Supplies, drugs & other prices at Iu Health Bloomington Hospital
Bloomington, 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) | $892.97 | $3,627 | 1.1× |
| 2d tte w or w/o fol w/con,co (C8923) range across 4 matching MRF lines |
$622.39–$829.94 | $2,528–$3,371 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) | $474.67 | $1,928 | 1.3× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $279.44 | $1,135 | 1.1× |
| Ablation b9 thyroid nodule perq laser w/img gdn (0673T) | $2,907.38 | $11,809 | 1.7× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $693.55 | $2,817 | 0.3× |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $6,864.79 | $27,883 | 0.7× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $693.55 | $2,817 | 0.3× |
| Adm tocilizu covid-19 1st (M0249) | $727.77 | $2,956 | 1.6× |
| Adm tocilizu covid-19 2nd (M0250) | $727.77 | $2,956 | 1.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$24.87–$28.81 | $101–$117 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$24.87–$28.81 | $101–$117 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$24.87–$28.81 | $101–$117 | varies |
| Alcohol/sub misuse assess (G2011) | $16 | $65 | 0.5× |
| Alcohol/subs interv 15-30mn (G0396) | $30.53 | $124 | 0.8× |
| Alcohol/subs interv >30 min (G0397) | $53.18 | $216 | 0.3× |
| Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) | $973.47 | $3,954 | 1.4× |
| Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) | $973.47 | $3,954 | 1.4× |
| Bia whole body composition assessment w/i&r (0358T) | $40.13 | $163 | 1.3× |
| Brief chkin, 5-10, non-e/m (G2251) | $23.14 | $94 | 1.6× |
| Ca screen;pelvic/breast exam (G0101) | $27.82 | $113 | 0.3× |
| Cardiac mri seg dys strain (C9762) | $687.64 | $2,793 | 1.2× |
| Cardiac mri seg dys stress (C9763) | $687.64 | $2,793 | 1.2× |
| Care manage beh svs 20mins (G0323) | $29.79 | $121 | 0.8× |
| Catheterize for urine spec (P9612) | $4.19 | $17 | 0.4× |
| Chemo extend iv infus w/pump (G0498) | $607.38 | $2,467 | 1.7× |
| Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) | $346.90 | $1,409 | 2.5× |
| CT breast w/3d rendering bi with contrast (0637T) | $533.76 | $2,168 | 1.4× |
| CT breast w/3d rendering bi without contrast (0636T) | $483.78 | $1,965 | 1.9× |
| CT breast w/3d rendering uni with contrast (0634T) | $279.44 | $1,135 | 1.5× |
| CT breast w/3d rendering uni without contrast (0633T) | $229.21 | $931 | 2.1× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $508.90 | $2,067 | 1.4× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $254.57 | $1,034 | 1.4× |
| Cyp1a2 gene analysis common variants (0031U) | $218.38 | $887 | 1.2× |
| Cyp2d6 3' gene dup/mlt (0076U) | $452.52 | $1,838 | 1.0× |
| Cyp2d6 5' gene dup/mlt (0075U) | $452.52 | $1,838 | 1.0× |
| Cyp2d6 full gene sequence (0071U) | $601.96 | $2,445 | 1.0× |
| Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) | $452.52 | $1,838 | 1.0× |
| Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) | $452.52 | $1,838 | 1.0× |
| Cyp2d6 nonduplicated gene (0074U) | $452.52 | $1,838 | 1.0× |
| Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) | $1,101.75 | $4,475 | 1.4× |
| Devlopment test interpt&rep (G0451) range across 2 matching MRF lines |
$104.88–$110.05 | $426–$447 | varies |
| Diab manage trn per indiv (G0108) | $39.39 | $160 | 0.7× |
| Diab manage trn ind/group (G0109) | $19.70 | $80 | 1.2× |
| Drug test def 1-7 classes (G0480) range across 91 matching MRF lines |
$15.76–$143.04 | $64–$581 | varies |
| Drug test def 15-21 classes (G0482) | $234.38 | $952 | 1.2× |
| Drug test def 22+ classes (G0483) | $291.01 | $1,182 | 1.2× |
| Drug test def 8-14 classes (G0481) | $195.73 | $795 | 1.2× |
| Drug test def simple all cl (G0659) | $84.45 | $343 | 1.4× |
| ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) | $71.64 | $291 | 1.1× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $647.26 | $2,629 | 0.7× |
| Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) range across 2 matching MRF lines |
$140.33–$148.70 | $570–$604 | varies |
| Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) range across 2 matching MRF lines |
$50.47–$140.33 | $205–$570 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$22.16–$59.83 | $90–$243 | varies |
| Elec stim unattend for press (G0281) | $57.12 | $232 | 4.9× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $401.31 | $1,630 | 0.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) likely a partial charge, not the full procedure |
$13,873.37 | $56,350 | 0.3× |
| Esw integumentary wound healing initial wound (0512T) | $427.40 | $1,736 | 2.0× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $998.59 | $4,056 | 0.3× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $8,474.70 | $34,422 | 0.7× |
| Evacuation meibomian glands using heat bilateral (0563T) | $137.38 | $558 | 2.2× |
| Extraction erupted tooth/exr (D7140) | $1,069.49 | $4,344 | 1.6× |
| Extrnl counterpulse, per tx (G0166) | $155.60 | $632 | 1.1× |
| Fecal blood scrn immunoassay (G0328) | $68.44 | $278 | 3.8× |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$404.26–$1,159.11 | $1,642–$4,708 | varies |
| Fern test (Q0114) | $12.56 | $51 | 1.3× |
| Group mnt 2 or more 30 mins (G0271) range across 2 matching MRF lines |
$23.64–$24.13 | $96–$98 | varies |
| Group train w/o patient (G0543) range across 8 matching MRF lines |
$91.59–$148.21 | $372–$602 | varies |
| Hbot, full body chamber, 30m (G0277) | $515.79 | $2,095 | 3.5× |
| Histotripsy mal hepatocellular tiss w/img gdn (0686T) likely a partial charge, not the full procedure |
$4,271.82 | $17,351 | 0.2× |
| Home sleep test/type 2 porta (G0398) | $256.79 | $1,043 | 1.1× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$368.07–$656.37 | $1,495–$2,666 | varies |
| Hopd mntl hlt, 15-29 min (C7900) | $24.13 | $98 | 0.6× |
| Hopd mntl hlt, 30-60 min (C7901) | $49.24 | $200 | 0.5× |
| Hospital outpt clinic visit (G0463) range across 22 matching MRF lines |
$33.98–$592.11 | $138–$2,405 | varies |
| Hpv combo assay ca screen (G0476) | $49.24 | $200 | 1.4× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $48.26 | $196 | 1.1× |
| Initial care training 30 m (G0539) | $54.66 | $222 | 1.0× |
| Initial preventive exam (G0402) | $32.25 | $131 | 0.2× |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$909.96–$1,365.67 | $3,696–$5,547 | varies |
| Injection posterior chamber eye medication (0699T) | $334.59 | $1,359 | 0.1× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $837.82 | $3,403 | 0.9× |
| Insertion of substernal implantable defibrillator electrode (0572T) likely a partial charge, not the full procedure |
$2,377.31 | $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 |
$5,026.17 | $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 |
$4,867.37 | $19,770 | 0.4× |
| Insertion/Replacement Complete Iims (0525T) likely a partial charge, not the full procedure |
$3,024.32 | $12,284 | 0.1× |
| Insertion/Replacement Iims Electrode Only (0526T) unusually low: confirm this is the full procedure |
$2,967.94 | $12,055 | 0.3× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) unusually low: confirm this is the full procedure |
$3,242.70 | $13,171 | 0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) likely a partial charge, not the full procedure |
$3,563.99 | $14,476 | 0.1× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $16,048.55 | $65,185 | 1.8× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $16,048.55 | $65,185 | 1.8× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) likely a partial charge, not the full procedure |
$3,563.99 | $14,476 | 0.2× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) likely a partial charge, not the full procedure |
