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22 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Admin influenza virus vac (G0008) range across 5 matching MRF lines
$59
$111.09–$154.35
1.0×
Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines
$59
$111.09–$154.35
1.0×
Compre Audiom Threshold Eval & Speech Recog (0212T)
$164
$408.96
1.0×
Direct refer hospital observ (G0379)
$762
$1,562.55
1.0×
Drug test def 1-7 classes (G0480) range across 6 matching MRF lines
$114
$287.50–$1,176.50
1.0×
Drug test def 15-21 classes (G0482)
$198
$993.70
1.0×
Drug test def 22+ classes (G0483)
$246
$1,234.60
1.0×
Drug test def 8-14 classes (G0481) range across 2 matching MRF lines
$156
$196.50–$1,609.90
1.0×
Elec stim other than wound (G0283)
$13
$244.90
1.0×
Hospital outpt clinic visit (G0463)
$170
$341.07
1.0×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T)
$1,132
$2,929.15
1.0×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T)
$1,132
$2,929.15
1.0×
Njx platelet plasma (0232T)
$571
$990.03
1.0×
Psa screening (G0103) range across 2 matching MRF lines
$19
$4.89–$268.50
1.0×
Pure tone audiometry (threshold), automated; air and bone Non-Facility Physician Technical Component (0209T)
$47
$103.25
1.0×
Pure tone audiometry (threshold), automated; air only Non-Facility Physician Technical Component (0208T)
$47
$103.25
1.0×
Speech audiometry threshold, automated; Non-Facility Physician Technical Component (0210T)
$47
$103.25
1.0×
Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T)
$47
$103.25
1.0×
Trluml perip athrc abd aorta (0236T)
$14,775
$35,791.40
1.0×
Trluml Perip Athrc Brchiocph (0237T) range across 2 matching MRF lines
$14,775
$35,761.40–$35,791.40
1.0×
Trluml Perip Athrc Iliac Art (0238T)
$23,462
$48,061.20
1.0×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
$14,775
$35,791.40
1.0×
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.