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28 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Admin hepatitis b vaccine (G0010)
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$21
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Ca screen;flexi sigmoidscope (G0104)
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$11,378.74
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Ca screen;pelvic/breast exam (G0101)
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$96
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Colon ca scrn not hi rsk ind (G0121)
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$9,532.61
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Colorectal scrn; hi risk ind (G0105)
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$9,902.24
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Diab manage trn per indiv (G0108)
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$260
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Diab manage trn ind/group (G0109)
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$80
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Direct refer hospital observ (G0379)
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$572
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Drug test def 22+ classes (G0483)
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$939
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Drug test def 8-14 classes (G0481)
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$595
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Ekg tracing for initial prev (G0404)
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$57
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Elec stim unattend for press (G0281)
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$185
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Followup eval of foot pt lop (G0246)
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$547
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Hospital outpt clinic visit (G0463)
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$344
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Initial foot exam pt lops (G0245)
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$366
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Initial preventive exam (G0402)
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$375
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Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines
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$2,264.68–$3,344.94
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Mra w/o fol w/cont, abd (C8902)
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$5,217
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Mra w/o fol w/cont, chest (C8911)
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$5,217
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Mra w/o fol w/cont, lwr ext (C8914)
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$5,217
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Njx platelet plasma (0232T)
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$1,143
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Obtaining screen pap smear (Q0091)
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$96
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Ppps, initial visit (G0438)
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$506
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Ppps, subseq visit (G0439)
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$405
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Psa screening (G0103)
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$190
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Routine footcare pt w lops (G0247)
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$547
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Screen cerv/vag thin layer (G0123)
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$82
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Trim nail(s) (G0127)
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$177
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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.