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30 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T)
$9,910
$9,910
4.1×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
$9,910
$9,910
0.9×
Alcohol/subs interv >30 min (G0397)
$242
$242
1.1×
Diab manage trn per indiv (G0108)
$206
$206
3.7×
Diab manage trn ind/group (G0109)
$119
$119
7.4×
Direct refer hospital observ (G0379)
$784
$784
1.1×
Fecal microbiota prep instil (G0455)
$2,210
$2,210
1.9×
Group mnt 2 or more 30 mins (G0271)
$47
$47
2.8×
Hbot, full body chamber, 30m (G0277)
$571
$571
3.3×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
$430
$430
3.5×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M)
$620
$620
1.2×
Mnt subs tx for change dx (G0270)
$103
$103
3.2×
Mri w/o fol w/cont, breast, (C8908)
$2,923
$2,923
6.7×
Mri w/o fol w/cont, brst, un (C8905)
$5,698
$5,698
13.1×
Oth resp proc, group (G0239)
$252
$252
5.4×
Pathogen test for platelets (P9100)
$89
$89
1.2×
Pemivibart infusion (M0224)
$1,126
$1,126
2.0×
Perc d-e cor stent ather s (C9602)
$45,209
$45,209
2.0×
Perq Sacral Augmt Unilat Inj (0200T)
$10,545
$10,545
1.2×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
$14,254
$14,254
1.0×
Psa screening (G0103)
$265
$265
13.7×
Quan us tiss charac i&r w/o dx us same anat (0689T)
$216
$216
2.0×
Revasc intra lithotrip-ather (C9766)
$29,578
$29,578
1.3×
Revasc intra lithotrip-stent (C9765)
$29,578
$29,578
1.3×
Revasc intravasc lithotripsy (C9764)
$14,789
$14,789
1.0×
Revasc lithotrip-stent-ather (C9767)
$47,581
$47,581
2.1×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
$13,615
$13,615
1.9×
Therapeutic procd strg endur (G0237)
$173
$173
4.8×
Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines
$5,844–$10,430
$5,844–$10,430
varies
Unsched dialysis esrd pt hos (G0257)
$2,308
$2,308
2.7×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.