25 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Application long arm splint shoulder hand (29105) |
$70.94 |
$118.24 |
0.5× |
| Arterial puncture (36600) |
$239.59 |
$399.31 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$478.52 |
$797.54 |
1.7× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$478.52 |
$797.54 |
1.7× |
| Bl push transfuse 2 yr/< (36440) |
$557.90 |
$929.84 |
1.4× |
| Blood transfusion service (36430) |
$972.06 |
$1,620.09 |
2.4× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$286.91 |
$478.18 |
1.4× |
| Declot vascular device (36593) |
$419.46 |
$699.10 |
1.4× |
| Draw blood off venous device (36591) |
$40.19 |
$66.98 |
0.3× |
| Fetal Contraction Stress Test (59020) |
$716.59 |
$1,194.31 |
3.9× |
| Fetal non-stress test (59025) |
$490.94 |
$818.23 |
2.7× |
| Insert non-tunnel cv cath (36556) |
$1,934.91 |
$3,224.85 |
0.7× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$1,934.91 |
$3,224.85 |
0.7× |
| Insert Tunneled Cv Cath With Pump (36563) |
$5,344.22 |
$8,907.03 |
1.1× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,382.21 |
$7,303.68 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$13,744.35 |
$22,907.25 |
1.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,344.22 |
$8,907.03 |
1.9× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$5,344.22 |
$8,907.03 |
1.1× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$5,344.22 |
$8,907.03 |
1.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,382.21 |
$7,303.68 |
1.5× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$318.27 |
$530.45 |
1.4× |
| Place Cath Subclavian Art (36225) |
$4,868.78 |
$8,114.63 |
1.7× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,934.91 |
$3,224.85 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,062.48 |
$1,770.80 |
1.9× |
| Venipuncture (36415) |
$17.91 |
$29.85 |
1.9× |