26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Continuing medical physics consltj pr wk (77336) |
$672.84 |
$756 |
4.6× |
| Fluoroscopy up to 1 hr (76000) |
$595.41 |
$669 |
2.3× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) |
$14,570.19 |
$16,371 |
1.8× |
| Manual Appl Stress Pfrmd Phys/Qhp Joint Films (77071) |
$350.66 |
$394 |
3.7× |
| Proton tx delivery complex (77525) |
$6,010.62 |
$6,753.50 |
4.5× |
| Proton tx delivery intermediate (77523) |
$6,010.62 |
$6,753.50 |
4.5× |
| Radiation Delivery Stereotactic Cranial Cobalt (77371) |
$15,853.57 |
$17,813 |
2.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) |
$15,777.03 |
$17,727 |
2.0× |
| Radiation treatment delivery level 1 (77402) |
$948.74 |
$1,066 |
8.6× |
| Radiation treatment delivery level 2 (77407) |
$3,516.84 |
$3,951.50 |
8.5× |
| Radiation treatment delivery level 3 (77412) |
$1,971.35 |
$2,215 |
3.3× |
| Special Physics Consult (77370) |
$840.16 |
$944 |
5.8× |
| Stereotactic Body Radiation Delivery (77373) |
$10,749.42 |
$12,078 |
5.6× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) |
$467.25 |
$525 |
4.3× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) |
$467.25 |
$525 |
4.3× |
| Surf radj ther supfc/orthvlt treatment planning (77436) |
$1,137.42 |
$1,278 |
28.3× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) |
$3,034.01 |
$3,409 |
27.6× |
| Tbs technical calculation only (77091) |
$212.71 |
$239 |
2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) |
$1,363.48 |
$1,532 |
3.4× |
| Ultrasound, abdomen limited (76705) |
$530.44 |
$596 |
4.7× |
| Us nrv&acc strux 1 xtr compre w/img pr extremity (76883) |
$650.59 |
$731 |
5.8× |
| Us, eye b-scan (76512) |
$199.36 |
$224 |
1.8× |
| Venogram Extremity Unilateral (75820) |
$2,044.33 |
$2,297 |
1.2× |
| Venography caval inferior serialography rs&i (75825) |
$4,166.98 |
$4,682 |
1.2× |
| X-ray leg, infant (73592) |
$370.24 |
$416 |
3.9× |
| X-ray retrograde pyelogram (74420) |
$783.20 |
$880 |
2.1× |