Supplies, drugs & other prices at Vanderbilt Bedford Hospital

Shelbyville, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $42.05 $145 1.2×
2d tee w or w/o fol w/con,in (C8925) $1,108.09 $3,821 1.5×
2d tte w or w/o fol w/con,co (C8923) $756.90 $2,610 1.0×
2d tte w or w/o fol w/con,fu (C8924) $607.55 $2,095 1.8×
3d anat seg imaging preop (C8001) $97.15 $335 0.8×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $2,120.77 $7,313 0.6×
Adm of soc dtr assess 5-15 m (G0136) $15.37 $53 0.4×
Adm tocilizu covid-19 1st (M0249) $280.14 $966 0.7×
Adm tocilizu covid-19 2nd (M0250) $280.14 $966 0.7×
Admin hepatitis b vaccine (G0010) $18.27 $63 0.4×
Admin influenza virus vac (G0008) $18.27 $63 0.4×
Admin pneumococcal vaccine (G0009) $18.27 $63 0.4×
Alcohol/sub misuse assess (G2011) $26.54 $91.50 1.0×
Alcohol/subs interv 15-30mn (G0396) $51.62 $178 1.4×
Alcohol/subs interv >30 min (G0397) $105.70 $364.50 0.6×
Annual alcohol screen 15 min (G0442) $24.65 $85 0.7×
Autolog prp not diab ulcer (G0460) $737.76 $2,544 0.4×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $280 $965.50 7.9×
Behavior counsel obesity 15m (G0447) $21.46 $74 0.2×
Bia whole body composition assessment w/i&r (0358T) $31.90 $110 1.2×
Blind cor sinus reducer impl (C9783) $7,745.32 $26,708 0.7×
Blind interatrial shunt ide (C9758) $12,083.14 $41,666 0.7×
Brief alcohol misuse counsel (G0443) $37.41 $129 0.4×
Ca screen;flexi sigmoidscope (G0104) $634.23 $2,187 0.7×
Ca screen;pelvic/breast exam (G0101) $44.95 $155 0.5×
Catheterize for urine spec (P9612) $38.57 $133 4.1×
Cbc without platelet (G0307) $25.81 $89 4.0×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $1,465.08 $5,052 0.6×
Colon ca scrn not hi rsk ind (G0121) $790.83 $2,727 0.9×
Colorectal scrn; hi risk ind (G0105) $741.38 $2,556.50 0.8×
Comm hlth intg svs sdoh 60mn (G0019) $56.98 $196.50 0.6×
Compre ful bdy 3d mtn alys (0693T) $129.34 $446 0.4×
Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated (0212T) $62.64 $216 0.5×
Covid-19 lab test non-cdc (U0002) $44.08 $152 0.9×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $307.28 $1,059.60 0.1×
Demonstrate use home inr mon (G0248) $118.90 $410 0.9×
Depression screen annual (G0444) $23.34 $80.50 0.7×
Dermal filler injection(s) (G0429) $136.30 $470 0.1×
Diab manage trn per indiv (G0108) $48 $165.50 0.9×
Diab manage trn ind/group (G0109) $30.45 $105 1.9×
Direct refer hospital observ (G0379) $481.98 $1,662 0.8×
Drug test def 1-7 classes (G0480) $131.95 $455 1.2×
Drug test def 15-21 classes (G0482) $221.56 $764 1.1×
Drug test def 22+ classes (G0483) $287.97 $993 1.2×
Drug test def 8-14 classes (G0481) $172.84 $596 1.1×
Ed svc ckd grp per session (G0421) $36.83 $127 1.3×
Ed svc ckd ind per session (G0420) $106.14 $366 0.9×
Egd flexible transnasal w/biopsy single/multiple (0653T) $969.90 $3,344.50 0.5×
Egd flexible transnasal w/insj intral tube/cath (0654T) $992.52 $3,422.50 0.3×
Ekg tracing for initial prev (G0404) $63.80 $220 2.3×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $102.95 $355 1.1×
Elec alys int nstimj sys vagus nrv w/o prgrmg (0911T) $57.42 $198 1.0×
Elec alys int nstimj sys vagus nrv w/smpl prgrmg (0912T) $84.97 $293 0.9×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $55.97 $193 0.6×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $87.29 $301 1.0×
Elec stim other than wound (G0283) $46.11 $159 3.6×
Electromagntic tx for ulcers (G0329) $5.22 $18 0.5×
Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and… (0789T) $108.46 $374 1.2×
