Supplies, drugs & other prices at Indiana University Health Bedford Hospital

Bedford, 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.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,035.51 $3,627 1.2×
2d tte w or w/o fol w/con,co (C8923)
range across 4 matching MRF lines
$721.74–$962.42 $2,528–$3,371 varies
2d tte w or w/o fol w/con,fu (C8924) $550.44 $1,928 1.5×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) $324.04 $1,135 1.3×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $3,371.47 $11,809 1.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $804.25 $2,817 0.4×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $7,960.60 $27,883 0.9×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $804.25 $2,817 0.4×
Adm tocilizu covid-19 1st (M0249) $843.94 $2,956 1.8×
Adm tocilizu covid-19 2nd (M0250) $843.94 $2,956 1.8×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$28.84–$33.40 $101–$117 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$28.84–$33.40 $101–$117 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$28.84–$33.40 $101–$117 varies
Alcohol/sub misuse assess (G2011) $18.56 $65 0.6×
Alcohol/subs interv 15-30mn (G0396) $35.40 $124 0.9×
Alcohol/subs interv >30 min (G0397) $61.67 $216 0.3×
Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) $1,128.87 $3,954 1.7×
Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) $1,128.87 $3,954 1.7×
Bia whole body composition assessment w/i&r (0358T) $46.54 $163 1.5×
Brief chkin, 5-10, non-e/m (G2251) $26.84 $94 1.9×
Ca screen;pelvic/breast exam (G0101) $32.26 $113 0.3×
Cardiac mri seg dys strain (C9762) $797.40 $2,793 1.4×
Cardiac mri seg dys stress (C9763) $797.40 $2,793 1.4×
Care manage beh svs 20mins (G0323) $34.55 $121 0.9×
Catheterize for urine spec (P9612) $4.85 $17 0.5×
Chemo extend iv infus w/pump (G0498) $704.33 $2,467 2.0×
Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) $402.27 $1,409 2.9×
CT breast w/3d rendering bi with contrast (0637T) $618.96 $2,168 1.7×
CT breast w/3d rendering bi without contrast (0636T) $561.01 $1,965 2.2×
CT breast w/3d rendering uni with contrast (0634T) $324.04 $1,135 1.7×
CT breast w/3d rendering uni without contrast (0633T) $265.80 $931 2.4×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $590.13 $2,067 1.6×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $295.21 $1,034 1.6×
Cyp1a2 gene analysis common variants (0031U) $253.24 $887 1.4×
Cyp2d6 3' gene dup/mlt (0076U) $524.75 $1,838 1.2×
Cyp2d6 5' gene dup/mlt (0075U) $524.75 $1,838 1.2×
Cyp2d6 full gene sequence (0071U) $698.05 $2,445 1.2×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $524.75 $1,838 1.2×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $524.75 $1,838 1.2×
Cyp2d6 nonduplicated gene (0074U) $524.75 $1,838 1.2×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $1,277.61 $4,475 1.6×
Devlopment test interpt&rep (G0451)
range across 2 matching MRF lines
$121.62–$127.62 $426–$447 varies
Diab manage trn per indiv (G0108) $45.68 $160 0.8×
Diab manage trn ind/group (G0109) $22.84 $80 1.4×
Drug test def 1-7 classes (G0480)
range across 91 matching MRF lines
$18.27–$165.88 $64–$581 varies
Drug test def 15-21 classes (G0482) $271.80 $952 1.4×
Drug test def 22+ classes (G0483) $337.46 $1,182 1.4×
Drug test def 8-14 classes (G0481) $226.97 $795 1.4×
Drug test def simple all cl (G0659) $97.93 $343 1.6×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) $83.08 $291 1.3×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $750.58 $2,629 0.8×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T)
range across 2 matching MRF lines
$162.74–$172.44 $570–$604 varies
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T)
range across 2 matching MRF lines
$58.53–$162.74 $205–$570 varies
Elec stim other than wound (G0283)
range across 4 matching MRF lines
$25.70–$69.38 $90–$243 varies
Elec stim unattend for press (G0281) $66.24 $232 5.7×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $465.37 $1,630 0.4×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$16,087.93 $56,350 0.3×
Esw integumentary wound healing initial wound (0512T) $495.63 $1,736 2.3×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $1,157.99 $4,056 0.3×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $9,827.48 $34,422 0.8×
Evacuation meibomian glands using heat bilateral (0563T) $159.31 $558 2.6×
