Supplies, drugs & other prices at Indiana University Health Tipton Hospital Inc

Tipton, 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) $1,365.93 $3,627 1.6×
2d tte w or w/o fol w/con,co (C8923)
range across 4 matching MRF lines
$952.04–$1,269.52 $2,528–$3,371 varies
2d tte w or w/o fol w/con,fu (C8924) $726.08 $1,928 2.0×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) $427.44 $1,135 1.7×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $4,447.27 $11,809 2.5×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,060.88 $2,817 0.5×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $10,500.74 $27,883 1.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,060.88 $2,817 0.5×
Adm tocilizu covid-19 1st (M0249) $1,113.23 $2,956 2.4×
Adm tocilizu covid-19 2nd (M0250) $1,113.23 $2,956 2.4×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$38.04–$44.06 $101–$117 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$38.04–$44.06 $101–$117 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$38.04–$44.06 $101–$117 varies
Alcohol/sub misuse assess (G2011) $24.48 $65 0.8×
Alcohol/subs interv 15-30mn (G0396) $46.70 $124 1.2×
Alcohol/subs interv >30 min (G0397) $81.35 $216 0.4×
Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) $1,489.08 $3,954 2.2×
Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) $1,489.08 $3,954 2.2×
Bia whole body composition assessment w/i&r (0358T) $61.39 $163 2.0×
Brief chkin, 5-10, non-e/m (G2251) $35.40 $94 2.5×
Ca screen;pelvic/breast exam (G0101) $42.56 $113 0.4×
Cardiac mri seg dys strain (C9762) $1,051.84 $2,793 1.8×
Cardiac mri seg dys stress (C9763) $1,051.84 $2,793 1.8×
Care manage beh svs 20mins (G0323) $45.57 $121 1.1×
Catheterize for urine spec (P9612) $6.40 $17 0.7×
Chemo extend iv infus w/pump (G0498) $929.07 $2,467 2.7×
Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) $530.63 $1,409 3.8×
CT breast w/3d rendering bi with contrast (0637T) $816.47 $2,168 2.2×
CT breast w/3d rendering bi without contrast (0636T) $740.02 $1,965 2.9×
CT breast w/3d rendering uni with contrast (0634T) $427.44 $1,135 2.3×
CT breast w/3d rendering uni without contrast (0633T) $350.61 $931 3.2×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $778.43 $2,067 2.1×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $389.40 $1,034 2.1×
Cyp1a2 gene analysis common variants (0031U) $334.04 $887 1.9×
Cyp2d6 3' gene dup/mlt (0076U) $692.19 $1,838 1.5×
Cyp2d6 5' gene dup/mlt (0075U) $692.19 $1,838 1.5×
Cyp2d6 full gene sequence (0071U) $920.79 $2,445 1.5×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $692.19 $1,838 1.5×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $692.19 $1,838 1.5×
Cyp2d6 nonduplicated gene (0074U) $692.19 $1,838 1.5×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $1,685.29 $4,475 2.2×
Devlopment test interpt&rep (G0451)
range across 2 matching MRF lines
$160.43–$168.34 $426–$447 varies
Diab manage trn per indiv (G0108) $60.26 $160 1.1×
Diab manage trn ind/group (G0109) $30.13 $80 1.9×
Drug test def 1-7 classes (G0480)
range across 91 matching MRF lines
$24.10–$218.80 $64–$581 varies
Drug test def 15-21 classes (G0482) $358.52 $952 1.8×
Drug test def 22+ classes (G0483) $445.14 $1,182 1.8×
Drug test def 8-14 classes (G0481) $299.40 $795 1.9×
Drug test def simple all cl (G0659) $129.17 $343 2.1×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) $109.59 $291 1.8×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $990.08 $2,629 1.0×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T)
range across 2 matching MRF lines
$214.66–$227.47 $570–$604 varies
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T)
range across 2 matching MRF lines
$77.20–$214.66 $205–$570 varies
Elec stim other than wound (G0283)
range across 4 matching MRF lines
$33.89–$91.51 $90–$243 varies
Elec stim unattend for press (G0281) $87.37 $232 7.5×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $613.86 $1,630 0.5×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$21,221.41 $56,350 0.5×
Esw integumentary wound healing initial wound (0512T) $653.78 $1,736 3.1×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $1,527.49 $4,056 0.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $12,963.33 $34,422 1.1×
