Supplies, drugs & other prices at Iu Health Jay

Portland, 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 →

ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,622.72 $3,627 2.0×
2d tte w or w/o fol w/con,co (C8923)
range across 4 matching MRF lines
$1,131.03–$1,508.19 $2,528–$3,371 varies
2d tte w or w/o fol w/con,fu (C8924) $862.59 $1,928 2.3×
3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) $507.80 $1,135 2.0×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $5,283.35 $11,809 3.0×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,260.33 $2,817 0.6×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $12,474.85 $27,883 1.3×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,260.33 $2,817 0.6×
Adm tocilizu covid-19 1st (M0249) $1,322.51 $2,956 2.8×
Adm tocilizu covid-19 2nd (M0250) $1,322.51 $2,956 2.8×
Admin hepatitis b vaccine (G0010)
range across 2 matching MRF lines
$45.19–$52.35 $101–$117 varies
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$45.19–$52.35 $101–$117 varies
Admin pneumococcal vaccine (G0009)
range across 2 matching MRF lines
$45.19–$52.35 $101–$117 varies
Alcohol/sub misuse assess (G2011) $29.08 $65 1.0×
Alcohol/subs interv 15-30mn (G0396) $55.48 $124 1.4×
Alcohol/subs interv >30 min (G0397) $96.64 $216 0.5×
Augmnt alys ch CT img data ild w/cncrnt CT exam (0878T) $1,769.02 $3,954 2.6×
Augmnt alys ch CT img data ild wo cncrnt CT exam (0877T) $1,769.02 $3,954 2.6×
Bia whole body composition assessment w/i&r (0358T) $72.93 $163 2.4×
Brief chkin, 5-10, non-e/m (G2251) $42.06 $94 3.0×
Ca screen;pelvic/breast exam (G0101) $50.56 $113 0.5×
Cardiac mri seg dys strain (C9762) $1,249.59 $2,793 2.2×
Cardiac mri seg dys stress (C9763) $1,249.59 $2,793 2.2×
Care manage beh svs 20mins (G0323) $54.14 $121 1.4×
Catheterize for urine spec (P9612) $7.61 $17 0.8×
Chemo extend iv infus w/pump (G0498) $1,103.74 $2,467 3.2×
Cptrizd oph alys monocular eye mvmt rta eye trck (1010T) $630.39 $1,409 4.5×
CT breast w/3d rendering bi with contrast (0637T) $969.96 $2,168 2.6×
CT breast w/3d rendering bi without contrast (0636T) $879.14 $1,965 3.5×
CT breast w/3d rendering uni with contrast (0634T) $507.80 $1,135 2.7×
CT breast w/3d rendering uni without contrast (0633T) $416.53 $931 3.8×
CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) $924.78 $2,067 2.5×
CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) $462.61 $1,034 2.5×
Cyp1a2 gene analysis common variants (0031U) $396.84 $887 2.3×
Cyp2d6 3' gene dup/mlt (0076U) $822.32 $1,838 1.8×
Cyp2d6 5' gene dup/mlt (0075U) $822.32 $1,838 1.8×
Cyp2d6 full gene sequence (0071U) $1,093.89 $2,445 1.8×
Cyp2d6 gen cyp2d6-2d7 hybrid (0072U) $822.32 $1,838 1.8×
Cyp2d6 gen cyp2d7-2d6 hybrid (0073U) $822.32 $1,838 1.8×
Cyp2d6 nonduplicated gene (0074U) $822.32 $1,838 1.8×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $2,002.12 $4,475 2.6×
Devlopment test interpt&rep (G0451)
range across 2 matching MRF lines
$190.59–$199.99 $426–$447 varies
Diab manage trn per indiv (G0108) $71.58 $160 1.3×
Diab manage trn ind/group (G0109) $35.79 $80 2.2×
Drug test def 1-7 classes (G0480)
range across 91 matching MRF lines
$28.63–$259.94 $64–$581 varies
Drug test def 15-21 classes (G0482) $425.92 $952 2.1×
Drug test def 22+ classes (G0483) $528.83 $1,182 2.1×
Drug test def 8-14 classes (G0481) $355.68 $795 2.3×
Drug test def simple all cl (G0659) $153.46 $343 2.5×
