Supplies, drugs & other prices at Indiana University Health Arnett Hospital
Lafayette, IN · every code in this section with a posted price and a Medicare benchmark.
245 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $906.39 | $3,627 | 1.1× |
| 2d tte w or w/o fol w/con,co (C8923) range across 4 matching MRF lines |
$631.75–$842.41 | $2,528–$3,371 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) | $481.81 | $1,928 | 1.3× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $283.64 | $1,135 | 1.1× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $2,951.07 | $11,809 | 1.7× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $703.97 | $2,817 | 0.3× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $6,967.96 | $27,883 | 0.8× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $703.97 | $2,817 | 0.3× |
| Adm tocilizu covid-19 1st (M0249) | $738.70 | $2,956 | 1.6× |
| Adm tocilizu covid-19 2nd (M0250) | $738.70 | $2,956 | 1.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$25.24–$29.24 | $101–$117 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$25.24–$29.24 | $101–$117 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$25.24–$29.24 | $101–$117 | varies |
| Alcohol/sub misuse assess (G2011) | $16.24 | $65 | 0.5× |
| Alcohol/subs interv 15-30mn (G0396) | $30.99 | $124 | 0.8× |
| Alcohol/subs interv >30 min (G0397) | $53.98 | $216 | 0.3× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) | $988.10 | $3,954 | 1.5× |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) | $988.10 | $3,954 | 1.5× |
| Bia whole body composition assessment w/i&r (0358T) | $40.73 | $163 | 1.3× |
| Brief chkin, 5-10, non-e/m (G2251) | $23.49 | $94 | 1.7× |
| Ca screen;pelvic/breast exam (G0101) | $28.24 | $113 | 0.3× |
| Cardiac mri seg dys strain (C9762) | $697.97 | $2,793 | 1.2× |
| Cardiac mri seg dys stress (C9763) | $697.97 | $2,793 | 1.2× |
| Care manage beh svs 20mins (G0323) | $30.24 | $121 | 0.8× |
| Catheterize for urine spec (P9612) | $4.25 | $17 | 0.5× |
| Chemo extend iv infus w/pump (G0498) | $616.50 | $2,467 | 1.8× |
| Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) | $352.11 | $1,409 | 2.5× |
| CT breast w/3d rendering bi with contrast (0637T) | $541.78 | $2,168 | 1.5× |
| CT breast w/3d rendering bi without contrast (0636T) | $491.05 | $1,965 | 1.9× |
| CT breast w/3d rendering uni with contrast (0634T) | $283.64 | $1,135 | 1.5× |
| CT breast w/3d rendering uni without contrast (0633T) | $232.66 | $931 | 2.1× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $516.54 | $2,067 | 1.4× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $258.40 | $1,034 | 1.4× |
| Cyp1a2 gene analysis common variants (0031U) | $221.66 | $887 | 1.3× |
| Cyp2d6 3' gene dup/mlt (0076U) | $459.32 | $1,838 | 1.0× |
| Cyp2d6 5' gene dup/mlt (0075U) | $459.32 | $1,838 | 1.0× |
| Cyp2d6 full gene sequence (0071U) | $611.01 | $2,445 | 1.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $459.32 | $1,838 | 1.0× |
| Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) | $459.32 | $1,838 | 1.0× |
| Cyp2d6 nonduplicated gene (0074U) | $459.32 | $1,838 | 1.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $1,118.30 | $4,475 | 1.4× |
| Devlopment test interpt&rep (G0451) range across 2 matching MRF lines |
$106.46–$111.71 | $426–$447 | varies |
| Diab manage trn per indiv (G0108) | $39.98 | $160 | 0.7× |
| Diab manage trn ind/group (G0109) | $19.99 | $80 | 1.2× |
| Drug test def 1-7 classes (G0480) range across 91 matching MRF lines |
$15.99–$145.19 | $64–$581 | varies |
| Drug test def 15-21 classes (G0482) | $237.90 | $952 | 1.2× |
| Drug test def 22+ classes (G0483) | $295.38 | $1,182 | 1.2× |
| Drug test def 8-14 classes (G0481) | $198.67 | $795 | 1.3× |
| Drug test def simple all cl (G0659) | $85.72 | $343 | 1.4× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $72.72 | $291 | 1.2× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $656.99 | $2,629 | 0.7× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) range across 2 matching MRF lines |
$142.44–$150.94 | $570–$604 | varies |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) range across 2 matching MRF lines |
$51.23–$142.44 | $205–$570 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$22.49–$60.73 | $90–$243 | varies |
| Elec stim unattend for press (G0281) | $57.98 | $232 | 5.0× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $407.34 | $1,630 | 0.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) unusually low: confirm this is the full procedure |
$14,081.87 | $56,350 | 0.3× |
| Esw integumentary wound healing initial wound (0512T) | $433.83 | $1,736 | 2.0× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $1,013.59 | $4,056 | 0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,602.06 | $34,422 | 0.7× |
| Evacuation meibomian glands using heat bilateral (0563T) | $139.44 | $558 | 2.2× |