Evacuation meibomian glands using heat bilateral (0563T) $210.14 $558 3.4×
Extraction erupted tooth/exr (D7140) $1,635.95 $4,344 2.4×
Extrnl counterpulse, per tx (G0166) $238.01 $632 1.7×
Fecal blood scrn immunoassay (G0328) $104.69 $278 5.8×
Fecal microbiota prep instil (G0455)
range across 2 matching MRF lines
$618.38–$1,773.03 $1,642–$4,708 varies
Fern test (Q0114) $19.21 $51 2.0×
Group mnt 2 or more 30 mins (G0271)
range across 2 matching MRF lines
$36.15–$36.91 $96–$98 varies
Group train w/o patient (G0543)
range across 8 matching MRF lines
$140.10–$226.71 $372–$602 varies
Hbot, full body chamber, 30m (G0277) $788.98 $2,095 5.4×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
unusually low: confirm this is the full procedure
$6,534.39 $17,351 0.4×
Home sleep test/type 2 porta (G0398) $392.79 $1,043 1.7×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$563.02–$1,004.02 $1,495–$2,666 varies
Hopd mntl hlt, 15-29 min (C7900) $36.91 $98 0.9×
Hopd mntl hlt, 30-60 min (C7901) $75.32 $200 0.7×
Hospital outpt clinic visit (G0463)
range across 22 matching MRF lines
$51.97–$905.72 $138–$2,405 varies
Hpv combo assay ca screen (G0476) $75.32 $200 2.1×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $73.81 $196 1.7×
Initial care training 30 m (G0539) $83.61 $222 1.6×
Initial preventive exam (G0402) $49.33 $131 0.4×
Inj for sacroiliac jt anesth (G0260)
range across 6 matching MRF lines
$1,391.91–$2,089 $3,696–$5,547 varies
Injection posterior chamber eye medication (0699T) $511.80 $1,359 0.2×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,281.57 $3,403 1.4×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$3,636.45 $9,656 0.4×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $7,688.29 $20,415 0.7×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $7,445.38 $19,770 0.6×
Insertion/Replacement Complete Iims (0525T)
likely a partial charge, not the full procedure
$4,626.15 $12,284 0.2×
Insertion/Replacement Iims Electrode Only (0526T) $4,539.91 $12,055 0.5×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $4,960.20 $13,171 0.6×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure
$5,451.66 $14,476 0.2×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $24,548.67 $65,185 2.8×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $24,548.67 $65,185 2.8×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
likely a partial charge, not the full procedure
$5,451.66 $14,476 0.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
likely a partial charge, not the full procedure
$4,745.91 $12,602 0.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $125.03 $332 3.2×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $84.74 $225 2.1×
Interrogation device evaluation in person isdss (0685T) $338.19 $898 8.6×
Ire Abltj 1+Tum Organ Perq (0600T) $6,845.08 $18,176 0.6×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $288.48 $766 2.4×
Lev 1 hosp type b ed visit (G0380) $168.72 $448 2.1×
Lev 2 hosp type b ed visit (G0381) $274.16 $728 2.8×
Lev 3 hosp type b ed visit (G0382) $492.97 $1,309 2.7×
Lev 4 hosp type b ed visit (G0383) $663.95 $1,763 2.4×
Lev 5 hosp type b ed visit (G0384) $1,060.13 $2,815 2.4×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $961.46 $2,553 1.9×
Mnt subs tx for change dx (G0270) $33.89 $90 1.1×
Motorized ab interno trephination sclera/trab mw (1012T) $16,473.24 $43,742 3.8×
Mra w/cont, abd (C8900) $816.47 $2,168 2.2×
Mra w/cont, chest (C8909) $816.47 $2,168 2.2×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$816.47–$1,225.08 $2,168–$3,253 varies
Mra w/cont, pelvis (C8918) $816.47 $2,168 2.2×
Mra w/o cont, abd (C8901) $488.07 $1,296 1.9×
Mra w/o cont, chest (C8910) $488.07 $1,296 1.9×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$488.07–$731.73 $1,296–$1,943 varies
Mra w/o cont, pelvis (C8919) $488.07 $1,296 1.9×
Mra w/o fol w/cont, abd (C8902) $816.47 $2,168 2.2×
Mra w/o fol w/cont, chest (C8911) $816.47 $2,168 2.2×
Mra w/o fol w/cont, lwr ext (C8914)
range across 3 matching MRF lines
$488.07–$1,225.08 $1,296–$3,253 varies
Mra w/o fol w/cont, pelvis (C8920) $816.47 $2,168 2.2×
Mra, w/dye, spinal canal (C8931) $816.47 $2,168 2.2×
Mra, w/dye, upper extremity (C8934)
