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34 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)
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$838
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Admin hepatitis b vaccine (G0010)
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$76
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Admin influenza virus vac (G0008)
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$76
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Admin pneumococcal vaccine (G0009)
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$76
—
Colon ca scrn not hi rsk ind (G0121)
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$3,977.17
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Colorectal scrn; hi risk ind (G0105)
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$3,904.74
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Covid-19 lab test non-cdc (U0002)
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$103
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Cyp2d6 gen com&slct rar vrnt (0070U)
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$615.13
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Diab manage trn per indiv (G0108)
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$45
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Diab manage trn ind/group (G0109)
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$25
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Direct refer hospital observ (G0379)
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$924
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Drug test def 1-7 classes (G0480)
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$179.75
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Elec stim other than wound (G0283) range across 3 matching MRF lines
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$36–$47
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Facility svs dental rehab (G0330)
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$15,922.30
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Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U)
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$122.23
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Inj for sacroiliac jt anesth (G0260) range across 4 matching MRF lines
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$1,774–$3,548
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Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
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$571
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Oth resp proc, group (G0239)
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$85
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Oth resp proc, indiv (G0238)
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$88
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Perc d-e cor revasc chro sin (C9607)
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$14,613
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Perc d-e cor revasc t cabg s (C9604)
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$31,133
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Perc d-e cor stent ather s (C9602)
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$73,147
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Perc drug-el cor stent sing (C9600)
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$42,968.80
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Prostate biopsy, any mthd (G0416) range across 3 matching MRF lines
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$826–$948
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Psa screening (G0103)
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$115
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Revasc intra lithotrip-stent (C9765)
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$42,236
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Revasc intravasc lithotripsy (C9764)
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$59,757.10
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Revasc lithotrip tibi/perone (C9772)
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$50,091
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Tee w or w/o fol w/cont,cong (C8926)
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$2,203
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Therapeutic procd strg endur (G0237)
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$88
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Trauma respons w/hosp criti (G0390)
—
$5,974
—
Trluml Perip Athrc Iliac Art (0238T)
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$42,235
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Tte w or w/o fol w/con,stres (C8928)
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$2,743
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Tte w or wo fol wcon,doppler (C8929)
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$2,203
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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.