18 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Adm tocilizu covid-19 1st (M0249) |
— |
$2,131.95 |
— |
| Adm tocilizu covid-19 2nd (M0250) |
— |
$2,131.95 |
— |
| Colon ca scrn not hi rsk ind (G0121) |
— |
$16,684.77 |
— |
| Colorectal scrn; hi risk ind (G0105) |
— |
$16,430.23 |
— |
| Diab manage trn per indiv (G0108) |
— |
$393.01 |
— |
| Diab manage trn ind/group (G0109) |
— |
$239.42 |
— |
| Direct refer hospital observ (G0379) |
— |
$2,014.32 |
— |
| Facility svs dental rehab (G0330) |
— |
$43,810.32 |
— |
| Hospital outpt clinic visit (G0463) |
— |
$463.29 |
— |
| Infectious disease (bacterial and fungal), organism identification, blood culture, using rRNA FISH, 6 or more organism… (0086U) |
— |
$835.20 |
— |
| Inj for sacroiliac jt anesth (G0260) |
— |
$7,794.22 |
— |
| Perc d-e cor revasc t cabg s (C9604) |
— |
$88,166.14 |
— |
| Perc drug-el cor stent sing (C9600) |
— |
$139,855.13 |
— |
| Prostate biopsy, any mthd (G0416) |
— |
$536.96 |
— |
| Revasc intra lithotrip-ather (C9766) |
— |
$52,954.11 |
— |
| Revasc intravasc lithotripsy (C9764) |
— |
$83,792.08 |
— |
| Tomosynthesis, mammo (G0279) |
— |
$227.85 |
— |
| Unsched dialysis esrd pt hos (G0257) |
— |
$2,219.35 |
— |