$3,102.61 | $12,602 | 0.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $81.74 | $332 | 2.1× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $55.40 | $225 | 1.4× |
| Interrogation device evaluation in person isdss (0685T) | $221.09 | $898 | 5.6× |
| Ire Abltj 1+Tum Organ Perq (0600T) unusually low: confirm this is the full procedure |
$4,474.93 | $18,176 | 0.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $188.59 | $766 | 1.5× |
| Lev 1 hosp type b ed visit (G0380) | $138.36 | $562 | 1.8× |
| Lev 2 hosp type b ed visit (G0381) | $233.40 | $948 | 2.4× |
| Lev 3 hosp type b ed visit (G0382) | $454.98 | $1,848 | 2.5× |
| Lev 4 hosp type b ed visit (G0383) | $1,032.32 | $4,193 | 3.7× |
| Lev 5 hosp type b ed visit (G0384) | $1,321.11 | $5,366 | 3.0× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $628.55 | $2,553 | 1.2× |
| Mnt subs tx for change dx (G0270) | $22.16 | $90 | 0.7× |
| Motorized ab interno trephination sclera/trab mw (1012T) | $10,769.28 | $43,742 | 2.5× |
| Mra w/cont, abd (C8900) | $533.76 | $2,168 | 1.4× |
| Mra w/cont, chest (C8909) | $533.76 | $2,168 | 1.4× |
| Mra w/cont, lwr ext (C8912) range across 3 matching MRF lines |
$533.76–$800.89 | $2,168–$3,253 | varies |
| Mra w/cont, pelvis (C8918) | $533.76 | $2,168 | 1.4× |
| Mra w/o cont, abd (C8901) | $319.08 | $1,296 | 1.3× |
| Mra w/o cont, chest (C8910) | $319.08 | $1,296 | 1.3× |
| Mra w/o cont, lwr ext (C8913) range across 3 matching MRF lines |
$319.08–$478.37 | $1,296–$1,943 | varies |
| Mra w/o cont, pelvis (C8919) | $319.08 | $1,296 | 1.3× |
| Mra w/o fol w/cont, abd (C8902) | $533.76 | $2,168 | 1.4× |
| Mra w/o fol w/cont, chest (C8911) | $533.76 | $2,168 | 1.4× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$319.08–$800.89 | $1,296–$3,253 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $533.76 | $2,168 | 1.4× |
| Mra, w/dye, spinal canal (C8931) | $533.76 | $2,168 | 1.4× |
| Mra, w/dye, upper extremity (C8934) range across 3 matching MRF lines |
$533.76–$800.89 | $2,168–$3,253 | varies |
| Mra, w/o dye, spinal canal (C8932) | $319.08 | $1,296 | 1.3× |
| Mra, w/o dye, upper extr (C8935) range across 3 matching MRF lines |
$319.08–$478.37 | $1,296–$1,943 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) | $533.76 | $2,168 | 1.4× |
| Mra, w/o&w/dye, upper extr (C8936) range across 3 matching MRF lines |
$533.76–$800.89 | $2,168–$3,253 | varies |
| Mri w/cont, breast, bi (C8906) | $533.76 | $2,168 | 1.4× |
| Mri w/cont, breast, uni (C8903) | $279.44 | $1,135 | 1.5× |
| Mri w/o fol w/cont, breast, (C8908) | $1,507.24 | $6,122 | 4.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,004.74 | $4,081 | 2.7× |
| N-invas artl plaq alys quan strux&compos vsl wal (0712T) | $206.56 | $839 | 0.9× |
| N-invas augmnt arrhyt alys (0897T) | $1,836.16 | $7,458 | 2.0× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $280.91 | $1,141 | 0.9× |
| Neuro csf prion prtn qual (0035U) | $404.75 | $1,644 | 0.7× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $837.82 | $3,403 | 0.9× |
| Njx platelet plasma (0232T) | $275.25 | $1,118 | 0.6× |
| No pt prsnt train initial 30 (G0541) range across 2 matching MRF lines |
$54.66–$118.42 | $222–$481 | varies |
| Obtaining screen pap smear (Q0091) | $30.04 | $122 | 1.0× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $352.31 | $1,431 | 1.1× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $358.71 | $1,457 | 1.1× |
| Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) | $3,886.27 | $15,785 | 1.0× |
| Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) | $3,273.97 | $13,298 | 1.1× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) | $3,925.91 | $15,946 | 1.1× |
| Oth resp proc, group (G0239) | $127.78 | $519 | 3.2× |
| Oth resp proc, indiv (G0238) | $88.88 | $361 | 2.9× |
| Pathogen test for platelets (P9100) | $32.25 | $131 | 0.5× |
| Pattern erg w/i&r (0509T) | $249.40 | $1,013 | 1.1× |