Extraction erupted tooth/exr (D7140) $1,240.21 $4,344 1.8×
Extrnl counterpulse, per tx (G0166) $180.44 $632 1.3×
Fecal blood scrn immunoassay (G0328) $79.37 $278 4.4×
Fecal microbiota prep instil (G0455)
range across 2 matching MRF lines
$468.79–$1,344.13 $1,642–$4,708 varies
Fern test (Q0114) $14.56 $51 1.5×
Group mnt 2 or more 30 mins (G0271)
range across 2 matching MRF lines
$27.41–$27.98 $96–$98 varies
Group train w/o patient (G0543)
range across 8 matching MRF lines
$106.21–$171.87 $372–$602 varies
Hbot, full body chamber, 30m (G0277) $598.12 $2,095 4.1×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
likely a partial charge, not the full procedure
$4,953.71 $17,351 0.3×
Home sleep test/type 2 porta (G0398) $297.78 $1,043 1.3×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$426.82–$761.14 $1,495–$2,666 varies
Hopd mntl hlt, 15-29 min (C7900) $27.98 $98 0.7×
Hopd mntl hlt, 30-60 min (C7901) $57.10 $200 0.5×
Hospital outpt clinic visit (G0463)
range across 22 matching MRF lines
$39.40–$686.63 $138–$2,405 varies
Hpv combo assay ca screen (G0476) $57.10 $200 1.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $55.96 $196 1.3×
Initial care training 30 m (G0539) $63.38 $222 1.2×
Initial preventive exam (G0402) $37.40 $131 0.3×
Inj for sacroiliac jt anesth (G0260)
range across 6 matching MRF lines
$1,055.21–$1,583.67 $3,696–$5,547 varies
Injection posterior chamber eye medication (0699T) $387.99 $1,359 0.2×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $971.56 $3,403 1.0×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$2,756.79 $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
$5,828.48 $20,415 0.5×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T)
unusually low: confirm this is the full procedure
$5,644.34 $19,770 0.5×
Insertion/Replacement Complete Iims (0525T)
likely a partial charge, not the full procedure
$3,507.08 $12,284 0.2×
Insertion/Replacement Iims Electrode Only (0526T)
unusually low: confirm this is the full procedure
$3,441.70 $12,055 0.4×
Insertion/Replacement Iims Implantable Mntr Only (0527T)
unusually low: confirm this is the full procedure
$3,760.32 $13,171 0.4×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure
$4,132.90 $14,476 0.1×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $18,610.32 $65,185 2.1×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $18,610.32 $65,185 2.1×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
likely a partial charge, not the full procedure
$4,132.90 $14,476 0.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
likely a partial charge, not the full procedure
$3,597.87 $12,602 0.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $94.79 $332 2.4×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $64.24 $225 1.6×
Interrogation device evaluation in person isdss (0685T) $256.38 $898 6.5×
Ire Abltj 1+Tum Organ Perq (0600T)
unusually low: confirm this is the full procedure
$5,189.25 $18,176 0.5×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $218.69 $766 1.8×
Lev 1 hosp type b ed visit (G0380) $127.90 $448 1.6×
Lev 2 hosp type b ed visit (G0381) $207.84 $728 2.1×
Lev 3 hosp type b ed visit (G0382) $373.72 $1,309 2.1×
Lev 4 hosp type b ed visit (G0383) $503.34 $1,763 1.8×
Lev 5 hosp type b ed visit (G0384) $803.68 $2,815 1.8×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $728.88 $2,553 1.4×
Mnt subs tx for change dx (G0270) $25.70 $90 0.8×
Motorized ab interno trephination sclera/trab mw (1012T) $12,488.34 $43,742 2.9×
Mra w/cont, abd (C8900) $618.96 $2,168 1.7×
Mra w/cont, chest (C8909) $618.96 $2,168 1.7×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$618.96–$928.73 $2,168–$3,253 varies
Mra w/cont, pelvis (C8918) $618.96 $2,168 1.7×
Mra w/o cont, abd (C8901) $370.01 $1,296 1.5×
Mra w/o cont, chest (C8910) $370.01 $1,296 1.5×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$370.01–$554.73 $1,296–$1,943 varies
Mra w/o cont, pelvis (C8919) $370.01 $1,296 1.5×
Mra w/o fol w/cont, abd (C8902) $618.96 $2,168 1.7×
Mra w/o fol w/cont, chest (C8911) $618.96 $2,168 1.7×
Mra w/o fol w/cont, lwr ext (C8914)
range across 3 matching MRF lines
$370.01–$928.73 $1,296–$3,253 varies
Mra w/o fol w/cont, pelvis (C8920) $618.96 $2,168 1.7×
Mra, w/dye, spinal canal (C8931) $618.96 $2,168 1.7×
Mra, w/dye, upper extremity (C8934)
range across 3 matching MRF lines
$618.96–$928.73 $2,168–$3,253 varies
