Supplies, drugs & other prices at UF Health Leesburg Hospital

Leesburg, FL · every code in this section with a posted price and a Medicare benchmark.

162 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,656.60 $3,012 2.0×
2d tte w or w/o fol w/con,fu (C8924) $895.40 $1,628 2.5×
3d anat seg imaging preop (C8001) $301.40 $548 2.2×
3D cntr simula trgt lvr les (0944T) $493.35 $897 2.0×
Ablation b9 thyroid nodule perq laser w/img gdn (0673T) $3,200.45 $5,819 1.9×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,933.05 $7,151 1.9×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $12,518 $22,760 1.4×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $3,933.05 $7,151 1.9×
Adm of soc dtr assess 5-15 m (G0136) $57.35 $104.27 1.5×
Adm tocilizu covid-19 1st (M0249) $1,003.20 $1,824 2.2×
Adm tocilizu covid-19 2nd (M0250) $1,003.20 $1,824 2.2×
Admin hepatitis b vaccine (G0010) $40.70 $74 0.8×
Admin influenza virus vac (G0008) $40.70 $74 0.8×
Admin pneumococcal vaccine (G0009) $40.70 $74 0.8×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) $161.15 $293 1.2×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0765T) $161.15 $293 1.2×
Bia whole body composition assessment w/i&r (0358T) $51.98 $94.50 1.7×
Blind myocar trpl bon marrow (C9782) $26,052.40 $47,368 1.5×
Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD), with… (0743T) $830.50 $1,510 3.3×
Brief chkin, 5-10, non-e/m (G2251) $30.25 $55 2.2×
Ca screen;flexi sigmoidscope (G0104) $2,009.15 $3,653 2.1×
Catheterize for urine spec (P9612) $11.55 $21 1.2×
Chemo extend iv infus w/pump (G0498) $855.80 $1,556 2.5×
Colon ca scrn not hi rsk ind (G0121) $2,151.60 $3,912 2.2×
Colorectal scrn; hi risk ind (G0105) $2,253.35 $4,097 2.3×
Covid-19 lab test non-cdc (U0002) $114.95 $209 2.2×
Diab manage trn per indiv (G0108) $92.95 $169 1.7×
Diab manage trn ind/group (G0109) $56.65 $103 3.5×
Direct refer hospital observ (G0379) $1,166.55 $2,121 1.9×
Drug test def 1-7 classes (G0480) $83.05 $151 0.7×
Drug test def 15-21 classes (G0482) $139.70 $254 0.7×
Drug test def 8-14 classes (G0481) $139.70 $254 0.9×
Ed svc ckd ind per session (G0420) $201.83 $366.96 1.8×
Elec stim other than wound (G0283) $106.70 $194 8.4×
Ephys eval ccm-d ld 1st impl (0930T) $2,453.55 $4,461 1.9×
Ephys eval ccm-d ld separate (0931T) $2,453.55 $4,461 1.9×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $21,930.15 $39,873 1.8×
Evasc ven artlz tibl/prnl vn (0620T) $67,376.10 $122,502 1.5×
Extraction erupted tooth/exr (D7140) $1,431.10 $2,602 2.1×
Fecal blood scrn immunoassay (G0328) $62.70 $114 3.5×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) $6,376.15 $11,593 1.9×
Group mnt 2 or more 30 mins (G0271) $39.60 $72 2.3×
Group train w/o patient (G0543) $44.55 $81 1.5×
Hbot, full body chamber, 30m (G0277) $385.55 $701 2.7×
Home sleep test/type 3 porta (G0399) $551.10 $1,002 2.4×
Home sleep test/type 4 porta (G0400) $636.90 $1,158 2.8×
Hospital outpt clinic visit (G0463) $274.45 $499 2.0×
Inj for sacroiliac jt anesth (G0260) $1,562 $2,840 2.1×
Insj perm ccm-d sys 1 lead (0917T) $16,727.70 $30,414 1.9×
Insj perm ccm-d sys dual ld (0918T) $16,727.70 $30,414 1.9×
Insj perm ccm-d sys pg only (0916T) $45,369.50 $82,490 2.0×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $64,804.85 $117,827 2.0×
Insj substernal implantable defibrillator eltrd (0572T) $15,931.30 $28,966 1.8×
Insj/rplc cardiac modulj sys (0408T) $64,804.85 $117,827 2.0×
Insj/rplcmt icds w/substernal electrode (0571T) $35,267.65 $64,123 1.1×
Instlj fecal microbiota ssp rct nma lwr gi trc (0780T) $1,751.75 $3,185 12.6×