| Pemivibart infusion (M0224) | $742.79 | $3,017 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) range across 10 matching MRF lines |
$7,772.29–$9,714.81 | $31,569–$39,459 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 5 matching MRF lines |
$6,758.44–$8,448.60 | $27,451–$34,316 | varies |
| Perc d-e cor stent ather s (C9602) range across 5 matching MRF lines |
$6,758.44–$7,772.04 | $27,451–$31,568 | varies |
| Perc drug-el cor stent sing (C9600) range across 5 matching MRF lines |
$7,772.29–$9,714.81 | $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 |
$5,703.96 | $23,168 | 0.3× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $11,775.01 | $47,827 | 0.9× |
| Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) | $11,775.01 | $47,827 | 0.9× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,820.16 | $7,393 | 0.2× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$909.96 | $3,696 | 0.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $9,714.81 | $39,459 | 0.8× |
| Place device/marker, non pro (C9728) | $419.03 | $1,702 | 0.3× |
| Place endorectal app (C9725) | $2,239.93 | $9,098 | 2.3× |
| Post op service lvrs min 6 (G0305) | $1,773.13 | $7,202 | 4.5× |
| Ppps, initial visit (G0438) range across 8 matching MRF lines |
$57.36–$98.48 | $233–$400 | varies |
| Ppps, subseq visit (G0439) range across 14 matching MRF lines |
$45.05–$86.91 | $183–$353 | varies |
| Pre-op service lvrs 1-9 dos (G0304) | $1,279.99 | $5,199 | 3.2× |
| Pre-op service lvrs 10-15dos (G0303) | $886.57 | $3,601 | 3.9× |
| Pre-op service lvrs complete (G0302) | $738.11 | $2,998 | 1.9× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $264.17 | $1,073 | 6.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $264.17 | $1,073 | 6.7× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $117.68 | $478 | 3.0× |
| Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) | $237.09 | $963 | 6.0× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$65–$356.25 | $264–$1,447 | varies |
| Psa screening (G0103) | $26.10 | $106 | 1.4× |
| Qmrcp W/Diagnostic MRI Same Anatomy (0724T) | $600.24 | $2,438 | 0.6× |
| Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) | $600.24 | $2,438 | 0.6× |
| Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) | $733.43 | $2,979 | 5.2× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $973.47 | $3,954 | 1.4× |
| Quan CT tiss charac w/o CT (0721T) | $973.47 | $3,954 | 1.4× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $600.24 | $2,438 | 0.6× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $600.24 | $2,438 | 0.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $279.44 | $1,135 | 0.3× |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) | $147.97 | $601 | 0.6× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $147.97 | $601 | 0.6× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $3,382.79 | $13,740 | 1.5× |
| Relocation pg wcs lv pacg battery component only (0862T) | $2,230.57 | $9,060 | 1.0× |
| Relocation pg wcs lv pacg transmittr compnt only (0863T) | $2,230.57 | $9,060 | 1.0× |
| Remot img sub by pt, non e/m (G2250) | $16.50 | $67 | 1.3× |
| Removal pg wcs lv pacing both components (0861T) | $1,453.07 | $5,902 | 0.4× |
| Removal Ss Dfb Electrode (0573T) | $2,296.06 | $9,326 | 0.6× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $2,067.59 | $8,398 | 3.1× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $2,150.06 | $8,733 | 0.5× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,474.70 | $34,422 | 0.4× |
| Revasc intra lithotrip-stent (C9765) unusually low: confirm this is the full procedure |
$8,474.70 | $34,422 | 0.4× |
| Revasc intravasc lithotripsy (C9764) | $7,859.20 | $31,922 | 0.6× |
| Revasc lith-sten-ath tib/per (C9775) | $12,616.77 | $51,246 | 0.7× |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$7,961.86–$8,011.84 | $32,339–$32,542 | varies |
| Revasc lithotr-stent tib/per (C9773) range across 2 matching MRF lines |
