27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2019-ncov diagnostic p (U0001) |
— |
$70 |
— |
| Admin influenza virus vac (G0008) |
— |
$6,678 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$4,160.29 |
— |
| Catheterize for urine spec (P9612) |
— |
$2,119 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$3,297.53 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$3,247.17 |
— |
| Direct refer hospital observ (G0379) |
— |
$2,005 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$448 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$395 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$393 |
— |
| Elec stim other than wound (G0283) |
— |
$78 |
— |
| Facility svs dental rehab (G0330) |
— |
$6,562.08 |
— |
| Hbot, full body chamber, 30m (G0277) |
— |
$2,475 |
— |
| Home sleep test/type 3 porta (G0399) |
— |
$4,422 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$5,434.64 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$4,647.78 |
— |
| Instlj fecal microbiota ssp (0780T) |
— |
$43,635 |
— |
| Onc Merkel Cll Carc Srm Quan (0058U) |
— |
$265 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$23,809 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$65,715.35 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$63,865.06 |
— |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) |
— |
$72,044.45 |
— |
| Psa screening (G0103) |
— |
$164 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$463 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$2,005 |
— |
| Trluml peripheral atherectomy iliac artery ea (0238T) |
— |
$808 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$103 |
— |