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) |
$483.60 |
$744 |
1.1× |
| Adm tocilizu covid-19 2nd (M0250) |
$483.60 |
$744 |
1.1× |
| Admin influenza virus vac (G0008) |
$25.35 |
$39 |
0.6× |
| Admin pneumococcal vaccine (G0009) |
$52 |
$80 |
1.2× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$57.20 |
$88 |
1.8× |
| Catheterize for urine spec (P9612) |
$69.55 |
$107 |
7.4× |
| CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) |
$487.50 |
$750 |
2.8× |
| Cyp2d6 gen com&slct rar vrnt (0070U) |
$820.30 |
$1,262 |
1.2× |
| Direct refer hospital observ (G0379) |
$394.55 |
$607 |
0.7× |
| Ig paraprotein qual bld/ur (0077U) |
$210.60 |
$324 |
4.8× |
| Inj for sacroiliac jt anesth (G0260) |
$1,576.90 |
$2,426 |
2.3× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) |
$310.05 |
$477 |
2.5× |
| Liver dis 10 assays w/nash (0003M) |
$447.20 |
$688 |
0.9× |
| Oth resp proc, group (G0239) |
$61.75 |
$95 |
1.7× |
| Oth resp proc, indiv (G0238) |
$67.60 |
$104 |
2.4× |
| Pathogen test for platelets (P9100) |
$52 |
$80 |
0.9× |
| Psa screening (G0103) |
$96.20 |
$148 |
5.0× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$562.90 |
$866 |
0.8× |
| Therapeutic procd strg endur (G0237) |
$67.60 |
$104 |
2.4× |
| Tpmt Nudt15 Gene Analysis Common Variants (0034U) |
$364.65 |
$561 |
0.8× |