ECG algorithmically gen 12 ld rdcd ld trcg only (0904T) $130.19 $291 2.1×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $1,176.21 $2,629 1.2×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T)
range across 2 matching MRF lines
$255.02–$270.23 $570–$604 varies
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T)
range across 2 matching MRF lines
$91.72–$255.02 $205–$570 varies
Elec stim other than wound (G0283)
range across 4 matching MRF lines
$40.27–$108.72 $90–$243 varies
Elec stim unattend for press (G0281) $103.80 $232 8.9×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $729.26 $1,630 0.6×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $25,210.99 $56,350 0.5×
Esw integumentary wound healing initial wound (0512T) $776.69 $1,736 3.7×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $1,814.65 $4,056 0.5×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $15,400.40 $34,422 1.3×
Evacuation meibomian glands using heat bilateral (0563T) $249.65 $558 4.0×
Extraction erupted tooth/exr (D7140) $1,943.51 $4,344 2.8×
Extrnl counterpulse, per tx (G0166) $282.76 $632 2.0×
Fecal blood scrn immunoassay (G0328) $124.38 $278 6.9×
Fecal microbiota prep instil (G0455)
range across 2 matching MRF lines
$734.63–$2,106.36 $1,642–$4,708 varies
Fern test (Q0114) $22.82 $51 2.3×
Group mnt 2 or more 30 mins (G0271)
range across 2 matching MRF lines
$42.95–$43.85 $96–$98 varies
Group train w/o patient (G0543)
range across 8 matching MRF lines
$166.43–$269.33 $372–$602 varies
Hbot, full body chamber, 30m (G0277) $937.30 $2,095 6.4×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
unusually low: confirm this is the full procedure
$7,762.84 $17,351 0.4×
Home sleep test/type 2 porta (G0398) $466.64 $1,043 2.0×
Home sleep test/type 3 porta (G0399)
range across 2 matching MRF lines
$668.86–$1,192.77 $1,495–$2,666 varies
Hopd mntl hlt, 15-29 min (C7900) $43.85 $98 1.1×
Hopd mntl hlt, 30-60 min (C7901) $89.48 $200 0.8×
Hospital outpt clinic visit (G0463)
range across 22 matching MRF lines
$61.74–$1,076 $138–$2,405 varies
Hpv combo assay ca screen (G0476) $89.48 $200 2.6×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $87.69 $196 2.0×
Initial care training 30 m (G0539) $99.32 $222 1.9×
Initial preventive exam (G0402) $58.61 $131 0.4×
Inj for sacroiliac jt anesth (G0260)
range across 6 matching MRF lines
$1,653.59–$2,481.73 $3,696–$5,547 varies
Injection posterior chamber eye medication (0699T) $608.02 $1,359 0.2×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,522.50 $3,403 1.6×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$4,320.09 $9,656 0.5×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $9,133.67 $20,415 0.8×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T) $8,845.10 $19,770 0.8×
Insertion/Replacement Complete Iims (0525T)
likely a partial charge, not the full procedure
$5,495.86 $12,284 0.3×
Insertion/Replacement Iims Electrode Only (0526T) $5,393.41 $12,055 0.6×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $5,892.71 $13,171 0.7×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
likely a partial charge, not the full procedure
$6,476.56 $14,476 0.2×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $29,163.77 $65,185 3.3×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $29,163.77 $65,185 3.3×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
likely a partial charge, not the full procedure
$6,476.56 $14,476 0.3×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
