21 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Allogeneic lymphocyte infusions (38242) |
$5,247 |
$5,247 |
3.1× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$1,398 |
$1,398 |
7.9× |
| Arterial puncture (36600) |
$168 |
$168 |
1.2× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$5,198 |
$5,198 |
3.1× |
| Blood transfusion service (36430) |
$1,446 |
$1,446 |
3.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$530 |
$530 |
3.6× |
| Draw blood off venous device (36591) |
$348 |
$348 |
2.4× |
| Fetal contraction stress test (59020) |
$3,320 |
$3,320 |
15.0× |
| Fetal non-stress test (59025) |
$1,218 |
$1,218 |
5.5× |
| Photopheresis, extracorporeal (36522) |
$19,994 |
$19,994 |
4.2× |
| Strapping unna boot (29580) |
$1,398 |
$1,398 |
7.9× |
| Thaw preserved stem cells (38208) |
$1,803 |
$1,803 |
3.7× |
| Ther Apheresis,Plasma Pheresis (36514) |
$28,456 |
$28,456 |
16.7× |
| Ther Apheresis,Platelets (36513) |
$29,669.50 |
$29,669.50 |
61.5× |
| Ther Apheresis,Red Blood Cells (36512) |
$29,669.50 |
$29,669.50 |
17.4× |
| Ther Apheresis,White Blood Cells (36511) |
$29,669.50 |
$29,669.50 |
17.4× |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
$1,467 |
$1,467 |
3.0× |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
$2,052 |
$2,052 |
4.3× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$122,548 |
$122,548 |
1.8× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$5,247 |
$5,247 |
3.1× |
| Venipuncture (36415) |
$139 |
$139 |
14.9× |