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11 codes. Prices are the hospital's own posted facility charges.
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Procedure Posted cash Posted gross × Medicare
3d bn img algor drvd fr mri (G0566)
$313
$313
2.4×
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) range across 3 matching MRF lines
$491–$1,937
$491–$1,937
varies
Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments Facility (0657T) unusually low: confirm this is the full procedure
$6,198
$6,198
0.4×
Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments Facility (0656T) unusually low: confirm this is the full procedure
$6,393
$6,393
0.4×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (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 platelet plasma (0232T)
$1,550
$1,550
3.5×
Perq Sacral Augmt Bilat Inj (0201T)
$5,066
$5,066
0.7×
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.