25 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) |
— |
$67 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$61.50 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$415 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$130 |
— |
| Catheterize for urine spec (P9612) |
— |
$53 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$1,207 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$1,318 |
— |
| Direct refer hospital observ (G0379) |
— |
$177 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$386 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$670 |
— |
| Drug test def 22+ classes (G0483) |
— |
$832 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$527 |
— |
| Elec stim other than wound (G0283) |
— |
$98 |
— |
| Elec stim unattend for press (G0281) |
— |
$98 |
— |
| Fecal blood scrn immunoassay (G0328) |
— |
$87 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$328 |
— |
| Initial preventive exam (G0402) |
— |
$436 |
— |
| Mri w/cont, breast, bi (C8906) |
— |
$3,908 |
— |
| Mri w/o fol w/cont, brst, un (C8905) |
— |
$4,397 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$149 |
— |
| Oth resp proc, group (G0239) |
— |
$70 |
— |
| Oth resp proc, indiv (G0238) |
— |
$70 |
— |
| Ppps, initial visit (G0438) |
— |
$511 |
— |
| Psa screening (G0103) |
— |
$220 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$70 |
— |