16 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) |
$238.55 |
$367 |
2.7× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) |
$238.55 |
$367 |
2.7× |
| Hopd mntl hlt, grp (C7903) |
$57.85 |
$89 |
1.6× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) |
$33,745.40 |
$51,916 |
3.2× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) |
$32,422.65 |
$49,881 |
3.1× |
| Low intensity eswt corpus cavernosum low energy (0864T) |
$632.45 |
$973 |
2.7× |
| Opto-acoustic img breast uni augmnt alys&reprt (0857T) |
$276.25 |
$425 |
2.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) |
$96.85 |
$149 |
2.7× |
| Quan MRI alys brain with diagnostic MRI (0866T) |
$628.55 |
$967 |
2.8× |
| Rem multi day cplx uroflowmetry dev sply w/reprt (0812T) |
$406.90 |
$626 |
3.3× |
| Rem multi day cplx uroflowmetry setup&pt educaj (0811T) |
$334.75 |
$515 |
2.7× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) |
$8,941.40 |
$13,756 |
2.7× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) |
$8,941.40 |
$13,756 |
2.7× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) |
$14,782.30 |
$22,742 |
0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) |
$8,183.50 |
$12,590 |
2.7× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) |
$14,782.30 |
$22,742 |
0.8× |