24 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Admin influenza virus vac (G0008) |
— |
$20 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$28 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$1,045 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$2,020 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$2,020 |
— |
| Diab manage trn per indiv (G0108) |
— |
$1,196 |
— |
| Diab manage trn ind/group (G0109) |
— |
$522.50 |
— |
| Direct refer hospital observ (G0379) |
— |
$1,034.38 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$403.50 |
— |
| Drug test def 22+ classes (G0483) |
— |
$330 |
— |
| Elec stim unattend for press (G0281) |
— |
$91.10 |
— |
| Hair analysis (P2031) |
— |
$1,746.06 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$66.90 |
— |
| Insertion of sinus tarsi implant (0335T) |
— |
$3,235.50 |
— |
| Mra w/o fol w/cont, abd (C8902) |
— |
$3,720 |
— |
| Mri w/o fol w/cont, breast, (C8908) |
— |
$2,320 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$50 |
— |
| Ppps, initial visit (G0438) |
— |
$354.50 |
— |
| Ppps, subseq visit (G0439) |
— |
$256 |
— |
| Psa screening (G0103) |
— |
$141 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$128.70 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$7,478 |
— |
| Trim nail(s) (G0127) |
— |
$74.39 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$3,409.25 |
— |