27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2d tee w or w/o fol w/con,in (C8925) |
— |
$4,119.03 |
— |
| Admin influenza virus vac (G0008) |
— |
$209.86 |
— |
| Admin pneumococcal vaccine (G0009) |
— |
$111.09 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$3,319.04 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$3,644.59 |
— |
| Diab manage trn per indiv (G0108) |
— |
$162.29 |
— |
| Diab manage trn ind/group (G0109) |
— |
$98.18 |
— |
| Direct refer hospital observ (G0379) |
— |
$3,196.43 |
— |
| Drug test def 1-7 classes (G0480) |
— |
$198 |
— |
| Drug test def 15-21 classes (G0482) |
— |
$1,037.69 |
— |
| Drug test def 22+ classes (G0483) |
— |
$1,345.19 |
— |
| Drug test def 8-14 classes (G0481) |
— |
$911.81 |
— |
| Elec stim other than wound (G0283) |
— |
$145.67 |
— |
| Elec stim unattend for press (G0281) |
— |
$127.05 |
— |
| Fecal blood scrn immunoassay (G0328) |
— |
$109.86 |
— |
| Fern test (Q0114) |
— |
$50 |
— |
| Hepb screen high risk indiv (G0499) |
— |
$120.62 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$324 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$2,205.67 |
— |
| Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) |
— |
$3,093.13 |
— |
| Mra w/o cont, lwr ext (C8913) |
— |
$2,491 |
— |
| Mra w/o fol w/cont, pelvis (C8920) |
— |
$3,432 |
— |
| Perc d-e cor revasc chro sin (C9607) |
— |
$48,061.20 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$31,531.40 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$34,684.50 |
— |
| Psa screening (G0103) |
— |
$233.75 |
— |
| Trauma respons w/hosp criti (G0390) |
— |
$8,250 |
— |