18 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2019-ncov diagnostic p (U0001) |
$33 |
$66 |
0.9× |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$6,964 |
$13,928 |
0.7× |
| Admin influenza virus vac (G0008) |
$112 |
$224 |
2.6× |
| Admin pneumococcal vaccine (G0009) |
$112 |
$224 |
2.6× |
| Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative Other Outpatient (0064U) |
$62 |
$124 |
2.0× |
| Catheterize for urine spec (P9612) |
$22 |
$44 |
2.4× |
| Direct refer hospital observ (G0379) |
$465.50 |
$931 |
0.8× |
| Elec stim other than wound (G0283) |
$72 |
$144 |
5.7× |
| Liver dis 10 assays w/nash (0003M) |
$470 |
$940 |
0.9× |
| Mra w/o cont, abd (C8901) |
$630 |
$1,260 |
2.8× |
| Neuro csf detcj prion prtn quakg conf conv qual (0035U) |
$442 |
$884 |
0.8× |
| Oth resp proc, group (G0239) |
$66 |
$132 |
1.9× |
| Prostate biopsy, any mthd (G0416) |
$115 |
$230 |
0.3× |
| Psa screening (G0103) |
$187.50 |
$375 |
9.7× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) |
$157 |
$314 |
0.2× |
| Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR) Other Outpatient (0065U) |
$24.50 |
$49 |
1.4× |
| Trauma respons w/hosp criti (G0390) |
$3,503.75 |
$7,007.50 |
2.8× |
| Unsched dialysis esrd pt hos (G0257) |
$497 |
$994 |
0.8× |