17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Admin influenza virus vac (G0008) |
$59.50 |
$70 |
1.3× |
| Admin pneumococcal vaccine (G0009) |
$59.50 |
$70 |
1.3× |
| Ca screen;flexi sigmoidscope (G0104) |
$1,360 |
$1,600 |
1.5× |
| Ca screen;pelvic/breast exam (G0101) |
$74.80 |
$88 |
0.7× |
| Colon ca scrn not hi rsk ind (G0121) |
$2,295 |
$2,700 |
2.5× |
| Colorectal scrn; hi risk ind (G0105) |
$2,125 |
$2,500 |
2.3× |
| Direct refer hospital observ (G0379) |
$510 |
$600 |
0.9× |
| Drug test def 1-7 classes (G0480) |
$178.50 |
$210 |
1.6× |
| Drug test def 15-21 classes (G0482) |
$531.25 |
$625 |
2.7× |
| Elec stim other than wound (G0283) |
$63.75 |
$75 |
5.0× |
| Fecal microbiota prep instil (G0455) |
$2,252.50 |
$2,650 |
2.4× |
| Hospital outpt clinic visit (G0463) |
$297.50 |
$350 |
2.2× |
| Obtaining screen pap smear (Q0091) |
$59.50 |
$70 |
2.1× |
| Oth resp proc, group (G0239) |
$123.25 |
$145 |
3.3× |
| Oth resp proc, indiv (G0238) |
$136 |
$160 |
4.7× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$637.50 |
$750 |
2.9× |
| Therapeutic procd strg endur (G0237) |
$76.50 |
$90 |
2.6× |