28 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Cardioversion (92960) |
$1,414.89 |
$1,422 |
2.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$1,354.20 |
$1,361 |
6.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$901.47 |
$906 |
9.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$901.47 |
$906 |
9.4× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$267.66 |
$269 |
3.1× |
| Immunization Admin (90471) |
$68.66 |
$69 |
1.0× |
| IV infusion hydration each additional hour (96361) |
$141.29 |
$142 |
3.3× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$212.93 |
$214 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$212.93 |
$214 |
1.1× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$141.29 |
$142 |
3.3× |
| IV push initial (96374) |
$83.58 |
$84 |
0.4× |
| Maintenance of spinal canal or brain drug infusion pump (95990) |
$251.74 |
$253 |
0.8× |
| Manual therapy 15 min (97140) |
$74.63 |
$75 |
2.7× |
| Ot eval high complex 60 min (97167) |
$150.25 |
$151 |
1.5× |
| Ot eval low complex 30 min (97165) |
$124.38 |
$125 |
1.2× |
| Ot eval mod complex 45 min (97166) |
$138.31 |
$139 |
1.4× |
| Pt eval high complex 45 min (97163) |
$216.91 |
$218 |
2.2× |
| Pt eval low complex 20 min (97161) |
$162.68 |
$163.50 |
1.7× |
| Pt Gait Training Therapy (97116) |
$63.18 |
$63.50 |
2.2× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$81.59 |
$82 |
2.5× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$182.08 |
$183 |
1.9× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$58.71 |
$59 |
1.8× |
| Pt Ultrasound Therapy (97035) |
$41.79 |
$42 |
2.9× |
| Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) |
$251.74 |
$253 |
0.9× |
| Short-Latency Somatosens Ep Std Trnk/Head (95927) |
$227.86 |
$229 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$83.58 |
$84 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$83.58 |
$84 |
1.9× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$1,354.20 |
$1,361 |
6.2× |