Supplies, drugs & other prices at Emory Saint Joseph's Hospital
Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.
214 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $3,807 | $3,807 | 4.8× |
| 2d tte w or w/o fol w/con,co (C8923) | $2,752 | $2,752 | 3.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $2,576 | $2,576 | 7.3× |
| 3d anat seg imaging preop (C8001) | $243 | $243 | 1.9× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $667 | $667 | 2.8× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $4,494 | $4,494 | 2.7× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $9,774 | $9,774 | 2.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $12,235 | $12,235 | 6.2× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $12,235 | $12,235 | 1.4× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $12,235 | $12,235 | 6.2× |
| Adm of soc dtr assess 5-15 m (G0136) | $66 | $66 | 1.7× |
| Adm tocilizu covid-19 1st (M0249) | $943 | $943 | 2.1× |
| Adm tocilizu covid-19 2nd (M0250) | $943 | $943 | 2.1× |
| Admin hepatitis b vaccine (G0010) range across 7 matching MRF lines |
$141.89–$150 | $141.89–$150 | varies |
| Admin influenza virus vac (G0008) range across 5 matching MRF lines |
$136.06–$155 | $136.06–$155 | varies |
| Admin pneumococcal vaccine (G0009) range across 3 matching MRF lines |
$145.16–$150 | $145.16–$150 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $82 | $82 | 2.2× |
| Alcohol/subs interv >30 min (G0397) | $402 | $402 | 2.2× |
| Arhfcmrigtbs 1st motor threshold deter 1st tx d (0890T) | $10,351 | $10,351 | 2.8× |
| Arhfcmrigtbs sbsq motor threshld redeter pr tx d (0892T) | $10,351 | $10,351 | 2.8× |
| Arhfcmrigtbs subsequent treatment day (0891T) | $10,351 | $10,351 | 2.8× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) range across 2 matching MRF lines |
$1,249–$1,561 | $1,249–$1,561 | varies |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) range across 2 matching MRF lines |
$1,249–$1,561 | $1,249–$1,561 | varies |
| Bitewings four images (D0274) | $742 | $742 | 3.1× |
| Bone replce graft first site (D4263) | $1,367 | $1,367 | 2.1× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$1,033–$3,011 | $1,033–$3,011 | varies |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $10,476 | $10,476 | 4.3× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,091–$3,599 | $2,091–$3,599 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$1,579–$4,798 | $1,579–$4,798 | varies |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$224–$263 | $224–$263 | varies |
| Dental prophylaxis adult (D1110) | $150 | $150 | 1.1× |
| Depression screen annual (G0444) | $63 | $63 | 1.7× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $6,588 | $6,588 | 8.8× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) | $6,588 | $6,588 | 8.8× |
| Diab manage trn per indiv (G0108) | $225 | $225 | 4.0× |
| Diab manage trn ind/group (G0109) | $64 | $64 | 4.0× |
| Direct refer hospital observ (G0379) | $1,630 | $1,630 | 2.7× |
| Drug test def 1-7 classes (G0480) range across 10 matching MRF lines |
$215–$253 | $215–$253 | varies |
| Drug test def 15-21 classes (G0482) range across 5 matching MRF lines |
$205.18–$759 | $205.18–$759 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$860–$1,012 | $860–$1,012 | varies |
| Drug test def 8-14 classes (G0481) range across 4 matching MRF lines |
$431–$507 | $431–$507 | varies |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $164 | $164 | 2.7× |
| Elec stim other than wound (G0283) | $308 | $308 | 24.3× |
| Elec stim unattend for press (G0281) | $308 | $308 | 26.3× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $2,914 | $2,914 | 2.4× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $2,914 | $2,914 | 2.4× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $3,129 | $3,129 | 2.5× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $32,771 | $32,771 | 0.7× |
| Extraction erupted tooth/exr (D7140) | $170 | $170 | 0.3× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$105–$123 | $105–$123 | varies |
| Fecal microbiota prep instil (G0455) | $759 | $759 | 0.8× |
| Full mouth debridement (D4355) | $5,467 | $5,467 | 8.3× |
