17 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) |
$829.38 |
$829.38 |
4.8× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$867.59 |
$867.59 |
5.1× |
| Apply splint short arm dynamic (29126) |
$648.67 |
$648.67 |
4.6× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$20,171.70 |
$20,171.70 |
6.1× |
| Collect blood from catheter venous nos (36592) |
$675.44 |
$675.44 |
4.8× |
| Collect blood from implant venous access device (36591) |
$747.04 |
$747.04 |
5.3× |
| Complex uroflowmetry (51741) |
$554.40 |
$554.40 |
2.4× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$401.85 |
$401.85 |
2.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$542.08 |
$542.08 |
4.0× |
| Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target,… (61715) |
$50,426.21 |
$50,426.21 |
4.3× |
| Non stress test (59025) |
$2,590.09 |
$2,590.09 |
12.1× |
| Strapping hand/finger (29280) |
$1,158.58 |
$1,158.58 |
18.6× |
| Strapping of chest (29200) |
$1,158.58 |
$1,158.58 |
6.8× |
| Strapping unna boot (29580) |
$707.69 |
$707.69 |
4.1× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$12,805.70 |
$12,805.70 |
7.8× |
| Transfusion, blood or blood components (36430) |
$1,503.04 |
$1,503.04 |
3.2× |
| Venipuncture (36415) |
$120.72 |
$120.72 |
12.9× |