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18 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Admin hepatitis b vaccine (G0010)
$4
$5
0.1×
Admin influenza virus vac (G0008)
$30
$35
0.6×
Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines
$21–$30
$25–$35
varies
Ca screen;pelvic/breast exam (G0101)
$34
$40
0.3×
Diab manage trn per indiv (G0108)
$76
$89
1.4×
Ekg tracing for initial prev (G0404)
$162
$190
5.6×
Elec stim other than wound (G0283)
$37
$43
2.9×
Hep c screen high risk/other (G0472)
$122
$144
2.6×
Initial preventive exam (G0402)
$111
$130
0.8×
Liver disease, ten biochemical assays (ALT, A2-macroglobulin, apolipoprotein A-1, total bilirubin, GGT, haptoglobin,… (0002M)
$519
$611
1.0×
Obtaining screen pap smear (Q0091)
$27
$32
0.9×
Oth resp proc, indiv (G0238)
$26
$30
0.9×
Ppps, initial visit (G0438)
$163
$192
0.9×
Ppps, subseq visit (G0439)
$170
$200
1.2×
Psa screening (G0103)
$88
$104
4.6×
Routine footcare pt w lops (G0247)
$43
$50
0.2×
Therapeutic procd strg endur (G0237)
$47
$55
1.6×
Trim nail(s) (G0127)
$55
$65
0.9×
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.