range across 3 matching MRF lines
$816.47–$1,225.08 $2,168–$3,253 varies
Mra, w/o dye, spinal canal (C8932) $488.07 $1,296 1.9×
Mra, w/o dye, upper extr (C8935)
range across 3 matching MRF lines
$488.07–$731.73 $1,296–$1,943 varies
Mra, w/o&w/dye, spinal canal (C8933) $816.47 $2,168 2.2×
Mra, w/o&w/dye, upper extr (C8936)
range across 3 matching MRF lines
$816.47–$1,225.08 $2,168–$3,253 varies
Mri w/cont, breast, bi (C8906) $816.47 $2,168 2.2×
Mri w/cont, breast, uni (C8903) $427.44 $1,135 2.3×
Mri w/o fol w/cont, breast, (C8908) $2,305.55 $6,122 6.2×
Mri w/o fol w/cont, brst, un (C8905) $1,536.90 $4,081 4.2×
N-invas artl plaq alys quan strux&compos vsl wal (0712T) $315.97 $839 1.4×
N-invas augmnt arrhyt alys (0897T) $2,808.68 $7,458 3.1×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $429.70 $1,141 1.3×
Neuro csf prion prtn qual (0035U) $619.13 $1,644 1.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,281.57 $3,403 1.4×
Njx platelet plasma (0232T) $421.04 $1,118 0.9×
No pt prsnt train initial 30 (G0541)
range across 2 matching MRF lines
$83.61–$181.14 $222–$481 varies
Obtaining screen pap smear (Q0091) $45.95 $122 1.5×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $538.91 $1,431 1.7×
Onc Merkel Cll Carc Srm Quan (0058U) $548.71 $1,457 1.7×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $5,944.63 $15,785 1.5×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $5,008.03 $13,298 1.7×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $6,005.26 $15,946 1.7×
Oth resp proc, group (G0239) $195.46 $519 4.9×
Oth resp proc, indiv (G0238) $135.95 $361 4.4×
Pathogen test for platelets (P9100) $49.33 $131 0.8×
Pattern erg w/i&r (0509T) $381.50 $1,013 1.7×
Pemivibart infusion (M0224) $1,136.20 $3,017 2.4×
Perc d-e cor revasc chro sin (C9607)
range across 10 matching MRF lines
$11,888.89–$14,860.26 $31,569–$39,459 varies
Perc d-e cor revasc t cabg s (C9604)
range across 5 matching MRF lines
$10,338.05–$12,923.41 $27,451–$34,316 varies
Perc d-e cor stent ather s (C9602)
range across 5 matching MRF lines
$10,338.05–$11,888.51 $27,451–$31,568 varies
Perc drug-el cor stent sing (C9600)
range across 5 matching MRF lines
$11,888.89–$14,860.26 $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
$8,725.07 $23,168 0.4×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $18,011.65 $47,827 1.3×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) $18,011.65 $47,827 1.3×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$2,784.20 $7,393 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,391.91 $3,696 0.2×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $14,860.26 $39,459 1.2×
Place device/marker, non pro (C9728) $640.97 $1,702 0.4×
Place endorectal app (C9725) $3,426.31 $9,098 3.5×
Post op service lvrs min 6 (G0305) $2,712.27 $7,202 6.9×
Ppps, initial visit (G0438)
range across 8 matching MRF lines
$87.75–$150.64 $233–$400 varies
Ppps, subseq visit (G0439)
range across 14 matching MRF lines
$68.92–$132.94 $183–$353 varies
Pre-op service lvrs 1-9 dos (G0304) $1,957.94 $5,199 5.0×
Pre-op service lvrs 10-15dos (G0303) $1,356.14 $3,601 5.9×
Pre-op service lvrs complete (G0302) $1,129.05 $2,998 2.9×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $404.09 $1,073 10.2×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $404.09 $1,073 10.2×
Programming dev eval icds w/ss eltrd in person (0575T) $180.01 $478 4.6×
Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) $362.67 $963 9.2×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$99.42–$544.94 $264–$1,447 varies
Psa screening (G0103) $39.92 $106 2.1×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $918.15 $2,438 0.9×
Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) $918.15 $2,438 0.9×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $1,121.89 $2,979 8.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,489.08 $3,954 2.2×
Quan CT tiss charac w/o CT (0721T) $1,489.08 $3,954 2.2×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $918.15 $2,438 0.9×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $918.15 $2,438 0.9×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $427.44 $1,135 0.4×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $226.34 $601 0.9×
