18 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Apheresis therapeutic rbc (36512) |
$6,944 |
$6,944 |
4.3× |
| Appl finger splint static (29130) |
$880 |
$880 |
6.3× |
| Application Finger Splint Dynamic (29131) |
$880 |
$880 |
14.3× |
| Apply long arm splint (29105) |
$880 |
$880 |
5.2× |
| Apply multi-layer compression lower leg (29581) |
$580 |
$580 |
3.4× |
| Apply short arm splint static (29125) |
$880 |
$880 |
6.3× |
| Apply splint short arm dynamic (29126) |
$880 |
$880 |
6.3× |
| Arterial puncture (36600) |
$140 |
$140 |
1.0× |
| Blood transfusion service (36430) |
$1,021 |
$1,021 |
2.2× |
| Draw blood off venous device (36591) |
$590 |
$590 |
4.2× |
| Exchange transfusion, blood; other than newborn Other Surgical Services (36455) |
$1,400 |
$1,400 |
3.0× |
| Fetal Non Stress Test (59025) |
$1,034 |
$1,034 |
4.9× |
| Ot strapping hand or finger (29280) |
$880 |
$880 |
14.3× |
| Strapping unna boot (29580) |
$795 |
$795 |
4.7× |
| Therapeutic apheresis plasma (36514) |
$13,292 |
$13,292 |
8.2× |
| Therapeutic apheresis platelet (36513) |
$2,132 |
$2,132 |
4.6× |
| Therapeutic apheresis white blood cells (36511) |
$6,944 |
$6,944 |
4.3× |
| Venipuncture (36415) |
$45 |
$45 |
4.8× |