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18 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2d tte w or w/o fol w/con,fu (C8924)
$1,835
$1,835
4.9×
Adm tocilizu covid-19 1st (M0249)
$1,825
$1,825
3.9×
Adm tocilizu covid-19 2nd (M0250)
$1,825
$1,825
3.9×
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T)
$2,481
$2,481
17.5×
Direct refer hospital observ (G0379)
$2,479
$2,479
3.9×
Egd flexible transnasal dx w/collj spec br/wa (0652T)
$7,538
$7,538
3.7×
Egd flexible transnasal w/biopsy single/multiple (0653T)
$7,538
$7,538
3.7×
Egd flexible transnasal w/insj intral tube/cath (0654T)
$15,173
$15,173
3.7×
Fecal microbiota prep instil (G0455)
$4,391
$4,391
4.4×
Hospital outpt clinic visit (G0463)
$691
$691
4.9×
Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
$390
$390
9.0×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T)
$4,810
$4,810
5.1×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
$79,298
$79,298
3.9×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
$79,298
$79,298
3.9×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
$79,298
$79,298
3.9×
Therapeutic ultrafiltration (0692T)
$1,790
$1,790
1.1×
Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines
$5,583–$12,702
$5,583–$12,702
varies
Tte w or w/o fol w/cont, com (C8921)
$3,566
$3,566
4.3×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.