Electrophysiologic eval icds w/ss electrode (0577T) $550.71 $1,899 0.5×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$2,689.17 $9,273 0.1×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $119.19 $411 0.0×
Esd endoscopy or colonoscopy (C9779) $13,031.15 $44,935 3.5×
Esophag muc integ w/eso egd (C9777) $2,664.23 $9,187 0.7×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T)
likely a partial charge, not the full procedure
$2,100.76 $7,244 0.2×
Fecal blood scrn immunoassay (G0328) $15.08 $52 0.8×
Fecal microbiota prep instil (G0455) $213.15 $735 0.2×
Fern test (Q0114) $9.28 $32 1.0×
Followup eval of foot pt lop (G0246) $27.26 $94 0.2×
Fractional abl lsr fenestration first 100 sqcm (0479T) $1,488.42 $5,132.50 2.1×
Glaucoma scrn hgh risk direc (G0118) $17.11 $59 0.5×
Glaucoma scrn hgh risk direc (G0117) $48.43 $167 1.8×
Group behave couns 2-10 (G0473) $17.98 $62 0.5×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $3,338.48 $11,512 5.0×
High inten beh couns std 30m (G0445) $21.17 $73 0.2×
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging… (0888T)
likely a partial charge, not the full procedure
$856.66 $2,954 0.1×
Histotripsy mal hepatocellular tiss w/img gdn (0686T)
likely a partial charge, not the full procedure
$3,653.13 $12,597 0.2×
Hospital outpt clinic visit (G0463) $45.96 $158.50 0.4×
Impact tooth rem bony w/comp (D7241) $493.29 $1,701 0.8×
Impact tooth remov comp bony (D7240) $89.61 $309 0.1×
Impact tooth remov part bony (D7230) $89.61 $309 0.1×
Init/sub psych care m 1st 30 (G2214) $98.02 $338 1.0×
Initial foot exam pt lops (G0245) $46.98 $162 0.4×
Initial preventive exam (G0402) $78.01 $269 0.6×
Inj for sacroiliac jt anesth (G0260) $680.34 $2,346 1.0×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $290 $1,000 0.1×
Insert drug del implant, >=4 (G0516) $195.17 $673 0.5×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T)
likely a partial charge, not the full procedure
$1,289.63 $4,447 0.3×
Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed,… (0744T)
unusually low: confirm this is the full procedure
$1,970.84 $6,796 0.4×
Insertion of sinus tarsi implant (0335T)
likely a partial charge, not the full procedure
$755.74 $2,606 0.1×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$3,499.43 $12,067 0.4×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T)
likely a partial charge, not the full procedure
$490.97 $1,693 0.0×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T)
likely a partial charge, not the full procedure
$440.22 $1,518 0.0×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T)
likely a partial charge, not the full procedure
$234.32 $808 0.0×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T)
likely a partial charge, not the full procedure
$1,182.62 $4,078 0.1×
Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging… (0784T)
likely a partial charge, not the full procedure
$1,539.61 $5,309 0.1×
Insertion wrls car stimulator lv pacg compl sys (0515T)
likely a partial charge, not the full procedure
$234.32 $808 0.0×
Insertion/replacement complete iims (0525T)
likely a partial charge, not the full procedure
$1,098.81 $3,789 0.1×
Insertion/replacement iims implantable mntr only (0527T)
likely a partial charge, not the full procedure
$119.77 $413 0.0×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T)
likely a partial charge, not the full procedure
$362.50 $1,250 0.1×
Insj ocular telescope prosth (0308T)
