19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| 2019-ncov diagnostic p (U0001) |
$57.85 |
$134.53 |
1.6× |
| Admin hepatitis b vaccine (G0010) |
$92.93 |
$216.12 |
2.2× |
| Admin pneumococcal vaccine (G0009) |
$92.93 |
$216.12 |
2.2× |
| Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue,… (0087U) |
$4,128 |
$9,600 |
1.3× |
| Catheterize for urine spec (P9612) |
$4.91 |
$11.41 |
0.5× |
| Direct refer hospital observ (G0379) |
$69.66 |
$162 |
0.1× |
| Drug test def 1-7 classes (G0480) |
$67.28 |
$156.46 |
0.6× |
| Drug test def 15-21 classes (G0482) |
$230.89 |
$536.95 |
1.2× |
| Drug test def 22+ classes (G0483) |
$230.89 |
$536.95 |
0.9× |
| Drug test def 8-14 classes (G0481) |
$230.89 |
$536.95 |
1.5× |
| Flt3 gene itd variants quan (0046U) |
$3,102.45 |
$7,215 |
7.6× |
| Hospital outpt clinic visit (G0463) |
$49.85 |
$115.93 |
0.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$91.17 |
$212.03 |
0.7× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$898.37 |
$2,089.23 |
4.1× |
| Quan MRI alys brn w/o dx MRI (0865T) |
$898.37 |
$2,089.23 |
4.1× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$510.52 |
$1,187.25 |
0.7× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) |
$18,097.62 |
$42,087.49 |
3.5× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$729.19 |
$1,695.78 |
1.6× |
| Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing… (0088U) |
$4,128 |
$9,600 |
1.3× |