Interrog dev eval impl ccm-d system in person (0927T) $75.90 $138 1.9×
Interrogation dev eval icds w/ss eltrd in person (0576T) $72.05 $131 1.8×
Mnt subs tx for change dx (G0270) $83.05 $151 2.6×
Mra w/cont, abd (C8900) $1,323.85 $2,407 3.6×
Mra w/cont, chest (C8909) $1,323.85 $2,407 3.6×
Mra w/cont, lwr ext (C8912) $1,059.30 $1,926 2.9×
Mra w/cont, pelvis (C8918) $1,323.85 $2,407 3.6×
Mra w/o cont, abd (C8901) $1,257.30 $2,286 5.0×
Mra w/o cont, chest (C8910) $1,323.85 $2,407 5.3×
Mra w/o cont, lwr ext (C8913) $1,323.85 $2,407 5.3×
Mra w/o cont, pelvis (C8919) $1,323.85 $2,407 5.3×
Mra w/o fol w/cont, abd (C8902) $1,390.40 $2,528 3.8×
Mra w/o fol w/cont, chest (C8911) $1,364 $2,480 3.7×
Mra w/o fol w/cont, lwr ext (C8914) $1,323.85 $2,407 3.6×
Mra w/o fol w/cont, pelvis (C8920) $1,323.85 $2,407 3.6×
Mra, w/dye, spinal canal (C8931) $1,323.85 $2,407 3.6×
Mra, w/dye, upper extremity (C8934) $1,323.85 $2,407 3.6×
Mra, w/o dye, spinal canal (C8932) $1,323.85 $2,407 5.3×
Mra, w/o dye, upper extr (C8935) $1,323.85 $2,407 5.3×
Mra, w/o&w/dye, spinal canal (C8933) $1,323.85 $2,407 3.6×
Mra, w/o&w/dye, upper extr (C8936) $1,323.85 $2,407 3.6×
Mri w/cont, breast, bi (C8906) $1,323.85 $2,407 3.6×
Mri w/cont, breast, uni (C8903) $1,323.85 $2,407 7.2×
Mri w/o fol w/cont, brst, un (C8905) $1,323.85 $2,407 3.6×
Neuro csf prion prtn qual (0035U) $753.78 $1,370.50 1.4×
No pt prsnt train initial 30 (G0541) $105.05 $191 3.5×
Oncology (thyroid), DNA and mRNA of 112 genes, next-generation sequencing, fine needle aspirate of thyroid nodule,… (0026U) $1,375 $2,500 0.4×
Oth resp proc, group (G0239) $106.70 $194 2.7×
Oth resp proc, indiv (G0238) $50.05 $91 1.7×
Pathogen test for platelets (P9100) $98.45 $179 1.6×
Pemivibart infusion (M0224) $955.90 $1,738 2.1×
Perc d-e cor revasc chro sin (C9607) $36,486.45 $66,339 1.9×
Perc d-e cor revasc t cabg s (C9604) $24,022.35 $43,677 2.0×
Perc d-e cor stent ather s (C9602) $28,344.25 $51,535 1.5×
Perc drug-el cor stent sing (C9600) $24,022.35 $43,677 2.0×
Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) $37,836.70 $68,794 2.0×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $37,836.70 $68,794 2.0×
Perq sac agmntj bi w/wo balo/mchnl dev 2/> ndls (0201T) $7,252.85 $13,187 1.0×
Perq sac agmntj uni w/wo balo/mchnl dev 1/> ndl (0200T) $7,252.85 $13,187 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $22,922.35 $41,677 1.9×
Pre 3d mdl w/ccta and/or mri (C9793) $2,201.10 $4,002 2.5×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $12,759.45 $23,199 327.4×
Programming device eval impl ccm-d sys in person (0926T) $75.90 $138 1.9×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $72.05 $131 1.8×
Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of… (0804T) $77.55 $141 2.0×
Psa screening (G0103) $73.15 $133 3.8×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $662.20 $1,204 0.7×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $662.20 $1,204 0.7×
Quan MRI alys brn w/dx MRI (0866T) $522.50 $950 2.1×
Quan us tiss charac i&r w/o dx us same anat (0689T) $184.80 $336 2.0×
Quantitative computed tomography (CT scan) tissue characterization with interpretation and report and concurrent CT… (0722T) $1,388.75 $2,525 2.1×
Quantitative computed tomography (CT) tissue characterization, including interpretation and report, obtained without… (0721T) $1,388.75 $2,525 2.1×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0724T) $2,206.60 $4,012 2.3×
Quantitative magnetic resonance (MR scan) imaging of gallbladder, bile ducts, pancreas and pancreatic duct… (0723T) $2,206.60 $4,012 2.3×
