19 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$2,334 |
$2,334 |
14.9× |
| Application Finger Splint Dynamic (29131) |
$583 |
$583 |
10.3× |
| Application finger splint static (29130) |
$565 |
$565 |
4.4× |
| Application long arm splint shoulder hand (29105) |
$739 |
$739 |
4.7× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$531 |
$531 |
2.0× |
| Application Short Arm Splint Dynamic (29126) |
$565 |
$565 |
4.4× |
| Application short arm splint forearm-hand static (29125) |
$739 |
$739 |
5.8× |
| Arterial puncture (36600) |
$561 |
$561 |
4.4× |
| Blood transfusion service (36430) |
$3,255 |
$3,255 |
7.7× |
| Draw blood off venous device (36591) |
$481 |
$481 |
3.8× |
| Fetal Contraction Stress Test (59020) |
$876 |
$876 |
4.5× |
| Fetal non-stress test (59025) |
$579.50 |
$579.50 |
3.0× |
| Insert non-tunnel cv cath (36556) |
$4,782 |
$4,782 |
1.6× |
| Strapping hand/finger (29280) |
$406 |
$406 |
7.1× |
| Strapping unna boot (29580) |
$1,836 |
$1,836 |
11.7× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$6,738 |
$6,738 |
1.6× |
| Transfusion intrauterine fetal (36460) |
$2,193 |
$2,193 |
5.2× |
| Unlisted Procedure Casting/Strapping (29799) |
$565 |
$565 |
3.6× |
| Venipuncture (36415) |
$51 |
$51 |
5.5× |