Supplies, drugs & other prices at Fred Hutch Cancer Center
Seattle, WA · every code in this section with a posted price and a Medicare benchmark.
206 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) range across 2 matching MRF lines |
$225–$261.22 | $250–$290.25 | varies |
| 2d tee w or w/o fol w/con,in (C8925) | $2,636.96 | $2,929.95 | 2.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,597.82 | $1,775.36 | 1.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,346.01 | $1,495.57 | 3.3× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $8,548.14 | $9,497.93 | 4.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) range across 2 matching MRF lines |
$4,270.11–$9,442.58 | $4,744.57–$10,491.75 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) range across 2 matching MRF lines |
$9,442.58–$14,280.69 | $10,491.75–$15,867.43 | varies |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $9,442.58 | $10,491.75 | 4.2× |
| Adm of soc dtr assess 5-15 m (G0136) | $102.87 | $114.30 | 2.4× |
| Adm tocilizu covid-19 1st (M0249) | $1,009.43 | $1,121.59 | 2.0× |
| Adm tocilizu covid-19 2nd (M0250) | $1,385.10 | $1,539 | 2.7× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$77.14–$101.70 | $85.71–$113 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$66.15–$72.07 | $73.50–$80.08 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$84.45–$105.30 | $93.83–$117 | varies |
| Alcohol/sub misuse assess (G2011) | $127.62 | $141.80 | 3.8× |
| Alcohol/subs interv 15-30mn (G0396) | $80.17 | $89.08 | 1.8× |
| Alcohol/subs interv >30 min (G0397) | $230.29 | $255.88 | 1.1× |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) | $69.83 | $77.59 | 1.6× |
| Behavior counsel obesity 15m (G0447) | $109.51 | $121.68 | 0.9× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) | $324.04 | $360.05 | 1.2× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$2,443.90–$2,775.60 | $2,715.44–$3,084 | varies |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$81.20–$215.78 | $90.22–$239.75 | varies |
| Catheterize for urine spec (P9612) | $118.12 | $131.25 | 12.6× |
| Chemo extend iv infus w/pump (G0498) range across 3 matching MRF lines |
$1,468.41–$1,889.32 | $1,631.57–$2,099.25 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$3,216.10–$3,868.42 | $3,573.44–$4,298.25 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$3,059.78–$3,958.88 | $3,399.76–$4,398.75 | varies |
| Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) | $1,799.28 | $1,999.20 | 4.5× |
| Cool Quant Sensory Test (0108T) | $199.79 | $221.99 | 2.9× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$225–$261.22 | $250–$290.25 | varies |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $1,852.18 | $2,057.98 | 0.4× |
| Dental prophylaxis adult (D1110) | $252.90 | $281 | 1.6× |
| Dental unspec restorative pr (D2999) | $90.22 | $100.25 | 0.1× |
| Devlopment test interpt&rep (G0451) | $239.24 | $265.82 | 2.0× |
| Diab manage trn per indiv (G0108) | $182.52 | $202.80 | 3.3× |
| Diab manage trn ind/group (G0109) | $81.81 | $90.90 | 5.1× |
| Direct refer hospital observ (G0379) | $982.39 | $1,091.54 | 1.4× |
| Drug test def 1-7 classes (G0480) range across 35 matching MRF lines |
$36–$491.62 | $40–$546.25 | varies |
| Drug test def 22+ classes (G0483) range across 5 matching MRF lines |
$483.98–$534.50 | $537.75–$593.89 | varies |
| Drug test def 8-14 classes (G0481) range across 8 matching MRF lines |
$141.30–$436.28 | $157–$484.75 | varies |
| Ed svc ckd grp per session (G0421) | $63.18 | $70.20 | 2.3× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $1,111.50 | $1,235 | 1.1× |
| Ekg tracing for initial prev (G0404) | $28.07 | $31.19 | 0.8× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) | $298.80 | $332 | 2.7× |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) | $403.20 | $448 | 3.7× |
| Elec stim other than wound (G0283) | $114.62 | $127.35 | 9.0× |
| Elec stim unattend for press (G0281) | $82.93 | $92.14 | 7.1× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $4,586.62 | $5,096.24 | 3.2× |
| Elisa hiv-1/hiv-2 screen (G0433) | $208.12 | $231.24 | 11.4× |
| Esd endoscopy or colonoscopy (C9779) | $2,865.50 | $3,183.89 | 0.6× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) range across 2 matching MRF lines |