likely a partial charge, not the full procedure
$5,638.13 $12,602 0.2×
Interro Device Evaluation Cardiac Modulj System (0418T) $148.54 $332 3.8×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $100.67 $225 2.5×
Interrogation device evaluation in person isdss (0685T) $401.77 $898 10.2×
Ire Abltj 1+Tum Organ Perq (0600T) $8,131.94 $18,176 0.7×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $342.71 $766 2.8×
Lev 1 hosp type b ed visit (G0380) $200.44 $448 2.5×
Lev 2 hosp type b ed visit (G0381) $325.71 $728 3.3×
Lev 3 hosp type b ed visit (G0382) $585.65 $1,309 3.2×
Lev 4 hosp type b ed visit (G0383) $788.77 $1,763 2.8×
Lev 5 hosp type b ed visit (G0384) $1,259.43 $2,815 2.9×
Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) $1,142.21 $2,553 2.3×
Mnt subs tx for change dx (G0270) $40.27 $90 1.3×
Motorized ab interno trephination sclera/trab mw (1012T) $19,570.17 $43,742 4.5×
Mra w/cont, abd (C8900) $969.96 $2,168 2.6×
Mra w/cont, chest (C8909) $969.96 $2,168 2.6×
Mra w/cont, lwr ext (C8912)
range across 3 matching MRF lines
$969.96–$1,455.39 $2,168–$3,253 varies
Mra w/cont, pelvis (C8918) $969.96 $2,168 2.6×
Mra w/o cont, abd (C8901) $579.83 $1,296 2.3×
Mra w/o cont, chest (C8910) $579.83 $1,296 2.3×
Mra w/o cont, lwr ext (C8913)
range across 3 matching MRF lines
$579.83–$869.30 $1,296–$1,943 varies
Mra w/o cont, pelvis (C8919) $579.83 $1,296 2.3×
Mra w/o fol w/cont, abd (C8902) $969.96 $2,168 2.6×
Mra w/o fol w/cont, chest (C8911) $969.96 $2,168 2.6×
Mra w/o fol w/cont, lwr ext (C8914)
range across 3 matching MRF lines
$579.83–$1,455.39 $1,296–$3,253 varies
Mra w/o fol w/cont, pelvis (C8920) $969.96 $2,168 2.6×
Mra, w/dye, spinal canal (C8931) $969.96 $2,168 2.6×
Mra, w/dye, upper extremity (C8934)
range across 3 matching MRF lines
$969.96–$1,455.39 $2,168–$3,253 varies
Mra, w/o dye, spinal canal (C8932) $579.83 $1,296 2.3×
Mra, w/o dye, upper extr (C8935)
range across 3 matching MRF lines
$579.83–$869.30 $1,296–$1,943 varies
Mra, w/o&w/dye, spinal canal (C8933) $969.96 $2,168 2.6×
Mra, w/o&w/dye, upper extr (C8936)
range across 3 matching MRF lines
$969.96–$1,455.39 $2,168–$3,253 varies
Mri w/cont, breast, bi (C8906) $969.96 $2,168 2.6×
Mri w/cont, breast, uni (C8903) $507.80 $1,135 2.7×
Mri w/o fol w/cont, breast, (C8908) $2,738.98 $6,122 7.4×
Mri w/o fol w/cont, brst, un (C8905) $1,825.84 $4,081 4.9×
N-invas artl plaq alys quan strux&compos vsl wal (0712T) $375.37 $839 1.6×
N-invas augmnt arrhyt alys (0897T) $3,336.71 $7,458 3.7×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $510.48 $1,141 1.6×
Neuro csf prion prtn qual (0035U) $735.53 $1,644 1.4×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,522.50 $3,403 1.6×
Njx platelet plasma (0232T) $500.19 $1,118 1.1×
No pt prsnt train initial 30 (G0541)
range across 2 matching MRF lines
$99.32–$215.20 $222–$481 varies
Obtaining screen pap smear (Q0091) $54.58 $122 1.8×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $640.23 $1,431 2.0×
Onc Merkel Cll Carc Srm Quan (0058U) $651.86 $1,457 2.0×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $7,062.21 $15,785 1.8×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U) $5,949.53 $13,298 2.0×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $7,134.24 $15,946 2.0×
Oth resp proc, group (G0239) $232.20 $519 5.9×
Oth resp proc, indiv (G0238) $161.51 $361 5.3×
Pathogen test for platelets (P9100) $58.61 $131 0.9×
Pattern erg w/i&r (0509T) $453.22 $1,013 2.0×
