Home › Hospitals › Phoenix Children’s Hospital – Thomas Campus › Supplies, drugs & other
28 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
2019-ncov diagnostic p (U0001)
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$100
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2d tee w or w/o fol w/con,in (C8925)
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$3,232
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2d tte w or w/o fol w/con,fu (C8924)
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$1,464
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Admin hepatitis b vaccine (G0010)
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$251
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Admin influenza virus vac (G0008)
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$251
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Admin pneumococcal vaccine (G0009)
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$251
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Behavior counsel obesity 15m (G0447)
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$198
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Catheterize for urine spec (P9612)
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$63
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Covid-19 lab test non-cdc (U0002)
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$125
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Diab manage trn per indiv (G0108)
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$242
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Diab manage trn ind/group (G0109)
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$110
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Drug test def 1-7 classes (G0480) range across 2 matching MRF lines
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$515–$687
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Drug test def 15-21 classes (G0482)
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$700
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Drug test def 8-14 classes (G0481)
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$650
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Group train w/o patient (G0543)
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$26
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Inflammation (eosinophilic esophagitis), ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major… (0095U)
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$3,072
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No pt prsnt train initial 30 (G0541)
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$110
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Opps service,sched team conf (G0175)
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$1,200
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Place direct restoration (D2940)
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$113
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Rem imp tooth w mucoper flp (D7210)
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$300
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Tee w or w/o fol w/cont,cong (C8926)
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$3,869
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Tpmt and Nudt15 Genotype (0034U)
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$475
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Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines
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$15,680–$23,520
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Tte w or w/o fol w/con,stres (C8928)
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$4,479
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Tte w or w/o fol w/cont, com (C8921)
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$5,183
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Tte w or w/o fol w/cont, f/u (C8922)
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$2,188
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Tte w or wo fol wcon,doppler (C8929)
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$5,545
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Unsched dialysis esrd pt hos (G0257)
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$5,281
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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.