21 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|
| 2d tte w or w/o fol w/con,fu (C8924) |
$1,395 |
$1,395 |
4.4× |
| Admin influenza virus vac (G0008) |
$84 |
$84 |
2.0× |
| Admin pneumococcal vaccine (G0009) |
$84 |
$84 |
2.0× |
| Catheterize for urine spec (P9612) |
$8 |
$8 |
0.9× |
| Diab manage trn per indiv (G0108) |
$161 |
$161 |
2.9× |
| Diab manage trn ind/group (G0109) |
$93 |
$93 |
5.8× |
| Direct refer hospital observ (G0379) |
$150 |
$150 |
0.3× |
| Hbot, full body chamber, 30m (G0277) |
$875 |
$875 |
7.0× |
| Home sleep test/type 3 porta (G0399) |
$659 |
$659 |
3.4× |
| Mra w/o cont, chest (C8910) |
$1,864 |
$1,864 |
8.6× |
| Mra w/o fol w/cont, abd (C8902) |
$3,364 |
$3,364 |
10.6× |
| Mra w/o fol w/cont, chest (C8911) |
$1,864 |
$1,864 |
5.9× |
| Mra w/o fol w/cont, pelvis (C8920) |
$3,364 |
$3,364 |
10.6× |
| Mri w/o fol w/cont, breast, (C8908) |
$3,365 |
$3,365 |
10.6× |
| Mri w/o fol w/cont, brst, un (C8905) |
$3,365 |
$3,365 |
10.6× |
| Oth resp proc, group (G0239) |
$75 |
$75 |
2.2× |
| Oth resp proc, indiv (G0238) |
$54 |
$54 |
2.1× |
| Prostate biopsy, any mthd (G0416) |
$1,068 |
$1,068 |
3.3× |
| Psa screening (G0103) |
$141 |
$141 |
7.3× |
| Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and… (0598T) |
$585 |
$585 |
3.0× |
| Tte w or wo fol wcon,doppler (C8929) |
$1,629 |
$1,629 |
2.3× |