| Group mnt 2 or more 30 mins (G0271) | $52 | $52 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $1,025 | $1,025 | 7.3× |
| Hospital outpt clinic visit (G0463) range across 2 matching MRF lines |
$120–$444 | $120–$444 | varies |
| Impact tooth remov comp bony (D7240) | $911 | $911 | 1.4× |
| Impact tooth remov part bony (D7230) | $911 | $911 | 1.4× |
| Impact tooth remov soft tiss (D7220) | $911 | $911 | 1.4× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$3,148–$4,862 | $3,148–$4,862 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $4,862 | $4,862 | 5.4× |
| Insert cv cath inf & sup app (C9780) | $24,003 | $24,003 | 2.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $19,427 | $19,427 | 2.3× |
| Insertion perm ccm-d system pulse generator only (0916T) | $53,871 | $53,871 | 2.4× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $36,758 | $36,758 | 1.6× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) | $11,952 | $11,952 | 2.2× |
| Insj bioprostc vlv fem vn (0744T) | $12,335 | $12,335 | 2.2× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $19,862 | $19,862 | 2.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $19,862 | $19,862 | 2.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $76,948 | $76,948 | 2.4× |
| Insj Wcs Lv Eltrd Only (0516T) | $12,373 | $12,373 | 1.2× |
| Insj Wcs Lv Pg Compnt (0517T) | $12,373 | $12,373 | 1.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $55,296 | $55,296 | 1.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $19,566 | $19,566 | 2.3× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $19,566 | $19,566 | 2.3× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $55,296 | $55,296 | 2.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $75,230 | $75,230 | 2.4× |
| Instlj fecal microbiota ssp (0780T) | $6,672 | $6,672 | 49.4× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $102 | $102 | 2.7× |
| Interrog dev eval impl ccm-d system in person (0927T) | $104 | $104 | 2.7× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $71 | $71 | 2.4× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $86 | $86 | 2.3× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) | $10,290 | $10,290 | 2.3× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $27,070 | $27,070 | 2.5× |
| Iv cipaglucosidase alfa-atga (G0138) | $1,795 | $1,795 | 2.8× |
| Low intensity eswt corpus cavernosum low energy (0864T) | $687 | $687 | 2.7× |
| Mnt subs tx for change dx (G0270) | $92 | $92 | 2.9× |
| Mra w/cont, abd (C8900) range across 2 matching MRF lines |
$2,314–$2,893 | $2,314–$2,893 | varies |
| Mra w/cont, chest (C8909) range across 2 matching MRF lines |
$2,314–$2,893 | $2,314–$2,893 | varies |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$2,314–$2,893 | $2,314–$2,893 | varies |
| Mra w/cont, pelvis (C8918) range across 2 matching MRF lines |
$2,314–$2,893 | $2,314–$2,893 | varies |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$1,826–$2,283 | $1,826–$2,283 | varies |
| Mra w/o cont, chest (C8910) range across 2 matching MRF lines |
$1,938–$2,422 | $1,938–$2,422 | varies |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,835–$2,294 | $1,835–$2,294 | varies |
| Mra w/o cont, pelvis (C8919) range across 2 matching MRF lines |
$1,826–$2,283 | $1,826–$2,283 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$2,928–$3,660 | $2,928–$3,660 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$2,690–$3,362 | $2,690–$3,362 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$2,930–$3,662 | $2,930–$3,662 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$2,930–$3,662 | $2,930–$3,662 | varies |
| Mra, w/dye, upper extremity (C8934) range across 2 matching MRF lines |
$2,314–$2,893 | $2,314–$2,893 | varies |
| Mra, w/o dye, spinal canal (C8932) range across 2 matching MRF lines |
$3,218–$4,022 | $3,218–$4,022 | varies |
| Mra, w/o dye, upper extr (C8935) range across 2 matching MRF lines |
$1,731–$2,164 | $1,731–$2,164 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) range across 2 matching MRF lines |
$5,132–$6,415 | $5,132–$6,415 | varies |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$2,930–$3,662 | $2,930–$3,662 | varies |
| Mri w/cont, breast, bi (C8906) range across 2 matching MRF lines |
