20 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2d tte w or w/o fol w/con,fu (C8924) |
$739.05 |
$1,137 |
2.4× |
| Admin influenza virus vac (G0008) |
$89.05 |
$137 |
2.2× |
| Catheterize for urine spec (P9612) |
$18.85 |
$29 |
2.0× |
| Colon ca scrn not hi rsk ind (G0121) |
$4,289.74 |
— |
5.3× |
| Colorectal scrn; hi risk ind (G0105) |
$3,077.72 |
— |
3.8× |
| Covid-19 lab test non-cdc (U0002) |
$130.65 |
$201 |
2.5× |
| Diab manage trn ind/group (G0109) |
$29.25 |
$45 |
1.8× |
| Direct refer hospital observ (G0379) |
$213.20 |
$328 |
0.4× |
| Elec stim other than wound (G0283) |
$66.62 |
$102.50 |
5.3× |
| Fecal blood scrn immunoassay (G0328) |
$32.50 |
$50 |
1.8× |
| Hbot, full body chamber, 30m (G0277) |
$439.40 |
$676 |
3.6× |
| Hep c screen high risk/other (G0472) |
$55.90 |
$86 |
1.2× |
| Hiv combination assay (G0475) |
$49.72 |
$76.50 |
2.1× |
| Hospital outpt clinic visit (G0463) |
$107.25 |
— |
0.9× |
| Pathogen test for platelets (P9100) |
$114.40 |
$176 |
2.2× |
| Psa screening (G0103) |
$51.02 |
$78.50 |
2.6× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$625.95 |
$963 |
3.3× |
| Tomosynthesis, mammo (G0279) |
$131.95 |
$203 |
10.4× |
| Tte w or wo fol wcon,doppler (C8929) |
$2,241.20 |
$3,448 |
3.3× |
| Unsched dialysis esrd pt hos (G0257) |
$2,234.05 |
$3,437 |
3.7× |