likely a partial charge, not the full procedure
$1,632.41 $5,629 0.1×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $21,270.92 $73,348 0.7×
Intens behave ther cardio dx (G0446) $37.41 $129 1.0×
Intens cardiac rehab no exer (G0423) $147.61 $509 1.2×
Intens cardiac rehab w/exerc (G0422) $147.61 $509 1.2×
Interrog dev eval iims ip (0529T) $98.89 $341 2.8×
Interrog dev eval wcs ip (0521T) $98.89 $341 3.6×
Interrogation dev eval icds w/ss eltrd in person (0576T) $67.86 $234 1.9×
Lev 1 hosp type b ed visit (G0380) $131.08 $452 1.8×
Lev 2 hosp type b ed visit (G0381) $227.36 $784 2.6×
Lev 3 hosp type b ed visit (G0382) $443.70 $1,530 2.7×
Lev 4 hosp type b ed visit (G0383) $714.56 $2,464 2.8×
Lev 5 hosp type b ed visit (G0384) $1,049.51 $3,619 2.7×
Liver dis 10 assays w/nash (0003M) $558.83 $1,927 1.1×
Mra w/cont, abd (C8900) $494.74 $1,706 1.5×
Mra w/cont, chest (C8909) $495.32 $1,708 1.5×
Mra w/cont, lwr ext (C8912) $89.32 $308 0.3×
Mra w/cont, pelvis (C8918) $495.32 $1,708 1.5×
Mra w/o cont, abd (C8901) $88.45 $305 0.4×
Mra w/o cont, chest (C8910) $412.96 $1,424 1.8×
Mra w/o cont, lwr ext (C8913) $495.32 $1,708 2.2×
Mra w/o cont, pelvis (C8919) $88.45 $305 0.4×
Mra w/o fol w/cont, abd (C8902) $412.96 $1,424 1.2×
Mra w/o fol w/cont, chest (C8911) $89.03 $307 0.3×
Mra w/o fol w/cont, lwr ext (C8914) $412.67 $1,423 1.2×
Mra w/o fol w/cont, pelvis (C8920) $495.32 $1,708 1.5×
Mra, w/dye, spinal canal (C8931) $552.45 $1,905 1.7×
Mra, w/o dye, spinal canal (C8932) $88.16 $304 0.4×
Mra, w/o&w/dye, spinal canal (C8933) $469.51 $1,619 1.4×
Mri w/o fol w/cont, breast, (C8908) $750.23 $2,587 2.3×
Nav srv peer sup 60 min pr m (G0140) $60.46 $208.50 0.6×
Ncntc nr ifr spectrsc oth/thn pad 1st antmc site (0640T) $260.42 $898 7.3×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $238.38 $822 0.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $708.47 $2,443 1.7×
Noninvasive assessment of blood oxygenation, gas exchange efficiency, and cardiorespiratory status, with physician or… (0893T) $56.55 $195 0.4×
Noninvasive prostate cancer estimation map, derived from augmentative analysis of image-guided fusion biopsy and… (0898T) $146.74 $506 0.2×
Obtaining screen pap smear (Q0091) $16.53 $57 0.6×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $1,546.86 $5,334 4.8×
Onc Merkel Cll Carc Srm Quan (0058U) $1,546.86 $5,334 4.8×
Onc thyr DNA&mrna 112 genes fna ndul alg alys (0026U) $1,687.80 $5,820 0.5×
Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg,… (0817T)
likely a partial charge, not the full procedure
$469.80 $1,620 0.0×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T)
likely a partial charge, not the full procedure
$469.80 $1,620 0.0×
Open tx iliac spine uni/bil (G0412)
likely a partial charge, not the full procedure
$570.72 $1,968 0.1×
Open tx post pelvic fxcture (G0415) $1,083.44 $3,736 0.3×
Osteotomy, humerus, with insertion of an externally controlled intramedullary lengthening device, including… (0594T)
likely a partial charge, not the full procedure
$770.53 $2,657 0.1×
Oth resp proc, group (G0239) $104.69 $361 2.9×
Oth resp proc, indiv (G0238) $63.22 $218 2.3×
Pattern erg w/i&r (0509T) $55.97 $193 0.3×
Pelvic ring fracture uni/bil (G0413) $4,563.44 $15,736 0.7×
Pelvic ring fx treat int fix (G0414)
likely a partial charge, not the full procedure
$790.54 $2,726 0.1×
Pemivibart infusion (M0224) $220.98 $762 0.5×
Perc d-e cor revasc chro sin (C9607)
likely a partial charge, not the full procedure