Pemivibart infusion (M0224) $1,349.81 $3,017 2.9×
Perc d-e cor revasc chro sin (C9607)
range across 10 matching MRF lines
$14,123.97–$17,653.96 $31,569–$39,459 varies
Perc d-e cor revasc t cabg s (C9604)
range across 5 matching MRF lines
$12,281.58–$15,352.98 $27,451–$34,316 varies
Perc d-e cor stent ather s (C9602)
range across 5 matching MRF lines
$12,281.58–$14,123.52 $27,451–$31,568 varies
Perc drug-el cor stent sing (C9600)
range across 5 matching MRF lines
$14,123.97–$17,653.96 $31,569–$39,459 varies
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $10,365.36 $23,168 0.5×
Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) $21,397.80 $47,827 1.6×
Perq njx algc cell&/prdct uni/bi CT lmbr 1st (0629T) $21,397.80 $47,827 1.6×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,307.63 $7,393 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
likely a partial charge, not the full procedure
$1,653.59 $3,696 0.2×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,653.96 $39,459 1.4×
Place device/marker, non pro (C9728) $761.47 $1,702 0.5×
Place endorectal app (C9725) $4,070.45 $9,098 4.1×
Post op service lvrs min 6 (G0305) $3,222.17 $7,202 8.2×
Ppps, initial visit (G0438)
range across 8 matching MRF lines
$104.24–$178.96 $233–$400 varies
Ppps, subseq visit (G0439)
range across 14 matching MRF lines
$81.87–$157.93 $183–$353 varies
Pre-op service lvrs 1-9 dos (G0304) $2,326.03 $5,199 5.9×
Pre-op service lvrs 10-15dos (G0303) $1,611.09 $3,601 7.1×
Pre-op service lvrs complete (G0302) $1,341.31 $2,998 3.4×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $480.06 $1,073 12.2×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $480.06 $1,073 12.2×
Programming dev eval icds w/ss eltrd in person (0575T) $213.86 $478 5.4×
Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of… (0683T) $430.85 $963 10.9×
Prostate biopsy, any mthd (G0416)
range across 2 matching MRF lines
$118.11–$647.39 $264–$1,447 varies
Psa screening (G0103) $47.42 $106 2.5×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $1,090.76 $2,438 1.1×
Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) $1,090.76 $2,438 1.1×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $1,332.80 $2,979 9.5×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,769.02 $3,954 2.6×
Quan CT tiss charac w/o CT (0721T) $1,769.02 $3,954 2.6×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,090.76 $2,438 1.1×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,090.76 $2,438 1.1×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $507.80 $1,135 0.5×
Quan MRI alys brain w/o diagnostic MRI same sess (0865T) $268.89 $601 1.1×
Quan MRI alys brain with diagnostic MRI (0866T) $268.89 $601 1.1×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $6,147.28 $13,740 2.8×
Relocation pg wcs lv pacg battery component only (0862T) $4,053.44 $9,060 1.9×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $4,053.44 $9,060 1.9×
Remot img sub by pt, non e/m (G2250) $29.98 $67 2.3×
Removal pg wcs lv pacing both components (0861T) $2,640.55 $5,902 0.7×
Removal Ss Dfb Electrode (0573T) $4,172.45 $9,326 1.1×
Repos Cardiac Modulj Transvenous Electrode (0415T) $3,757.27 $8,398 5.7×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $3,907.14 $8,733 1.0×
Revasc intra lithotrip-ather (C9766) $15,400.40 $34,422 0.8×
Revasc intra lithotrip-stent (C9765) $15,400.40 $34,422 0.8×
Revasc intravasc lithotripsy (C9764) $14,281.90 $31,922 1.2×