| Extraction erupted tooth/exr (D7140) | $1,085.57 | $4,344 | 1.6× |
| Extrnl counterpulse, per tx (G0166) | $157.94 | $632 | 1.1× |
| Fecal blood scrn immunoassay (G0328) | $69.47 | $278 | 3.8× |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$410.34–$1,176.53 | $1,642–$4,708 | varies |
| Fern test (Q0114) | $12.74 | $51 | 1.3× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$23.99–$24.49 | $96–$98 | varies |
| Group train w/o patient (G0543) range across 8 matching MRF lines |
$92.96–$150.44 | $372–$602 | varies |
| Hbot, full body chamber, 30m (G0277) | $523.54 | $2,095 | 3.6× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) likely a partial charge, not the full procedure |
$4,336.01 | $17,351 | 0.2× |
| Home sleep test/type 2 porta (G0398) | $260.65 | $1,043 | 1.1× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$373.60–$666.23 | $1,495–$2,666 | varies |
| Hopd mntl hlt, 15-29 min (C7900) | $24.49 | $98 | 0.6× |
| Hopd mntl hlt, 30-60 min (C7901) | $49.98 | $200 | 0.5× |
| Hospital outpt clinic visit (G0463) range across 22 matching MRF lines |
$34.49–$601.01 | $138–$2,405 | varies |
| Hpv combo assay ca screen (G0476) | $49.98 | $200 | 1.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $48.98 | $196 | 1.1× |
| Initial care training 30 m (G0539) | $55.48 | $222 | 1.0× |
| Initial preventive exam (G0402) | $32.74 | $131 | 0.2× |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$923.63–$1,386.20 | $3,696–$5,547 | varies |
| Injection posterior chamber eye medication (0699T) | $339.61 | $1,359 | 0.1× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $850.41 | $3,403 | 0.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) likely a partial charge, not the full procedure |
$2,413.03 | $9,656 | 0.3× |
| Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) unusually low: confirm this is the full procedure |
$5,101.71 | $20,415 | 0.4× |
| Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) unusually low: confirm this is the full procedure |
$4,940.52 | $19,770 | 0.4× |
| Insertion/Replacement Complete Iims (0525T) likely a partial charge, not the full procedure |
$3,069.77 | $12,284 | 0.2× |
| Insertion/Replacement Iims Electrode Only (0526T) unusually low: confirm this is the full procedure |
$3,012.54 | $12,055 | 0.3× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) unusually low: confirm this is the full procedure |
$3,291.43 | $13,171 | 0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) likely a partial charge, not the full procedure |
$3,617.55 | $14,476 | 0.1× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $16,289.73 | $65,185 | 1.9× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $16,289.73 | $65,185 | 1.9× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) likely a partial charge, not the full procedure |
$3,617.55 | $14,476 | 0.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) likely a partial charge, not the full procedure |
$3,149.24 | $12,602 | 0.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $82.97 | $332 | 2.1× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $56.23 | $225 | 1.4× |
| Interrogation device evaluation in person isdss (0685T) | $224.41 | $898 | 5.7× |
| Ire Abltj 1+Tum Organ Perq (0600T) unusually low: confirm this is the full procedure |
$4,542.18 | $18,176 | 0.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $191.42 | $766 | 1.6× |
| Lev 1 hosp type b ed visit (G0380) | $140.44 | $562 | 1.8× |
| Lev 2 hosp type b ed visit (G0381) | $236.91 | $948 | 2.4× |
| Lev 3 hosp type b ed visit (G0382) | $461.82 | $1,848 | 2.5× |
| Lev 4 hosp type b ed visit (G0383) | $1,047.83 | $4,193 | 3.7× |
| Lev 5 hosp type b ed visit (G0384) | $1,340.96 | $5,366 | 3.1× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $637.99 | $2,553 | 1.3× |
| Mnt subs tx for change dx (G0270) | $22.49 | $90 | 0.7× |
| Motorized ab interno trephination sclera/trab mw (1012T) | $10,931.13 | $43,742 | 2.5× |
| Mra w/cont, abd (C8900) | $541.78 | $2,168 | 1.5× |
| Mra w/cont, chest (C8909) | $541.78 | $2,168 | 1.5× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$541.78–$812.92 | $2,168–$3,253 | varies |
| Mra w/cont, pelvis (C8918) | $541.78 | $2,168 | 1.5× |
| Mra w/o cont, abd (C8901) | $323.87 | $1,296 | 1.3× |
| Mra w/o cont, chest (C8910) | $323.87 | $1,296 | 1.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$323.87–$485.56 | $1,296–$1,943 | varies |
| Mra w/o cont, pelvis (C8919) | $323.87 | $1,296 | 1.3× |
| Mra w/o fol w/cont, abd (C8902) | $541.78 | $2,168 | 1.5× |
| Mra w/o fol w/cont, chest (C8911) | $541.78 | $2,168 | 1.5× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$323.87–$812.92 | $1,296–$3,253 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $541.78 | $2,168 | 1.5× |
| Mra, w/dye, spinal canal (C8931) | $541.78 | $2,168 | 1.5× |