$3,413–$4,266 | $3,413–$4,266 | varies |
| Mri w/cont, breast, uni (C8903) range across 2 matching MRF lines |
$3,218–$4,022 | $3,218–$4,022 | varies |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$4,541–$5,676 | $4,541–$5,676 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 2 matching MRF lines |
$3,769–$4,711 | $3,769–$4,711 | varies |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) | $3,886 | $3,886 | 3.0× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $209 | $209 | 1.0× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $828 | $828 | 2.7× |
| Neuro csf prion prtn qual (0035U) range across 2 matching MRF lines |
$1,586–$1,866 | $1,586–$1,866 | varies |
| Njx bone sub matrl into subchondral bone defect (0707T) | $7,323 | $7,323 | 2.2× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $4,862 | $4,862 | 5.4× |
| Njx platelet plasma (0232T) | $8,661 | $8,661 | 19.1× |
| Noninvasive prostate cancer estimation map (0898T) | $2,808 | $2,808 | 3.2× |
| Ortho impl mvmt alys pair CT (0946T) | $293 | $293 | 2.8× |
| Oth resp proc, group (G0239) | $201 | $201 | 5.3× |
| Oth resp proc, indiv (G0238) | $201 | $201 | 6.8× |
| Panoramic image (D0330) | $151 | $151 | 0.6× |
| Pelvic ring fracture uni/bil (G0413) likely a partial charge, not the full procedure |
$840 | $840 | 0.1× |
| Perc d-e cor revasc chro sin (C9607) | $13,302 | $13,302 | 0.7× |
| Perc d-e cor revasc t cabg s (C9604) | $8,687 | $8,687 | 0.7× |
| Perc d-e cor stent ather s (C9602) | $13,302 | $13,302 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $8,687 | $8,687 | 0.7× |
| Periodontal scaling & root (D4341) | $435 | $435 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $13,738 | $13,738 | 1.9× |
| Perq Sacral Augmt Unilat Inj (0200T) | $13,738 | $13,738 | 1.9× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $13,684 | $13,684 | 1.2× |
| Personalized target development arhfcmrigtbs (0889T) | $2,623 | $2,623 | 2.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $99 | $99 | 2.6× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $114 | $114 | 3.0× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $117 | $117 | 3.1× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $153 | $153 | 4.0× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $102 | $102 | 2.7× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $86 | $86 | 2.3× |
| Programming device eval impl ccm-d sys in person (0926T) | $104 | $104 | 2.7× |
| Prolonged iv inf, req pump (C8957) | $1,608 | $1,608 | 7.4× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$517–$608 | $517–$608 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$303–$356 | $303–$356 | varies |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $355 | $355 | 2.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $770 | $770 | 0.8× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) range across 2 matching MRF lines |
$449–$561 | $449–$561 | varies |
| Quan MRI alys brain with diagnostic MRI (0866T) range across 2 matching MRF lines |
$449–$561 | $449–$561 | varies |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $4,117 | $4,117 | 2.0× |
| Relocation pg wcs lv pacg battery component only (0862T) | $4,174 | $4,174 | 2.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $4,174 | $4,174 | 2.0× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $4,558 | $4,558 | 2.2× |
| Rem imp tooth w mucoper flp (D7210) | $170 | $170 | 0.1× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $99 | $99 | 2.6× |
| Remote interrog dev eval ccm-d sys <90d tech (0929T) | $104 | $104 | 2.7× |
| Removal perm ccm-d system pulse generator only (0919T) | $8,734 | $8,734 | 2.3× |
| Removal pg wcs lv pacing both components (0861T) | $8,989 | $8,989 | 2.4× |
| Removal Ss Dfb Electrode (0573T) | $8,980 | $8,980 | 2.4× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $1,300 | $1,300 | 2.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $8,980 | $8,980 | 2.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $1,484 | $1,484 | 2.3× |
| Revasc intra lithotrip-ather (C9766) | $20,213 | $20,213 | 1.1× |
| Revasc intra lithotrip-stent (C9765) | $20,213 | $20,213 | 1.1× |
