17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2019-ncov diagnostic p (U0001) |
$116.25 |
$155 |
3.2× |
| 2d tee w or w/o fol w/con,in (C8925) |
$546 |
$728 |
0.7× |
| Covid-19 lab test non-cdc (U0002) |
$116.25 |
$155 |
2.3× |
| Drug test def 1-7 classes (G0480) |
$85.88 |
$114.50 |
0.8× |
| Elec stim other than wound (G0283) |
$27.75 |
$37 |
2.2× |
| Elec stim unattend for press (G0281) |
$27.75 |
$37 |
2.4× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) |
$7,656 |
$10,208 |
1.5× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) |
$8,662.50 |
$11,550 |
1.7× |
| Oth resp proc, indiv (G0238) |
$43.83 |
$58.44 |
1.6× |
| Psa screening (G0103) |
$159 |
$212 |
8.2× |
| Tee w or w/o fol w/cont,cong (C8926) |
$247.50 |
$330 |
0.3× |
| Therapeutic procd strg endur (G0237) |
$28.93 |
$38.57 |
1.0× |
| Tomosynthesis, mammo (G0279) |
$163.44 |
$217.92 |
12.9× |
| Trauma respons w/hosp criti (G0390) |
$8,616 |
$11,488 |
6.7× |
| Tte w or w/o contr, cont ecg (C8930) |
$360.75 |
$481 |
0.5× |
| Tte w or w/o fol w/cont, com (C8921) |
$371.25 |
$495 |
0.5× |
| Tte w or wo fol wcon,doppler (C8929) |
$358.94 |
$478.58 |
0.5× |