Mra, w/o dye, spinal canal (C8932) $370.01 $1,296 1.5×
Mra, w/o dye, upper extr (C8935)
range across 3 matching MRF lines
$370.01–$554.73 $1,296–$1,943 varies
Mra, w/o&w/dye, spinal canal (C8933) $618.96 $2,168 1.7×
Mra, w/o&w/dye, upper extr (C8936)
range across 3 matching MRF lines
$618.96–$928.73 $2,168–$3,253 varies
Mri w/cont, breast, bi (C8906) $618.96 $2,168 1.7×
Mri w/cont, breast, uni (C8903) $324.04 $1,135 1.7×
Mri w/o fol w/cont, breast, (C8908) $1,747.83 $6,122 4.7×
Mri w/o fol w/cont, brst, un (C8905) $1,165.13 $4,081 3.2×
N-invas artl plaq alys quan strux&compos vsl wal (0712T) $239.53 $839 1.0×
N-invas augmnt arrhyt alys (0897T) $2,129.26 $7,458 2.3×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $325.76 $1,141 1.0×
Neuro csf prion prtn qual (0035U) $469.36 $1,644 0.9×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $971.56 $3,403 1.0×
Njx platelet plasma (0232T) $319.19 $1,118 0.7×
No pt prsnt train initial 30 (G0541)
range across 2 matching MRF lines
$63.38–$137.33 $222–$481 varies
Obtaining screen pap smear (Q0091) $34.83 $122 1.1×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $408.55 $1,431 1.3×
Onc Merkel Cll Carc Srm Quan (0058U) $415.97 $1,457 1.3×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $4,506.62 $15,785 1.2×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $3,796.58 $13,298 1.3×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $4,552.58 $15,946 1.3×
Oth resp proc, group (G0239) $148.17 $519 3.7×
Oth resp proc, indiv (G0238) $103.07 $361 3.4×
Pathogen test for platelets (P9100) $37.40 $131 0.6×
Pattern erg w/i&r (0509T) $289.21 $1,013 1.3×
Pemivibart infusion (M0224) $861.35 $3,017 1.8×
Perc d-e cor revasc chro sin (C9607)
range across 10 matching MRF lines
$9,012.95–$11,265.54 $31,569–$39,459 varies
Perc d-e cor revasc t cabg s (C9604)
range across 5 matching MRF lines
$7,837.26–$9,797.22 $27,451–$34,316 varies
Perc d-e cor stent ather s (C9602)
range across 5 matching MRF lines
$7,837.26–$9,012.66 $27,451–$31,568 varies
Perc drug-el cor stent sing (C9600)
range across 5 matching MRF lines
$9,012.95–$11,265.54 $31,569–$39,459 varies
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
unusually low: confirm this is the full procedure
$6,614.46 $23,168 0.3×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $13,654.61 $47,827 1.0×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) $13,654.61 $47,827 1.0×
Perq Sacral Augmt Bilat Inj (0201T)
likely a partial charge, not the full procedure
$2,110.70 $7,393 0.3×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,055.21 $3,696 0.1×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $11,265.54 $39,459 0.9×
Place device/marker, non pro (C9728) $485.92 $1,702 0.3×
Place endorectal app (C9725) $2,597.48 $9,098 2.6×
Post op service lvrs min 6 (G0305) $2,056.17 $7,202 5.2×
Ppps, initial visit (G0438)
range across 8 matching MRF lines
$66.52–$114.20 $233–$400 varies
Ppps, subseq visit (G0439)
range across 14 matching MRF lines
$52.25–$100.78 $183–$353 varies
Pre-op service lvrs 1-9 dos (G0304) $1,484.31 $5,199 3.8×
Pre-op service lvrs 10-15dos (G0303) $1,028.09 $3,601 4.5×
Pre-op service lvrs complete (G0302) $855.93 $2,998 2.2×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $306.34 $1,073 7.8×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $306.34 $1,073 7.8×
Programming dev eval icds w/ss eltrd in person (0575T) $136.47 $478 3.5×
Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) $274.94 $963 7.0×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$75.37–$413.12 $264–$1,447 varies
Psa screening (G0103) $30.26 $106 1.6×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $696.05 $2,438 0.7×
Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) $696.05 $2,438 0.7×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $850.50 $2,979 6.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,128.87 $3,954 1.7×
Quan CT tiss charac w/o CT (0721T) $1,128.87 $3,954 1.7×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $696.05 $2,438 0.7×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $696.05 $2,438 0.7×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $324.04 $1,135 0.3×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $171.59 $601 0.7×
Quan MRI alys brain with diagnostic MRI (0866T) $171.59 $601 0.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $3,922.77 $13,740 1.8×
