17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Application finger splint static (29130) |
$1,696.75 |
$1,696.75 |
12.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$2,185.70 |
$2,185.70 |
15.6× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$1,708.58 |
$1,708.58 |
10.0× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$1,305.70 |
$1,305.70 |
7.6× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$14,903.35 |
$14,903.35 |
4.5× |
| Bladder pressure measurement during filling (51726) |
$5,027.20 |
$5,027.20 |
19.1× |
| Collect blood from catheter venous nos (36592) |
$210.05 |
$210.05 |
1.5× |
| Collect blood from implant venous access device (36591) |
$203.76 |
$203.76 |
1.5× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$10,929.61 |
$10,929.61 |
3.2× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$1,002.10 |
$1,002.10 |
7.1× |
| Non stress test (59025) |
$1,270.50 |
$1,270.50 |
6.0× |
| Pr transfusion intrauterine fetal (36460) |
$5,013.80 |
$5,013.80 |
10.8× |
| Remove ureter stent percut (50384) |
$8,226.88 |
$8,226.88 |
3.7× |
| Strapping unna boot (29580) |
$693.55 |
$693.55 |
4.0× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$8,191.50 |
$8,191.50 |
5.0× |
| Transfusion, blood or blood components (36430) |
$3,111.90 |
$3,111.90 |
6.7× |
| Venipuncture (36415) |
$158.41 |
$158.41 |
17.0× |