12 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$1,135.58 |
$1,135.58 |
6.6× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$777.16 |
$777.16 |
4.5× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$13,788 |
$13,788 |
4.1× |
| Brain canal shunt procedure (61070) |
$7,835.68 |
$7,835.68 |
10.5× |
| Collect blood from catheter venous nos (36592) |
$770.08 |
$770.08 |
5.5× |
| Collect blood from implant venous access device (36591) |
$770.08 |
$770.08 |
5.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$122.80 |
$122.80 |
0.9× |
| Non stress test (59025) |
$2,241.48 |
$2,241.48 |
10.5× |
| Strapping unna boot (29580) |
$1,080.39 |
$1,080.39 |
6.3× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$5,893.56 |
$5,893.56 |
3.6× |
| Transfusion, blood or blood components (36430) |
$6,913.90 |
$6,913.90 |
14.9× |
| Venipuncture (36415) |
$120.49 |
$120.49 |
12.9× |