26 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2019-ncov diagnostic p (U0001) |
— |
$130.50 |
— |
| Admin influenza virus vac (G0008) |
— |
$42.50 |
— |
| Ca screen;flexi sigmoidscope (G0104) |
— |
$546 |
— |
| Ca screen;pelvic/breast exam (G0101) |
— |
$108.50 |
— |
| Chemo extend iv infus w/pump (G0498) |
— |
$94 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$1,332 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$1,045.50 |
— |
| Diab manage trn per indiv (G0108) |
— |
$49.50 |
— |
| Diab manage trn ind/group (G0109) |
— |
$13.50 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$247.50 |
— |
| Elec stim other than wound (G0283) |
$41.65 |
$59.50 |
3.3× |
| Fecal blood scrn immunoassay (G0328) |
— |
$32 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$94 |
— |
| Initial preventive exam (G0402) |
— |
$363.50 |
— |
| Mnt subs tx for change dx (G0270) |
— |
$56 |
— |
| Mra w/cont, abd (C8900) |
— |
$4,383 |
— |
| Obtaining screen pap smear (Q0091) |
— |
$75 |
— |
| Oth resp proc, indiv (G0238) |
— |
$172.50 |
— |
| Ppps, initial visit (G0438) |
— |
$298.50 |
— |
| Ppps, subseq visit (G0439) |
— |
$198 |
— |
| Prolonged iv inf, req pump (C8957) |
— |
$101 |
— |
| Psa screening (G0103) |
— |
$174.50 |
— |
| Therapeutic procd strg endur (G0237) |
— |
$228.50 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$121.50 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$3,149.50 |
— |
| Wet mounts/ w preparations (Q0111) |
— |
$25.50 |
— |