$678.02 $2,338 0.0×
Perc d-e cor revasc t cabg s (C9604)
likely a partial charge, not the full procedure
$604.65 $2,085 0.1×
Perc d-e cor stent ather s (C9602)
likely a partial charge, not the full procedure
$676.57 $2,333 0.0×
Perc drug-el cor stent sing (C9600)
likely a partial charge, not the full procedure
$604.94 $2,086 0.1×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T)
likely a partial charge, not the full procedure
$295.80 $1,020 0.0×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T)
unusually low: confirm this is the full procedure
$6,770.63 $23,347 0.4×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$5,298.88 $18,272 0.5×
Pin service 60m per month (G0023) $56.98 $196.50 0.6×
Place device/marker, non pro (C9728) $1,357.20 $4,680 1.0×
Place endorectal app (C9725) $539.69 $1,861 0.6×
Placement of a posterior intrafacet implant(s), unilateral or bi lateral, including imaging and placement of bone… (0219T)
likely a partial charge, not the full procedure
$2,181.38 $7,522 0.2×
Potassium hydroxide preps (Q0112) $3.48 $12 0.6×
Ppps, initial visit (G0438) $193.43 $667 1.1×
Ppps, subseq visit (G0439) $71.92 $248 0.5×
Pre 3d mdl w/ccta and/or mri (C9793) $1,223.22 $4,218 1.5×
Prgrmg dev eval icds ss ip (0575T) $71.34 $246 2.0×
Prgrmg dev eval iims ip (0528T) $153.70 $530 4.3×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $121.51 $419 3.4×
Prgrmg dev eval wcs ip (0522T) $129.92 $448 3.6×
Prostate biopsy, any mthd (G0416) $412.24 $1,421.50 1.2×
Psa screening (G0103) $28.71 $99 1.5×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $1,202.48 $4,146.50 1.4×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $458.20 $1,580 0.5×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,202.48 $4,146.50 1.4×
Rectal tumor excision, transanal endoscopic microsurgical, full thick (0184T)
likely a partial charge, not the full procedure
$691.65 $2,385 0.1×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $1,868.62 $6,443.50 0.9×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $1,868.62 $6,443.50 0.9×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T)
likely a partial charge, not the full procedure
$660.91 $2,279 0.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
likely a partial charge, not the full procedure
$409.48 $1,412 0.0×
Removal complete iims (0530T) $320.74 $1,106 0.1×
Removal iims electrode only (0531T) $341.62 $1,178 0.1×
Removal iims implt mntr only (0532T) $293.77 $1,013 0.1×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $312.04 $1,076 0.1×
Removal Pg Wcs Lv Pacing Both Components (0861T) $2,081.04 $7,176 0.6×
Remove drug implant (G0517) $300.88 $1,037.50 0.7×
Remove w insert drug implant (G0518) $370.62 $1,278 0.9×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $1,477.26 $5,094 0.4×
Revasc intra lithotrip-ather (C9766) $10,307.47 $35,543 0.6×
Revasc intra lithotrip-stent (C9765) $10,307.47 $35,543 0.6×
Revasc intravasc lithotripsy (C9764) $7,332.36 $25,284 0.7×
Revasc lith-sten-ath tib/per (C9775) $9,816.50 $33,850 0.6×
Revasc lithotr-ather tib/per (C9774) $10,307.47 $35,543 0.6×
Revasc lithotr-stent tib/per (C9773) $10,307.47 $35,543 0.6×
Revasc lithotrip tibi/perone (C9772) $7,332.36 $25,284 0.7×
Revasc lithotrip-stent-ather (C9767) $10,307.47 $35,543 0.6×
Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body… (0790T)
likely a partial charge, not the full procedure