| Mra, w/dye, upper extremity (C8934) range across 3 matching MRF lines |
$541.78–$812.92 | $2,168–$3,253 | varies |
| Mra, w/o dye, spinal canal (C8932) | $323.87 | $1,296 | 1.3× |
| Mra, w/o dye, upper extr (C8935) range across 3 matching MRF lines |
$323.87–$485.56 | $1,296–$1,943 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) | $541.78 | $2,168 | 1.5× |
| Mra, w/o&w/dye, upper extr (C8936) range across 3 matching MRF lines |
$541.78–$812.92 | $2,168–$3,253 | varies |
| Mri w/cont, breast, bi (C8906) | $541.78 | $2,168 | 1.5× |
| Mri w/cont, breast, uni (C8903) | $283.64 | $1,135 | 1.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,529.89 | $6,122 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,019.84 | $4,081 | 2.8× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $209.67 | $839 | 0.9× |
| N-invas augmnt arrhyt alys (0897T) | $1,863.75 | $7,458 | 2.1× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $285.14 | $1,141 | 0.9× |
| Neuro csf prion prtn qual (0035U) | $410.84 | $1,644 | 0.8× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $850.41 | $3,403 | 0.9× |
| Njx platelet plasma (0232T) | $279.39 | $1,118 | 0.6× |
| No pt prsnt train initial 30 (G0541) range across 2 matching MRF lines |
$55.48–$120.20 | $222–$481 | varies |
| Obtaining screen pap smear (Q0091) | $30.49 | $122 | 1.0× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $357.61 | $1,431 | 1.1× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $364.10 | $1,457 | 1.1× |
| Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) | $3,944.67 | $15,785 | 1.0× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) | $3,323.17 | $13,298 | 1.1× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) | $3,984.91 | $15,946 | 1.1× |
| Oth resp proc, group (G0239) | $129.70 | $519 | 3.3× |
| Oth resp proc, indiv (G0238) | $90.21 | $361 | 2.9× |
| Pathogen test for platelets (P9100) | $32.74 | $131 | 0.5× |
| Pattern erg w/i&r (0509T) | $253.15 | $1,013 | 1.1× |
| Pemivibart infusion (M0224) | $753.95 | $3,017 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) range across 10 matching MRF lines |
$7,889.09–$9,860.80 | $31,569–$39,459 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 5 matching MRF lines |
$6,860–$8,575.57 | $27,451–$34,316 | varies |
| Perc d-e cor stent ather s (C9602) range across 5 matching MRF lines |
$6,860–$7,888.84 | $27,451–$31,568 | varies |
| Perc drug-el cor stent sing (C9600) range across 5 matching MRF lines |
$7,889.09–$9,860.80 | $31,569–$39,459 | varies |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) likely a partial charge, not the full procedure |
$5,789.68 | $23,168 | 0.3× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $11,951.97 | $47,827 | 0.9× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $11,951.97 | $47,827 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,847.51 | $7,393 | 0.2× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$923.63 | $3,696 | 0.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,860.80 | $39,459 | 0.8× |
| Place device/marker, non pro (C9728) | $425.33 | $1,702 | 0.3× |
| Place endorectal app (C9725) | $2,273.59 | $9,098 | 2.3× |
| Post op service lvrs min 6 (G0305) | $1,799.78 | $7,202 | 4.6× |
| Ppps, initial visit (G0438) range across 8 matching MRF lines |
$58.23–$99.96 | $233–$400 | varies |
| Ppps, subseq visit (G0439) range across 14 matching MRF lines |
$45.73–$88.21 | $183–$353 | varies |
| Pre-op service lvrs 1-9 dos (G0304) | $1,299.23 | $5,199 | 3.3× |
| Pre-op service lvrs 10-15dos (G0303) | $899.89 | $3,601 | 3.9× |
| Pre-op service lvrs complete (G0302) | $749.20 | $2,998 | 1.9× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $268.14 | $1,073 | 6.8× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $268.14 | $1,073 | 6.8× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $119.45 | $478 | 3.0× |
| Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) | $240.65 | $963 | 6.1× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$65.97–$361.61 | $264–$1,447 | varies |
| Psa screening (G0103) | $26.49 | $106 | 1.4× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) | $609.26 | $2,438 | 0.6× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) | $609.26 | $2,438 | 0.6× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $744.45 | $2,979 | 5.3× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $988.10 | $3,954 | 1.5× |
| Quan CT tiss charac w/o CT (0721T) | $988.10 | $3,954 | 1.5× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $609.26 | $2,438 | 0.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $609.26 | $2,438 | 0.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $283.64 | $1,135 | 0.3× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $150.19 | $601 | 0.6× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $150.19 | $601 | 0.6× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $3,433.63 | $13,740 | 1.6× |
