15 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) |
$634 |
$634 |
3.7× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$354 |
$354 |
2.1× |
| Collect blood from catheter venous nos (36592) |
$736 |
$736 |
5.2× |
| Collect blood from implant venous access device (36591) |
$736 |
$736 |
5.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$5,542 |
$5,542 |
7.4× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$782 |
$782 |
5.6× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$634 |
$634 |
4.7× |
| Fetal contraction stress test (59020) |
$740 |
$740 |
3.5× |
| Non stress test (59025) |
$902 |
$902 |
4.2× |
| Pericardiocentesis w/img guidance when performed (33016) |
$27,432 |
$27,432 |
16.5× |
| Pr transfusion intrauterine fetal (36460) |
$3,827 |
$3,827 |
8.2× |
| Strapping unna boot (29580) |
$563 |
$563 |
3.3× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$6,902.15 |
$6,902.15 |
4.2× |
| Transfusion, blood or blood components (36430) |
$1,798 |
$1,798 |
3.9× |
| Venipuncture (36415) |
$188.50 |
$188.50 |
20.2× |