13 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
| Ablation, irreversible electroporation; 1 or more tumors per organ, including imaging guidance, when performed,… (0600T) |
$26,801.34 |
$40,002 |
2.5× |
| Adm tocilizu covid-19 1st (M0249) |
$759.78 |
$1,134 |
1.7× |
| Adm tocilizu covid-19 2nd (M0250) |
$759.78 |
$1,134 |
1.7× |
| Cardiology (heart transplant), mRNA gene expression progiling by microarray of 1283 genes, transplant biopsy tissue,… (0087U) |
$5,360 |
$8,000 |
1.7× |
| Direct refer hospital observ (G0379) |
$964.80 |
$1,440 |
1.6× |
| Drug test def 8-14 classes (G0481) |
$106.53 |
$159 |
0.7× |
| Heart symp image plnr (0331T) |
$1,256.25 |
$1,875 |
1.0× |
| Heart symp image plnr spect (0332T) |
$1,385.56 |
$2,068 |
1.1× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$2,848.17 |
$4,251 |
6.3× |
| Oncology (central nervous system), analysis of 30,000 DNA methylation loci by methylation array, utilizing DNA… (0020M) |
$2,966.76 |
$4,428 |
1.2× |
| Pathogen test for platelets (P9100) |
$40.20 |
$60 |
0.7× |
| Pattern erg w/i&r (0509T) |
$600.99 |
$897 |
2.8× |
Trluml peripheral atherectomy iliac artery ea (0238T) likely a partial charge, not the full procedure |
$2,462.25 |
$3,675 |
0.1× |