| Revasc intravasc lithotripsy (C9764) | $10,106 | $10,106 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $41,226 | $41,226 | 2.2× |
| Revasc lithotr-ather tib/per (C9774) | $40,674 | $40,674 | 2.2× |
| Revasc lithotr-stent tib/per (C9773) | $40,674 | $40,674 | 2.2× |
| Revasc lithotrip tibi/perone (C9772) | $25,429 | $25,429 | 2.2× |
| Revasc lithotrip-stent-ather (C9767) | $32,518 | $32,518 | 1.7× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $55,296 | $55,296 | 2.4× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $6,386 | $6,386 | 0.6× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $8,257 | $8,257 | 2.2× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $8,257 | $8,257 | 2.2× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $8,734 | $8,734 | 2.3× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $8,734 | $8,734 | 2.3× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $8,734 | $8,734 | 2.3× |
| Rmvl Pg Compnt Wcs (0518T) | $6,386 | $6,386 | 1.7× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $8,980 | $8,980 | 2.4× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $53,871 | $53,871 | 2.4× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $36,758 | $36,758 | 3.5× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $53,901 | $53,901 | 2.4× |
| Rpr intst excl anrect fist (C9796) | $7,569 | $7,569 | 2.7× |
| Screen cerv/vag thin layer (G0123) range across 2 matching MRF lines |
$425–$500 | $425–$500 | varies |
| Screen pap by tech w md supv (P3000) range across 4 matching MRF lines |
$158–$186 | $158–$186 | varies |
| Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) | $108 | $108 | 2.8× |
| Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) | $11,731 | $11,731 | 2.8× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $7,719 | $7,719 | 2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $44,603 | $44,603 | 2.3× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $44,557 | $44,557 | 2.3× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $44,557 | $44,557 | 2.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $44,557 | $44,557 | 2.3× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $7,296 | $7,296 | 2.3× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $7,289 | $7,289 | 2.3× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $7,289 | $7,289 | 2.3× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $7,289 | $7,289 | 2.3× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $44,603 | $44,603 | 2.3× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $44,557 | $44,557 | 2.3× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $44,557 | $44,557 | 2.3× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $44,557 | $44,557 | 2.3× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $11,896 | $11,896 | 2.1× |
| Tee w or w/o fol w/cont, mon (C8927) | $5,285 | $5,285 | 6.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $6,055 | $6,055 | 7.6× |
| Therapeutic procd strg endur (G0237) | $201 | $201 | 6.8× |
| Tomosynthesis, mammo (G0279) range across 4 matching MRF lines |
$274–$342 | $274–$342 | varies |
| Tooth root removal (D7250) | $170 | $170 | 0.3× |
| Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) | $40,098 | $40,098 | 2.2× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $18,433 | $18,433 | 3.2× |
| Trluml perip athrc abd aorta (0236T) | $12,994 | $12,994 | 1.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $21,667 | $21,667 | 1.8× |
| Trluml Perip Athrc Iliac Art (0238T) | $9,592 | $9,592 | 0.5× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $30,883 | $30,883 | 2.6× |
| Tte w or w/o contr, cont ecg (C8930) | $5,737 | $5,737 | 7.2× |
| Tte w or w/o fol w/cont, com (C8921) | $4,757 | $4,757 | 6.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $2,621 | $2,621 | 3.3× |
| Tte w or wo fol wcon,doppler (C8929) | $5,737 | $5,737 | 7.2× |
| Unsched dialysis esrd pt hos (G0257) | $4,290 | $4,290 | 6.2× |
| Vasc emb/occ w/prs cath (C9797) | $46,160 | $46,160 | 2.5× |
| Visit esketamine 56m or less (G2082) | $2,178 | $2,178 | 2.1× |
| Visit esketamine, > 56m (G2083) | $3,182 | $3,182 | 1.9× |
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.