11 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 3d bn img algor drvd fr mri (G0566) |
$313 |
$313 |
2.4× |
| Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) |
$1,096 |
$1,096 |
8.2× |
| Computed tomography scan taken for the purpose of biomechanical computed tomography analysis CAT Scan (0558T) |
$167 |
$167 |
1.9× |
| Covid-19 lab test non-cdc (U0002) |
$102.66 |
$102.66 |
2.0× |
| Group mnt 2 or more 30 mins (G0271) |
$38 |
$38 |
2.2× |
| Inj for sacroiliac jt anesth (G0260) |
$1,770 |
$1,770 |
2.5× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) |
$1,576 |
$1,576 |
1.8× |
| Njx pltlt plasma w/img harvest/preparation (0232T) |
$1,550 |
$1,550 |
3.5× |
| Perq Sacral Augmt Bilat Inj (0201T) |
$5,066 |
$5,066 |
0.7× |
Vertebral body tethering, anterior; 8 or more vertebral segments (0657T)
unusually low: confirm this is the full procedure |
$6,198 |
$6,198 |
0.4× |
Vertebral body tethering, anterior; up to 7 vertebral segments (0656T)
unusually low: confirm this is the full procedure |
$6,393 |
$6,393 |
0.4× |