$6,772.94–$10,159.42 | $7,525.49–$11,288.24 | varies |
| Extracorporeal shock wave muscskel sys nos (0101T) | $94.54 | $105.04 | 0.3× |
| Extrnl counterpulse, per tx (G0166) | $446.66 | $496.29 | 2.9× |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$2,341.58–$2,491.80 | $2,601.75–$2,768.67 | varies |
| Fern test (Q0114) | $52.75 | $58.61 | 5.4× |
| Followup eval of foot pt lop (G0246) | $67.66 | $75.18 | 0.4× |
| Full mouth debridement (D4355) | $247.28 | $274.75 | 0.3× |
| Group behave couns 2-10 (G0473) | $97.43 | $108.26 | 2.2× |
| Group mnt 2 or more 30 mins (G0271) | $52.42 | $58.24 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $789.55 | $877.28 | 4.9× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $2,134.80 | $2,372 | 2.6× |
| Heat Quant Sensory Test (0109T) | $81.53 | $90.59 | 1.9× |
| Hep c screen high risk/other (G0472) | $200.73 | $223.03 | 4.3× |
| Hepb screen high risk indiv (G0499) | $196.99 | $218.88 | 7.0× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) | $23,795.38 | $26,439.31 | 1.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $82.22 | $91.35 | 1.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $210.15 | $233.50 | 1.8× |
| Hopd mntl hlt, grp (C7903) | $91.36 | $101.51 | 2.1× |
| Hospital outpt clinic visit (G0463) | $170.78 | $189.75 | 1.1× |
| Init/sub psych care m 1st 30 (G2214) | $153.58 | $170.65 | 1.3× |
| Initial foot exam pt lops (G0245) | $109.90 | $122.11 | 0.7× |
| Initial preventive exam (G0402) | $248.52 | $276.13 | 1.6× |
| Inj for sacroiliac jt anesth (G0260) | $2,304.94 | $2,561.05 | 2.8× |
| Injection posterior chamber eye medication (0699T) range across 2 matching MRF lines |
$5,463.15–$8,194.73 | $6,070.17–$9,105.26 | varies |
| Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) | $1,440.63 | $1,600.70 | 2.8× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) range across 2 matching MRF lines |
$2,352.69–$3,529.04 | $2,614.10–$3,921.15 | varies |
| Insertion of sinus tarsi implant (0335T) | $12,654.51 | $14,060.57 | 1.5× |
| Insertion perm ccm-d system pulse generator only (0916T) | $29,441.88 | $32,713.20 | 1.1× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) range across 2 matching MRF lines |
$10,136.11–$15,204.16 | $11,262.34–$16,893.51 | varies |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $8,191.49 | $9,101.66 | 0.9× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $9,879.85 | $10,977.61 | 1.0× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $46,800 | $52,000 | 1.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $55,170.56 | $61,300.62 | 1.5× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $9,879.85 | $10,977.61 | 1.0× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $9,879.85 | $10,977.61 | 1.0× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $29,441.88 | $32,713.20 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $25,272 | $28,080 | 0.7× |
| Instlj fecal microbiota ssp (0780T) range across 2 matching MRF lines |
$840.46–$2,235.15 | $933.85–$2,483.50 | varies |
| Intens behave ther cardio dx (G0446) | $89.38 | $99.31 | 2.1× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $48.60 | $54 | 1.1× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $16,037.55 | $17,819.50 | 1.3× |
| Localized delivery antimicro (D4381) | $22.72 | $25.25 | 0.0× |
| Mnt subs tx for change dx (G0270) | $65.20 | $72.45 | 2.1× |
| Mra w/cont, abd (C8900) | $1,877.47 | $2,086.08 | 4.6× |
| Mra w/cont, chest (C8909) | $1,420.54 | $1,578.38 | 3.5× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$990.46–$1,485.69 | $1,100.51–$1,650.77 | varies |
| Mra w/cont, pelvis (C8918) range across 2 matching MRF lines |
$1,698.19–$2,738.48 | $1,886.88–$3,042.75 | varies |
| Mra w/o cont, abd (C8901) | $2,213.07 | $2,458.97 | 8.0× |
| Mra w/o cont, chest (C8910) | $1,765.72 | $1,961.91 | 6.4× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$1,299.12–$1,948.69 | $1,443.47–$2,165.21 | varies |
| Mra w/o cont, pelvis (C8919) range across 2 matching MRF lines |
$1,854.55–$2,659.50 | $2,060.61–$2,955 | varies |
| Mra w/o fol w/cont, abd (C8902) | $1,970.48 | $2,189.42 | 4.9× |
| Mra w/o fol w/cont, chest (C8911) | $1,785.78 | $1,984.20 | 4.4× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 2 matching MRF lines |
