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25 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
Airway Inhalation Treatment (94640)
$665
$665
2.3×
Cardioversion (92960) range across 2 matching MRF lines
$3,919–$4,095
$3,919–$4,095
varies
Chemo IV infusion addl hr (96415)
$645
$645
6.9×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
$1,666
$1,666
3.9×
Electrocardiogram Tracing (93005)
$614
$614
8.0×
Irrig Drug Delivery Device (96523)
$358
$358
4.7×
IV infusion hydration each additional hour (96361)
$461
$461
7.6×
IV infusion hydration initial 31 min-1 hour (96360)
$1,091
$1,091
4.0×
IV infusion ther proph addl sequential to 1 hr (96367)
$517
$517
5.5×
IV infusion therapy prophylaxis/dx ea hour (96366)
$555
$555
9.2×
IV push initial (96374)
$609
$609
2.2×
Neuromuscular Reeducation (97112)
$234
$234
7.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
$210
$210
4.6×
Ot manual therapy 15 min (97140)
$246
$246
8.9×
Phlebotomy therapeutic (99195)
$608
$608
3.5×
Pt Eval High Complex (97163)
$629
$629
6.4×
Pt eval low complex 20 min (97161)
$495
$495
5.1×
Pt Eval Mod Complex (97162)
$558
$558
5.7×
Pt gait training 15 min (97116)
$225
$225
7.7×
Pt Re-Eval Est Plan Care (97164)
$330
$330
4.9×
Self Care Mngment Training (97535)
$226
$226
7.0×
Ther/Proph/Diag Inj Sc/Im (96372)
$325
$325
3.5×
Ther/Proph/Diag Iv Inf Init (96365)
$1,143
$1,143
4.2×
Therapeutic Activities (97530)
$238
$238
6.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
$456
$456
7.5×
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.