20 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Adm tocilizu covid-19 1st (M0249) |
$469.95 |
$723 |
1.2× |
| Adm tocilizu covid-19 2nd (M0250) |
$469.95 |
$723 |
1.2× |
| Admin influenza virus vac (G0008) |
$11.05 |
$17 |
0.3× |
| Admin pneumococcal vaccine (G0009) |
$11.05 |
$17 |
0.3× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$59.15 |
$91 |
1.9× |
| Catheterize for urine spec (P9612) |
$48.75 |
$75 |
5.2× |
| Colon ca scrn not hi rsk ind (G0121) |
$625.95 |
$963 |
0.7× |
| Colorectal scrn; hi risk ind (G0105) |
$625.95 |
$963 |
0.7× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$503.10 |
$774 |
2.9× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$800.80 |
$1,232 |
1.2× |
| Direct refer hospital observ (G0379) |
$326.30 |
$502 |
0.6× |
| Ig paraprotein qual bld/ur (0077U) |
$209.30 |
$322 |
4.8× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$291.85 |
$449 |
2.4× |
| Liver dis 10 assays w/nash (0003M) |
$422.50 |
$650 |
0.8× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$197.60 |
$304 |
0.4× |
| Pathogen test for platelets (P9100) |
$52 |
$80 |
1.0× |
| Psa screening (G0103) |
$58.50 |
$90 |
3.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) |
$68.90 |
$106 |
2.6× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$354.25 |
$545 |
0.8× |
| Trauma respons w/hosp criti (G0390) |
$2,174.25 |
$3,345 |
1.8× |