$8,011.84–$12,616.77 | $32,542–$51,246 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$7,961.86–$8,402.07 | $32,339–$34,127 | varies |
| Revasc lithotrip-stent-ather (C9767) | $12,616.77 | $51,246 | 0.7× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) | $1,308.80 | $5,316 | 0.4× |
| Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) | $1,308.80 | $5,316 | 0.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) likely a partial charge, not the full procedure |
$3,563.99 | $14,476 | 0.2× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $5,966.90 | $24,236 | 1.5× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $5,966.90 | $24,236 | 1.5× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $1,453.07 | $5,902 | 0.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) unusually low: confirm this is the full procedure |
$10,463.25 | $42,499 | 0.4× |
| Safety plan interven (G0560) | $27.57 | $112 | 0.6× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $36.68 | $149 | 1.4× |
| Screen cerv/vag thin layer (G0123) | $28.56 | $116 | 1.4× |
| Screen pap by tech w md supv (P3000) | $18.96 | $77 | 1.0× |
| Semen analysis (G0027) | $9.60 | $39 | 1.5× |
| Sim ang w/prs cath rad emb (C8004) | $6,195.13 | $25,163 | 0.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $7,936.26 | $32,235 | 2.3× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) likely a partial charge, not the full procedure |
$4,308.99 | $17,502 | 0.2× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $484.52 | $1,968 | 0.1× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $712.01 | $2,892 | 0.2× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $712.01 | $2,892 | 0.2× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $712.01 | $2,892 | 0.2× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) likely a partial charge, not the full procedure |
$4,877.71 | $19,812 | 0.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) likely a partial charge, not the full procedure |
$4,350.60 | $17,671 | 0.2× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,763.41 | $15,286 | 0.6× |
| Tee w or w/o fol w/cont,cong (C8926) | $902.82 | $3,667 | 1.1× |
| Therapeutic procd strg endur (G0237) | $88.88 | $361 | 2.9× |
| Tomosynthesis, mammo (G0279) | $52.93 | $215 | 4.2× |
| Tpmt and Nudt15 Genotype (0034U) | $582.26 | $2,365 | 1.2× |
| Trabeculostomy ab interno by laser (0621T) | $160.03 | $650 | 0.0× |
| Train for caregiver add 15 (G0540) | $25.11 | $102 | 1.0× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $3,479.79 | $14,134 | 0.6× |
| Transcatheter renal sympath denervation unilat (0338T) | $3,479.79 | $14,134 | 0.6× |
| Trauma respons w/hosp criti (G0390) range across 4 matching MRF lines |
$2,668.56–$8,527.63 | $10,839–$34,637 | varies |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,816.84 | $15,503 | 1.1× |
| Trim nail(s) (G0127) | $70.17 | $285 | 1.1× |
| Trluml perip athrc abd aorta (0236T) unusually low: confirm this is the full procedure |
$4,317.86 | $17,538 | 0.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $6,716.34 | $27,280 | 0.5× |
| Trluml Perip Athrc Iliac Art (0238T) likely a partial charge, not the full procedure |
$3,091.04 | $12,555 | 0.2× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $6,902.22 | $28,035 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$959.93–$1,279.99 | $3,899–$5,199 | varies |
| Tte w or w/o fol w/con,stres (C8928) | $761.25 | $3,092 | 0.9× |
| Tte w or w/o fol w/cont, com (C8921) | $1,119.72 | $4,548 | 1.4× |
| Tte w or w/o fol w/cont, f/u (C8922) | $807.78 | $3,281 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $870.56 | $3,536 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $159.29 | $647 | 0.2× |
| Vasc emb/occ w/prs cath (C9797) unusually low: confirm this is the full procedure |
$7,954.23 | $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.