25 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2d tee w or w/o fol w/con,in (C8925) |
— |
$2,637.50 |
— |
| Admin hepatitis b vaccine (G0010) |
— |
$86.40 |
— |
| Admin influenza virus vac (G0008) |
— |
$109.70 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$86.40 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$80 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$4,731 |
— |
| Elec stim other than wound (G0283) |
— |
$114 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$443 |
— |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
— |
$10,123 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,564 |
— |
| Mra w/o fol w/cont, lwr ext (C8914) |
— |
$3,564 |
— |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
— |
$1,342 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$73 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$5,110 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$28,532 |
— |
| Revasc intra lithotrip-stent (C9765) |
— |
$28,532 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$9,811 |
— |
| Revasc lith-sten-ath tib/per (C9775) |
— |
$50,696 |
— |
| Revasc lithotr-ather tib/per (C9774) |
— |
$50,696 |
— |
| Revasc lithotr-stent tib/per (C9773) |
— |
$50,696 |
— |
| Revasc lithotrip tibi/perone (C9772) |
— |
$28,532 |
— |
| Revasc lithotrip-stent-ather (C9767) |
— |
$50,696 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$33.60 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$3,424 |
— |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
— |
$35,157 |
— |