17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$936 |
$936 |
5.4× |
| Application finger splint static (29130) |
$229 |
$229 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$391 |
$391 |
2.3× |
| Application Short Arm Splint Dynamic (29126) |
$391 |
$391 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$391 |
$391 |
2.8× |
| Arterial puncture (36600) |
$399 |
$399 |
2.8× |
| Blood transfusion service (36430) |
$2,015.50 |
$2,015.50 |
4.3× |
| Fetal contraction stress test (59020) |
$711 |
$711 |
3.3× |
| Fetal non-stress test (59025) |
$416 |
$416 |
1.9× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,750.48 |
$1,750.48 |
4.2× |
| Strapping unna boot (29580) |
$936 |
$936 |
5.4× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$23,172 |
$23,172 |
5.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$7,823 |
$7,823 |
4.7× |
| Ther Apheresis,Platelets (36513) |
$2,280 |
$2,280 |
4.8× |
| Ther Apheresis,Red Blood Cells (36512) |
$7,823 |
$7,823 |
4.7× |
| Ther Apheresis,White Blood Cells (36511) |
$7,823 |
$7,823 |
4.7× |
| Venipuncture (36415) |
$58.50 |
$58.50 |
6.3× |