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14 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Ca screen;pelvic/breast exam (G0101)
$96.18
$229
0.9×
Catheterize for urine spec (P9612)
$36.12
$86
3.9×
Depression screen annual (G0444)
$18.90
$45
0.5×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T)
$772.80
$1,840
1.0×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T)
$772.80
$1,840
1.0×
Direct refer hospital observ (G0379)
$21
$50
0.0×
Ekg tracing for initial prev (G0404)
$23.10
$55
0.8×
Hospital outpt clinic visit (G0463) range across 19 matching MRF lines
$128.52–$252.84
$306–$602
varies
Initial preventive exam (G0402)
$116.76
$278
0.9×
Obtaining screen pap smear (Q0091)
$10.50
$25
0.4×
Ppps, initial visit (G0438)
$141.12
$336
0.8×
Ppps, subseq visit (G0439)
$95.34
$227
0.7×
Tomosynthesis, mammo (G0279)
$57.54
$137
4.5×
Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines
$2,576.70–$6,425.58
$6,135–$15,299
varies
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.