Relocation pg wcs lv pacg battery component only (0862T) $2,586.63 $9,060 1.2×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $2,586.63 $9,060 1.2×
Remot img sub by pt, non e/m (G2250) $19.13 $67 1.5×
Removal pg wcs lv pacing both components (0861T) $1,685.02 $5,902 0.4×
Removal Ss Dfb Electrode (0573T) $2,662.57 $9,326 0.7×
Repos Cardiac Modulj Transvenous Electrode (0415T) $2,397.63 $8,398 3.6×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $2,493.27 $8,733 0.6×
Revasc intra lithotrip-ather (C9766) $9,827.48 $34,422 0.5×
Revasc intra lithotrip-stent (C9765) $9,827.48 $34,422 0.5×
Revasc intravasc lithotripsy (C9764) $9,113.73 $31,922 0.7×
Revasc lith-sten-ath tib/per (C9775) $14,630.73 $51,246 0.8×
Revasc lithotr-ather tib/per (C9774)
range across 2 matching MRF lines
$9,232.78–$9,290.74 $32,339–$32,542 varies
Revasc lithotr-stent tib/per (C9773)
range across 2 matching MRF lines
$9,290.74–$14,630.73 $32,542–$51,246 varies
Revasc lithotrip tibi/perone (C9772)
range across 2 matching MRF lines
$9,232.78–$9,743.26 $32,339–$34,127 varies
Revasc lithotrip-stent-ather (C9767) $14,630.73 $51,246 0.8×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $1,517.72 $5,316 0.4×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $1,517.72 $5,316 0.4×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
likely a partial charge, not the full procedure
$4,132.90 $14,476 0.2×
Rmvl Car Modulj Tranvns Elt (0413T) $6,919.38 $24,236 1.8×
Rmvl Cardiac Modulj Pls Gen (0412T) $6,919.38 $24,236 1.8×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $1,685.02 $5,902 0.4×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $12,133.46 $42,499 0.5×
Safety plan interven (G0560) $31.98 $112 0.8×
Scr c/v cyto,thinlayer,rescr (G0145) $42.54 $149 1.6×
Screen cerv/vag thin layer (G0123) $33.12 $116 1.6×
Screen pap by tech w md supv (P3000) $21.98 $77 1.2×
Semen analysis (G0027) $11.13 $39 1.7×
Sim ang w/prs cath rad emb (C8004) $7,184.04 $25,163 0.6×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $9,203.09 $32,235 2.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
likely a partial charge, not the full procedure
$4,996.82 $17,502 0.2×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $561.86 $1,968 0.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $825.67 $2,892 0.2×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $825.67 $2,892 0.2×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $825.67 $2,892 0.2×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
likely a partial charge, not the full procedure
$5,656.33 $19,812 0.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
likely a partial charge, not the full procedure
$5,045.07 $17,671 0.2×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $4,364.15 $15,286 0.7×
Tee w or w/o fol w/cont,cong (C8926) $1,046.93 $3,667 1.3×
Therapeutic procd strg endur (G0237) $103.07 $361 3.4×
Tomosynthesis, mammo (G0279) $61.38 $215 4.8×
Tpmt and Nudt15 Genotype (0034U) $675.21 $2,365 1.4×
Trabeculostomy ab interno by laser (0621T) $185.58 $650 0.0×
Train for caregiver add 15 (G0540) $29.12 $102 1.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $4,035.26 $14,134 0.7×
Transcatheter renal sympath denervation unilat (0338T) $4,035.26 $14,134 0.7×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$3,094.53–$9,888.86 $10,839–$34,637 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $4,426.11 $15,503 1.3×
Trim nail(s) (G0127) $81.37 $285 1.3×
Trluml perip athrc abd aorta (0236T)
unusually low: confirm this is the full procedure
$5,007.10 $17,538 0.4×
Trluml Perip Athrc Brchiocph (0237T) $7,788.44 $27,280 0.6×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$3,584.45 $12,555 0.2×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $8,003.99 $28,035 0.7×
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$1,113.16–$1,484.31 $3,899–$5,199 varies
Tte w or w/o fol w/con,stres (C8928) $882.77 $3,092 1.1×
Tte w or w/o fol w/cont, com (C8921) $1,298.45 $4,548 1.6×
Tte w or w/o fol w/cont, f/u (C8922) $936.73 $3,281 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,009.53 $3,536 1.2×
Unsched dialysis esrd pt hos (G0257) $184.72 $647 0.3×
Vasc emb/occ w/prs cath (C9797)
unusually low: confirm this is the full procedure
$9,223.93 $32,308 0.5×

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.