Quantitative MRI alys brain w comp to prior mr study including lesion id character quantification w brain volumes… (0865T) $522.50 $950 2.1×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $617.92 $1,123.50 0.9×
Remot img sub by pt, non e/m (G2250) $22 $40 1.7×
Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and… (0740T) $115.50 $210 1.9×
Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of… (0741T) $68.75 $125 1.8×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $7,005.90 $12,738 1.8×
Revasc intra lithotrip-ather (C9766) $39,186.95 $71,249 2.0×
Revasc intra lithotrip-stent (C9765) $39,186.95 $71,249 2.0×
Revasc intravasc lithotripsy (C9764) $24,587.20 $44,704 2.0×
Revasc lith-sten-ath tib/per (C9775) $37,387.90 $67,978 2.0×
Revasc lithotr-ather tib/per (C9774) $39,186.95 $71,249 2.0×
Revasc lithotr-stent tib/per (C9773) $39,186.95 $71,249 2.0×
Revasc lithotrip tibi/perone (C9772) $24,587.20 $44,704 2.0×
Revasc lithotrip-stent-ather (C9767) $39,186.95 $71,249 2.0×
Rlcj skin pocket ccm-d pg (0925T) $3,697.10 $6,722 1.7×
Rmvl perm ccm-d sys 1 dfb ld (0921T) $7,356.25 $13,375 1.9×
Rmvl perm ccm-d sys 1 pac ld (0920T) $7,356.25 $13,375 1.9×
Rmvl perm ccm-d sys dual ld (0922T) $7,356.25 $13,375 1.9×
Rmvl perm ccm-d sys pg only (0919T) $7,356.25 $13,375 1.9×
Rmvl substernal implantable defibrillator eltrd (0573T) $7,005.90 $12,738 1.8×
Rmvl&rplcmt perm ccm-d pg (0923T) $45,369.50 $82,490 2.0×
Rpos prv ccm-d trnsvns eltrd (0924T) $6,361.85 $11,567 9.7×
Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement… (0778T) $336.05 $611 2.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $11,513.15 $20,933 0.6×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $37,539.15 $68,253 1.9×
Tcat insj perm dual chamber ldls pm compl sys (0795T) $35,738.45 $64,979 1.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $11,518.65 $20,943 3.5×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $6,548.85 $11,907 2.0×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $11,513.15 $20,933 0.6×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $37,539.15 $68,253 1.9×
Tcat rmvl/debulk icar mass suction device perq (0644T) $9,756.45 $17,739 1.6×
Tee w or w/o fol w/cont, mon (C8927) $1,760.55 $3,201 2.2×
Tee w or w/o fol w/cont,cong (C8926) $1,760.55 $3,201 2.2×
Therapeutic procd strg endur (G0237) $68.75 $125 2.3×
Therapeutic ultrafiltration (0692T) $891.55 $1,621 0.5×
Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring,… (0933T) $57,460.70 $104,474 17.0×
Transcatheter renal sympath denervation bilat (0339T) $10,975.25 $19,955 1.8×
Transcatheter renal sympath denervation unilat (0338T) $10,975.25 $19,955 1.8×
Transcutaneous auricular neurostimulation, set-up, calibration, and patient education on use of equipment (0783T) $323.95 $589 2.4×
Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, with… (0766T) $353.10 $642 1.6×
Trauma respons w/hosp criti (G0390) $4,499.55 $8,181 3.2×
Trluml perip athrc abd aorta (0236T) $25,352.80 $46,096 2.1×
Trluml perip athrc iliac art (0238T) $21,811.35 $39,657 1.1×
Trluml perip athrc renal art (0234T) $25,352.80 $46,096 2.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $20,489.70 $37,254 1.7×
Tte w or w/o contr, cont ecg (C8930) $1,924.45 $3,499 2.4×
Tte w or w/o fol w/con,stres (C8928) $2,010.25 $3,655 2.5×
Tte w or w/o fol w/cont, com (C8921) $1,656.60 $3,012 2.0×
Tte w or w/o fol w/cont, f/u (C8922) $1,277.10 $2,322 1.6×
Tte w or wo fol wcon,doppler (C8929) $1,937.65 $3,523 2.4×
U/s trtmt, not leiomyomata (C9734) $15,132.70 $27,514 1.1×
Unsched dialysis esrd pt hos (G0257) $1,004.85 $1,827 1.4×