Supplies, drugs & other prices at Phoenix Children’s Hospital – Thomas Campus

Phoenix, AZ · every code in this section with a posted price and a Medicare benchmark.

28 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $100
2d tee w or w/o fol w/con,in (C8925) $3,232
2d tte w or w/o fol w/con,fu (C8924) $1,464
Admin hepatitis b vaccine (G0010) $251
Admin influenza virus vac (G0008) $251
Admin pneumococcal vaccine (G0009) $251
Behavior counsel obesity 15m (G0447) $198
Catheterize for urine spec (P9612) $63
Covid-19 lab test non-cdc (U0002) $125
Diab manage trn per indiv (G0108) $242
Diab manage trn ind/group (G0109) $110
Drug test def 1-7 classes (G0480) $601
Drug test def 15-21 classes (G0482) $700
Drug test def 8-14 classes (G0481) $650
Group train w/o patient (G0543) $26
Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U) $3,072
No pt prsnt train initial 30 (G0541) $110
Opps service,sched team conf (G0175) $1,200
Place direct restoration (D2940) $113
Rem imp tooth w mucoper flp (D7210) $300
Tee w or w/o fol w/cont,cong (C8926) $3,869
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $475
Trauma respons w/hosp criti (G0390) $20,160
Tte w or w/o fol w/con,stres (C8928) $4,479
Tte w or w/o fol w/cont, com (C8921) $5,183
Tte w or w/o fol w/cont, f/u (C8922) $2,188
Tte w or wo fol wcon,doppler (C8929) $5,545
Unsched dialysis esrd pt hos (G0257) $5,281