2,041 | $3,140 | 8.2× |
| Mra w/o cont, lwr ext (C8913) | $3,060.85 | $4,709 | 12.3× |
| Mra w/o cont, pelvis (C8919) | $2,770.95 | $4,263 | 11.1× |
| Mra w/o fol w/cont, abd (C8902) | $3,740.75 | $5,755 | 10.3× |
| Mra w/o fol w/cont, chest (C8911) | $3,245.45 | $4,993 | 8.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,222.05 | $4,957 | 8.8× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,565.85 | $2,409 | 4.3× |
| Mra, w/dye, spinal canal (C8931) | $2,245.75 | $3,455 | 6.2× |
| Mra, w/dye, upper extremity (C8934) | $2,245.75 | $3,455 | 6.2× |
| Mra, w/o dye, spinal canal (C8932) | $2,041 | $3,140 | 8.2× |
| Mra, w/o dye, upper extr (C8935) | $2,041 | $3,140 | 8.2× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,245.75 | $3,455 | 6.2× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,245.75 | $3,455 | 6.2× |
| Mri w/cont, breast, bi (C8906) | $2,041 | $3,140 | 5.6× |
| Mri w/cont, breast, uni (C8903) | $1,572.35 | $2,419 | 8.6× |
| Mri w/o fol w/cont, breast, (C8908) | $4,808.70 | $7,398 | 13.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,677.70 | $5,658 | 10.1× |
| Neuro csf prion prtn qual (0035U) | $47.45 | $73 | 0.1× |
| Non-ophthalmic fva (C9733) | $837.20 | $1,288 | 2.3× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $477.10 | $734 | 1.5× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $492.05 | $757 | 1.5× |
| Opps service,sched team conf (G0175) | $1,160.25 | $1,785 | 2.7× |
| Oth resp proc, group (G0239) | $87.10 | $134 | 2.2× |
| Oth resp proc, indiv (G0238) | $235.30 | $362 | 7.8× |
| Pathogen test for platelets (P9100) | $74.75 | $115 | 1.2× |
| Perc d-e cor revasc chro sin (C9607) | $35,842.95 | $55,143 | 1.9× |
| Perc d-e cor revasc t cabg s (C9604) | $28,686.45 | $44,133 | 2.4× |
| Perc d-e cor stent ather s (C9602) | $35,842.95 | $55,143 | 1.9× |
| Perc drug-el cor stent sing (C9600) | $26,078.65 | $40,121 | 2.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $12,392.90 | $19,066 | 1.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $5,708.95 | $8,783 | 0.8× |
| Place device/marker, non pro (C9728) | $3,368.95 | $5,183 | 2.3× |
| Prolonged iv inf, req pump (C8957) | $688.35 | $1,059 | 3.1× |
| Prostate biopsy, any mthd (G0416) | $690.95 | $1,063 | 1.8× |
| Psa screening (G0103) | $180.05 | $277 | 9.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $328.06 | $504.70 | 0.5× |
| Revasc intra lithotrip-ather (C9766) | $17,609.80 | $27,092 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $35,998.30 | $55,382 | 1.9× |
| Revasc intravasc lithotripsy (C9764) | $18,138.25 | $27,905 | 1.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $52,203.45 | $80,313 | 2.6× |
| Tomosynthesis, mammo (G0279) | $145.60 | $224 | 11.5× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $5,387.20 | $8,288 | 1.5× |
| Tte w or w/o fol w/con,stres (C8928) | $1,742.65 | $2,681 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,742.65 | $2,681 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $110.18 | $169.50 | 0.2× |