Quan MRI alys brain with diagnostic MRI (0866T) $226.34 $601 0.9×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $5,174.48 $13,740 2.4×
Relocation pg wcs lv pacg battery component only (0862T) $3,412 $9,060 1.6×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $3,412 $9,060 1.6×
Remot img sub by pt, non e/m (G2250) $25.23 $67 1.9×
Removal pg wcs lv pacing both components (0861T) $2,222.69 $5,902 0.6×
Removal Ss Dfb Electrode (0573T) $3,512.17 $9,326 0.9×
Repos Cardiac Modulj Transvenous Electrode (0415T) $3,162.69 $8,398 4.8×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $3,288.85 $8,733 0.8×
Revasc intra lithotrip-ather (C9766) $12,963.33 $34,422 0.7×
Revasc intra lithotrip-stent (C9765) $12,963.33 $34,422 0.7×
Revasc intravasc lithotripsy (C9764) $12,021.83 $31,922 1.0×
Revasc lith-sten-ath tib/per (C9775) $19,299.24 $51,246 1.0×
Revasc lithotr-ather tib/per (C9774)
range across 2 matching MRF lines
$12,178.87–$12,255.32 $32,339–$32,542 varies
Revasc lithotr-stent tib/per (C9773)
range across 2 matching MRF lines
$12,255.32–$19,299.24 $32,542–$51,246 varies
Revasc lithotrip tibi/perone (C9772)
range across 2 matching MRF lines
$12,178.87–$12,852.23 $32,339–$34,127 varies
Revasc lithotrip-stent-ather (C9767) $19,299.24 $51,246 1.0×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $2,002.01 $5,316 0.5×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $2,002.01 $5,316 0.5×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
likely a partial charge, not the full procedure
$5,451.66 $14,476 0.2×
Rmvl Car Modulj Tranvns Elt (0413T) $9,127.28 $24,236 2.3×
Rmvl Cardiac Modulj Pls Gen (0412T) $9,127.28 $24,236 2.3×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,222.69 $5,902 0.6×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $16,005.12 $42,499 0.7×
Safety plan interven (G0560) $42.18 $112 1.0×
Scr c/v cyto,thinlayer,rescr (G0145) $56.11 $149 2.1×
Screen cerv/vag thin layer (G0123) $43.69 $116 2.2×
Screen pap by tech w md supv (P3000) $29 $77 1.6×
Semen analysis (G0027) $14.69 $39 2.3×
Sim ang w/prs cath rad emb (C8004) $9,476.39 $25,163 0.8×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $12,139.70 $32,235 3.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$6,591.25 $17,502 0.3×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $741.15 $1,968 0.2×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $1,089.13 $2,892 0.3×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $1,089.13 $2,892 0.3×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $1,089.13 $2,892 0.3×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure
$7,461.20 $19,812 0.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$6,654.90 $17,671 0.3×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,756.71 $15,286 1.0×
Tee w or w/o fol w/cont,cong (C8926) $1,380.99 $3,667 1.7×
Therapeutic procd strg endur (G0237) $135.95 $361 4.4×
Tomosynthesis, mammo (G0279) $80.97 $215 6.4×
Tpmt and Nudt15 Genotype (0034U) $890.66 $2,365 1.9×
Trabeculostomy ab interno by laser (0621T) $244.79 $650 0.1×
Train for caregiver add 15 (G0540) $38.41 $102 1.5×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,322.86 $14,134 0.9×
Transcatheter renal sympath denervation unilat (0338T) $5,322.86 $14,134 0.9×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$4,081.97–$13,044.29 $10,839–$34,637 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $5,838.43 $15,503 1.7×
Trim nail(s) (G0127) $107.33 $285 1.7×
Trluml perip athrc abd aorta (0236T) $6,604.81 $17,538 0.5×
Trluml Perip Athrc Brchiocph (0237T) $10,273.65 $27,280 0.8×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$4,728.21 $12,555 0.2×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $10,557.98 $28,035 0.9×
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$1,468.36–$1,957.94 $3,899–$5,199 varies
Tte w or w/o fol w/con,stres (C8928) $1,164.45 $3,092 1.4×
Tte w or w/o fol w/cont, com (C8921) $1,712.78 $4,548 2.1×
Tte w or w/o fol w/cont, f/u (C8922) $1,235.62 $3,281 1.5×
Tte w or wo fol wcon,doppler (C8929) $1,331.66 $3,536 1.6×
Unsched dialysis esrd pt hos (G0257) $243.66 $647 0.3×
Vasc emb/occ w/prs cath (C9797) $12,167.19 $32,308 0.6×

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.