Supplies, drugs & other prices at Lucile Salter Packard Children's Hsp at Stanford

Palo Alto, CA · every code in this section with a posted price and a Medicare benchmark.

53 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T)
likely a partial charge, not the full procedure
$2,996 $5,992 0.2×
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T)
range across 2 matching MRF lines
$1,966–$2,013 $3,932–$4,026 varies
Covid-19 lab test non-cdc (U0002) $409.50 $819 8.0×
Dermal filler injection(s) (G0429)
range across 2 matching MRF lines
$1,062.50–$2,437.50 $2,125–$4,875 varies
Diab manage trn per indiv (G0108) $252 $504 4.5×
Diab manage trn ind/group (G0109) $115 $230 7.2×
Drug test def 1-7 classes (G0480)
range across 2 matching MRF lines
$20–$136.30 $40–$272.60 varies
Ed svc ckd ind per session (G0420) $601.50 $1,203 5.3×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $3,146.50 $6,293 1.1×
Egd flexible transnasal w/biopsy single/multiple (0653T) $3,146.50 $6,293 1.1×
Egd flexible transnasal w/insj intral tube/cath (0654T) $5,201 $10,402 0.9×
Electrophysiologic Eval Icds W/Ss Electrode (0577T) $22,339.50 $44,679 12.5×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $28,881 $57,762 6.2×
Fecal blood scrn immunoassay (G0328) $310.50 $621 17.2×
Flt3 gene int tandem dupl variants quantitative (0046U)
range across 2 matching MRF lines
$1,112.50–$1,145 $2,225–$2,290 varies
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) $13.75 $27.50 0.3×
Init/sub psych care m 1st 30 (G2214) — $292 —
Insertion of substernal implantable defibrillator electrode (0572T) $33,249 $66,498 2.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $33,249 $66,498 0.7×
Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) $22,339.50 $44,679 407.0×
Ire Abltj 1+Tum Organ Perq (0600T)
unusually low: confirm this is the full procedure
$4,960 $9,920 0.3×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative 13,999 or fewer assigned members (0049U) $1,145 $2,290 2.8×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $178.87 $357.75 0.6×
Onc Merkel Cll Carc Srm Quan (0058U) $199.12 $398.25 0.6×
Perc drug-el cor stent sing (C9600) $25,501.50 $51,003 1.5×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $16,247 $32,494 296.0×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $21,488.50 $42,977 391.5×
Prgrmg dev eval scrms phys/qhp remote (0650T) $24,757 $49,514 451.0×
Programming dev eval icds w/ss eltrd in person (0575T) $22,339.50 $44,679 407.0×
Psa screening (G0103) $306 $612 15.8×
Relocation pg wcs lv pacg battery component only (0862T) $16,247 $32,494 5.4×
Relocation pg wcs lv pacg transmittr compnt only (0863T) $16,247 $32,494 5.4×
Rem interrog dev eval ss ld icds < 90d tech (0579T) $22,339.50 $44,679 407.0×
Removal pg wcs lv pacing both components (0861T) $16,247 $32,494 3.0×
Removal Ss Dfb Electrode (0573T) $33,249 $66,498 6.0×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $33,249 $66,498 6.0×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $33,249 $66,498 6.0×
Screen cerv/vag thin layer (G0123) $213.50 $427 10.5×
Screen pap by tech w md supv (P3000) $25 $50 1.3×
Tc mag stimj pn 1st tx 1nrv (0766T) $4,149.50 $8,299 13.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $16,247 $32,494 0.6×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $28,940 $57,880 1.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
likely a partial charge, not the full procedure
$5,779 $11,558 0.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $16,247 $32,494 3.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $16,247 $32,494 0.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $48,013.50 $96,027 5.7×
Tpmt and Nudt15 Genotype (0034U) $201.81 $403.63 0.4×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $48,013.50 $96,027 1.8×
Trluml perip athrc abd aorta (0236T) $13,517.50 $27,035 0.8×
Trluml Perip Athrc Brchiocph (0237T) $13,517.50 $27,035 0.8×
Trluml Perip Athrc Iliac Art (0238T) $20,489.50 $40,979 0.8×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $18,077.50 $36,155 1.1×
U/s trtmt, not leiomyomata (C9734) $34,261 $68,522 1.8×

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.