$780.39 $2,691 0.0×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0819T) $372.36 $1,284 0.1×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $348 $1,200 0.1×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $352.64 $1,216 0.1×
Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator (0785T) $2,392.50 $8,250 0.7×
Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) $372.36 $1,284 0.1×
Rmvl substernal implantable defibrillator eltrd (0573T) $1,477.26 $5,094 0.4×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $1,477.26 $5,094 0.4×
Rmvl&rimpltj ant sgm io nbiodgrd rx elut implt (0661T) $562.31 $1,939 0.1×
Routine footcare pt w lops (G0247) $29.29 $101 0.2×
Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies (0810T) $1,621.39 $5,591 0.4×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $7,101.23 $24,487 2.3×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$7,080.78 $24,416.50 0.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure
$7,058.46 $24,339.50 0.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$7,058.46 $24,339.50 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$7,439.22 $25,652.50 0.4×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $1,772.77 $6,113 0.6×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,564.47 $8,843 0.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,564.47 $8,843 0.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,973.08 $10,252 1.0×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure
$8,853.56 $30,529.50 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $9,334.38 $32,187.50 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$8,545 $29,465.50 0.5×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$8,545 $29,465.50 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,920.51 $13,519 0.7×
Tee w or w/o fol w/cont, mon (C8927) $1,270.49 $4,381 1.7×
Tee w or w/o fol w/cont,cong (C8926) $1,425.93 $4,917 1.9×
Therapeutic procd strg endur (G0237) $60.61 $209 2.2×
Therapeutic ultrafiltration (0692T) $378.02 $1,303.50 0.3×
Tomosynthesis, mammo (G0279) $22.48 $77.50 1.8×
Tpmt Nudt15 Gene Analysis Common Variants (0034U) $189.37 $653 0.4×
Transcatheter Renal Sympath Denervation Bilat (0339T)
unusually low: confirm this is the full procedure
$2,715.70 $9,364.50 0.5×
Transcatheter renal sympath denervation unilat (0338T) $3,880.49 $13,381 0.7×
Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy, including intraoperative… (0582T)
likely a partial charge, not the full procedure
$1,574.99 $5,431 0.1×
Trauma respons w/hosp criti (G0390) $3,339.35 $11,515 2.6×
Trim nail(s) (G0127) $31.90 $110 0.6×
Trluml peripheral atherectomy iliac artery ea (0238T)
likely a partial charge, not the full procedure
$628.72 $2,168 0.0×
Tte w or w/o contr, cont ecg (C8930) $1,466.24 $5,056 2.0×
Tte w or w/o fol w/con,stres (C8928) $866.52 $2,988 1.2×
Tte w or w/o fol w/cont, com (C8921) $954.68 $3,292 1.3×
Tte w or w/o fol w/cont, f/u (C8922) $658.59 $2,271 0.9×
Tte w or wo fol wcon,doppler (C8929) $202.86 $699.50 0.3×
Vertebral body tethering, anterior; 8 or more vertebral segments (0657T)
unusually low: confirm this is the full procedure
$5,503.33 $18,977 0.3×
Vertebral body tethering, anterior; up to 7 vertebral segments (0656T)
likely a partial charge, not the full procedure
$4,986.26 $17,194 0.3×
Visit esketamine 56m or less (G2082) $1,324.72 $4,568 1.3×
Visit esketamine, > 56m (G2083) $1,934.88 $6,672 1.3×
Visit to determ ldct elig (G0296) $60.61 $209 0.6×
Wet mounts/ w preparations (Q0111) $11.89 $41 0.6×