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17 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T)
$4,480
$5,600
2.0×
Cardiokymography (Q0035)
$95.20
$119
2.2×
Catheterize for urine spec (P9612)
$32.80
$41
3.5×
Drug test def 1-7 classes (G0480)
$297.60
$372
2.6×
Drug test def 8-14 classes (G0481)
$376
$470
2.4×
Hep c screen high risk/other (G0472)
$208
$260
4.5×
Hpv combo assay ca screen (G0476)
$157.60
$197
4.5×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
$195.20
$244
4.5×
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T)
$9,360
$11,700
2.0×
Mri w/o fol w/cont, breast, (C8908)
$2,640
$3,300
6.5×
Mri w/o fol w/cont, brst, un (C8905)
$1,840
$2,300
4.5×
Njx platelet plasma (0232T)
$960
$1,200
1.9×
Onc thyr 10 microrna seq +/- rslt mod hi rsk mal (0018U)
$13,502.40
$16,878
4.5×
Place device/marker, non pro (C9728)
$3,200
$4,000
2.0×
Prostate biopsy, any mthd (G0416) range across 3 matching MRF lines
$713.60–$2,456
$892–$3,070
varies
Psa screening (G0103)
$100.80
$126
5.2×
Tomosynthesis, mammo (G0279)
$56
$70
4.4×
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.