Revasc lith-sten-ath tib/per (C9775) $22,927.46 $51,246 1.2×
Revasc lithotr-ather tib/per (C9774)
range across 2 matching MRF lines
$14,468.47–$14,559.29 $32,339–$32,542 varies
Revasc lithotr-stent tib/per (C9773)
range across 2 matching MRF lines
$14,559.29–$22,927.46 $32,542–$51,246 varies
Revasc lithotrip tibi/perone (C9772)
range across 2 matching MRF lines
$14,468.47–$15,268.42 $32,339–$34,127 varies
Revasc lithotrip-stent-ather (C9767) $22,927.46 $51,246 1.2×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $2,378.38 $5,316 0.6×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $2,378.38 $5,316 0.6×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
likely a partial charge, not the full procedure
$6,476.56 $14,476 0.3×
Rmvl Car Modulj Tranvns Elt (0413T) $10,843.19 $24,236 2.7×
Rmvl Cardiac Modulj Pls Gen (0412T) $10,843.19 $24,236 2.7×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $2,640.55 $5,902 0.7×
Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) $19,014.05 $42,499 0.8×
Safety plan interven (G0560) $50.11 $112 1.2×
Scr c/v cyto,thinlayer,rescr (G0145) $66.66 $149 2.5×
Screen cerv/vag thin layer (G0123) $51.90 $116 2.6×
Screen pap by tech w md supv (P3000) $34.45 $77 1.9×
Semen analysis (G0027) $17.45 $39 2.7×
Sim ang w/prs cath rad emb (C8004) $11,257.93 $25,163 0.9×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $14,421.94 $32,235 4.2×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$7,830.39 $17,502 0.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $880.48 $1,968 0.3×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $1,293.88 $2,892 0.4×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $1,293.88 $2,892 0.4×
Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) $1,293.88 $2,892 0.4×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure
$8,863.89 $19,812 0.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$7,906.01 $17,671 0.4×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,838.96 $15,286 1.1×
Tee w or w/o fol w/cont,cong (C8926) $1,640.62 $3,667 2.0×
Therapeutic procd strg endur (G0237) $161.51 $361 5.3×
Tomosynthesis, mammo (G0279) $96.19 $215 7.6×
Tpmt and Nudt15 Genotype (0034U) $1,058.10 $2,365 2.3×
Trabeculostomy ab interno by laser (0621T) $290.81 $650 0.1×
Train for caregiver add 15 (G0540) $45.63 $102 1.8×
Transcatheter Renal Sympath Denervation Bilat (0339T) $6,323.55 $14,134 1.1×
Transcatheter renal sympath denervation unilat (0338T) $6,323.55 $14,134 1.1×
Trauma respons w/hosp criti (G0390)
range across 4 matching MRF lines
$4,849.37–$15,496.59 $10,839–$34,637 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $6,936.04 $15,503 2.0×
Trim nail(s) (G0127) $127.51 $285 2.0×
Trluml perip athrc abd aorta (0236T) $7,846.50 $17,538 0.6×
Trluml Perip Athrc Brchiocph (0237T) $12,205.07 $27,280 1.0×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$5,617.11 $12,555 0.3×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $12,542.86 $28,035 1.0×
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$1,744.41–$2,326.03 $3,899–$5,199 varies
Tte w or w/o fol w/con,stres (C8928) $1,383.36 $3,092 1.7×
Tte w or w/o fol w/cont, com (C8921) $2,034.78 $4,548 2.5×
Tte w or w/o fol w/cont, f/u (C8922) $1,467.92 $3,281 1.8×
Tte w or wo fol wcon,doppler (C8929) $1,582.01 $3,536 1.9×
Unsched dialysis esrd pt hos (G0257) $289.47 $647 0.4×
Vasc emb/occ w/prs cath (C9797) $14,454.60 $32,308 0.7×

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.