| Relocation pg wcs lv pacg battery component only (0862T) | $2,264.09 | $9,060 | 1.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $2,264.09 | $9,060 | 1.0× |
| Remot img sub by pt, non e/m (G2250) | $16.74 | $67 | 1.3× |
| Removal pg wcs lv pacing both components (0861T) | $1,474.91 | $5,902 | 0.4× |
| Removal Ss Dfb Electrode (0573T) | $2,330.57 | $9,326 | 0.6× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $2,098.66 | $8,398 | 3.2× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $2,182.38 | $8,733 | 0.6× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,602.06 | $34,422 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,602.06 | $34,422 | 0.4× |
| Revasc intravasc lithotripsy (C9764) | $7,977.31 | $31,922 | 0.7× |
| Revasc lith-sten-ath tib/per (C9775) | $12,806.38 | $51,246 | 0.7× |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$8,081.52–$8,132.25 | $32,339–$32,542 | varies |
| Revasc lithotr-stent tib/per (C9773) range across 2 matching MRF lines |
$8,132.25–$12,806.38 | $32,542–$51,246 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$8,081.52–$8,528.34 | $32,339–$34,127 | varies |
| Revasc lithotrip-stent-ather (C9767) | $12,806.38 | $51,246 | 0.7× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) | $1,328.47 | $5,316 | 0.4× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) | $1,328.47 | $5,316 | 0.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) likely a partial charge, not the full procedure |
$3,617.55 | $14,476 | 0.2× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $6,056.58 | $24,236 | 1.5× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $6,056.58 | $24,236 | 1.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $1,474.91 | $5,902 | 0.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) unusually low: confirm this is the full procedure |
$10,620.50 | $42,499 | 0.5× |
| Safety plan interven (G0560) | $27.99 | $112 | 0.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $37.24 | $149 | 1.4× |
| Screen cerv/vag thin layer (G0123) | $28.99 | $116 | 1.4× |
| Screen pap by tech w md supv (P3000) | $19.24 | $77 | 1.0× |
| Semen analysis (G0027) | $9.75 | $39 | 1.5× |
| Sim ang w/prs cath rad emb (C8004) | $6,288.23 | $25,163 | 0.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $8,055.53 | $32,235 | 2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$4,373.75 | $17,502 | 0.2× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $491.80 | $1,968 | 0.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $722.71 | $2,892 | 0.2× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $722.71 | $2,892 | 0.2× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $722.71 | $2,892 | 0.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) likely a partial charge, not the full procedure |
$4,951.02 | $19,812 | 0.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) likely a partial charge, not the full procedure |
$4,415.98 | $17,671 | 0.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,819.97 | $15,286 | 0.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $916.38 | $3,667 | 1.1× |
| Therapeutic procd strg endur (G0237) | $90.21 | $361 | 2.9× |
| Tomosynthesis, mammo (G0279) | $53.73 | $215 | 4.2× |
| Tpmt and Nudt15 Genotype (0034U) | $591.01 | $2,365 | 1.3× |
| Trabeculostomy ab interno by laser (0621T) | $162.44 | $650 | 0.0× |
| Train for caregiver add 15 (G0540) | $25.49 | $102 | 1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,532.09 | $14,134 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $3,532.09 | $14,134 | 0.6× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$2,708.67–$8,655.79 | $10,839–$34,637 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,874.20 | $15,503 | 1.1× |
| Trim nail(s) (G0127) | $71.22 | $285 | 1.1× |
| Trluml perip athrc abd aorta (0236T) unusually low: confirm this is the full procedure |
$4,382.75 | $17,538 | 0.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $6,817.27 | $27,280 | 0.6× |
| Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure |
$3,137.49 | $12,555 | 0.2× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $7,005.95 | $28,035 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$974.36–$1,299.23 | $3,899–$5,199 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $772.69 | $3,092 | 0.9× |
| Tte w or w/o fol w/cont, com (C8921) | $1,136.55 | $4,548 | 1.4× |
| Tte w or w/o fol w/cont, f/u (C8922) | $819.92 | $3,281 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $883.65 | $3,536 | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $161.69 | $647 | 0.2× |
| Vasc emb/occ w/prs cath (C9797) unusually low: confirm this is the full procedure |
$8,073.77 | $32,308 | 0.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.