27 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
| Airway inhalation treatment (94640) |
$157.50 |
$315 |
0.7× |
| Critical care (99291) |
$1,000 |
$2,000 |
1.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$150 |
$300 |
0.7× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$350 |
$700 |
3.3× |
| Duplex scan extracranial art compl bi study (93880) |
$512.50 |
$1,025 |
2.1× |
| EKG (93005) |
$94.75 |
$189.50 |
1.6× |
| Er level 1 (99281) |
$125 |
$250 |
1.5× |
| Er level ii (99282) |
$200 |
$400 |
1.3× |
| Er level iii (99283) |
$337.50 |
$675 |
1.2× |
| Er level IV (99284) |
$575 |
$1,150 |
1.4× |
| Er level v (99285) |
$681.25 |
$1,362.50 |
1.1× |
| Immunization Admin (90471) |
$15.50 |
$31 |
0.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$45 |
$90 |
0.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$75 |
$150 |
0.4× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$37.50 |
$75 |
0.8× |
| IV push initial (96374) |
$62.50 |
$125 |
0.3× |
| Manual therapy 15 min (97140) |
$50 |
$100 |
1.8× |
| Pt Electrical Stimulation (97032) |
$22 |
$44 |
1.5× |
| Pt eval high complex 45 min (97163) |
$142 |
$284 |
1.5× |
| Pt eval low complex 20 min (97161) |
$112.50 |
$225 |
1.1× |
| Pt Gait Training Therapy (97116) |
$50 |
$100 |
1.7× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$62.50 |
$125 |
1.9× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$112.50 |
$225 |
1.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$50 |
$100 |
0.7× |
| Therapeutic Activities (97530) |
$52.50 |
$105 |
1.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$25 |
$50 |
0.5× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$574 |
$1,148 |
2.4× |