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29 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Admin influenza virus vac (G0008)
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$120.19
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Admin pneumococcal vaccine (G0009)
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$120.19
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Ca screen;flexi sigmoidscope (G0104)
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$10,930.45
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Catheterize for urine spec (P9612)
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$157.83
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Colon ca scrn not hi rsk ind (G0121)
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$11,531.79
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Colorectal scrn; hi risk ind (G0105)
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$11,351.95
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Cysto impl 4 or more (C9740)
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$49,090.53
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Direct refer hospital observ (G0379)
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$958.57
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Drug test def 1-7 classes (G0480)
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$752.59
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Drug test def 8-14 classes (G0481)
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$403.66
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Elec stim other than wound (G0283)
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$237.60
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Elec stim unattend for press (G0281)
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$237.60
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Hbot, full body chamber, 30m (G0277)
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$1,729.35
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Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
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$671.36
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Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines
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$3,116.19–$6,412.19
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Mra w/cont, abd (C8900)
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$5,093.33
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Mra w/o cont, abd (C8901)
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$4,626.51
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Mra w/o fol w/cont, abd (C8902)
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$4,626.51
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Mra w/o fol w/cont, pelvis (C8920)
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$3,354.09
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Oth resp proc, group (G0239)
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$510.04
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Oth resp proc, indiv (G0238)
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$141.20
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Perc d-e cor revasc t cabg s (C9604)
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$130,444.71
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Perc drug-el cor stent sing (C9600)
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$78,111.08
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Prostate biopsy, any mthd (G0416)
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$1,197.91
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Therapeutic procd strg endur (G0237)
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$141.20
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Tomosynthesis, mammo (G0279)
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$184.40
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Tpmt and Nudt15 Genotype (0034U)
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$1,813.13
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Trauma respons w/hosp criti (G0390)
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$8,389.22
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Unsched dialysis esrd pt hos (G0257)
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$3,239.40
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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.