24 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,074.75 |
$1,433 |
3.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,274.25 |
$1,699 |
4.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$1,274.25 |
$1,699 |
4.6× |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
$1,026 |
$1,368 |
0.7× |
| Blood transfusion service (36430) |
$931.50 |
$1,242 |
2.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,904.25 |
$2,539 |
2.4× |
| Inj tendon sheath/ligament (20550) |
$1,098 |
$1,464 |
4.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,984.50 |
$2,646 |
2.5× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$983.25 |
$1,311 |
1.2× |
| Inject Tendon Origin/Insert (20551) |
$722.25 |
$963 |
2.6× |
| Injection aa&/strd suprascapular nerve (64418) |
$983.25 |
$1,311 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$662.25 |
$883 |
2.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$662.25 |
$883 |
2.4× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$1,474.50 |
$1,966 |
5.3× |
| Insert picc cath (36569) |
$2,809.50 |
$3,746 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$678 |
$904 |
3.2× |
| Myelography Lumbar Injection (62305) |
$2,910.75 |
$3,881 |
4.1× |
| Myelography Lumbar Injection (62304) |
$2,910.75 |
$3,881 |
4.1× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$2,910.75 |
$3,881 |
4.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,910.75 |
$3,881 |
4.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,998 |
$2,664 |
2.5× |
| Puncture Aspiration (10160) |
$794.25 |
$1,059 |
2.2× |
| Unlisted Procedure Breast (19499) |
$466.50 |
$622 |
0.1× |
| Venipuncture (36415) |
$26.25 |
$35 |
2.8× |