33 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|
| Airway inhalation treatment (94640) |
$34.65 |
$34.65 |
0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$268.80 |
$268.80 |
0.8× |
| Cardiopulmonary resuscitation (92950) |
$500 |
$500 |
2.6× |
| Cpap initiation and management (94660) |
$151.61 |
$151.61 |
0.8× |
| Critical care (99291) |
$1,200 |
$1,200 |
1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$900 |
$900 |
5.0× |
| Demo &/or eval,pt use,aerosol device (94664) |
$15 |
$15 |
0.1× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$720 |
$720 |
3.3× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$360 |
$360 |
3.8× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$360 |
$360 |
3.8× |
| Duplex scan extracranial art compl bi study (93880) |
$720 |
$720 |
3.3× |
| EKG (93005) |
$110 |
$110 |
2.1× |
| Er level 1 (99281) |
$150 |
$150 |
2.0× |
| Er level ii (99282) |
$200 |
$200 |
1.4× |
| Er level iii (99283) |
$300 |
$300 |
1.2× |
| Er level IV (99284) |
$500 |
$500 |
1.3× |
| Er level v (99285) |
$800 |
$800 |
1.5× |
| Holter Monitor Recording (93225) |
$250 |
$250 |
2.1× |
| Immunization Admin (90471) |
$168 |
$168 |
2.6× |
| IV infusion hydration each additional hour (96361) |
$113 |
$113 |
2.7× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$511 |
$511 |
2.7× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$168 |
$168 |
2.6× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$511 |
$511 |
2.7× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$113 |
$113 |
2.7× |
| IV push initial (96374) |
$511 |
$511 |
2.7× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$225 |
$225 |
1.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$900 |
$900 |
5.0× |
| Spirometry (94010) |
$148.83 |
$148.83 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$168 |
$168 |
2.6× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$630 |
$630 |
1.3× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$113 |
$113 |
2.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$720 |
$720 |
3.3× |
| Vital capacity total (94150) |
$148.83 |
$148.83 |
1.3× |