$2,612.92–$3,919.39 | $2,903.25–$4,354.88 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 2 matching MRF lines |
$3,127.82–$4,380.98 | $3,475.36–$4,867.75 | varies |
| Mra, w/dye, spinal canal (C8931) | $2,139.06 | $2,376.73 | 5.3× |
| Mra, w/dye, upper extremity (C8934) | $1,922.76 | $2,136.40 | 4.7× |
| Mra, w/o dye, spinal canal (C8932) | $1,678.85 | $1,865.39 | 6.1× |
| Mra, w/o dye, upper extr (C8935) | $1,678.85 | $1,865.39 | 6.1× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,945.55 | $3,272.83 | 7.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,018.01 | $2,242.23 | 5.0× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$4,338.32–$4,678.88 | $4,820.36–$5,198.75 | varies |
| Mri w/o fol w/cont, brst, un (C8905) range across 2 matching MRF lines |
$2,178.32–$3,439.80 | $2,420.35–$3,822 | varies |
| Myocrd Symp Innervaj Img Plnr Qual&Quant W/Spect (0332T) | $2,605.84 | $2,895.38 | 1.7× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $160.69 | $178.54 | 0.6× |
| Nav srv peer sup 60 min pr m (G0140) range across 2 matching MRF lines |
$243–$285.30 | $270–$317 | varies |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) range across 2 matching MRF lines |
$2,749.59–$4,124.38 | $3,055.10–$4,582.65 | varies |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$756.29–$2,081.88 | $840.32–$2,313.20 | varies |
| Non-ionizing diag proc (D0600) | $111.38 | $123.75 | 0.1× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$90.98–$99.22 | $101.09–$110.25 | varies |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) range across 2 matching MRF lines |
$571.72–$658.33 | $635.25–$731.48 | varies |
| Onc Merkel Cll Carc Srm Quan (0058U) range across 2 matching MRF lines |
$571.72–$592.50 | $635.25–$658.33 | varies |
| Opps service,sched team conf (G0175) | $522.84 | $580.93 | 1.1× |
| Oral hiv-1/hiv-2 screen (G0435) | $161.97 | $179.97 | 13.5× |
| Oth resp proc, indiv (G0238) | $219.70 | $244.11 | 6.5× |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$106.70–$135.45 | $118.56–$150.50 | varies |
| Pemivibart infusion (M0224) | $1,085 | $1,205.56 | 2.1× |
| Periodontal maint procedures (D4910) | $271.80 | $302 | 0.4× |
| Periodontal scaling & root (D4341) | $329.62 | $366.25 | 0.4× |
| Periodontal scaling 1-3teeth (D4342) | $264.82 | $294.25 | 0.4× |
| Perq Sacral Augmt Bilat Inj (0201T) | $12,860.80 | $14,289.78 | 1.5× |
| Perq Sacral Augmt Unilat Inj (0200T) range across 2 matching MRF lines |
$9,050.39–$13,575.59 | $10,055.99–$15,083.99 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $14,939.80 | $16,599.78 | 1.1× |
| Pet not otherwise specified (G0235) | $13,755.48 | $15,283.87 | 29.6× |
| Pin service 60m per month (G0023) range across 2 matching MRF lines |
$172.96–$243 | $192.18–$270 | varies |
| Place device/marker, non pro (C9728) | $5,671.99 | $6,302.21 | 3.5× |
| Potassium hydroxide preps (Q0112) | $37.64 | $41.82 | 6.5× |
| Ppps, initial visit (G0438) | $376.14 | $417.93 | 2.2× |
| Ppps, subseq visit (G0439) | $239.27 | $265.86 | 1.7× |
| Pre 3d mdl w/ccta and/or mri (C9793) | $1,862.64 | $2,069.60 | 1.9× |
| Prgrmg dev eval scrms phys/qhp remote (0650T) | $108.26 | $120.29 | 2.5× |
| Prolonged iv inf, req pump (C8957) | $1,802.02 | $2,002.25 | 7.3× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$790.27–$1,843.88 | $878.08–$2,048.75 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$107.01–$159.98 | $118.90–$177.75 | varies |
| Pulp vitality test (D0460) | $90.22 | $100.25 | 0.1× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $1,592.50 | $1,769.44 | 1.5× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) range across 2 matching MRF lines |
$2,669.47–$4,004.21 | $2,966.08–$4,449.12 | varies |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) range across 2 matching MRF lines |
$235.80–$2,936.41 | $262–$3,262.68 | varies |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) range across 2 matching MRF lines |
$235.80–$1,327.08 | $262–$1,474.53 | varies |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $361.80 | $402 | 1.3× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $488.43 | $542.70 | 1.8× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $424.08 | $471.20 | 4.2× |
| Quant sensory test&interpj/xtr w/vibrj stimuli (0107T) | $81.53 | $90.59 | 1.9× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation… (0110T) | $226.58 | $251.75 | 1.5× |
| Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess… (0106T) | $108.69 | $120.77 | 2.5× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$873.90–$974.92 | $971–$1,083.25 | varies |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $4,024.06 | $4,471.18 | 1.7× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $675.51 | $750.57 | 2.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $3,231.14 | $3,590.16 | 4.4× |
| Revasc intra lithotrip-ather (C9766) | $22,064.20 | $24,515.78 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $31,561.52 | $35,068.36 | 1.5× |
| Revasc intravasc lithotripsy (C9764) | $17,493.02 | $19,436.69 | 1.3× |
| Revasc lith-sten-ath tib/per (C9775) | $29,966.70 | $33,296.33 | 1.4× |
| Revasc lithotr-ather tib/per (C9774) | $22,525.29 | $25,028.10 | 1.1× |
| Revasc lithotr-stent tib/per (C9773) | $19,529.91 | $21,699.90 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $23,239.47 | $25,821.63 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $26,042.63 | $28,936.26 | 1.2× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) | $5,634 | $6,260 | 1.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $29,441.88 | $32,713.20 | 1.1× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $6,180.41 | $6,867.12 | 1.4× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $4,890.60 | $5,434 | 1.1× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) | $2,612.22 | $2,902.47 | 0.5× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $29,441.88 | $32,713.20 | 1.1× |
| Routine footcare pt w lops (G0247) | $103.94 | $115.49 | 0.4× |
| Scaling gingiv inflammation (D4346) | $271.80 | $302 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0143) | $159.70 | $177.44 | 5.9× |
| Screen cerv/vag thin layer (G0123) | $170.13 | $189.03 | 8.4× |
| Screen pap by tech w md supv (P3000) | $101.04 | $112.27 | 5.4× |
| Sim ang w/prs cath rad emb (C8004) | $22,544.10 | $25,049 | 1.7× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $8,690.25 | $9,655.83 | 2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $31,647.10 | $35,163.45 | 1.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $17,444.70 | $19,383 | 0.8× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $5,436.90 | $6,041 | 1.5× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $23,442.30 | $26,047 | 1.0× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $10,743.03 | $11,936.70 | 1.6× |
| Tee w or w/o fol w/cont, mon (C8927) | $3,661.49 | $4,068.32 | 4.0× |
| Tee w or w/o fol w/cont,cong (C8926) | $2,771.93 | $3,079.92 | 3.0× |
| Therapeutic procd strg endur (G0237) | $212.40 | $236 | 6.3× |
| Trabeculostomy ab interno by laser (0621T) range across 2 matching MRF lines |
$2,443.01–$3,664.52 | $2,714.46–$4,071.69 | varies |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $15,352.74 | $17,058.60 | 2.3× |
| Transcatheter renal sympath denervation unilat (0338T) | $13,348.33 | $14,831.48 | 2.0× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$4,305.60–$4,664.14 | $4,784–$5,182.38 | varies |
| Trim nail(s) (G0127) | $104.65 | $116.28 | 1.5× |
| Trluml perip athrc abd aorta (0236T) | $27,286.18 | $30,317.98 | 2.0× |
| Trluml Perip Athrc Brchiocph (0237T) | $20,175.90 | $22,417.67 | 1.5× |
| Trluml Perip Athrc Iliac Art (0238T) | $21,860.24 | $24,289.15 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $23,548.45 | $26,164.94 | 1.8× |
| Tte w or w/o contr, cont ecg (C8930) | $2,117.23 | $2,352.48 | 2.3× |
| Tte w or w/o fol w/con,stres (C8928) | $1,966.54 | $2,185.04 | 2.2× |
| Tte w or w/o fol w/cont, com (C8921) | $1,833.12 | $2,036.80 | 2.0× |
| Tte w or w/o fol w/cont, f/u (C8922) | $1,896.92 | $2,107.69 | 2.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,497.83 | $2,775.37 | 2.7× |
| Unsched dialysis esrd pt hos (G0257) | $2,615.48 | $2,906.09 | 3.3× |
| Vasc emb/occ w/prs cath (C9797) | $20,568.60 | $22,854 | 1.0× |
| Visit to determ ldct elig (G0296) range across 2 matching MRF lines |
$87.05–$198 | $96.72–$220 | varies |
| Visual Field Assessment Tech Support W/Instruct (0379T) | $959.86 | $1,066.51 | 22.1× |
| Wet mounts/ w preparations (Q0111) | $62.55 | $69.50 | 3.4× |
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.